Asthma Clinical Trial
Official title:
Airflow Obstruction and Biomarkers of Airway Inflammation During and Following Acute Exacerbations of Childhood Asthma
This study is a longitudinal single-center pilot study designed to describe changes in lung
function and levels of noninvasive biomarkers of airway inflammation in children ages 6-18
years over two months following hospitalization for an acute exacerbation of asthma. Forty
children ages 6-18 years with asthma who are admitted to Children's Hospital and Regional
Medical Center (GCRC) for an asthma exacerbation will be enrolled and complete an initial
study visit prior to hospital discharge. Children with asthma will be recruited from the
inpatient medical unit. During their initial visit subjects will undergo a clinical
assessment and perform spirometry to measure lung function. In addition, exhaled nitric
oxide (eNO) concentration will be measured and a sample of exhaled breath condensate (eBC)
will be collected during 20 minutes of tidal breathing. Breath condensate will be analyzed
to determine the concentration of cysteinyl leukotrienes (CysLT), an important mediator of
airway inflammation in asthma. Subjects with asthma will return to the GCRC pediatric
satellite at Seattle Children's Hospital for follow-up study visits at 1 week, 2 weeks, and
4 weeks following hospital discharge. During follow-up visits subjects will complete a
questionnaire regarding symptoms and medication use since the most recent study visit, will
perform spirometry, and have eNO concentration measured and breath condensate collected for
CysLT analysis.
The aims of this observational study are to:
1. Assess the association of levels of exhaled nitric oxide and cysteinyl leukotrienes in
breath condensate with measures of airflow obstruction (FEV1) and asthma symptoms
during, and at one, two, and four weeks following hospital discharge for asthma
exacerbation.
2. Compare levels of exhaled nitric oxide and cysteinyl leukotrienes in breath condensate
from children ages 6-18 years hospitalized for status asthmaticus to levels from
age-matched healthy control subjects without asthma.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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