Monday, March 30, 2026
Phase 2 trial uses hyperpolarized 129Xe MRI to study airway remodeling in obese asthma
Photo by National Institute of Allergy and Infectious Diseases / Unsplash

Phase 2 trial uses hyperpolarized 129Xe MRI to study airway remodeling in obese asthma

Key Takeaway
Note: No clinical trial results are reported for this 129Xe MRI study in obese asthma.

A phase 2 clinical trial proposed using 3D functional imaging with hyperpolarized 129Xe MRI and single-cell RNA sequencing to study mechanisms driving regional airway remodeling and fibrosis. The study enrolled 49 obese asthma subjects, with a planned follow-up of 46 months. The primary outcomes were defined as the percentage of neutrophils and eosinophils in peripheral blood.

No results for the primary or any secondary outcomes are reported. The effect size, absolute numbers, p-values, and direction of findings are all listed as not reported. The study design focused on comparing imaging and sequencing data between obese asthma subjects and preclinical models.

Safety and tolerability data, including adverse events, serious adverse events, and discontinuations, are not reported. Key limitations of the available evidence include the complete absence of trial results and the lack of reported comparator groups or setting details.

The practice relevance of this approach cannot be assessed without clinical trial results. Funding sources and conflicts of interest are also not reported. This remains a proposed methodological study for investigating disease mechanisms rather than an intervention with established efficacy or safety.

View Original Abstract ↓
Status: COMPLETED | Phase: PHASE2 Condition(s): Asthma, Obesity Intervention(s): Hyperpolarized 129XeMRI (DRUG) 40% of all asthma patients in the US are obese. Obese asthmatics have more severe disease than lean asthmatics and do not respond as well to conventional anti-inflammatory therapies. This proposal will utilize 3D functional imaging with 129XeMRI and single cell RNA sequencing to study mechanisms driving regional airway remodeling and fibrosis in obese asthma subjects and in preclinical models of obese asthma. Detailed: ABSTRACT Obesity, a major comorbidity and a potential modulator of asthma, affects nearly 40% of asthmatics in the U.S., and increases its severity. Obese asthmatics do not respond as well to conventional anti-inflammatory therapies and new biologics targeting asthma are less effective in obese asthmatics compared to lean. Very little research has been conducted in obese animals or obese asthmatics, resulting in a major knowledge deficit. A key feature of asthma is airway remodeling and fibrosis, broadly defined as a change in distribution, thickness, composition, mass or volume of structural components of the airway wall of patients relative to healthy patients. Airway remodeling is difficult to diagnose in obese patients as mechanical changes in chest wall compliance can contribute to Primary Outcome(s): Percentage of Neutrophils in Peripheral Blood; Percentage of Eosinophils in Peripheral Blood Enrollment: 49 (ACTUAL) Lead Sponsor: Bastiaan Driehuys Start: 2021-04-01 | Primary Completion: 2025-01-31 Results posted: 2026-03-23