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Because of the negative results reported in other studies
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Occupational exposure is known to cause 15% of asthma cases. The main treatment for occupational asthma is to stop exposure if possible. Although, remission of occupational asthma only occurs in only 30 % of patients after cessation of exposure. There is currently no way of predicting which patients will go into remission after cessation of exposure.
In non-occupational asthma, the inflammatory biomarker T2 has allowed the entry into personalized medicine and can predict future exacerbations.
The investigators hypothesize that T2 biomarkers could be predictive markers for remission in occupational asthma after exposure cessation.
The investigators intend to carry out a follow-up study at the University Hospital of Strasbourg to perform the non-specific bronchial hyperresponsiveness test to assess remission in patients diagnosed with occupational asthma and to compare baseline T2 biomarkers in remission and non remission patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients with occupational asthma | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Measure of T2 biomarkers | Other | T2 Biomarkers are estimated via induced sputum: Sputum is induced through increasing concentrations from 0.9 or 3% to 4% and 5% of hypertonic solution. Assessment of nonspecific bronchial hyperresponsiveness is realized by metacholine challenge |
| Measure | Description | Time Frame |
|---|---|---|
| Remission of occupational asthma | Remission of occupational asthma is defined by absence of nonspecific bronchial hyperresponsiveness. Assessment of nonspecific bronchial hyperresponsiveness is realized by metacholine challenge | Day 1 |
| Comparison of TH2-type inflammation levels | To compare the level of Th2-type inflammation in sputum from patients in remission versus patients with persistent asthma. | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Remission of occupational rhinitis | Remission of occupational rhinitis is assessed by symptom score | Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Strasbourg | Strasbourg | 67000 | France |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| D059366 | Asthma, Occupational |
| D009784 | Occupational Diseases |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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|
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |