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OpenTrials
Completed

NCT Number: NCT00966758

Open, Prospective Pilot Study to Obtain Aerosol Distribution in Asthmatic Patients Using Single Photon Emission Computed Tomography (SPECT) for Comparison With Functional Imaging Using Computer Methods

In this open prospective study, 6 well controlled asthmatic patients will undergo a high-resolution multi-slice computed tomography (CT) scan, lung function tests and a SPECT scan to obtain patient specific geometries of the central and peripheral small airways, patient specific boundary conditions and the in-vivo spatial distribution of inhaled aerosols.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital Antwerp

Edegem, Antwerp, 2650, Belgium

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with well controlled asthma as defined by the current GINA guidelines
  • Male or female patients aged ≥18 years
  • Patients with a documented positive response to the reversibility test (i.e. FEV1 increase ≥ 12% and 200mL from baseline value after 4 puffs of 100 µg of inhaled salbutamol pMDI) within the 12 months preceding the screening visit or performed at screening visit after a wash-out of 2 days for long acting β2 agonists or a documented positive response to the methacholine challenge test
  • Patients with a co-operative attitude
  • Written informed consent obtained
  • Patients maintained on stable respiratory medication for 4 weeks prior to visit 1

Exclusion criteria

  • Patients who are pregnant or are breast-feeding
  • Inability to carry out pulmonary function testing
  • Diagnosis of COPD as defined by the current GOLD guidelines
  • History of near fatal asthma
  • Hospitalization due to exacerbation or respiratory infection of the airways 4 weeks prior to visit 1
  • Current smokers or ex-smokers
  • Patients with an uncontrolled disease or any condition that might, in the judgement of the investigator, place the patient at undue risk or potentially compromise the results or interpretation of the study
  • Cancer or any other chronic disease with poor prognosis and/or affecting patient status
  • BMI ≥ 35 kg/m2
  • Patients treated with CPAP or BiPAP
  • Known active tuberculosis
  • A history of cystic fibrosis, central bronchiectasis or interstitial lung disease
  • A history of thoracotomy with pulmonary resection
  • Patients unlikely to comply with the protocol or unable to understand the nature, scope and possible consequences of the study
  • Patients who received any investigational new drug within the last 4 weeks prior to the screening visit

Treatment and study plan

Computed Tomography

Procedure

1 low dose CT scan is taken

Single Photon Emission Computed Tomography

Procedure

1 SPECT scan is taken

Primary outcomes

  1. Deposition of inhaled aerosol

    The primary objective of this study is to correlate the deposition distribution of inhaled aerosol obtained using computer methods through comparison with in-vivo SPECT data. The computer methods yield the concentration of particles entering and depositing in a lung lobe based on flow and particle behaviour simulation. The SPECT data yields the same parameter, i.e. particle concentration within each lung lobe, through scintigraphy assessment of the inhaled aerosols.

Secondary outcomes

  1. Lobar aerosol deposition

    One of the secondary objectives is to assess the variability in lobar deposition between patients with both methods (CT and SPECT).

  2. Sample size estimation for future studies

    Another secondary objective of this study is to establish a basis for a power calculation to determine adequate sample size for possible prospective studies.

Sponsors and collaborators

Lead sponsor

University Hospital, Antwerp

Other

Registry information

Official study title

Open, Prospective Pilot Study to Obtain Aerosol Distribution in Asthmatic Patients Using SPECT-CT for Comparison With Functional Imaging Using Computer Methods

Important dates

Study start
2009
Primary completion
2009
Study completion
2009
First posted
Aug 27, 2009
Registry last updated
Sep 16, 2010

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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