An RCT of Oseltamivir in Outpatients With CPD: A Pilot Study.
- Registration Number
- NCT02282384
- Lead Sponsor
- McMaster University
- Brief Summary
The proposed pilot study will provide needed data to establish the feasibility of a conducting a large randomized controlled trial as to the effectiveness of the use of oseltamivir early in the course of influenza in outpatients with chronic pulmonary disease.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Clinic patients with physician diagnosed chronic obstructive pulmonary disease
- respirologist-diagnosed non-cystic fibrosis bronchiectasis and pulmonary fibrosis (based on appropriate clinical, exposure, and radiological criteria as per American Thoracic Society guidelines)
- Participants will be drawn from the respirology clinics and will be randomized if within 72 hours of meeting criteria for influenza-like illness
- residents of nursing homes
- patients who are immunosuppressed
- patients on immunosuppressive does (15 mg or more) of prednisone for three weeks or longer
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description oseltamivir oseltamivir 75 mg oseltamivir orally twice daily for 5 days within 72 hours of symptom onset Placebo Placebo 75mg placebo calcium carbonate pills taken twice daily for five days within 72 hours of symptom onset and will be identical in appearance to oseltamivir
- Primary Outcome Measures
Name Time Method non-elective admission to hospital up to 28 days following randomization A non-elective admission to hospital, in contrast to visits to the emergency department where admission does not take place. However, a prolonged stay in the emergency department (\> 24 hours) will also be considered to be hospitalization. Events that occur beyond this time period are deemed unlikely to be directly related to influenza,except functional status which will be assessed up to three months following acute respiratory infection. Secondly, the hospitalization must also be considered to be due to acute respiratory illness. An adjudication committee (comprised of two infectious diseases physicians who also practice general internal medicine) blinded to study group allocation will review data for hospitalization. They will be asked to judge whether the hospitalization was definitely or probably related to the acute respiratory illness. Those judged to be definitely or probably related will be considered as our primary outcome.
- Secondary Outcome Measures
Name Time Method lower respiratory tract infection up to 28 days following randomization lower respiratory tract infection including exacerbation of chronic pulmonary disease