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Angiotensin converting enzyme (ACE) inhibition and mechanisms of skeletal muscle weakness in chronic obstructive pulmonary disease (COPD)

Not Applicable
Completed
Conditions
Chronic obstructive pulmonary disease (COPD)
Respiratory
Other chronic obstructive pulmonary disease
Registration Number
ISRCTN05581879
Lead Sponsor
Imperial College London (UK)
Brief Summary

2014 results in: http://www.ncbi.nlm.nih.gov/pubmed/24556825

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
80
Inclusion Criteria

Adult patients (greater than 18 years, either sex) with COPD diagnosed according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. Only patients with quadriceps weakness will be enrolled into this randomised controlled trial (RCT).

Exclusion Criteria

1. Clinically unstable patients (within one month of exacerbation)
2. Those with a permanent pacemaker (which is a contraindication to magnetic stimulation), or significant co-morbidity
3. Patients with an accepted indication for ACE inhibition (left ventricular dysfunction, diabetes) or a contraindication such as renovascular disease
4. Creatinine clearance (estimated) less than 50 ml/min
5. Hypotension
6. Use of anticoagulants (contraindication to biopsy) or angiotensin converting enzyme inhibitor (ACE-I) or angiotensin II (ATII) receptor antagonists
7. Allergy to ACE-I
8. Pregnancy
9. Patients who have participated in a pulmonary rehabilitation programme within the past three months

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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