Asthma Bronchiale, Asthmatic Patients, Asthmatics
Conditions
Keywords
FeNO, Fractional Exhaled Nitric Oxide
Brief summary
This study investigates the use of fractional exhaled nitric oxide (FeNO) measurement to monitor non-pharmacological therapy during a three-week inpatient rehabilitation programme for asthma patients. It compares FeNO levels (measured three times a day) with clinical parameters and quality of life to analyse daily fluctuations and the acute effect of exercise training on FeNO levels. As FeNO is a non-invasive biomarker of airway inflammation, this study aims to expand its role in therapy monitoring and explore its application in a rehabilitation setting.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* confirmed diagnosis of bronchial asthma (all disease severities) * Chronic Obstructive Pulmonary Disease (COPD) with an asthma component, where the asthma component plays a clinically relevant role * written informed consent
Exclusion criteria
* Chronic Obstructive Pulmonary Disease (COPD) as the primary disease * unability to perform FeNO measurement independently
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fractional Exhaled Nitric Oxide (FeNO) at rest | From enrollment to the end of rehabilitation at 3 weeks. Daily measurements at 9AM; 1PM; 5PM | Measurement of FeNo will be done with the Vivatmo Me device (by Bosch Health Care Solutions GmbH) |
| Fractional Exhaled Nitric Oxide (FeNO) before/after exercise | From enrollment to the end of rehabilitation at 3 weeks, FeNO measurements will be done before and after a bicycle endurance training | Measurement of FeNo will be done with the Vivatmo Me device (by Bosch Health Care Solutions GmbH) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Eosinophils | On admission and discharge from the 3-week rehabilitation programme | Eosinophils will be collected by venous blood sample. Unit: total number of cells per ul blood and percentage |
| C-reactive protein | On admission and discharge from the 3-week rehabilitation programme | C-reactive protein will be collected by venous blood sample. Unit: mg/liter |
| Asthma control | On admission and discharge from the 3-week rehabilitation programme | Assessed by Asthma Control Test (ACT) |
| 6-minute walk test | On admission and discharge from the 3-week rehabilitation programme | This test will be performed according to the described standard of the American Thoracic Society and the European Respiratory Society 2014 |
| Immunoglobulin E (IgE) | On admission and discharge from the 3-week rehabilitation programme | Immunoglobulin E will be collected by venous blood sample. Unit: ug/liter |
| Lung function | On admission and discharge from the 3-week rehabilitation programme | Forced expiratory flow in 1 second, will be measured by Bodyplethysmography |
Countries
Germany