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Severe AsthmaSANINCT06625216

Severe Asthma Network Italy

An observational study of Severe Asthma, run by Società Italiana di Allergologia, Asma e Immunologia Clinica at 1 site in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this registry is collecting data of severe asthma patients, recruited by specialized centers, in a real life setting, homogeneously placed on a database management system to follow them over the time. The information recorded will provide: 1. Read more about this study

Who is it for?
Ages 13 years and older
Conditions the study is for
Severe Asthma
How many people
5,000 participants
Where
1 siteItaly
Study dates
17 Feb 2017to 17 Feb 2037
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 13 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients older than 12 years, diagnosed for severe asthma by a specialist, according to the ERS/ATS criteria, attending respiratory or allergy clinic for a scheduled visit are eligible for study enrollment. If inclusion/exclusion criteria are satisfied, a written consent to participate in the study will be obtained and an informative leaflet for the patient and his/her GPs will be delivered.

Who may be able to join

  • signed informed consent and privacy disclaimer;
  • age > 12 years;
  • diagnosis of severe asthma according to the ERS/ATS criteria:
  • During treatment with:
  • High-dose ICS + at least one addistional controller (LABA, montelukast, or theophylline) or
  • Oral corticosteroids >6 months/year
Show all 12Show fewer
  • at least one of the following occurs or would occur if treatment would be reduced:
  • ACT <20 or ACQ>1.5
  • At least 2 exacerbations in the last 12 months
  • At least 1 exacerbation treated in hospital or requiring mechanical ventilation in the last 12 months
  • FEV1 <80% (if FEV1/FVC below the lower limit of normal)
  • Exclusion Criteria have not been considered in order to have a realistic view of severe asthma in real life.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Italy1 site, 1 recruiting
  • Personalized Medicine, Asthma and Allergy - IRCCS Humanitas Research Hospital, Rozzano, Italy

    Rozzano, Milano, 20089

    Enrico Marco Heffler, MD, PhD, 0282241, enrico.heffler@hunimed.eu

    Recruiting

Other trials in Italy

About this study

Official title: Observatory of Patients With Severe Asthma and Potential Eligible Patients for Treatment With Biological Drugs

The goal of this registry is collecting data of severe asthma patients, recruited by specialized centers, in a real life setting, homogeneously placed on a database management system to follow them over the time.

The information recorded will provide:

  1. The collection of homogeneous clinical, functional and biologic data of patients with severe asthma in a real life setting.
  2. The evaluation of adherence to treatment in real life.
  3. The clinical eligibility of patients treated with biologics.
  4. The evaluation of patients' clinical response to each treatment.
  5. The monitoring of tolerability and safety.
  6. The long-term follow up of patients with severe asthma.
Conditions
Severe Asthma
Keywords
Severe Asthma, Network, Registry, Biologics, Adherence
Medical subject headings
Asthma

What is being measured

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

  1. Analyzing epidemiological and clinical characteristics of severe asthmatics from SANI registry.

    Collection of sociodemographic data: sex, employment, ethnicity, smocking habits.

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  2. Analyzing epidemiological and clinical characteristics of severe asthmatics from SANI registry.

    Collection of clinical data: age, age at asthma onset and/or age at asthma diagnosis (years).

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  3. Analyzing epidemiological and clinical characteristics of severe asthmatics from SANI registry.

    Collection of clinical data: weight (kilograms) and height (meters) combined to report Body Mass Index [BMI] in kg/m^2.

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  4. Analyzing epidemiological and clinical characteristics of severe asthmatics from SANI registry.

    Collection of clinical data: presence of allergies and/or comorbidities, previous accesses to ER and/or hospitalizations, and numbers of exacerbations.

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  5. Collecting functional data of severe asthmatics from SANI registry.

    Assessment of lung function before and after a bronchodilator medication: Forced Vital Capacity [FVC] and Forced Expiratory Volume in 1 second [FEV1] values (liters) combined to report FEV1/FVC Ratio.

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  6. Collecting functional data of severe asthmatics from SANI registry.

    Assessment of lung function before and after a bronchodilator medication: Forced Vital Capacity [FVC] and Forced Expiratory Volume in 1 second [FEV1] values (percentages) combined to report FEV1/FVC Ratio.

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  7. Assessing inflammatory markers in order to characterize asthma endotypes.

    Measurement of Fractional exhaled Nitric Oxide [FeNO] (ppb).

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  8. Assessing inflammatory markers in order to characterize asthma endotypes.

    Measurement of total serum IgE (kU/L).

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  9. Assessing inflammatory markers in order to characterize asthma endotypes.

    Measurement of blood eosinophilia (10^9 cells/L).

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  10. Assessing inflammatory markers in order to characterize asthma endotypes.

    Measurement of blood and sputum eosinophil levels (percentages).

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  11. Assessing asthma control and and PROs.

    Assessment of asthma control over time according to the GINA Guidelines and standardized questionnaires: Asthma Control Test [ACT], and Asthma Control Questionnaire [ACQ].

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  12. Assessing asthma control and and PROs.

    Assessment of the quality of life through Asthma Quality of Life Questionnaire [AQLQ] .

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

  13. Studying the real life efficacy and safety of biologics.

    Evaluation of patients' clinical response to each biologics, reports of previous adverse reactions to the drug used and reasons for withdrawal from biologic treatment.

    Measured: through study completion (the length of the follow up for each patient is scheduled for 10 years)

Timeline

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

  1. First posted3 Oct 2024
  2. Study start17 Feb 2017
  3. Primary completion17 Feb 2027 (estimated)
  4. Study completion17 Feb 2037 (estimated)

Resources

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
5,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06625216
Sponsor's protocol ID
ICH 1742
Acronym
SANI
Status last verified
Apr 2026
First submitted
5 Jul 2024
Last updated
29 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Wenzel S. Severe asthma: from characteristics to phenotypes to endotypes. Clin Exp Allergy. 2012 May;42(5):650-8. doi: 10.1111/j.1365-2222.2011.03929.x. Epub 2012 Jan 18.

    PubMed 22251060
  • Chung KF, Wenzel SE, Brozek JL, Bush A, Castro M, Sterk PJ, Adcock IM, Bateman ED, Bel EH, Bleecker ER, Boulet LP, Brightling C, Chanez P, Dahlen SE, Djukanovic R, Frey U, Gaga M, Gibson P, Hamid Q, Jajour NN, Mauad T, Sorkness RL, Teague WG. International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma. Eur Respir J. 2014 Feb;43(2):343-73. doi: 10.1183/09031936.00202013. Epub 2013 Dec 12.

    PubMed 24337046
  • De Ferrari L, Chiappori A, Bagnasco D, Riccio AM, Passalacqua G, Canonica GW. Molecular phenotyping and biomarker development: are we on our way towards targeted therapy for severe asthma? Expert Rev Respir Med. 2016;10(1):29-38. doi: 10.1586/17476348.2016.1111763. Epub 2015 Nov 13.

    PubMed 26566089
  • Latorre M, Baldini C, Seccia V, Pepe P, Novelli F, Celi A, Bacci E, Cianchetti S, Dente FL, Bombardieri S, Paggiaro P. Asthma Control and Airway Inflammation in Patients with Eosinophilic Granulomatosis with Polyangiitis. J Allergy Clin Immunol Pract. 2016 May-Jun;4(3):512-9. doi: 10.1016/j.jaip.2015.12.014. Epub 2016 Feb 13.

    PubMed 26883543
  • Chung KF. Targeting the interleukin pathway in the treatment of asthma. Lancet. 2015 Sep 12;386(9998):1086-96. doi: 10.1016/S0140-6736(15)00157-9.

    PubMed 26383000
  • Pelaia G, Vatrella A, Maselli R. The potential of biologics for the treatment of asthma. Nat Rev Drug Discov. 2012 Dec;11(12):958-72. doi: 10.1038/nrd3792.

    PubMed 23197041
  • Bagnasco D, Ferrando M, Bernardi S, Passalacqua G, Canonica GW. The path to personalized medicine in asthma. Expert Rev Respir Med. 2016 Sep;10(9):957-65. doi: 10.1080/17476348.2016.1205490. Epub 2016 Jul 11.

    PubMed 27399975
  • Chipps BE, Zeiger RS, Dorenbaum A, Borish L, Wenzel SE, Miller DP, Hayden ML, Bleecker ER, Simons FE, Szefler SJ, Weiss ST, Haselkorn T; TENOR Study Group. Assessment of asthma control and asthma exacerbations in the epidemiology and natural history of asthma: outcomes and treatment regimens (TENOR) observational cohort. Curr Respir Care Rep. 2012 Dec;1(4):259-269. doi: 10.1007/s13665-012-0025-x. Epub 2012 Sep 20.

    PubMed 23136642
  • Chipps BE, Zeiger RS, Borish L, Wenzel SE, Yegin A, Hayden ML, Miller DP, Bleecker ER, Simons FE, Szefler SJ, Weiss ST, Haselkorn T; TENOR Study Group. Key findings and clinical implications from The Epidemiology and Natural History of Asthma: Outcomes and Treatment Regimens (TENOR) study. J Allergy Clin Immunol. 2012 Aug;130(2):332-42.e10. doi: 10.1016/j.jaci.2012.04.014. Epub 2012 Jun 12.

    PubMed 22694932
  • Schleich F, Brusselle G, Louis R, Vandenplas O, Michils A, Pilette C, Peche R, Manise M, Joos G. Heterogeneity of phenotypes in severe asthmatics. The Belgian Severe Asthma Registry (BSAR). Respir Med. 2014 Dec;108(12):1723-32. doi: 10.1016/j.rmed.2014.10.007. Epub 2014 Oct 27.

    PubMed 25456708
  • Ferry JJ, Horvath AM, Bekersky I, Heath EC, Ryan CF, Colburn WA. Relative and absolute bioavailability of prednisone and prednisolone after separate oral and intravenous doses. J Clin Pharmacol. 1988 Jan;28(1):81-7. doi: 10.1002/j.1552-4604.1988.tb03105.x.

    PubMed 3350994
  • Normansell R, Walker S, Milan SJ, Walters EH, Nair P. Omalizumab for asthma in adults and children. Cochrane Database Syst Rev. 2014 Jan 13;2014(1):CD003559. doi: 10.1002/14651858.CD003559.pub4.

    PubMed 24414989
  • Novelli F, Latorre M, Vergura L, Caiaffa MF, Camiciottoli G, Guarnieri G, Matucci A, Macchia L, Vianello A, Vultaggio A, Celi A, Cazzola M, Paggiaro P; Xolair Italian Study Group. Asthma control in severe asthmatics under treatment with omalizumab: a cross-sectional observational study in Italy. Pulm Pharmacol Ther. 2015 Apr;31:123-9. doi: 10.1016/j.pupt.2014.09.007. Epub 2014 Sep 30.

    PubMed 25281265
  • Caminati M, Senna G, Guerriero M, Dama AR, Chieco-Bianchi F, Stefanizzi G, Montagni M, Ridolo E. Omalizumab for severe allergic asthma in clinical trials and real-life studies: what we know and what we should address. Pulm Pharmacol Ther. 2015 Apr;31:28-35. doi: 10.1016/j.pupt.2015.01.006. Epub 2015 Jan 30.

    PubMed 25640019
  • Herland K, Akselsen JP, Skjonsberg OH, Bjermer L. How representative are clinical study patients with asthma or COPD for a larger "real life" population of patients with obstructive lung disease? Respir Med. 2005 Jan;99(1):11-9. doi: 10.1016/j.rmed.2004.03.026.

    PubMed 15672843

Questions about this trial

What is this clinical trial studying?

An observational study of Severe Asthma, run by Società Italiana di Allergologia, Asma e Immunologia Clinica at 1 site in Italy.

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 12 inclusion and 0 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 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. 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 Enrico Marco Heffler, MD, PhD (0282241 ext. +39, enrico.heffler@hunimed.eu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Analyzing epidemiological and clinical characteristics of severe asthmatics from SANI registry. (time frame: through study completion (the length of the follow up for each patient is scheduled for 10 years)). The study lists 13 primary outcomes in all. 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 NCT06625216, which also lists 21 linked publications.

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 29 Apr 2026.

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