About this trial
In this study, xenon MRI will be used to evaluate regional functional consequences of mucus plugs in the lungs of patients with severe asthma. Mucus plugs will be identified using CT imaging, and xenon MRI will be used to evaluate ventilation and gas exchange impairments in regions of the lungs corresponding to the airways downstream of mucus plugs.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adequate completion of informed consent process with written documentation
Patients 18 - 65 years old
Physician diagnosis of asthma for > 1 year
Able to perform reproducible spirometry according to ATS criteria based on clinical PFTs within previous 30 days of enrollment
Disqualifiers
Respiratory tract infection within the 4 weeks prior to Visit 1
Body mass index (BMI) > 30 at Visit 1
One-time doses such as intra-articular injections require a 4-week washout prior to Visit 1
Asthma-related ER visit within the previous 4 weeks of Visit 1 or at any time while on the study
Trial population
Patients with High T2 Severe Asthma
Trial design
Cohort
Prospective
Treatments tested in this trial
Hyperpolarized Xenon 129
Combination productPulmonary magnetic resonance imaging using hyperpolarized xenon-129 gas as an inhaled contrast agent
Treatment groups
Trial outcomes
Primary outcomes
Ventilation Defect in Mucus-blocked regions
The primary endpoint of this study is the ventilation defect percent (VDP; measured by Xe-MRI) in regions of the lungs that are downstream of mucus plugs (identified on CT imaging).
Secondary outcomes
Change in VDP
The change in VDP downstream of mucus plugs 4 weeks following initiation of biologic therapy.
Long term change in VDP
Change in VDP downstream of mucus plugs 12 weeks following initiation of biologic therapy
Sponsors and contacts
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Bastiaan Driehuys
Lead sponsor
Duke University
Sponsor institution
University of Kansas Medical Center
Collaborator
Polarean, Inc.
Collaborator