Status:

COMPLETED

Kinetics of IgE Memory B Cells, Plasmablasts and Plasma Cells After Whole Lung Allergen Challenge in Mild Asthmatics

Lead Sponsor:

Hamilton Health Sciences Corporation

Collaborating Sponsors:

Genentech, Inc.

Conditions:

Atopic Asthma

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

The purpose of this study is to characterize the time course of B cell activation after allergen challenge, and more specifically measure the M1 prime related biomarkers.

Detailed Description

M1 prime is a segment of IgE found only in the membrane form of IgE and not on soluble IgE found in serum. Membrane IgE (and M1prime) is expressed on IgE-switched B cells, IgE-memory B cels, and IgE-p...

Eligibility Criteria

Inclusion

  • Male and female volunteers 18 through 65 years of age.
  • Females must not be actively seeking pregnancy, must be using adequate and effective contraception
  • General good health
  • Mild to moderate, stable, allergic asthma
  • History of episodic wheeze and shortness of breath; FEV1 at baseline at least 70% of the predicted value
  • Able to understand and give written informed consent and has signed a written informed consent form approved by the investigator's REB
  • Positive methacholine challenge
  • Positive skin-prick test to common aeroallergens (including cat, dust mite, grass, pollen)
  • Positive allergen-induced airway bronchoconstriction (a fall in FEV1 of at least 20% from baseline)

Exclusion

  • A worsening of asthma or a respiratory tract infection within 6 weeks preceding study entry
  • History of clinically significant hypotensive episodes or symptoms of fainting, dizziness, or lightheadedness
  • History or symptoms of clinically significant autoimmune disease
  • History of clinically significant hematologic abnormality, including coagulopathy
  • Be pregnant or lactating
  • Use of corticosteroids, immunosuppressives, anticoagulants (warfarin or heparin) within 28 days prior to randomization into the study
  • Use of nonsteroidal anti-inflammatory drugs (NSAIDs) within 48 hours of dosing or aspirin with 7 days of dosing
  • Have chronic use of any other medication for treatment of allergic lung disease other than short- and intermediate-acting ß2-agonists or ipratropium bromide
  • Use of caffeine-containing products or medications for 12 hours or alcohol or over the counter drugs including aspirin, cold and allergy medications for 48 hours or inhaled bronchodilators for 8 hours prior to methacholine and allergen challenges
  • Use of tobacco products of any kind currently or within the previous 12 months, or smoking history \> 10 pack years.
  • Lung disease other than mild to moderate allergic asthma
  • Unwillingness or inability to comply with the study protocol for any other reason.

Key Trial Info

Start Date :

November 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2014

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT01420003

Start Date

November 1 2011

End Date

July 1 2014

Last Update

March 20 2015

Active Locations (1)

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Cardio- Respiratory Research Laboratory, Hamilton Health Sciences

Hamilton, Ontario, Canada, L8N 3Z5