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Respiratory Microbiome in COPD and Associated Inmune Response.

Conditions
Pulmonary Disease (COPD), Chronic Obstructive
Registration Number
NCT03321708
Lead Sponsor
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Brief Summary

Hypothesis:

COPD patients with frequent exacerbations have different pulmonary and systemic immune response than COPD patients without frequent exacerbations and this is related to their microbiome.

Detailed Description

The objective of this project is to determine the pulmonary microbiome and its relationship with the pulmonary and systemic inmune response in COPD patients with frequent (FE) and non frequent exacerbations (NE).

1. The pulmonary immune response.

-The role of mucins, antimicrobial peptides (AMPs), Matrix metalloproteinases (MMPs) and Toll-like receptors (TLRs) as lung defense mechanisms and their possible relationship with the microbiome in COPD and FE patients.

2. The systemic immune response. -The pulmonary and blood inflammatory response and circulating bacterial products as markers of the systemic immune response.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  1. Diagnosis of COPD according to national and international guidelines.
  2. Clinical stability (8 previous weeks).
  3. Signature of informed consent.
Exclusion Criteria
  1. Antibiotic treatment the previous 8 weeks.
  2. Other lung diseases.
  3. Active neoplasic disease.
  4. Terminal concomitant disease.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Relationship of pulmonary microbiome with the immune response (local and systemic).6 months

Microbiome will be determined by using 16s RNA techniques. The inmune response will be studied with ELISA kits.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Oriol Sibila Vidal

🇪🇸

Barcelona, Spain

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