EX VIVO STIMULATION OF WHOLE BLOOD AS A MEANS TO DETERMINE GLUCOCORTICOID SENSITIVITY TO MILD-TO-MODERATE AND REFRACTORY ASTHMATICS



Status:Recruiting
Conditions:Asthma
Therapuetic Areas:Pulmonary / Respiratory Diseases
Healthy:No
Age Range:Any
Updated:10/21/2012
Start Date:June 2011
Contact:Jeanette Marketon, M.D.
Email:jeanette.marketon@osumc.edu
Phone:614-293-3496

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Gluococorticoids are commonly prescribed to treat a number of diseases including the
majority of inflammatory diseases. Despite considerable inter-personal variability in
responses to glucocorticoids between asthmatics, an insensitivity rate of about 30% and the
risk of adverse side effects of glucocorticoid therapy, no assay is currently performed to
determine sensitivity in severe and non-severe asthmatics prior to treatment. The purpose of
this study is to perform a whole blood ex vivo stimulation assay to interrogate known
glucocorticoid receptor (GR) up- and down-regulated genes to indicate glucocorticoid
sensitivity and compare the results between severe and non-severe asthmatics.


Inclusion criteria:

To be eligible for the study, subjects must meet all of the following criteria:

- Age ≥ 18 years old

- Physician diagnosis of asthma confirmed through medical record documentation.

- Documented history of 12% FEV1 reversibility post-bronchodilator and/or Methacholine
PC 20 score of 16mg/ml or less.

- Non-smoker for > 6 months before enrollment into the trial

- Less than 5 pack year smoking history defined as the average packs smoked per day
multiplied by the years of active smoking.

- Willing and able to adhere to the study visit schedule and other protocol-specified
procedures.

Exclusion criteria:

Subjects meeting any of the following criteria may not be enrolled in the study:

- Existence of lung disease (other than asthma)

- Recent asthma exacerbation requiring hospital admissions, unexpected healthcare
visits, or prednisone courses in the previous 4 weeks.

- Non-English speaking.

- Participation in another interventional research trial

- Self-reported pregnancy

- Inability or unwillingness to provide consent

- Febrile illness (>38.0˚ C or 100.4˚ F) within 24 hours of visit.
We found this trial at
1
site
Columbus, Ohio 43221
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from
Columbus, OH
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