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临床试验/ISRCTN65344386
ISRCTN65344386已完成未知

Feasibility of the Safe Withdrawal of inhaled corticosteroids in Patients with mild to moderate COPD prescribed outside guidelines

King's College London0 个研究点目标入组 106 人开始时间: 2017年12月14日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
入组人数
106

研究概览

简要总结

2019 preliminary research in https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978678/ (added 17/06/2020) 2019 qualitative results in https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566471/ (added 17/06/2020)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Known diagnosis of mild or moderate COPD (forced expiratory volume in first second (FEV1) =50% predicted and FEV1/forced vital capacity (FVC) <0.7) obtained from spirometry within the past 12 months and confirmed at interview
  • 2. Prescribed and have used high-dose ICS (alone or in combination with a long-acting bronchodilator) at a dose of fluticasone propionate =250mcg/day, fluticasone furoate =92mcg/day, budesonide >400mcg/day or beclomethasone dipropionate >400mcg/day on most days for at least 3 months
  • 3. Age = 45 years
  • 4. <2 exacerbations in the previous year and no admissions to hospital with an exacerbation since the diagnosis of COPD was made
  • 5. BMI of less than 35

排除标准

  • 1. Patients with a BMI greater than 35
  • 2. History of asthma
  • 3. Lung cancer
  • 4. Breathlessness secondary to cardiac disease
  • 5. Moderate or severe osteoarthritis limiting mobility
  • 6. Current severe mental illness (severe depression or psychosis)
  • 7. Current alcohol dependence
  • 8. Dementia
  • 9. Patients who use continuous oral corticosteroids
  • 10. Pregnant females or females of childbearing age not using effective contraception

研究者

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