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TARGETING OF THE SMALL AIRWAYS IN PATIENTS WITH COPD: AIRWAY EFFECTS OF TIOTROPIUM -Respimat vs. Handihaler

Phase 1
Conditions
Chronic Obstructive Pulmonary disease (COPD)
MedDRA version: 18.0 Level: PT Classification code 10009033 Term: Chronic obstructive pulmonary disease System Organ Class: 10038738 - Respiratory, thoracic and mediastinal disorders
Therapeutic area: Diseases [C] - Respiratory Tract Diseases [C08]
Registration Number
EUCTR2015-001615-13-GB
Lead Sponsor
Imperial College London
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
44
Inclusion Criteria

COPD
1) COPD patients with FEV1/FVC <70% predicted.

2) Mild (GOLD stage I: FEV1 >80% pred.) to moderate (GOLD stage II: FEV1 50-80% pred.)

3) Aged 30 years onwards – there is no upper age limit as we do not want to exclude elderly patients as COPD is primarily a disease in the elderly population.

4) Have ongoing symptoms or exercise limitation (determined by CAT score)

5) Stable COPD (no chest infection requiring antibiotics and/or oral steroids in the past 2 months).

6) Capable of giving informed consent, which includes compliance with the requirements and restrictions listed in the consent form.

Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 0
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 0

Exclusion Criteria

COPD
1) We will not recruit subjects who lack the capacity to consent.

2) Current or past diagnosis of asthma.

3) Patients on concurrent LABAs or oral bronchodilators (theophylline, PDE4 inhibitors) will not be included.

4) History of any chronic respiratory diseases other than COPD.

5) History of another medical condition, which in the opinion of the Unit Physician, contraindicates his/her participation in the study.

6) Clinical evidence of heart failure (NYHA class III-IV).

7) Unstable respiratory disease in the last four weeks prior to the screening visit (indicated by any change in their maintenance inhaled therapy or who have had a lower respiratory tract infection in the previous four weeks).

8) Evidence of a respiratory exacerbation requiring emergency room treatment and/or hospitalisation within four weeks before screening.

9) Use of systemic (oral or intravenous) steroids 4 weeks prior to inclusion (injectable depot steroids 6 weeks) or more than 3 periods during the last 12 months.

10) Participants with a known or suspected allergy, sensitivity or intolerance to the study drugs (this will be asked directly at the screening visit) or patients with a history of another drug allergy which, in the opinion of the Unit Physician, contraindicates his/her participation in the study.

11) Patient with a contraindication to taking an inhaled long-acting beta-agonists, listed in the British National Formulary (BNF).

12) Patients treated with beta-blockers in the week preceding the screening visit and during the study period.

13) Females who are pregnant or lactating or are likely to become pregnant during the trial. Women of childbearing potential may be included in the study if, in the opinion of the investigator, they are taking adequate contraceptive precautions.

14) Patients who have evidence of alcohol or substance abuse.

15) Participation in another clinical trial with an investigational drug in the four weeks preceding the screening visit.

16) Contraindication to taking Tiotropium bromide

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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