The aim is to identify the underlying disease mechanisms driving specific asthma phenotypes as well as certain disease outcomes and their relation to impaired indoor air quality. This may also help in underpinning specific target mechanisms in order to personalize and improve current treatment options in childhood asthma and develop more successful prevention strategies. This will be done by combining data from detailed clinical phenotyping with multiple -omics data.
Who can participate
Age range6 Years ā 14 Years
SexALL
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Inclusion Criteria:
* school aged participants with asthma (patients with a clinical diagnosis of asthma (according to European Respiratory Society (ERS) and American Thoracic Society (ATS) guidelines) for at least a year , being on a stable dose of anti-inflammatory treatment for at least one month with partially controlled or uncontrolled asthma according to GINA guidelines)
* non-asthmatic school aged participants (matching control subjects)
* signed informed consent, .
* additional inclusion criteria include clinically significant allergy to indoor and outdoor allergens, with positive skin prick test (SPT) and specific IgE levels (\>0.7 kUA/L) (UA = allergen-specific unit)
Exclusion Criteria:
* known inborn or perinatal pulmonary disease;
* pulmonary malformation;
* oxygen therapy after birth with a duration of more than 24h;
* ventilator support or mechanical ventilation after birth;
* diagnosis of cystic fibrosis;
* primary ciliary dyskinesia;
* heart failure diagnosed after birth affecting pulmonary circulation;
* major respiratory diseases such as e.g. interstitial lung disease,
* acute respiratory infection at recruitment,
* use of systemic corticosteroids,
* recent asthma-related visit to emergency department (in the past three weeks)
* coexistence of other serious chronic illness. Moreover, children will be excluded from study visits and biomaterial collection in the case of fever of at least 38.5°C during the last two weeks prior to the planned visit.
What they're measuring
1
Change in the number of asthma exacerbations and severity