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AsthmaNCT03491358

Inhaled Allergen Challenge Methodology: Assessment of a Vibrating Mesh Nebulizer for Allergen Administration

A study testing Wright jet nebulizer and Aerogen Solo in people with Asthma, run by University of Saskatchewan at 3 sites in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will assess the Aerogen Solo® (Solo®) vibrating mesh nebulizer as a potential new device for use in allergen challenge testing. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Asthma
What is being tested?
Wright jet nebulizer and Aerogen Solo
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
3 sitesCanada
Study dates
27 Nov 2018to 24 Jul 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • baseline FEV1 greater than or equal to 70%
  • positive response to inhaled methacholine (i.e. PD20 less than 400mcg)
  • evidence of atopy (i.e. positive skin prick test to an allergen that can be used for the inhalation challenge
  • absence of respiratory infection for at least 4 weeks
  • absence of allergen exposure (or other trigger of upper or lower respiratory symptoms) for at least 4 weeks
  • current nonsmoker (ex-smoker allowed; case by case basis; investigator discretion)
  • require only infrequent short-acting beta2 agonist (i.e. salbutamol or terbutaline) to treat/control asthma (i.e. no inhaled corticosteroid or combination therapies, no intranasal corticosteroid; anti-histamines etc.)
  • general good health with no other medical condition, medication use or lifestyle activities that would influence the outcome of the allergen challenge

Who cannot join

  • pregnant or lactating

Trial locations and contacts

3 sites in 1 country.

Canada3 sites
  • McMaster University

    Hamilton, Ontario, L8N 3Z5

  • Laval University

    Québec, Quebec, G1V 4G5

  • Asthma Research Lab - University of Saskatchewan

    Saskatoon, Saskatchewan, S7N 0W8

Other trials in Canada

About this study

This study will assess the Aerogen Solo® (Solo®) vibrating mesh nebulizer as a potential new device for use in allergen challenge testing.

Read the detailed description

This will be a multi-center, randomized, cross-over study utilizing the expertise of three Canadian academic centers (University of Saskatchewan, McMaster University, Laval University) that have been performing allergen inhalation challenges and other bronchoprovocation studies for more than forty years.

Each participant will be required to attend the research lab on five occasions (Visits 1-5). At Visit 1, study staff will provide an overview of the study purpose and procedure and answer any questions the participant may have. The individual will then provide consent if they wish to participate (i.e. sign the consent form). Skin prick testing to determine relevant allergen sensitivities and to determine which allergen extract will be used for the skin test endpoint (STE) and allergen inhalation challenge will then be performed. The participant will be randomized with respect to which nebulizer (Solo® or Wright) will be used first. The choice of nebulizer for the first participant will be via blinded draw. Subsequent nebulizer assignments will alternate. Participants will undergo the STE procedure and methacholine challenge testing (MCT) at visit 2; an allergen challenge will be done the next day at Visit 3 using the same nebulizer as was used for the MCT at Visit 2. Visits 4 and 5 will also be performed on consecutive days and will involve methacholine and allergen challenge testing, respectively, using the nebulizer that was not used at Visits 2 and 3. A minimum of two weeks must separate Visits 3 and 4.

Conditions
Asthma
Being tested
Wright jet nebulizer, Aerogen Solo
Keywords
vibrating mesh nebulizer, allergen challenge
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Wright jet nebulizerDevice

    Roxon Medi-Tech, Montreal, QC, Canada

  • Aerogen SoloDevice

    Aerogen Ltd., Galway, Ireland

Study groups in NCT03491358
Study groupRoleWhat they receive
Wright jet nebulizerActive comparatorWill employ the Wright jet nebulizer for use in an allergen challenge triad
Receives: Device: Wright jet nebulizer
Solo vibrating mesh nebulizerExperimentalWill employ the Aerogen Solo vibrating mesh device for use in an allergen challenge triad
Receives: Device: Aerogen Solo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Allergen Solo EAR PD20 (provocative dose causing a 20% fall in forced expiratory volume, FEV1)

    Record the dose of allergen required to induce a 20% fall in forced expiratory volume using the Solo device

    Measured: Baseline

Secondary outcomes (1)
  1. Predicted allergen Solo EAR PD20

    Will be predicted using the standard equation that employs the STE and MCT results

    Measured: Baseline (based on baseline methacholine challenge and skin test endpoint results)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Apr 2018
  2. Study start27 Nov 2018
  3. Primary completion24 Jul 2019
  4. Study completion24 Jul 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03491358
Sponsor's protocol ID
SOLO ALLERGEN 18
Status last verified
Dec 2019
First submitted
29 Mar 2018
Last updated
10 Dec 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cockcroft DW, Davis BE, Blais CM, Boulet LP, Boulay ME, Villeneuve H, Gauvreau GM, O'Byrne PM, Howie KJ, Obminski CD. Use of a vibrating mesh nebulizer for allergen challenge. Allergy Asthma Clin Immunol. 2019 Nov 26;15:73. doi: 10.1186/s13223-019-0392-8. eCollection 2019.

    PubMed 31788006

Questions about this trial

What is this clinical trial studying?

A study testing Wright jet nebulizer and Aerogen Solo in people with Asthma, run by University of Saskatchewan at 3 sites in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Allergen Solo EAR PD20 (provocative dose causing a 20% fall in forced expiratory volume, FEV1) (time frame: Baseline). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03491358, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Dec 2019.

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