PAXT: Pulmonary Imaging of Mild Asthma Using 129Xe MRI and Tc-99-Labeled-Carbon-Imaging (Tc99CIma… (NCT07143747) | Clinical Trial Compass
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PAXT: Pulmonary Imaging of Mild Asthma Using 129Xe MRI and Tc-99-Labeled-Carbon-Imaging (Tc99CImaging)
Canada40 participantsStarted 2025-09
Plain-language summary
The goal of this observational study is to better understand how asthma affects the lungs in young adults (ages 17-35) with mild asthma. The main questions it aims to answer are:
* Can advanced imaging detect abnormal airway function in people with mild asthma?
* Do changes in ventilation imaging correlate with asthma symptoms or quality of life? Researchers will compare hyperpolarized xenon-129 MRI and Technegas (Tc-99m) imaging to see if these techniques reveal more detailed lung abnormalities than standard lung function tests.
Participants will:
* Complete a single 2-hour visit
* Undergo two types of lung imaging: Hyperpolarized xenon-129 MRI (to visualize how air moves in the lungs), Technegas (Tc-99m) imaging (to assess airflow using nuclear medicine)
* Perform spirometry and other breathing tests
* Answer questionnaires about asthma symptoms and quality of life This study is designed to improve our understanding of subtle changes in lung function that may not be detected by standard tests in people with mild asthma. The findings may lead to better diagnostic tools and more personalized treatment strategies in the future.
Who can participate
Age range17 Years – 35 Years
SexALL
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Inclusion criteria
✓. Participant diagnosed with mild (GINA1) asthma by physician
✓. Participant understands study procedures and is willing to participate in the study as indicated by the participant's signature
✓. Provision of written, informed consent prior to any study specific procedures
✓. Males and females 17 to 35 years of age
✓. Women of childbearing potential (after menarche) must ensure that they are using an effective form of birth control for at least 2 months prior to each imaging visit. Examples of effective birth control include:
✓. True sexual abstinence
✓. A vasectomized sexual partner
✓. Implanon®
Exclusion criteria
✕. Participant has an implanted mechanically, electrically, or magnetically activated device or any metal in their body which cannot be removed, including but not limited to pacemakers, neurostimulators, biostimulators, implanted insulin pumps, aneurysm clips, bioprosthesis, artificial limb, metallic fragment or foreign body, shunt, surgical staples (including clips or metallic sutures and/or ear implants) (at the discretion of the MRI Technologist)
What they're measuring
1
Measure 129Xe and Tc99C Imaging ventilation defects qualitatively and quantitatively in participants diagnosed and treated as "mild" asthma.
Timeframe: 1 baseline visit for pre- and post-bronchodilator imaging assessments
✕. In the investigator's opinion, subject suffers from any physical, psychological or other condition(s) that might prevent performance of the MRI, CT, or Tc99CImaging, such as severe claustrophobia
✕. Participants who are pregnant, breastfeeding or have a positive pregnancy test at initial screening visit
✕. Participant is unable to perform spirometry or plethysmography maneuvers
✕. Participant is unable to perform MRI and CT breath-hold maneuvers