Randomized double blind placebo-controlled study to demonstrate that antibiotics are not needed in moderate acute exacerbations of COPD – The ABACOPD Study
- Conditions
- MedDRA version: 19.0 Level: LLT Classification code 10010953 Term: COPD exacerbation System Organ Class: 100000004855Therapeutic area: Diseases [C] - Respiratory Tract Diseases [C08]
- Registration Number
- EUCTR2012-003234-16-DE
- Lead Sponsor
- Hannover Medical School represented by Hannover Clinical Trial Center GmbH
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- Not specified
- Target Recruitment
- 980
•Adults, either sex, older than 40 years of age
•For female patients, the following conditions are to be met:
-has been postmenopausal for at least 1 year, or
-is surgically incapable of bearing children, or
-is of childbearing potential, and the following conditions are met:
ohas a negative pregnancy test (urine- or serum-based) immediately before study entry (i.e., before the start of treatment or any other study procedure that could potentially harm the fetus), and one or more of following criteria
omust agree to abstinence or use an accepted method of contraception .The subject must agree to continue with the same method throughout the study.
ohaving only female sexual partners
osexual relationship with sterile male partners only
•Patients diagnosed with COPD stages I-IV as defined by the Global initiative for chronic Obstructive Lung disease (GOLD).
and
•Doctor's diagnosis of acute (onset < 7 days) moderate exacerbation of COPD defined by a sustained worsening of the patient’s condition (including at least 2 of the following symptoms: increased dyspnea, increased sputum production, sputum purulence and increased cough), from the stable state and beyond normal day-to-day variations, necessitating a change in regular medication in patient with underlying COPD, needing additional medical assistance.
•Absence of community acquired pneumonia or lower respiratory tract infection with a clear indication for antibiotic treatment as determined by Procalcitonin level < 0.25 ng/mL and/or absence of pulmonary infiltrates on routine chest x-ray.
•Smoking history of at least 10 Pack Years or more.
•Patients must sign and date an informed consent prior to any study procedures.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range
•Severe exacerbation: defined by need for ventilatory support (indicated by severe dyspnea with failure to respond to emergency treatment and/or persistent hypoxemia (PaO2 <50 mm Hg despite O2 administration and / or respiratory acidosis (pH <7.35 and PaCO2> 45mmHg)) or mental confusion or circulatory insufficiency (need of vasopressors)
•Fever (>38.5°C) (more than 4 days)
•Known impaired hepatic or renal function
•Active or suspected tuberculosis infection of the respiratory tract
•Acute exacerbation of asthma
•Suspected or known hypersensitivity to, or suspected serious adverse reaction to Sultamicillin
•Immunosuppression or Immunosuppressive therapy (cytostatic chemotherapy within last 28 days or neutropenia (neutrophils < 1000/µ)l; systemic corticosteroids (=20 mg prednisolon equivalent/day > 14 days; HIV-infection; immunosuppression after organ- or bone marrow transplant)- Patients with metastatic or hematological malignancy, splenectomized patients or patients with known hyposplenia or asplenia
•Oral/parenteral antibiotic use within 30 days prior to randomization (a singular administration of antibiotics prior to randomization is allowed)
•In-patient treatment within the last 30 days days (because of actual respiratory infections as primary or secondary diagnosis)
•An antibiotic is clearly indicated for treatment of a known infection
•Known MRSA colonization or infection
•Patients with known bronchiectasis
•Patients with known bacterial airway colonization (>3 positive sputum cultures in the previous year)
•Progressively fatal disease, or life expectancy =6 months
• Mononucleosis
•Lymphatic leukemia
•Severe gastro-intestinal disorders with vomiting and diarrhea
•Women who are breast feeding
•Patients who have received treatment with any other investigational drug within 1 month prior to study entry, or have such treatment planned for the study period during treatment and follow up phase.
•Patients with mental conditions rendering them unable to understand the nature, scope, and possible consequences of the study.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method