Allergic Asthma
Conditions
Keywords
PD20 FEV1, grass pollen, one-step
Brief summary
The study is meant to establish a one-step challenge with grass-pollen in patients sensitized for grass-pollen. Therefore the investigators compare a multi-step challenge with grass-pollen with an one-step challenge in order to survey the repeatability and safety.
Detailed description
Background: Specific provocation with inhaled allergens is an established tool in clinical practice and research, supporting the understanding of pathophysiology of allergic asthma, and analysing the efficacy of new therapies. This study examines the repeatability of a bolus-dose inhalative allergen challenge with grass pollen. Method: Forty grass pollen allergics should undergo an incremental-dose grass pollen challenge to calculate their PD20-dose. This calculated dose will be applicated twice to analyse the repeatability of the bolus dose challenge. Before and twenty-four hours after the provocation, exhaled nitric oxid (FeNO) will be determined as a marker of bronchial inflammation.
Interventions
Subjects undergo allergen challenges with incremental doses of grass pollen allergen. In subjects, who develop a fall in FEV1 of more than 20%, this will be followed by two single-step challenges.
Sponsors
Study design
Eligibility
Inclusion criteria
* age \>12 \<45 years * known sensitization for grass-pollen * informed consent
Exclusion criteria
* age \<12 \>45 years * clinical asthma requiring regular inhalation * vital capacity \<80% * FEV1 \< 75% * chronic disease conditions or infections * pregnancy * inhalative or systemic steroid use * substance abuse * incapability of understanding the study's purpose and performance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| repeatability of a bolus-dose inhalative allergen challenge with grass pollen | feb 2007 - aug 2008 |
Secondary
| Measure | Time frame |
|---|---|
| kappa-index of concordance: reliability of the three procedures titrated skin prick-test, incremental challenge and bolus challenge with grass pollen. | feb 2007 - dec 2007 |
Countries
Germany