Lung DiseasesNCT04543461
American Lung Association (ALA) Lung Health Cohort
An observational study of Lung Diseases, run by Johns Hopkins University at 37 sites in United States.
Trial summary
The ALA-LHC is a longitudinal, multi-center cohort study that will enroll approximately 4,000 young adults between the ages of 25-35 who do not have severe lung disease. The overarching objective of the ALA-LHC is to establish a national cohort of young adults for the purpose of defining lung health and developing… Read more about this study
- Who is it for?
- Ages 25 to 35 yearsHealthy volunteers can take part
- Conditions the study is for
- Lung Diseases
- How many people
- 4,000 participants
- Where
- 37 sitesUnited States
- Study dates
- 29 Oct 2021to 30 Jun 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 25 to 35 years
- All sexes
- Healthy volunteers accepted
- Adult
Study population: Young adults between 25 and 35 year of age at baseline
Who may be able to join
- 1- Age 25-35 years at the time of the baseline examination 2- Able to read and understand English or Spanish 3 -Has a social security number 4- Resident (citizen or non-citizen) of the United States (US) for at least 12 months prior to examination. Note: Individuals who are residents of the US who have temporarily spent time living outside of the US during the last 12 months (e.g., student exchange program, military posting) are eligible for participation.
- 5- Willing to provide contact information for at least 2 proxies who are likely to know the whereabouts and vital status of the participant
Who cannot join
- Severe asthma, which is defined as any of the following:
- Current (i.e. at the time of the visit) GINA Step 4 or higher therapy (medium dose ICS/LABA or high dose ICS or add-on LAMA; Medium dose = >250 fluticasone, propionate =100 fluticasone furoate, >200 beclomethasone, >400 budesonide, >220 mometasone). We will accept low-dose ICS/LABA or medium dose ICS.
- OR
- 3 or more unscheduled healthcare visits (provider/urgent care/ER) for asthma in the past 12 months OR
- One asthma hospitalization in the past 12 months
- History of any chronic lung disease other than asthma including but not limited to COPD, cystic fibrosis, pulmonary fibrosis, pulmonary hypertension
Show all 15Show fewer
- Current pregnancy
- History of cancer other than non-melanoma skin cancer
- Diagnosed cardiovascular diseases (i.e., congenital heart disease, coronary heart disease)
- Inability to comply with study procedures, including
- Inability or unwillingness to provide informed consent
- Inability to perform study measurements
- Inability to be contacted by phone (via calls and/or text messaging) or email
- Any condition in the opinion of the physician that puts the participant at risk by participating in the study (e.g., serious respiratory illness requiring antibiotics or steroids or severe fever at the time of the study visit).
- Institutionalization
Trial locations and contacts
37 sites in 1 country. Contact the study team or a site near you to ask about taking part.
37 sites in 1 country
United States37 sites, 30 recruiting
- Recruiting
University of Michigan
Ann Arbor, Michigan, 48109
Wendy Warshal, 734-232-2841, warshal@med.umich.edu
abaptist@med.umich.edu
- Active, not recruiting
University of Colorado
Aurora, Colorado, 80045
- Recruiting
Johns Hopkins University
Baltimore, Maryland, 21218
Molly Lauver, 410-550-2863, mlauver3@jhmi.edu
Nadia Hansel
- Recruiting
University Of Alabama
Birmingham, Alabama, 35294
Necole Harris, 205-934-9240, itis-lhc@uab.edu
Michael Wells, MD
- Withdrawn
Brigham and Women's
Boston, Massachusetts, 02115
- Not yet recruiting
Presbyterian Brooklyn Methodist Hospital
Brooklyn, New York, 11215
718-780-5906, che2018@nyp.org
Jerem Weingarten, MD, MBA, MS
- Suspended
University of North Carolina Hospital
Chapel Hill, North Carolina, 27517
- Recruiting
Medical University of South Carolina
Charleston, South Carolina, 29425
Kristin Neff, 843-792-1219, neffk@musc.edu
Charlie Strange, MD
- Recruiting
University of Illinois at Chicago
Chicago, Illinois, 60608
Lourdes Norwick, 312-413-5453, lhc_study@uic.edu
Lynn Gerald, PhD
- Recruiting
Northwestern University
Chicago, Illinois, 60611
Shafic Kakooza, 312-503-6378, lhc@northwestern.edu
Ravi Kalhan, MD
- Recruiting
Rush Universtiy
Chicago, Illinois, 60612
Jessica Parumoottil, 312-563-2168, Jessica_Parumoottil@rush.edu
James Moy, MD
- Withdrawn
University of Chicago
Chicago, Illinois, 60637
- Recruiting
University of Vermont
Colchester, Vermont, 05446
Grahm Janson, 802-847-2193, Graham.Janson@uvmhealth.org
Charles Irvin, PhD
- Recruiting
Ohio State University
Columbus, Ohio, 43210
Joseph Santiago, 614-293-4925, Joseph.Santiago@osumc.edu
Philip Diaz
- Recruiting
National Jewish Health
Denver, Colorado, 80206
Juno Pak, 303-398-1443, PakJ@NJHealth.org
Barry Make, MD
- Recruiting
Duke University
Durham, North Carolina, 27710
Kaitlin Foy, 919-479-0861, DukeAirwayResearch@duke.edu
Loretta Que, MD
- Recruiting
New York Medical College
Hawthorne, New York, 10532
Zachary Messer, 914-593-8904, zachary_messer@nymc.edu
Allen Dozor, MD
- Recruiting
Baylor College of Medicine
Houston, Texas, 77030
Laura Bertrand, 713-798-2681, Laura.Bertrand@bcm.edu
Nicola Hanania, MD
- Withdrawn
St. Vincent's Health System
Indianapolis, Indiana, 46260
- Recruiting
University of Iowa
Iowa City, Iowa, 52242
Eric Garcia, 319-353-8862, eric-garcia@uiowa.edu
Alejandro Comellas, MD
- Recruiting
Nemours Children's Jacksonville
Jacksonville, Florida, 32207
Micheal Littlefield, 904-697-3925, Biomedicalresearch@nemours.org
Kathryn Blake, PharmD
- Recruiting
University of Florida, Jacksonville
Jacksonville, Florida, 32209
Jennifer Bowman, 904-244-1106, Jennifer.Bowman@jax.ufl.edu
Vandana Seeram, MD
- Recruiting
University of Kansas
Kansas City, Kansas, 66103
Nicole Hall, 913-588-1987, nhall@kumc.edu
Mario Castro, MD, MPH
- Recruiting
University of California, Los Angeles
Los Angeles, California, 90095
Tiffany Bina, 310-206-1629, tbina@mednet.ucla.edu
Igor Barjaktarevic
- Withdrawn
University of Wisconsin Madison
Madison, Wisconsin, 53792
- Recruiting
Vanderbilt University Medical Center
Nashville, Tennessee, 37235
Courtney Lehman, 615-421-8172, courtney.a.lehman@vumc.org
Leonard Bacharier
- Withdrawn
New York University
New York, New York, 10016
- Recruiting
Mt. Sinai, NYC
New York, New York, 10029
Maria Wong, 212-241-2779, mariaantonia.wong@mssm.edu
Linda Rogers, MD
- Not yet recruiting
Columbia University
New York, New York, 10032
Tarnjot Saroya, 212-305-0251, tks2127@cumc.columbia.edu
Emily DiMango, MD
- Recruiting
Cornell University
New York, New York, 10032
Alicia Morris, MS, 646-962-2741, ajm2017@med.cornell.edu
Robert Kaner
- Recruiting
Temple University
Philadelphia, Pennsylvania, 19140
Sally Quinn, 215-707-1359, breathe@tuhs.temple.edu
Nathaniel Marchetti, MD
- Recruiting
University of Pittsburg-Emphysema/COPD Research Center
Pittsburgh, Pennsylvania, 15213
Tiffany Ditter, 412-648-6495, dittertl2@upmc.edu
Elizabeth Stempkowski
- Recruiting
University of Rochester
Rochester, New York, 14642
585-369-6769, LHC@URMC.Rochester.edu
Sandhya Khurana, MD
- Recruiting
University of California, San Francisco
San Francisco, California, 94143
Shannen Recio, 415-203-8234, shannen.recio@ucsf.edu
Stephanie Christenson, MD
- Not yet recruiting
University of Washington
Seattle, Washington, 98108
206-764-2558, dau@uw.edu
David Au, MD
- Recruiting
University of Arizona-Tuscon
Tucson, Arizona, 85724
Alyssandra Rivera, 520-626-6387, arivera59@arizona.edu
Fernando Martinez, PhD, MSPH
- Recruiting
Wake Forest School of Medicine
Winston-Salem, North Carolina, 27104
Isaac Deaton, 336-713-8550, ideaton@wakehealth.edu
Wendy Moore, MD
About this study
Official title: The American Lung Association (ALA) Lung Health Cohort
The ALA-LHC is a longitudinal, multi-center cohort study that will enroll approximately 4,000 young adults between the ages of 25-35 who do not have severe lung disease. The overarching objective of the ALA-LHC is to establish a national cohort of young adults for the purpose of defining lung health and developing targets to intercept chronic lung disease at its earliest stages.
Read the detailed description
The scientific goal of the study is to establish the relationship between a variety of factors (lifetime environmental exposures, fitness and physical activity, biomarkers, nasal respiratory epithelial transcriptome) and ideal versus impaired peak lung health (reserve and markers of susceptibility in investigators' model) in young adulthood. In addition to the initial baseline assessment, remote contacts (e.g., via text message, email, mail, or phone) at regular intervals will allow for both the retention of the participants as well as the collection of additional short-term follow-up information, i.e., within 4.5 years of enrollment. If additional funding becomes available, investigators will extend the study for an additional period of time to study factors related to long-term changes in lung health over time, i.e., at 5 years and beyond. Recruitment of participants will be conducted by the participating study sites along with national and regional efforts from the American Lung Association. Recruitment efforts will be supported by the study web site www.lung.org/lung-study
- Conditions
- Lung Diseases
- Keywords
- lung health, environmental exposure, chest CT, spirometry, biomarkers
- Medical subject headings
- Lung Diseases
What is being measured
The primary outcome is the main question the study is designed to answer.
Pre-bronchodilator measurement of Forced Expiratory Volume in one second (FEV1)
Pre-bronchodilator measurements of FEV1 to determine bronchoconstriction. FEV1 is measured in liters of air. Severity of bronchoconstriction is based on predicted values published by National Health and Nutrition Examination Survey (NHANES III hankinson) for height, weight and age. Predicted values are reported as percent predicted with a result of 80% or greater considered normal
Measured: Baseline
Pre-bronchodilator measurements of Forced Vital Capacity (FVC)
Pre-bronchodilator measurements FVC to determine lung volume. FVC is measured in liters of air. Participants predicted vital lung capacity is based on values published by National Health and Nutrition Examination Survey (NHANES III hankinson) for height, weight and age. Predicted values are reported as percent predicted with a result of 80% or greater considered normal
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Sep 2020
- Study start29 Oct 2021
- Primary completion30 Jun 2027 (estimated)
- Study completion30 Jun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lung DiseasesStudies of the same condition, open and under way.
- More trials run by Johns Hopkins UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 4,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Johns Hopkins University
- Sponsor type
- University, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI), American Lung Association, Stanford University
- Responsible party
- Sponsor
- Investigators
- Ravi Kalhan, MD, Principal investigator, Northwestern University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04543461
- Sponsor's protocol ID
- IRB00236497
- Other IDs
- U01HL146408
- Status last verified
- Sep 2026
- First submitted
- 2 Sep 2020
- Last updated
- 23 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The American Lung Association (ALA) Lung Health Cohort
- ClinicalTrials.gov ID
- NCT04543461
- Acronym / sponsor ID
- IRB00236497
- Conditions
- Lung Diseases
- Keywords
- lung health, environmental exposure, chest CT, spirometry, biomarkers
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 4,000 participants (estimated)
- Lead sponsor
- Johns Hopkins UniversityUniversity, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI), American Lung Association, Stanford University
- Study start
- 29 Oct 2021 (actual)
- Primary completion
- 30 Jun 2027 (estimated)
- Study completion
- 30 Jun 2027 (estimated)
- First posted
- 10 Sep 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The ALA-LHC is a longitudinal, multi-center cohort study that will enroll approximately 4,000 young adults between the ages of 25-35 who do not have severe lung disease. The overarching objective of the ALA-LHC is to establish a national cohort of young adults for the purpose of defining lung health and developing targets to intercept chronic lung disease at its earliest stages.
Detailed description
The scientific goal of the study is to establish the relationship between a variety of factors (lifetime environmental exposures, fitness and physical activity, biomarkers, nasal respiratory epithelial transcriptome) and ideal versus impaired peak lung health (reserve and markers of susceptibility in investigators' model) in young adulthood. In addition to the initial baseline assessment, remote contacts (e.g., via text message, email, mail, or phone) at regular intervals will allow for both the retention of the participants as well as the collection of additional short-term follow-up information, i.e., within 4.5 years of enrollment. If additional funding becomes available, investigators will extend the study for an additional period of time to study factors related to long-term changes in lung health over time, i.e., at 5 years and beyond. Recruitment of participants will be conducted by the participating study sites along with national and regional efforts from the American Lung Association. Recruitment efforts will be supported by the study web site www.lung.org/lung-study
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 25 to 35 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
- Study population
- Young adults between 25 and 35 year of age at baseline
Key inclusion criteria (2 listed)
- 1- Age 25-35 years at the time of the baseline examination 2- Able to read and understand English or Spanish 3 -Has a social security number 4- Resident (citizen or non-citizen) of the United States (US) for at least 12 months prior to examination. Note: Individuals who are residents of the US who have temporarily spent time living outside of the US during the last 12 months (e.g., student exchange program, military posting) are eligible for participation.
- 5- Willing to provide contact information for at least 2 proxies who are likely to know the whereabouts and vital status of the participant
Key exclusion criteria (15 listed)
- Severe asthma, which is defined as any of the following:
- OR
- History of any chronic lung disease other than asthma including but not limited to COPD, cystic fibrosis, pulmonary fibrosis, pulmonary hypertension
- Current pregnancy
- History of cancer other than non-melanoma skin cancer
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Pre-bronchodilator measurement of Forced Expiratory Volume in one second (FEV1)
Time frame: Baseline
Pre-bronchodilator measurements of FEV1 to determine bronchoconstriction. FEV1 is measured in liters of air. Severity of bronchoconstriction is based on predicted values published by National Health and Nutrition Examination Survey (NHANES III hankinson) for height, weight and age. Predicted values are reported as percent predicted with a result of 80% or greater considered normal
Pre-bronchodilator measurements of Forced Vital Capacity (FVC)
Time frame: Baseline
Pre-bronchodilator measurements FVC to determine lung volume. FVC is measured in liters of air. Participants predicted vital lung capacity is based on values published by National Health and Nutrition Examination Survey (NHANES III hankinson) for height, weight and age. Predicted values are reported as percent predicted with a result of 80% or greater considered normal
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Sep 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Ravi Kalhan, MD principal investigator
Northwestern University
37 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Lung Diseases, run by Johns Hopkins University at 37 sites in United States.
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 2 inclusion and 15 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: looking for participants now, as of the sponsor's last update on 23 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 37 sites in United States. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Elizabeth Sugar, PhD (443-287-3170, esugar2@jhu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pre-bronchodilator measurement of Forced Expiratory Volume in one second (FEV1) (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 23 Sep 2026.