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All Genders
ID04604522

Evaluating Clonogenic Epithelial Cell Populations in Patients With Bronchiolitis Obliterans Syndrome

Led by M.D. Anderson Cancer Center · Updated on 2026-03-11

15

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

M

M.D. Anderson Cancer Center

Lead Sponsor

N

National Institute of Allergy and Infectious Diseases (NIAID)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to study abnormal clonogenic epithelial cells in patients with bronchiolitis obliterans syndrome (BOS) who have undergone either an allogeneic hematopoietic cell transplant or a lung transplant. By examining these cells, researchers hope to better understand BOS and improve early detection in future patients. The study involves participants from MD Anderson Cancer Center and Houston Methodist who have BOS and have undergone transplants. Participants will provide blood samples and undergo multiple airway brushings during their standard of care bronchoscopy procedure. After the bronchoscopy, they will have nasal brushings collected as well. Researchers will also review the participants' medical records to gather additional data. This study does not involve any investigational drugs or treatment changes but focuses on biospecimen collection and chart review. During the study, participants will be monitored and followed for up to one year after their initial procedures. Researchers will measure the proportion of abnormal epithelial cells and compare epithelial cell populations among different transplant recipient groups. The study includes various assessments such as bronchoscopy, blood sample collection, nasal brushings, and medical record review to understand the cellular changes associated with BOS.

CONDITIONS

Brief Title

Evaluating Clonogenic Epithelial Cell Populations in Patients With Bronchiolitis Obliterans Syndrome

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Recipients of allogeneic hematopoietic cell transplant undergoing bronchoscopy at MD Anderson Cancer Center who consent to additional airway brushings
  • Patients with advanced bronchiolitis obliterans syndrome (FEV1 ≤ 75% predicted and meeting NIH criteria)
  • Patients with early bronchiolitis obliterans syndrome showing at least 10% decline in FEV1 with a high-risk feature
  • Patients with no pulmonary impairment (FEV1 within 5% of baseline)
  • Lung transplant recipients undergoing bronchoscopy at Houston Methodist who consent to additional airway brushings
  • Patients with bronchiolitis obliterans syndrome Stage 2 or higher (≥ 35% decline in FEV1)
  • Patients with bronchiolitis obliterans syndrome Stage 0p or 1 (10-35% decline in FEV1)
  • Patients undergoing screening bronchoscopy without FEV1 decline
  • Patients with undiagnosed lung cancer or chronic obstructive pulmonary disease diagnosed by pulmonary function testing
Not Eligible

You will not qualify if you...

  • Bronchoscopy performed as an emergency for life-threatening issues instead of routine diagnostic testing
  • Patients unwilling to give consent for study airway brushings

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Single day procedure

Participants undergo standard of care bronchoscopy with additional airway brushings and blood sample collections for research purposes. Medical records are also reviewed for data collection.

1 visit (in-person during bronchoscopy)

Long-term Monitoring

Duration - Up to 1 year

After completing the study procedures, participants are followed for up to 1 year to monitor outcomes related to bronchiolitis obliterans syndrome.

Follow-up visits as per routine clinical care

Trial Site Locations

Total: 1 location

1

M D Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

A

Ajay Sheshadri

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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