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An RCT of Oseltamivir in Outpatients With CPD: A Pilot Study.

Phase 4
Withdrawn
Conditions
Pulmonary Disease
Influenza
Interventions
Other: Placebo
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WITHDRAWN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
Inclusion Criteria
  • 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
Exclusion Criteria
  • 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
GroupInterventionDescription
oseltamiviroseltamivir75 mg oseltamivir orally twice daily for 5 days within 72 hours of symptom onset
PlaceboPlacebo75mg 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
NameTimeMethod
non-elective admission to hospitalup 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
NameTimeMethod
lower respiratory tract infectionup to 28 days following randomization

lower respiratory tract infection including exacerbation of chronic pulmonary disease

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