Multiomics RVCOPD Study

  • Research type

    Research Study

  • Full title

    Using multiomics to define mechanisms of rhinovirus-induced Chronic Obstructive Pulmonary Disease exacerbations to develop novel therapies and therapeutic targets

  • IRAS ID

    351634

  • Contact name

    Sebastian Johnston

  • Contact email

    s.johnston@imperial.ac.uk

  • Sponsor organisation

    Imperial College London

  • Duration of Study in the UK

    2 years, 11 months, 30 days

  • Research summary

    We aim to understand the biological mechanisms that underlie exacerbations of Chronic Obstructive Pulmonary Disease (COPD) to drive the discovery of new treatments.

    COPD is the 4th leading cause of death worldwide, causing 3.5 million deaths in 2021. Acute exacerbations of COPD (AECOPD) involve sudden flare-ups of symptoms, commonly triggered by viral infections, and are the major cause of COPD morbidity, mortality and healthcare costs. Developing new treatments for AECOPD requires a better understanding of the processes occurring in the lungs, before and during exacerbations. Naturally-occuring AECOPD are challenging to study in a way that allows reliable measurement of disease mechanisms, and repeated lung sampling can be impractical and potentially dangerous.

    We therefore developed a human rhinovirus challenge experimental model of AECOPD. This involves infecting participants in our study with a common cold virus called rhinovirus (RV). We have demonstrated that RV causes mild-to-moderate exacerbations in 95% of COPD subjects, that we can control confounding factors to take reliable measurements, and that we can safely and easily perform repeated sampling of the lungs and respiratory tract.

    We will compare people who have COPD with people who do not have COPD, including smokers and non-smokers, to identify the processes important in COPD. We will measure a range of clinical and scientific outcomes, using cutting-edge ‘multiomics’ techniques to understand mechanisms in RV-induced AECOPD to an extent that has not been achieved before.

    The crucial information that this study generates will be used to identify new treatments to reduce the frequency and severity of AECOPD. Our data will be made publicly available for others to use and analyse, and will be integrated with other databases to maximise the scientific benefit that is gained from our participants' contribution to the project.

  • REC name

    London - Riverside Research Ethics Committee

  • REC reference

    25/LO/0414

  • Date of REC Opinion

    30 Jun 2025

  • REC opinion

    Further Information Favourable Opinion