Impact of Metabolic Dysfunction and Mucus Plugging on Asthma Physiology
Part of paid clinical trials in San Francisco, California.
- Sponsor
- University of California, San Francisco
- Study ID
- NCT05757583
- Status
- Recruiting
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Study Details
This is a single-center study of 80 subjects with asthma including those with obesity and metabolic dysfunction (MD), those with obesity and without metabolic dysfunction, those with severe asthma and mucus plugging and those with severe asthma and without mucus plugging. Screening data will be reviewed to determine participant eligibility. Participants who meet all inclusion criteria will participate in a cardiopulmonary exercise testing (CPET) visit to compare lung function markers and change in oxygen saturation between obese patients with and without MD and severe asthma patients with and without mucus plugging.
Key Dates
- Start date
- Apr 5, 2023
- Status verified
- Jul 2025
- Primary completion
- Apr 30, 2026
- Completion
- Apr 30, 2026
Study Design
- Enrollment
- 80 participants (estimated)
Arms
- Arm: Patients with asthma, obesity and metabolic dysfunctionOtherwise healthy asthmatic subjects with: 1. Body Mass Index (BMI) ≥ 30; and 2. Metabolic dysfunction evidenced by at least one of the following: * high plasma IL-6 (\> 3.0 pg/mL) * insulin resistance (HOMA-IR \> 3 mass units)
- Arm: Patients with asthma, obesity and no metabolic dysfunctionOtherwise healthy asthmatic subjects with: 1. Body Mass Index (BMI) ≥ 30; and 2. No evidence of metabolic dysfunction
- Arm: Patients with severe asthma and mucus plugsOtherwise healthy asthmatic subjects: 1. Requiring treatment with high dose inhaled corticosteroids plus a second controller, systemic corticosteroid, or biologic therapy; and 2. Evidence of mucus plugs as defined by a mucus plug score ≥ 4
- Arm: Patients with severe asthma and no mucus plugsOtherwise healthy asthmatic subjects: 1. Requiring treatment with high dose inhaled corticosteroids plus a second controller, systemic corticosteroid, or biologic therapy; and 2. No evidence of mucus plugs as defined by a mucus plug score \< 4
Primary Outcome Measure
Change in EELV (End Expiratory Lung Volume) [ Time Frame: At CPET visit. ]
Central Contacts
- Jade Vi, BS415-476-1783
- John Fahy, MD, MS415-476-9940
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| UCSF Airway Clinical Research Center | San Francisco | California | 94143 | John Fahy, MD, MS (PRINCIPAL_INVESTIGATOR) |
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