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临床试验/NCT00117182
NCT00117182已完成2 期

A Phase II Study to Investigate Mannitol Challenge as a Tool to Predict Treatment Response to Inhaled Corticosteroids in COPD

Syntara13 个研究点 分布在 1 个国家目标入组 140 人开始时间: 2005年7月1日最近更新:
适应症
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
140
试验地点
13
主要终点
Forced expiratory volume in one second (FEV1)

研究概览

简要总结

The purpose of this study is to determine whether the Aridol (mannitol) challenge test can predict response to treatment with inhaled corticosteroids in COPD subjects. Subjects will undergo an Aridol test and then 3 months of treatment with inhaled corticosteroids. The effect on lung function and quality of life will then be measured and correlated with the Aridol test result.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
45 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Diagnosis of COPD (history, spirometry, symptoms including chronic cough and/or shortness of breath that is worse on exertion and/or excess sputum production)
  • •Aged 45 - 80 years
  • •Have pre-bronchodilator FEV1 > 1.4 litres and at least 60% of predicted for height, age and gender and a post-bronchodilator FEV1 <80% of predicted for height, age and gender
  • •Post-bronchodilator FEV1/FVC < 70 %
  • •≥ 10 pack years smoking history
  • •As determined by the investigator, are capable and willing to:
  • •perform all of the techniques necessary to measure lung function;
  • •administer the dry powder mannitol.
  • •Are capable of, and have given informed consent to, participating in this study in accordance with local regulations.
  • •The subject must be in stable clinical condition at the time of, and for a period of 14 days prior to, their recruitment into the study. Stable clinical condition is defined as lack of:
  • •change in sputum production (volume, colour, consistency);
  • •increased cough;
  • •worsening dyspnoea;
  • •increased malaise, fatigue or lethargy;
  • •reduction in exercise tolerance;
  • •antibiotic treatment (for respiratory infection).

排除标准

  • •Investigators, site personnel directly affiliated with this study, and their immediate families. Immediate family is defined as a spouse, parent, child or sibling, whether biologically or legally adopted.
  • •Subjects receiving treatment with inhaled corticosteroids (including combination therapies, e.g. Seretide®, Symbicort®) or oral corticosteroids within the last 6 weeks.
  • •Subjects who have had an exacerbation or a chest infection within the 2 weeks prior to the study.
  • •Subjects receiving antibiotic treatment for respiratory infection.
  • •Known diagnosis of asthma or allergic rhinitis.
  • •Myocardial infarction in the six months prior to enrolment.
  • •Cerebral vascular accident in the six months prior to enrolment.
  • •Ocular surgery in the three months prior to enrolment.
  • •Abdominal surgery in the three months prior to enrolment.
  • •Active tuberculosis (TB).
  • •Lung cancer or any other malignancies, which are considered by the investigator as a contraindication to participating in the study.
  • •Lung disease other than COPD (e.g. bronchiectasis).
  • •Uncontrolled insulin-dependant or non-insulin dependant diabetes, i.e. >10% HbA1c.
  • •Female subjects of reproductive capability, not using a reliable form of contraception
  • •Inability to obtain informed consent from the subject or subject's authorised representative.
  • •Subjects who have participated in another investigative drug study parallel to, or within 4 weeks of, study entry.
  • •Known intolerance to mannitol.
  • •Uncontrolled hypertension - systolic blood pressure (BP) > 200 mmHg and or diastolic BP > 100 mmHg.
  • •Planned pulmonary rehabilitation.
  • •Have had major abdominal, chest or brain surgery in the three months prior to enrolment.
  • •Have known cerebral, aortic or abdominal aneurysm.

结局指标

主要结局

Forced expiratory volume in one second (FEV1)

次要结局

  • Exacerbation frequency
  • Days on antibiotics
  • Lung function values
  • Response dose ratio (RDR)
  • Dose of provoking stimulus causing a 15%, 12% or 10% fall in FEV1 (PD15, PD12, PD10)
  • Quality of life assessed by St. George's Respiratory Questionnaire (SGRQ)- total score
  • COPD clinical control scores (CCQ)
  • Days off work or days unable to carry out normal activities
  • Reversibility of airflow obstruction

研究者

发起方
Syntara
申办方类型
Industry

研究点 (13)

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