NIH Clinical Research Studies

Protocol Number: 07-I-0142

Active Accrual, Protocols Recruiting New Patients

Title:
Research Respiratory Tract Procedures in Healthy Adult Volunteers and Adult Patients to Obtain Specimens for In Vitro Analyses of Infection Pathogenesis and Susceptibility
Number:
07-I-0142
Summary:
This study will collect fluid and tissue specimens from the lungs and nose of healthy people and people with a history of lung infections. The specimens will be examined for differences between the two groups that may be associated with susceptibility to certain infections.

Healthy normal volunteers and people with a history of lung infections between 18 and 75 years of age who are followed at NIH may be eligible for this study.

Participants undergo the following procedures:

Medical history and physical examination.

Blood and urine tests.

Electrocardiogram (ECG) and chest x-ray.

Treadmill exercise stress test (for people over 45 years old with a history of chest pain or ECG abnormalities).

Bronchoscopy: The subject's nose and throat are numbed with lidocaine and a sedative is given for comfort. A thin flexible tube called a bronchoscope is advanced through the nose or mouth into the lung airways to examine the airways carefully.

Fluid collection during the bronchoscopy using one of the following methods:

-Bronchoalveolar lavage: Salt water is injected through the bronchoscope into the lung and immediately suctioned out, washing off cells lining the airways.

-Bronchial brushings: A brush-tipped wire enclosed in a sheath is passed through the bronchoscope and a small area of the airway tissue is gently brushed. The brush is withdrawn with some tissue adhering to it.

-Endobronchial biopsies: Small pinchers on a wire are passed through the bronchoscope and about 1 to 2 millimeters of tissue is removed.

-Nasal scrape: A small device is used to scrape along the inside of the nose to collect some cells.

Sponsoring Institute:
National Institute of Allergy and Infectious Diseases (NIAID)
Recruitment Detail
Type: Participants currently recruited/enrolled
Gender: Male & Female
Referral Letter Required: No
Population Exclusion(s): Children

Eligibility Criteria:
HEALTHY VOLUNTEER INCLUSION CRITERIA FOR BRONCHOSCOPY PROCEDURES:

- 18 to 75 years of age

- Enrolled without regard to gender, race, or ethnicity

- NIH employees or non-employees eligible

- Able to provide proof of identity

- Able and willing to complete the informed consent process

- Able and willing to arrange to have another person drive them home after the procedure

- Able and willing not to eat or drink anything for 6 hours prior and 2 hours after the procedure

- Willing to donate blood and respiratory tract samples for storage to be used for future research

- In good general health without clinically significant medical history

- Physical examination without clinically significant findings

- Screening laboratory tests without clinically significant abnormalities:

1. Complete blood count

2. Serum chemistries

3. HIV test and hepatitis serologies (HBsAg; HCV) if status is unknown

4. Prothrombin time, partial thromboplastin time

5. Urinalysis

6. Female subjects must have negative urine pregnancy test within 1 week of participation and continue birth control practices prior to participation

7. Chest radiograph (CXR)

8. Pulse oximetry

9. Electrocardiogram (ECG)

10. Treadmill exercise stress test (as indicated)

HEALTHY VOLUNTEER EXCLUSION CRITERIA FOR BRONCHOSCOPY PROCEDURES:

- less than 18 or greater than 75 years old

- A smoking history of 10 pack-years or more, a current smoker, or tobacco free for less than a year.

- Positive HIV status. Subjects must have a negative FDA-approved HIV blood test.

- Acute or chronic hepatitis based on viral hepatitis serologies

- Pregnancy or breastfeeding

- Any active medical problems especially bleeding disorders, significant bruising or bleeding difficulties with intramuscular (IM) injections or blood draws, use of anticoagulants, or pulmonary disorders including asthma

- History of allergic reaction to lidocaine, sedative medications like Valium Trademark or Versed Trademark, or narcotic medications like morphine or fentanyl

- Immunosuppressive medications, cytotoxic medications, inhaled corticosteroids, or long-acting beta-agonists within the past three months. (Note that use of corticosteroid nasal spray for allergic rhinitis, topical corticosteroids for an acute uncomplicated dermatitis, or short-acting beta-agonists in controlled asthmatics is not excluded).

- Use of platelet inhibitors including aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) within 7 days of procedure

- Any medical, psychiatric, social condition, occupational reason or other responsibility that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a volunteer's ability to give informed consent

HEALTHY VOLUNTEER INCLUSION CRITERIA FOR NASAL MUCOSAL BIOPSY:

- greater than or equal to 18 years old

- Enrolled without regard to gender, race, or ethnicity

- NIH employees or non-employees eligible

- Able to provide proof of identity

- Able and willing to complete the informed consent process

- Willing to donate blood and respiratory tract samples for storage to be used for future research

- Normal screening examination

-- Normal physical exam

-- No use of concurrent prescription medications excluding those prescribed for contraception

-- No active medical problems

HEALTHY VOLUNTEER EXCLUSION CRITERIA FOR NASAL MUCOSAL BIOPSY:

- less than 18 years old

- History of frequent colds or significant uncontrolled hay fever symptoms, recent or active upper respiratory tract infection, such as a cold or sinusitis, or chronic sinus infection or congestion

- History of turbinectomy or significant nasal pathology that would preclude obtaining mucosal scrape biopsies

- Bleeding disorder diagnosed by a doctor (e.g., factor deficiency, coagulopathy, or platelet disorder requiring special precautions), significant bruising or bleeding difficulties with IM injections or blood draws, or use of anticoagulant medications

- Any medical, psychiatric, social condition, occupational reason, or other responsibility that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a volunteer's ability to give informed consent

- Any medical, psychiatric, social condition, occupational reason, or other responsibility that, in the judgement of the investigator, is a contraindication to protocol participation or impairs a volunteer's ability to give informed consent.

Special Instructions:
Currently Not Provided
Keywords:
Bronchoscopy
Bronchoalveolar Lavage
Nasal Mucosal Biopsy
Research Procedures
Infection Susceptibility
Recruitment Keyword(s):
Lung Infection Susceptibility
Healthy Volunteer
HV
Condition(s):
Mycobacterium Infections, Atypical
Granulomatous Disease, Chronic
Job's Syndrome
Influenza, Human
Investigational Drug(s):
None
Investigational Device(s):
None
Intervention(s):
None
Supporting Site:
National Institute of Allergy and Infectious Diseases

Contact(s):
Patient Recruitment and Public Liaison Office
Building 61
10 Cloister Court
Bethesda, Maryland 20892-4754
Toll Free: 1-800-411-1222
TTY: 301-594-9774 (local),1-866-411-1010 (toll free)
Fax: 301-480-9793

Electronic Mail:prpl@mail.cc.nih.gov

Citation(s):
Busse WW, Wanner A, Adams K, Reynolds HY, Castro M, Chowdhury B, Kraft M, Levine RJ, Peters SP, Sullivan EJ. Investigative bronchoprovocation and bronchoscopy in airway diseases. Am J Respir Crit Care Med. 2005 Oct 1;172(7):807-16. Epub 2005 Jul 14. Review.

Goldstein RA, Rohatgi PK, Bergofsky EH, Block ER, Daniele RP, Dantzker DR, Davis GS, Hunninghake GW, King TE Jr, Metzger WJ, et al. Clinical role of bronchoalveolar lavage in adults with pulmonary disease. Am Rev Respir Dis. 1990 Aug;142(2):481-6. Review.

Bush A, Pohunek P. Brush biopsy and mucosal biopsy. Am J Respir Crit Care Med. 2000 Aug;162(2 Pt 2):S18-22. No abstract available.

Active Accrual, Protocols Recruiting New Patients

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