跳至主要内容
临床试验/NCT02451540
NCT02451540终止2 期

Placebo Controlled Study to Assess the Effect of Roflumilast in Hyperinflated COPD Patients in Addition to LABA/LAMA Therapy Using Functional Respiratory Imaging.

FLUIDDA nv1 个研究点 分布在 1 个国家目标入组 13 人开始时间: 2015年9月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
终止
发起方
入组人数
13
试验地点
1
主要终点
Changes in Air trapping

研究概览

简要总结

In this study the efficacy of Roflumilast in addition to LAMA/LABA therapy will be assessed using Functional Respiratory Imaging.

In total 40 Chronic obstructive pulmonary disease (COPD) patients, Global Initiative for Chronic Obstructive Lung Disease (GOLD) stages C and D, who are stable on LABA/LAMA therapy and who are prone to dynamics hyperinflation will be included in this study. To indicate the susceptibility to dynamics hyperinflation patients should have a baseline Borg Fatigue score after the 6-minute walk test (6MWT) above 4.

The patients will be randomized in such a way that 1 out of 2 patients will receive placebo and 1 the active component.

Image parameters will be assessed and the correlation with lung function and health related quality of life will be checked before and after treatment.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
30 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male or female patient ≥ 30 years old
  • Written informed consent obtained
  • Patient with Body mass index (BMI) ≥ 20
  • Female patient of childbearing potential who confirm that a contraception method was used at least 14 days before visit 1 and will continue to use a contraception method during the study
  • COPD patient with GOLD stages C and D
  • Patient with a Borg Fatigue score after the 6MWT on screening above 4 to indicate the susceptibility to dynamics hyperinflation
  • Patient with smoking history of at least 10 pack-years
  • Patient takes a combination therapy of LABA/ LAMA at least 6 weeks before visit 1
  • Patient must be able to understand and complete the protocol requirements, instructions, questionnaires and protocol-stated restrictions

排除标准

  • Pregnant or lactating females
  • Patient with severe immunological diseases and/ or severe acute infectious diseases
  • Patient with heart failure as documented in the medical history or as defined by the investigator during the physical examination performed at visit 1
  • Patient with diagnosis of cancer (except basal cell carcinoma)
  • Patient with a history of depression associated with suicidal ideation or behaviour
  • Patient with moderate or severe hepatic impairment.
  • Patient with lactose intolerance
  • Patient is unlikely to comply with the protocol or unable to understand the nature, scope and possible consequences of the study.
  • Patient who received inhalation corticosteroids (ICS) within the last 6 weeks prior to the screening visit
  • Patient who received any investigational new drug within the last 4 weeks prior to the screening visit or twice the duration of the biological effect of any drug (whichever is longer)

研究组 & 干预措施

Roflumilast

Active Comparator

Patient will take Roflumilast (500 micrograms) once a day for 3 months. A HRCT scan will be taken at baseline and after 3 months of treatment

干预措施: HRCT scan (Radiation)

Roflumilast

Active Comparator

Patient will take Roflumilast (500 micrograms) once a day for 3 months. A HRCT scan will be taken at baseline and after 3 months of treatment

干预措施: Roflumilast (Drug)

Placebo

Placebo Comparator

Patient will take the Placebo of Roflumilast once a day for 3 months. A HRCT scan will be taken at baseline and after 3 months.

干预措施: HRCT scan (Radiation)

Placebo

Placebo Comparator

Patient will take the Placebo of Roflumilast once a day for 3 months. A HRCT scan will be taken at baseline and after 3 months.

干预措施: Placebo of Roflumilast (Drug)

结局指标

主要结局

Changes in Air trapping

时间窗: At baseline and after 3 months of treatment

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

Changes in Blood Vessel Density

时间窗: At baseline and after 3 months of treatment

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

Changes in Airway Wall Thickness

时间窗: 3 months

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

Changes in Airway volume (iVaw)

时间窗: At baseline and after 3 months of treatment

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

Changes in Airway resistance (iRaw)

时间窗: At baseline and after 3 months of treatment

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

Changes in Lobe volumes (iVlobes)

时间窗: At baseline and after 3 months of treatment

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

Changes in Internal Lobar Airflow Distribution

时间窗: At baseline and after 3 months of treatment

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

Low Attenuation or Emphysema Score

时间窗: At baseline and after 3 months of treatment

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

Aerosol deposition concentrations

时间窗: At baseline and after 3 months of treatment

By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.

次要结局

  • Changes in 6MWT(At baseline and after 3 months of treatment)
  • Changes in Patient Related Outcome (PRO)(At baseline and after 3 months of treatment)
  • Changes in Spirometry(At baseline and after 3 months of treatment)
  • Changes in Body plethysmography(At baseline and after 3 months of treatment)
  • Changes in Diffusion capacity(At baseline and after 3 months of treatment)

研究者

发起方
FLUIDDA nv
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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