Asthma
Conditions
Keywords
Asthma, Salbutamol response, Phosphodiesterase 4 variant, lung function, airflow limitation
Brief summary
This study is designed to investigate whether the Phosphodiesterase 4 gene variability could be implicated in the salbutamol responsiveness in asthmatic children.
Detailed description
Patients from 6 to 18 years old with asthma and receiving a treatment by salbutamol according to the usual care will be recruited. Saliva from patients will be collected using Oragen®.DNA OG-575 kit.
Interventions
Measurement of bronchodilator response (BDR)
Sponsors
Study design
Eligibility
Inclusion criteria
* Children 6-18 years * Asthma: confirmed asthma symptoms (wheeze, cough, dyspnea, chest tightness) and evidence for variable airflow limitation (≥ 12% increase in post bronchodilator FEV1, or ≥ 20% decrease in FEV1 post methacholine) * Spirometry prescribed for follow-up * Airflow limitation: FEV1\<80% and/or FEV1/FVC \<80 pre-bronchodilator
Exclusion criteria
* no
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pre- and post-bronchodilator VEMS value | Day 0 | comparison of acute response to salbutamol calculated as the percentage difference between the pre- and post-bronchodilator VEMS value (BDR = 100 x \[post-VEMS - pre-VEMS\]/pre-VEMS) according to the genotype of the rs1504982 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Locating other regions of the PDE4 gene that may be associated with the response to salbutamol by gene mapping (using SNP tags) | Day 0 | To identify other SNPs on PDE4 associated with the response (BDR) to salbutamol in childhood asthma. |
| Screening other SNPs (other genes than PDE4) associated with the response to salbutamol in childhood asthma using SNP tags | Day 0 | To identify other genes that could be associated with the phenotype of interest (BDR) by tagging other genes. |
Countries
France
Contacts
Assistance Publique - Hôpitaux de Paris