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Tiotropium Induced Bronchodilation in Lung CT Scored Emphysema

Completed
Conditions
COPD
Emphysema
Interventions
Registration Number
NCT00570544
Lead Sponsor
Gelb, Arthur F., M.D.
Brief Summary

To evaluate if tiotropium (Spiriva)induced bronchodilation of inspiratory capacity in patients with moderate to severe copd subjected to metronome paced hyperventilation induced dynamic hyperinflation is dependent upon the extent of underlying emphysema as determined by high resolution-thin section CT lung.

Detailed Description

We will analyze post hoc, data that was previously published: Gelb AF et al.Chest 2006;131:690-695. We have shown that tiotropium increases resting inspiratory capacity thereby providing lung volume protection against metronome paced hyperventilation induced dynamic hyperinflation. End point will be to correlate increase in tiotropium induced FEV 1(L) and inspiratory capacity with extent of underlying emphysema as scored by lung CT ( Gelb AF et al:Chest 1996; 109: 353-359)in 29 patients with COPD. We will also correlate the decrease in inspiratory capacity following metronome paced hyperventilation induced dynamic hyperinflation with extent of lung CT scored emphysema.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
29
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
1tiotropiumpatients with moderate to severe copd with varying extent of emphysema
Primary Outcome Measures
NameTimeMethod
Correlate tiotropium induced increase in inspiratory capacity (IC)and FEV 1 with extent of emphysema as scored by lung CT.After 30 days and 1.5hr of tiotropium
Secondary Outcome Measures
NameTimeMethod
Correlate decrease in IC and FEV 1 following dynamic hyperinflation with underlying emphysema.After 30 days and 1.5hr of tiotropium

Trial Locations

Locations (1)

Arthur F Gelb Medical Corporation

🇺🇸

Lakewood, California, United States

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