Role of Endorphins in the Perception of Dyspnea in Patients With Chronic Obstructive Pulmonary Disease

NCT ID: NCT00458419

Last Updated: 2007-11-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2007-05-31

Brief Summary

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Endorphins are naturally occurring narcotic substances that are released when individuals perform exercise. The hypothesis of the study is that endorphins reduce the severity of breathlessness during exercise in patients with chronic obstructive pulmonary disease (COPD). The initial five visits include familiarization and validation of a computerized system for patients to report dyspnea and leg discomfort continuously during exercise testing.

At Visits 6 and 7 blood is drawn to measure serum endorphin levels pre-exercise, end exercise, and 30 minutes after exercise. Normal saline or naloxone is given intravenously 5 minutes prior to exercise in a double-blinded design. The primary outcome is the slope of oxygen consumption - dyspnea.

Detailed Description

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Conditions

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Chronic Obstructive Pulmonary Disease

Keywords

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dyspnea; leg discomfort; exercise duration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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A: naloxone; B: normal saline

Arm A: IV naloxone Arm B: IV normal saline

Group Type PLACEBO_COMPARATOR

naloxone versus placebo

Intervention Type DRUG

10 mg of naloxone administered IV or normal saline administered IV in randomized order at different visits

intravenous injection of normal saline or naloxone

Intervention Type DRUG

Arm A: 10 mg of naloxone given IV in 25 ml of normal saline Arm B: 25 ml of normal saline

Interventions

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naloxone versus placebo

10 mg of naloxone administered IV or normal saline administered IV in randomized order at different visits

Intervention Type DRUG

intravenous injection of normal saline or naloxone

Arm A: 10 mg of naloxone given IV in 25 ml of normal saline Arm B: 25 ml of normal saline

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of COPD
* Ability to exercise
* Ability to computer mouse to provide ratings
* \> 10 pack-years smoking
* Baseline dyspnea index \< 9

Exclusion Criteria

* Clinically significant comorbidities
Minimum Eligible Age

50 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dartmouth-Hitchcock Medical Center

OTHER

Sponsor Role lead

Principal Investigators

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Doanld A Mahler, MD

Role: PRINCIPAL_INVESTIGATOR

Dartmouth-Hitchcock Medical Center

Locations

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Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Countries

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United States

References

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Mahler DA, Murray JA, Waterman LA, Ward J, Kraemer WJ, Zhang X, Baird JC. Endogenous opioids modify dyspnoea during treadmill exercise in patients with COPD. Eur Respir J. 2009 Apr;33(4):771-7. doi: 10.1183/09031936.00145208. Epub 2009 Feb 12.

Reference Type DERIVED
PMID: 19213787 (View on PubMed)

Other Identifiers

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17355

Identifier Type: -

Identifier Source: org_study_id