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Early detection of the effectiveness of treatment with biologicals in patients with severe asthma using fluctuation analysis of biomarkers

Early detection of the effectiveness of treatment with biologicals in patients with severe asthma using fluctuation analysis of biomarkers - FABLE (Fluctuation analysis in asthma and biologics use)

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON56494
Enrollment
48
Registered
2023-02-23
Start date
2025-01-15
Completion date
Unknown
Last updated
2025-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma Bronchiale Asthma

Interventions

Study subjects will perform lung function measurements with the Respicorder twice a day at home.

Sponsors

Amsterdam UMC
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: • Severe asthma based on the definition by the 2022 GINA guidelines. • Will start treatment with a biological • aged 18 year or older • Subject should be willing and able to perform the lung function tests and  other study-related procedures and comply with study protocol requirements.  • Apart from their asthma, subjects should be generally healthy with no history  of a clinically relevant medical condition that in the opinion of the  investigator might interfere with successful study conduct and no clinically  relevant abnormalities on medical history.  • Subjects should provide a signed and dated informed consent

Exclusion criteria

Exclusion criteria: • Has been tested positively for COVID-19 in the past month or has not fully  recovered from an earlier COVID-19 infection (e.g. post-covid syndrome) • Has  been treated with oral corticosteroids as high-dose therapy in the 6 weeks  before visit 1. • Has been treated with another biologic within 3 months before  start treatment with new biological (e.g. 2 months before the start of the  study participation) • Not able to perform spirometry/IOS/FeNO tests correctly  • Not able to handle Respicorder well • Subject is a current smoker/vaper, uses  recreational drugs, or has >10 packyears • Subject is anticipated not to comply  with study protocol or other aspects of the study (at the discretion of the  investigator) • Participation to the study is not medically responsible  according to the study physician and/or principle investigator • Inability to  read and/or understand the Dutch language

Design outcomes

Primary

MeasureTime frame
The Respicorder device measures standard spirometry (FEV1, FVC), IOS parameters and FeNO, which will be used for fluctuation analysis. The Asthma Control Questionnaire (ACQ) and Asthma Quality of Life Questionnaire (AQLQ) will be used to quantify asthma status. Patients will be evaluated by their treating clinician after 4 and 6 months of treatment with a biological. The outcome will be linked to the fluctuation patterns, such that can be evaluated whether these patterns can be used to predict a successful treatment with a biologic.

Secondary

MeasureTime frame
Spirometry, IOS and FeNO measurements with standard devices as done in standard care in the hospital will be used to compare with the Respicorder measurements. Subjects will also be asked about their experience with the Respicorder.

Countries

Netherlands

Contacts

Public ContactA.T. Pelgröm

Amsterdam UMC

a.t.pelgrom@amsterdamumc.nl020-444 4710

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)