NCT04380038 Viral Infection in Asthma (VIA) Study
| NCT ID | NCT04380038 |
| Status | Recruiting |
| Phase | Phase 4 |
| Sponsor | University of Virginia |
| Condition | Asthma |
| Study Type | INTERVENTIONAL |
| Enrollment | 60 participants |
| Start Date | 2022-05-01 |
| Primary Completion | 2026-06-30 |
Eligibility & Interventions
Eligibility Fast-Check
Enter your details for a quick preliminary check. This does not replace medical advice.
What to Expect as a Participant
You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.
Phase 4 studies follow an already-approved treatment in real-world conditions to monitor long-term safety and effectiveness.
This trial targets 60 participants in total. It began in 2022-05-01 with a primary completion date of 2026-06-30.
⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.
Brief Summary
Often when people with asthma get a virus caused by the common cold (rhinovirus), they also experience an increase or worsening of their asthma symptoms. The purpose of this study is to see if the study medication dupilumab helps prevent those with mild to moderate asthma from having increased asthma symptoms, after being exposed to an experimental rhinovirus inoculation. This is a study about dupilumab which is a drug approved by the U.S. Food and Drug Administration (FDA) for treatment of moderate to severe asthma. Dupilumab is a medication that blocks pathways that cause asthmatic inflammation in the lungs, leading to symptoms and worsening lung function. During this study, subjects will be given either dupilumab or placebo and will subsequently be exposed to the the "common" cold virus (rhinovirus). The virus that the investigators are using has been safely used before in many studies like this involving thousands of volunteers, and the safe use of the virus in this research study has been reviewed by the FDA. The investigators will track asthma symptoms during the study with lung function tests, questionnaires, specimen collection, biomarkers, and physical exams. For data analysis the investigators will assess the samples collected to determine changes in the treatment groups. The investigators will also asses the symptom scores and deviations from baseline measures for lung function.
Eligibility Criteria
Inclusion Criteria: 1. Adult ages 18-40 2. Physician diagnosed asthma for at least 6 months 3. Mild persistent asthma well controlled (ACT≥20) over 6-month period prior to enrollment 4. FEV1 of \>80% predicted 5. Well controlled asthma on albuterol alone or albuterol plus low to medium dose inhaled corticosteroids (ICS) with or without other controller medications not using any anti-inflammatory medications for any concurrent sinonasal conditions. 6. Positive methacholine test (≤16 mg/ml) 7. Blood eosinophil count ≥150/µL or FeNO ≥20 ppb 8. Negative (≤1:4) serum neutralizing HRV antibody to HRV 16 or HRV 39. 9. Willing and able to comply with clinic visits and study-related procedures 10. Provide informed consent signed by study patient 11. Able to understand and complete study-related questionnaires Exclusion Criteria: 1. Current smoker or has smoked regularly for 10 yrs and smoked \>10 pack-years 2. History or clinical evidence of COPD or any other significant lung disease 3. Known allergy to any ingredients in the study drug product 4. Asthma biologic therapy in last 3 months (including dupilumab) 5. Antiviral, immunosuppressive, or immune modulator therapies in the last 3 months 6. Use of any inhaled nasal sprays 7. Upper or lower respiratory tract infection in the last 6 weeks 8. Asthma exacerbation in the last 6 weeks 9. Any history of an asthma exacerbation requiring Emergency Department visit, intubation or hospitalization 10. History of asthma exacerbation requiring unscheduled office visit or oral corticosteroids within the past 3 years 11. Members of the clinical site study team and/or his/her immediate family 12. Pregnant or breastfeeding women 13. Women of childbearing potential\* who are unwilling to practice highly effective contraception prior to the initial dose/start of the first treatment, during the study, and for at least 4 months after the last dose. Highly effective contraceptive measures include: 1. stable use of combined (estrogen and progestogen containing) hormonal contraception (oral, intravaginal, transdermal) or progestogen-only hormonal contraception (oral, injectable, implantable) associated with inhibition of ovulation initiated 2 or more menstrual cycles prior to screening 2. intrauterine device (IUD); intrauterine hormone releasing system (IUS) 3. bilateral tubal ligation 4. vasectomized partner and/or <!-- --> 1. sexual abstinence†, ‡. * Postmenopausal women must be amenorrheic for at least 12 months in order not to be considered of childbearing potential. Pregnancy testing and contraception are not required for women with documented hysterectomy or tubal ligation. * Sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments. * Periodic abstinence (calendar, symptothermal, post-ovulation methods), withdrawal (coitus interruptus), spermicides only, and lactational amenorrhoea method (LAM) are not acceptable methods of contraception. Female condom and male condom should not be used together.
Contact & Investigator
Larry Borish, MD
PRINCIPAL INVESTIGATOR
University of Virginia
Frequently Asked Questions
Who can join the NCT04380038 clinical trial?
This trial is open to participants of all sexes, aged 18 Years or older, up to 40 Years, studying Asthma. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.
What phase is the NCT04380038 trial and what does that mean for participants?
Phase 4 studies are conducted after a treatment has been approved. They monitor long-term safety and real-world effectiveness in a broader patient population.
Is NCT04380038 currently recruiting?
Yes, NCT04380038 is actively recruiting participants. Contact the research team at kwavell@gmail.com for enrollment information.
Where is the NCT04380038 trial being conducted?
This trial is being conducted at Charlottesville, United States.
Who is sponsoring the NCT04380038 clinical trial?
NCT04380038 is sponsored by University of Virginia. The principal investigator is Larry Borish, MD at University of Virginia. The trial plans to enroll 60 participants.
Related Trials
Related Intelligence Guides
In-depth guides covering this condition's trials, eligibility, and what to expect.