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Comparative study on effectiveness of inhaler treatment for elderly patients with asthma-Chronic Obstructive Pulmonary Disease (COPD) overlap syndrome (ACOS)

Not Applicable
Recruiting
Conditions
Diseases of th respiratory system
Registration Number
KCT0002050
Lead Sponsor
Asan Medical Center
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
300
Inclusion Criteria

1)ACOS definition - any of following 3 criteria
(1) positive response bronchodilator: > 200mL forced expiratory volume in 1s (FEV1) and > 12% baseline
(2) positive methacholine or mannitol provocation test
(3) increase in FEV1 by > 12% and 200 mL from baseline after 4weeks of treatment
and satisfied pre-bronchodilator FEV1/FVC ratio < 0.7 at the initial time and continuing after at least 3 months follow-up
2) controlled patients with ICS+LABA treatment
3) patients over 19 years of age
4) 30 = FEV1 (%) < 80
5) acute exacerbation history past 1-year
6) patients agreed to participate in clinical trials

Exclusion Criteria

1) severe benign prostste hypertrophy (BPH)
glaucoma
End-stage renal disease, chronic renal failure
2) heart failure or previous history of myocardial infarction during 1-year
3) active infection such as pneumonia, pulmonary tuberculosis, fungal infection
4) moderate to severe bronchiectasis
5) Tb destroyed lung
6) acute exacervation of Visit 1
7) pregnancy and breast-feeding
8) using the systemic steroid due to other disease
9) receipt of immunotherapy
10) other patients judged to be inappropriate by clinician

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time to first exacerbation
Secondary Outcome Measures
NameTimeMethod
the change of pulmonary function test ;the change of Asthma Control Test (ACT) score;the change of inflammatory cells in sputum ;blood test ;Exhaled Breathing condensate (EBC);K-AQLQ (Asthma Quality of Life Questionnaire);the frequency of using rescue medication ;adverse reaction
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