Description
Inclusion Criteria:
- 1. Outpatient adults of either sex 18-65 years of age.
- 2. Subjects with body mass index (BMI) ≥ 30 kg/m2.
- 3. Physician diagnosis of asthma.
- 4. Documented history of either bronchodilator reversibility or positive methacholine challenge in past 2 years:
- i. Reversibility of at least 12% increase in forced expiratory volume in 1 sec (FEV1) 15-30 minutes after inhaling 2-4 puffs of albuterol or ii. Positive methacholine challenge defined as a 20% fall in FEV1 compared to baseline at less than 16 mg/ml.
- 5. Negative urine pregnancy test in women of childbearing potential\* (confirmed during screening).
- 6. Regular treatment with inhaled corticosteroid (ICS) and long-acting beta agonist (LABA) combination medication for at least 3 months; on a stable dose for the 4 weeks prior to Visit 1
- 7. Subjects with a smoking history \<10 pack years and no smoking in the last year.
- 8. Willing and able to give informed consent and adhere to visit/protocol schedules.
- Allergic Asthma Subjects
- 1. Subjects with serum IgE \>100 IU/ml and
- 2. Positive skin prick test
- 3. Absolute eosinophil count \>150/uL or FeNO \>30 ppb (if on systemic steroid therapy)
- Non-allergic Asthma Subjects
- 1. Subjects with serum IgE \<100 IU/ml and/or
- 2. Negative skin prick test
- 3. Absolute eosinophil count \< 150/uL
Exclusion Criteria:
- 1. Children \< 18 years of age.
- 2. Subjects with body mass index (BMI) \< 30 kg/m2.
- 3. Pregnancy
- 4. Lung disease other than asthma including chronic obstructive pulmonary disease (COPD) or emphysema, bronchiectasis, sarcoidosis, or interstitial lung fibrosis.
- 5. Smoking history \> 10 pack years or any cigarette use within the previous twelve months.
- 6. Upper or lower respiratory tract infection within one month of the study.
- 7. Positive COVID-19 test in last 3 months.
- 8. Untreated or uncontrolled sleep apnea.
- 9. Recent active substance abuse (last 6 months).
- 10. Current use of dupilumab or other biologic therapy for asthma
- 11. Near fatal asthma (intubation or intensive care unit (ICU) admission for asthma) within past 1 year.
- 12. Other major chronic illness in the opinion of the investigator that might interfere with the study; including, but not limited to, uncontrolled diabetes, uncontrolled HIV infection or other immune system disorder, seizure disorders, renal failure, liver disease, or unstable psychiatric illness.
- 13. Participation in an intervention study (including non-pharmacologic interventions) or use of investigative drugs within the past 30 days or plans to enroll in such a trial during the study.
Ages Eligible for Study:
18 Years to 65 Years (ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
No