Effect of a Dietary Fatty Acid Supplementation on Symptoms and Bronchial Inflammation in Patients With Asthma

NCT ID: NCT04109534

Last Updated: 2019-10-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2020-12-30

Brief Summary

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The proposed study will investigate the effect of a polyunsaturated fatty acid / lipid mixture (LCPUFAs) on the clinical symptoms, bronchial inflammation and lung function in allergic asthma in a bronchial allergen provocation (BAP) model. For this purpose, patients with stable episodic asthma and dust mite allergy will underwent BAP before and after supplementation with LCPUFAs. The clinical symptoms, bronchial inflammation, exhaled NO increase and lung function decline (FEV1) will be analyzed.

Detailed Description

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Asthma is a chronic lung disease, which is characterized by recurrent obstruction, a hypersensitivity and a chronic inflammation of the airway. It is known that LCPUVAs could reduce the production of inflammatory mediators. In addition, LCPUVAs can improve pulmonary function, with a concurrent reduction in bronchodilator use in patients with asthma. Subjects suffering from episodic asthma and house dust mite (HDM) allergy usually have a normal lung function testing at rest and show a decrease in lung function when they are exposed to HDM. Bronchial allergen provocation models are well established in asthma research and allow the evaluation of anti-allergic and anti-asthmatic agents in relatively small sample sizes. In a previous study the investigators could show, that LCPUVAs could reduce exhaled NO after repeated BAP with HDM.

In this study the investigators will investigate the protective effect of LCPUVAs in a repeated BAP model. Clinical symptoms (nasal and bronchial), exhaled NO, decrease in lung function the early asthmatic reaction (EAR), the late asthmatic reaction (LAR) and blood parameters (Triglyceride and Cholesterin and mircro RNAs) will be measured before and after LCPUVA supplementation.

Conditions

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Allergic Asthma Allergy to House Dust Mite

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Placebo-controlled prospective study
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
LCPUVAS and Placebo are provided in sealed bags

Study Groups

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Placebo

Placebo comparator 20 patients aged 18-45 years with a diagnosis of HDM induced allergic asthma and an increase of exhaled NO of 30% after BAP will be randomized to the Placebo Comparator

Group Type PLACEBO_COMPARATOR

Bronchial allergen provocation (BAP)

Intervention Type DIAGNOSTIC_TEST

Nebulized Dermatophagoides farina administered at following doses: 10AE, 20 AE, 40 AE, 80 160 AE, etc… until the FEV1 decreases 20% below the initial FEV1-value

Nasal provocation test (NPT)

Intervention Type DIAGNOSTIC_TEST

Dermatophagoides farina will be administered in both nostrils

Methacholine test

Intervention Type DIAGNOSTIC_TEST

Nebulized metacholine will be administered at following doses: 0,01mg, 0,1mg, 0,4mg, 0,8mg und 1,6mg until the FEV1 decreases 20% below the initial FEV1-value

Peak nasal expiratory flow (PNIF)

Intervention Type DIAGNOSTIC_TEST

Comparison of peak nasal expiratory flow (PNIF) after NPT between groups

Verum

PUFAS: 2640 mg of middle-chain and polyunsaturated fatty acids 20 patients aged 18-45 years with a diagnosis of HDM induced allergic asthma and an increase of exhaled NO of 30% after BAP will be randomized to the Active Comparator

Group Type ACTIVE_COMPARATOR

Bronchial allergen provocation (BAP)

Intervention Type DIAGNOSTIC_TEST

Nebulized Dermatophagoides farina administered at following doses: 10AE, 20 AE, 40 AE, 80 160 AE, etc… until the FEV1 decreases 20% below the initial FEV1-value

Nasal provocation test (NPT)

Intervention Type DIAGNOSTIC_TEST

Dermatophagoides farina will be administered in both nostrils

Methacholine test

Intervention Type DIAGNOSTIC_TEST

Nebulized metacholine will be administered at following doses: 0,01mg, 0,1mg, 0,4mg, 0,8mg und 1,6mg until the FEV1 decreases 20% below the initial FEV1-value

Peak nasal expiratory flow (PNIF)

Intervention Type DIAGNOSTIC_TEST

Comparison of peak nasal expiratory flow (PNIF) after NPT between groups

Interventions

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Bronchial allergen provocation (BAP)

Nebulized Dermatophagoides farina administered at following doses: 10AE, 20 AE, 40 AE, 80 160 AE, etc… until the FEV1 decreases 20% below the initial FEV1-value

Intervention Type DIAGNOSTIC_TEST

Nasal provocation test (NPT)

Dermatophagoides farina will be administered in both nostrils

Intervention Type DIAGNOSTIC_TEST

Methacholine test

Nebulized metacholine will be administered at following doses: 0,01mg, 0,1mg, 0,4mg, 0,8mg und 1,6mg until the FEV1 decreases 20% below the initial FEV1-value

Intervention Type DIAGNOSTIC_TEST

Peak nasal expiratory flow (PNIF)

Comparison of peak nasal expiratory flow (PNIF) after NPT between groups

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Informed consent

* Patients: aged ≥18 and 45 years
* known allergen induced asthma and HDM-Allergy
* basic lung function FVC ≥ 80%, FEV1 ≥ 75%
* decrease in FEV1 after BAP ≥ 20%
* 30% increase of NO after BAP

Exclusion Criteria

* lung function Forced vital capacity (FVC) \<80% and Forced expiratory volume in 1 second (FEV1) \<75%
* chronic diseases or infections (e.g. HIV, Tbc)
* pregnancy
* systemic corticosteroid-treatment
* inhalative corticosteroid therapy or leukotriene antagonists
* alcohol, substance or drug abuse
* current smokers
* inability to capture extend and consequences of the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stefan Zielen

OTHER

Sponsor Role lead

Responsible Party

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Stefan Zielen

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Stefan Zielen, Professor

Role: PRINCIPAL_INVESTIGATOR

Klinik für Kinder- und Jugendmedizin Universitätsklinikum

Locations

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Klinik für Kinder- und Jugendmedizin Universitätsklinikum

Frankfurt am Main, Hesse, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Stefan Zielen, Professor

Role: CONTACT

+496301 ext. 83349

Susanne Middelkamp

Role: CONTACT

+496301 ext. 83349

Facility Contacts

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Stefan Zielen, Professor

Role: primary

+49 696301 ext. 83063

Paola JE Gnago, MD

Role: backup

+4915780560152

Other Identifiers

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19-263

Identifier Type: -

Identifier Source: org_study_id

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