Hyperventilation Versus Exercise Testing Sensitivity in Exercise Induced Asthma

Last updated: June 1, 2019
Sponsor: Université de Sherbrooke
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

N/A

Clinical Study ID

NCT03063424
10-074
  • Ages 18-35
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The diagnosis of exercise-induced bronchospasm (EIB) is difficult. The metacholine challenge test is not enough specific for the diagnosis of EIB. The exercise challenge test on a cycle ergometer is often use to diagnose this condition. This test has very high specificity, but not enough sensibility because the ventilation achieved during this test is often not big enough to induce a bronchospasm, especially in trained athletes. Eucapnic voluntary hyperventilation (EVH) is the recommended test of the Olympic National committee to establish the diagnosis of EIB, but there are no study comparing the sensibility and specificity of the cycle ergometer challenge test and the isocapnic hyperventilation in an establish population of asthmatics. The investigators assume that the sensitivity and specificity of EVH are higher than those of the cycle ergometer for the diagnosis of EIB in a population of asthmatics with symptoms suggestive of bronchospasm on exertion. In a population of asthmatics with exercise symptoms, what is the sensitivity and specificity of EVH and exercise challenge on a cycle ergometer for the diagnosis of EIB?

Eligibility Criteria

Inclusion

Inclusion Criteria for the group "exercise-induced bronchospasm":

  • The subject must have a diagnosis of asthma according to 2010 Canadian ThoracicSociety consensus criteria since more then one year.

  • The subject should have an average expiratory volume per second (FEV1) ≥ 80% of thepredicted value (post bronchodilatation) at the time of the initial visit.

  • The subject must have had a positive methacholine test at the first visit of the studydemonstrating the presence of bronchial hyperreactivity.

  • The subject must have asthma control as defined by 2010 Canadian Thoracic Societyconsensus, with the obvious exception of limitations related to physical activity.

  • The subject must have at the questionnaire significant symptoms of exercise-inducedbronchospasm for more than 6 months. Inclusion Criteria for the group "healthy":

  • The subject should not have a positive history of eczema, urticaria or allergicrhinitis for life.

  • The subject should have a FEV1 ≥ 80% of the predicted value and an FEV1 / FVC (Forcedvital capacity) ratio of ≥70% at the time of the initial visit.

  • The subject should have a negative methacholine test at the first visit of the study.

  • The subject should not exhibit symptoms considered clinically compatible with EIBdiagnosis.

Exclusion

Exclusion Criteria:

  • Pregnant or breast-feeding women.

  • The subject should not suffer from clinically significant concomitant diseases thatmay compromise the course of the study.

  • The subject should not have taken per os or intravenously steroids in the 8 weeksprior to the study.

  • The subject should not have experienced significant symptoms of respiratory tractinfection (viral or bacterial) in the 8 weeks prior to the study.

  • The subject must not have participated in another study during the month preceding thedate of enrollment of this study.

  • The subject should not have smoked within the last 6 months. Exclusion criteria during the study:

  • The subject doesn't show up for all 3 visits or doesn't complete all required exams.

  • The subject develops a respiratory tract infection, an acute exacerbation of hisasthma or any other conditions that compromise his participation in the requiredexaminations.

  • The subject has a pre-test FEV1 of less than 80%.

Study Design

Total Participants: 40
Study Start date:
June 01, 2011
Estimated Completion Date:
November 30, 2019

Connect with a study center

  • Université de Sherbrooke

    Sherbrooke, Quebec J1G2E8
    Canada

    Active - Recruiting

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