Biomarkers put to the test for predicting asthma remission
NCT ID NCT07816718
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Researchers are testing whether specialized tests of airway inflammation and lung abnormalities can predict asthma remission and relapse better than standard clinical assessments. The trial enrolls adults with severe asthma who are starting biologic therapy. Participants are randomly assigned to receive either standard asthma care or a comprehensive management approach guided by biomarker results. Over 12 months, participants undergo questionnaires, lung function tests, blood collection, sputum analysis, and CT and MRI imaging.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a comprehensive biomarker-guided asthma management strategy using sputum cell analysis and imaging biomarkers
- What this could lead to
- If the approach works, doctors could use specialized airway and lung tests to predict which severe asthma patients will stay in remission and which may relapse, allowing more personalized treatment.
- What could go wrong
- This is a small study of 50 people over 12 months, so the findings may not apply broadly. Biomarkers may not reliably predict outcomes, and the extra tests could add burden without changing care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * • Patient understands study procedures and is will to participate in the study as indicated by the patient's signature. * Provision of written, informed consent prior to any study specific procedures. * Males and females ≥ 18 years of age. * Diagnosis of severe asthma, as defined by ATS/ERS guidelines (requiring high-dose ICS plus second controller and/or OCS, or uncontrolled despite this therapy). * Eligible for initiation of biologic therapy for treatment of asthma. * Women of childbearing potential (after menarche) must ensure that they are using an effective form of birth control for at least 2 months prior to each imaging visit. Examples of effective birth control include: * True sexual abstinence * A vasectomized sexual partner * Implanon® * Female sterilization by tubal occlusion * Effective intrauterine device (IUD)/levonogestrel intrauterine system (IUS) * Depo-Provera™ injections * Oral contraceptive * Evra Patch™ * Nuvaring™ * Women of childbearing potential (after menarche) must agree to use a highly effective form of birth control, as defined above, from enrollment, throughout the study duration, and X weeks after last dose of study drug, with negative urine pregnancy test result at Visit 1 and Visit 5. * Male participants who are sexually active must agree to use a double barrier method of contraception (male condom with diaphragm or male condom with cervical cap) from the first dose of the study drug until X weeks after last dose. Exclusion Criteria: * • Primary respiratory diagnoses other than asthma (e.g., COPD, bronchiectasis). * Patients with incomplete medical records. * Patients who have received biologic treatment for asthma within the last 6 months. * Patient has an implanted mechanically, electrically, or magnetically activated device or any metal in their body which cannot be removed, including but not limited to pacemakers, neurostimulators, biostimulators, implanted insulin pumps, aneurysm clips, bioprosthesis, artificial limb, metallic fragment or foreign body, shunt, surgical staples (including clips or metallic sutures and/or ear implants) (at the discretion of the MRI Technologist). * In the investigator's opinion, subject suffers from any physical, psychological or other condition(s) that might prevent performance of the MRI or CT, such as severe claustrophobia. * Patients with contraindications to PFT, sputum induction, CT or MRI imaging. * Patients who are pregnant or breastfeeding. * Patients who are unable or unwilling to comply with study procedures.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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St. Joseph's Health Care London
London, Ontario, N6A 4V2, Canada
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