Trial Outcomes & Findings for Exhaled Breath Analysis to Predict Risk of Symptomatic Pneumonitis (NCT NCT04040244)

NCT ID: NCT04040244

Last Updated: 2023-10-11

Results Overview

Concentrations of TGF-β1, IL-6, IL-1α, and IL-10 (ng/mL) will be measured in exhaled breath condensate at baseline, at 2 weeks and after chemotherapy start and 6 weeks after chemotherapy start (the end of chemotherapy) and 1 month after completion of chemotherapy using a 2-tailed alpha of 0.05 with detectable standard deviation units from baseline to post treatment.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

16 participants

Primary outcome timeframe

At baseline and one month after completion of chemotherapy

Results posted on

2023-10-11

Participant Flow

Participant milestones

Participant milestones
Measure
Exhaled Breath Analysis
Exhaled breathe condensate will be collected using R-tube and ReCIVA device over 5-10 minutes. Exhaled Breath Collection: Exhaled breath condensate (EBC) and exhaled breath volatiles (EBV) samples will be obtained over 5-10 minutes using a one-time use R-tube apparatus. Blood sample: Blood samples collected simultaneously with routine standard of care blood draws.
Overall Study
STARTED
16
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Exhaled Breath Analysis to Predict Risk of Symptomatic Pneumonitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exhaled Breath Analysis
n=16 Participants
Exhaled breathe condensate will be collected using R-tube and ReCIVA device over 5-10 minutes. Exhaled Breath Collection: Exhaled breath condensate (EBC) and exhaled breath volatiles (EBV) samples will be obtained over 5-10 minutes using a one-time use R-tube apparatus. Blood sample: Blood samples collected simultaneously with routine standard of care blood draws.
Age, Continuous
65.6 years
n=99 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
Sex: Female, Male
Male
12 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=99 Participants
Race (NIH/OMB)
White
13 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
16 participants
n=99 Participants

PRIMARY outcome

Timeframe: At baseline and one month after completion of chemotherapy

Population: 9 have data at baseline; 6 have data at 1 month post CRT (chemo-radiation treatment)

Concentrations of TGF-β1, IL-6, IL-1α, and IL-10 (ng/mL) will be measured in exhaled breath condensate at baseline, at 2 weeks and after chemotherapy start and 6 weeks after chemotherapy start (the end of chemotherapy) and 1 month after completion of chemotherapy using a 2-tailed alpha of 0.05 with detectable standard deviation units from baseline to post treatment.

Outcome measures

Outcome measures
Measure
Exhaled Breath Analysis
n=9 Participants
Exhaled breathe condensate will be collected using R-tube and ReCIVA device over 5-10 minutes. Exhaled Breath Collection: Exhaled breath condensate (EBC) and exhaled breath volatiles (EBV) samples will be obtained over 5-10 minutes using a one-time use R-tube apparatus. Blood sample: Blood samples collected simultaneously with routine standard of care blood draws.
Variability of Biomarkers
IL-6 baseline
5.39 ng/mL
Standard Deviation 2.49
Variability of Biomarkers
IL-6 1 month post CRT
6.96 ng/mL
Standard Deviation 1.11
Variability of Biomarkers
TGF-b1 baseline
87.84 ng/mL
Standard Deviation 15.94
Variability of Biomarkers
TGF-b1 1 month post CRT
100.47 ng/mL
Standard Deviation 21.90
Variability of Biomarkers
IL-10 baseline
136.91 ng/mL
Standard Deviation 19.85
Variability of Biomarkers
IL-10 1 month post CRT
151.07 ng/mL
Standard Deviation 26.99
Variability of Biomarkers
IL-1a baseline
2.41 ng/mL
Standard Deviation 2.52
Variability of Biomarkers
IL-1a 1 month post CRT
2.36 ng/mL
Standard Deviation 9.72

SECONDARY outcome

Timeframe: One month after completion of chemotherapy

Population: 6 participants who had relevant data at both required time points

TGF-β1, IL-6, IL-1α, and IL-10 (ng/mL) measured in exhaled breath condensate to compare mean change levels from (baseline), at 2 weeks after CRT start, 6-weeks after CRT start (the end of CRT), and 1 month after completion of chemotherapy using t-tests comparing mean change levels in each marker.

Outcome measures

Outcome measures
Measure
Exhaled Breath Analysis
n=6 Participants
Exhaled breathe condensate will be collected using R-tube and ReCIVA device over 5-10 minutes. Exhaled Breath Collection: Exhaled breath condensate (EBC) and exhaled breath volatiles (EBV) samples will be obtained over 5-10 minutes using a one-time use R-tube apparatus. Blood sample: Blood samples collected simultaneously with routine standard of care blood draws.
Differences in Concentrations of Biomarkers in Exhaled Breath Condensate From Baseline to 1 Month Post CRT
TGF-b1 mean diff
14.81 ng/mL
Standard Deviation 18.17
Differences in Concentrations of Biomarkers in Exhaled Breath Condensate From Baseline to 1 Month Post CRT
IL-6 mean diff
1.03 ng/mL
Standard Deviation 2.34
Differences in Concentrations of Biomarkers in Exhaled Breath Condensate From Baseline to 1 Month Post CRT
IL-10 mean diff
18.62 ng/mL
Standard Deviation 24.15
Differences in Concentrations of Biomarkers in Exhaled Breath Condensate From Baseline to 1 Month Post CRT
IL-1a mean diff
2.36 ng/mL
Standard Deviation 9.72

Adverse Events

Exhaled Breath Analysis

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Exhaled Breath Analysis
n=16 participants at risk
Exhaled breathe condensate will be collected using R-tube and ReCIVA device over 5-10 minutes. Exhaled Breath Collection: Exhaled breath condensate (EBC) and exhaled breath volatiles (EBV) samples will be obtained over 5-10 minutes using a one-time use R-tube apparatus. Blood sample: Blood samples collected simultaneously with routine standard of care blood draws.
Vascular disorders
Hypotension
6.2%
1/16 • Number of events 1 • 6 months
Cardiac disorders
Cardiac arrest
6.2%
1/16 • Number of events 1 • 6 months
Gastrointestinal disorders
Gastrointestional hemorrhage
6.2%
1/16 • Number of events 1 • 6 months

Other adverse events

Other adverse events
Measure
Exhaled Breath Analysis
n=16 participants at risk
Exhaled breathe condensate will be collected using R-tube and ReCIVA device over 5-10 minutes. Exhaled Breath Collection: Exhaled breath condensate (EBC) and exhaled breath volatiles (EBV) samples will be obtained over 5-10 minutes using a one-time use R-tube apparatus. Blood sample: Blood samples collected simultaneously with routine standard of care blood draws.
Cardiac disorders
Cardiac disorders
6.2%
1/16 • Number of events 1 • 6 months
Gastrointestinal disorders
Esophagitis
12.5%
2/16 • Number of events 2 • 6 months
Metabolism and nutrition disorders
Anorexia
6.2%
1/16 • Number of events 1 • 6 months
Metabolism and nutrition disorders
Dehydration
6.2%
1/16 • Number of events 1 • 6 months
Renal and urinary disorders
Acute kidney injury
6.2%
1/16 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
12.5%
2/16 • Number of events 2 • 6 months
Skin and subcutaneous tissue disorders
Dry skin
12.5%
2/16 • Number of events 2 • 6 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
12.5%
2/16 • Number of events 2 • 6 months
Gastrointestinal disorders
Dyspepsia
12.5%
2/16 • Number of events 2 • 6 months
Respiratory, thoracic and mediastinal disorders
Cough
6.2%
1/16 • Number of events 1 • 6 months
General disorders
Fatigue
12.5%
2/16 • Number of events 2 • 6 months
Gastrointestinal disorders
Dysphagia
12.5%
2/16 • Number of events 2 • 6 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
18.8%
3/16 • Number of events 3 • 6 months
Infections and infestations
Pharyngitis
6.2%
1/16 • Number of events 1 • 6 months
General disorders
Noncardiac chest pain
6.2%
1/16 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Chest wall pain
12.5%
2/16 • Number of events 2 • 6 months

Additional Information

Study Coordinator

Wake Forest Baptist Comprehensive Cancer Center

Phone: 336-716-4760

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place