RecruitingPhase 4NCT03615742

Diesel Exhaust Induces Glucocorticoid Resistance


Sponsor

University of British Columbia

Enrollment

30 participants

Start Date

Dec 1, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

The investigators are studying the effects of exposure to diesel exhaust on lung inflammation in the presence and absence of an inhaled corticosteroid. Although data is mixed, studies show that asthmatics have increased lung inflammation and worse symptoms during periods of higher air pollution despite taking their anti-inflammatory corticosteroid medication. One possible reason is that air pollution exposure may decrease the ability of corticosteroids to combat inflammation. To test this volunteers will inhale either a placebo or a corticosteroid, before sitting in an exposure booth for 2 hours breathing either filtered air or diluted diesel exhaust. Samples will be collected before and after exposure to analyze the effects of budesonide and diesel exhaust exposure.


Eligibility

Min Age: 19 YearsMax Age: 49 Years

Inclusion Criteria2

  • Aged 19-49
  • Have physician-diagnosed asthma confirmed by the study physician examination, spirometry, methacholine challenge provocative concentration causing a 20% fall (PC20) of \<16 mg/mL, and questionnaires during a screening visit

Exclusion Criteria10

  • Smoking of any kind (0.5 pack-years ever, or any current) or use of vape/vaporizing devices
  • Regular anti-histamine, NSAID, corticosteroid or other controller medication use
  • Pregnancy or breastfeeding
  • Methacholine PC20 \>16
  • Relevant cardiac condition or arrhythmia
  • Body mass index of \>35
  • Currently participating in another study that may interfere with this study
  • Use of either inhaled or oral corticosteroids in preceding 6 months
  • Substantial comorbidities on study physician's examination or other concerns
  • Surgery scheduled before anticipated study completion

Interventions

OTHERPlacebo

Inhalation of air through a Turbuhaler that contains no medication, as a control.

DRUGBudesonide

1.6mg of budesonide from a Turbuhaler.

OTHERFiltered Air

Exposure to HEPA filtered air, as a control.

OTHERDiesel Exhaust

Diesel exhaust standardized to 300µg/m³ of particulate matter with a diameter of 2.5 micrometers or less (PM2.5).


Locations(1)

University of British Columbia

Vancouver, British Columbia, Canada

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NCT03615742