With over 15 years of commercial and non-commercial research, the Respiratory Research team led by Professor Maskell is one of the largest and most successful clinical and academic pleural research teams in the UK.
For nearly a decade they have been designing and delivering practice-changing clinic trials, improving the lives of patients with mesothelioma, pleural infection, and pneumothorax.
They have tested new devices designed to manage recurrent pleural effusions and pneumothorax, including a first in human trial which led to an international multi-centre randomised controlled trial (SEAL-MPE trial).
The multidisciplinary team includes highly skilled and motivated research nurses, managers, clinical research fellows and clinical academics. The team has also successfully been awarded research grants of more than £5million.
Please speak to the person treating you to find out if there is a research study that may be able to help you.
DO YOU HAVE ASTHMA & ARE A LIFELONG NON-SMOKER?
Pressurised Metered dose inhalers (pMDI) are used worldwide to deliver asthma drugs to the lungs. They contain hydrofluorocarbon (HFC) or Hydrofluoroalkane (HFA) propellants which contribute to global warming. Some pMDI propellants contribute nearly 1 million tonnes of CO2 equivalent per year in England alone and some are the equivalent of driving 600 miles in your car. In 2014 pMDI propellants were responsible for 3% of the global HFC CO2 emissions. To put this in context- using your reliever inhaler just twice a day can contribute the equivalent carbon emissions of driving your car 2 miles.
But there are other propellants that deliver these drugs safely and effectively without the same impact on the environment. We are testing a new propellant and need your help.
Am I Eligible?
Have you been given a diagnosis of mild asthma that requires an inhaler?
Are you aged 18-75 years?
Are you a lifelong non-smoker?
Would you be willing to attend the Clinical Research Building at Southmead Hospital on 4 separate occasions?
What does the study involve?
We will ask you to come to the Hospital on 4 separate occasions. We will test your lung function and perform a heart tracing (ECG) on three of the visits. We will also take a blood test, urine test and perform a pregnancy test if applicable. If you are eligible we will randomise you to one of two groups to test 2 propellants in 2 different visits (1 propellant in 1 visit and 1 propellant in the subsequent visit) and monitor you with the above tests while you do so. You will be free to end your participation in the study at any stage and we will not require a reason.
Will I be compensated?
Yes. You will receive compensation of up to £675 for your participation in this study. This includes the cost of taxis that will be booked for you to a maximum of £50 per visit.
If you are interested, then please contact the Respiratory Research Department on 0117 41 48114 or PhasellaStudy@nbt.nhs.uk.
UK Lung Volume Reduction: Multi-centre Observational Study
Many people with chronic obstructive pulmonary disease (COPD) remain very breathless and limited. In some patients, with the appropriate pattern of emphysema, an operation called lung volume reduction surgery is effective at removing the worst affected area of lung. New techniques have been developed where emphysema can be treated using a fibre-optic camera called a bronchoscope. Trials have shown that using a bronchoscope to place endobronchial valves into the airways can be very effective in carefully selected patients and the technique is now being adopted in hospitals across the UK.
This study will collect data from people undergoing these procedures at hospitals across the UK to evaluate how well they work in practice and what factors at baseline influence response. Baseline, three month and 12 month follow up data will be collected. This will include lung function data, measures of exercise capacity, questionnaires about health status and CT scan results. Questions addressed will include:
- What lung function improvement is seen in clinical practice?
- What factors determine who is most likely to respond?
- How safe are the procedures and what is the rate of complications?
- What proportion of people undergoing bronchoscopic procedures require repeat procedures or surgery subsequently?
- Does long term survival differ between people undergoing the different treatments?
The study is supported by The British Lung Foundation and sponsored by Imperial College, London. By building collaboration, the establishment of the network will also produce a structure that will make evaluation of future bronchoscopic techniques easier bringing innovative treatments into play more quickly.
Principal Investigator: Dr James Dodd
Planned End Date: 30/06/2026
Local Ref: 4076
Pleural Antibiotic Concentrations Informing Treatment (PACT) Study
When people get chest infections, fluid can sometimes build up around the lung. This is called a parapneumonic pleural effusion. In about 1 in 10 cases, the fluid itself becomes infected, this is called pleural infection. Pleural infection is usually treated by removing the infected fluid and using antibiotics to mop up the left-over infection.
Patients with pleural infection often receive long courses of intravenous antibiotics because doctors are uncertain of how well antibiotics reach the infected pleural fluid and whether bacteria are becoming resistant to them.
The Pleural Antibiotic Concentrations informing Treatment (PACT) study is observational and aims to see how well antibiotics are reaching the infected fluid, and how quickly the bacteria are being killed. To answer this, we will collect samples of pleural fluid from participants who are being treated for pleural infection with pleural drainage. This fluid will be tested to measure how much antibiotic has managed to get into it. We can then tell if the antibiotics are reaching high enough concentrations to kill bacteria. We will also be testing this fluid to see if the bacteria are being killed by the antibiotic or not. In the future, this information may shorten the time patients are treated with intravenous antibiotics and therefore how long they need to stay in hospital.
Principal Investigator: TBC
Planned End Date: TBC
Local Ref: 4581
The purpose of the study is to evaluate how effective dupilumab is and how safe it is in reducing the signs and symptoms in patients with Chronic Obstructive Pulmonary Disease (COPD) who have a high level of blood eosinophils and are in need of additional treatment.
COPD is a highly prevalent disease, associated with significant economic burden, and for which available standard-of-care therapies show insufficient treatment effect on symptoms, lung function, exacerbations and long-term progression of the disease.
Although the inflammatory component in COPD is typically thought to be neutrophils, a subgroup of COPD patients have been identified who have a high level of blood eosinophils therefore suggesting a Type 2 inflammatory component of the disease.
The study is a randomised, double blind, placebo-controlled study and is planned to include approximately 924 participants. Each participant will be involved in the study for approximately 68 weeks and will attend approximately 19 visits to the research site. All participants will receive standard of care background medication throughout the study. Most participants will be expected to administer study drug at home between study visits.
Principal Investigator: TBC
Planned End Date: TBC
Local Ref: 4823
The effectiveness and risks of Treating people with Idiopathic Pulmonary fibrosis with the Addition of Lansoprazole (TIPAL)
IPF is a progressive scarring lung condition causing coughing and breathlessness. IPF patients often have reflux disease meaning stomach acid may be breathed into the lungs, potentially damaging them. Medicines which stop stomach acid production, proton pump inhibitors (PPIs), can be used to reduce reflux symptoms including heartburn. Some researchers suggest PPIs also reduce IPF progression.
This research aims to see if IPF progresses slower if treated with PPIs. Based on the results, we will be able to recommend whether or not IPF patients should take PPIs.
This trial will involve 298 IPF patients from approximately 37 UK hospitals. At the beginning of the study, we will ask patients to perform breathing tests, and ask those with a cough to use a device to count the number of times they cough in 24hours. We will ask them to answer two questions rating their coughing and breathlessness, and complete questionnaires on their coughing, IPF, sleep habits and general condition. People will be given a PPI, called lansoprazole, or dummy tablets, twice per day for 12 months. They will be given a leaflet telling them what to do about reflux symptoms. At the end of the study, we will repeat these tests and analyse the results. We will record any side effects people may get. If people suffer side effects, they can reduce the dose.
People taking medicines that interact with PPIs or have other serious medical conditions won’t be able to participate. People receiving PPIs will only be able to participate if they can stop taking their medication without their heartburn returning.
The study will be undertaken by doctors and researchers with experience of IPF, reflux disease, PPIs and coughing. We will publicise our results by writing reports for medical publications, media articles and social media.
Principal Investigator: TBC
Planned End Date: TBC
Local Ref: 4672
Become one of the thousands of people taking part in research every day within the NHS.
Find out more about our research and how we're working to improve patient care.