EXhaled Hydrogen Peroxide As a Marker of Lung diseasE (EXHALE) Pilot Study.

Asthma Clinical Trial

— EXHALE Pilot  

Official title:

A Cross-sectional, Feasibility Study to Explore the Use of a New Device (Inflammacheck™) in Measuring the Level of Exhaled Breath Condensate Hydrogen Peroxide (EBC H2O2) in Patients With Asthma, COPD, and Healthy Volunteers. The EXHALE Pilot

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03055923
• Other study ID #: PHT/2016/93
• Status: Completed
• Start date: November 14, 2016
• Est. completion date: April 10, 2018

Study information

• Verified date: April 2023
• Source: Portsmouth Hospitals NHS Trust
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This Pilot study evaluates the use of a new device called Inflammacheck and whether it can consistently measure hydrogen peroxide levels in exhaled breath condensate. It will also assess whether exhaled breath condensate hydrogen peroxide levels as measured by Inflammacheck can differentiate people with asthma and COPD from healthy individuals.

Description:

Hydrogen Peroxide levels in Exhaled Breath Condensate (EBC) is a direct biomarker of oxidative stress from the airway epithelium. Levels have been shown to be raised in asthma and Chronic Obstructive Pulmonary Disease (COPD) both in stable and exacerbating states.

Previously it has been difficult to measure this volatile compound away from a laboratory based setting. However a new device has been developed to measure Hydrogen peroxide levels in exhaled breath by the patients side.

This Pilot study will test this new device in a clinical setting. It will assess whether the device can monitor levels consistently and reliably and whether it can distinguish disease from healthy individuals.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 149
• Est. completion date: April 10, 2018
• Est. primary completion date: April 10, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 16 Years and older

Eligibility

Inclusion Criteria:

• Subject has a clinician made diagnosis of asthma with symptoms for = 3 months supported by objective evidence of airflow variability, reversibility or airway hyper-responsiveness

• Subject has a confirmed, clinician made diagnosis of COPD for = 3 months supported by spirometric evidence of fixed airflow limitation (post-bronchodilator ratio of FEV1/FVC <0.7) recorded at any time

• Subject has no known history of lung disease (defined as no current clinical diagnosis of, or be receiving treatment for, a lung disease).

• Subject is willing and able to give informed consent for participation in the study.

Exclusion Criteria:

• Subject has existing co-morbidities that may prevent them from performing spirometry, FeNO or other study measurements (at the discretion of the clinical investigator).

• Subject has known other lung, chest wall, neuromuscular, or cardiac disease or abnormality (including end-stage disease or cancer) that would confound symptom scores and spirometry.

• Subject has received treatment for an exacerbation of their respiratory disease within the last 2 weeks.

• In the opinion of the clinical investigator, participant could be put at risk of harm by having to perform any of the study procedures.

• Subject is unable to comprehend the study and provide informed consent, e.g. insufficient command of English in the absence of someone to adequately interpret.

Related Conditions & MeSH terms

• Asthma
• Chronic Obstructive Pulmonary Disease
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive

Intervention

Device:
• The Inflammacheck Device
A new hand-held, Non-invasive breathing test, that only requires tidal breathing.

Locations

Country	Name	City	State
United Kingdom	Portsmouth Hospitals NHS Trust	Portsmouth

Sponsors (2)

Lead Sponsor	Collaborator
Portsmouth Hospitals NHS Trust	Asthma UK

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Exhaled Breath Condensate hydrogen peroxide levels as measured by the inflammacheck device.		12 months
Secondary	Disease severity as measured by Global Initiative for Asthma (GINA) Stage for asthma.		12 months
Secondary	Disease severity as measured by Global Obstructive Lung Disease (GOLD) Stage for COPD.		12 months
Secondary	Disease control as measured by the Asthma Control Questionnaire (ACQ) score for asthma patients.		12 months
Secondary	Disease control as measured by the COPD Assessment Test (CAT) score for COPD patients.		12 months
Secondary	Quality of life as measured by the Asthma Quality of Life Questionnaire (AQLQ) score in asthma patients		12 months
Secondary	Lung function as recorded by the forced expiratory volume in 1 second (FEV1)		12 months
Secondary	Eosinophilic Lung Inflammation as recorded by the exhaled Nitric Oxide level (FeNO).		12 months
Secondary	Usability of inflammacheck device as measured by how frequently patients are unable to perform EBC collection by using the 'Inflammacheck' device.		6 months
Secondary	Acceptability of the inflammacheck device as measured by a questionnaire of the participants and healthcare professionals experience of 'Inflammacheck'.		6 months