Vasoactive Intestinal Peptide in COPD

NCT ID: NCT00464932

Last Updated: 2007-04-24

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

Total Enrollment

34 participants

Study Classification

OBSERVATIONAL

Study Start Date

2003-06-30

Study Completion Date

2006-07-31

Brief Summary

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This study, a new immunomodulatory therapy of COPD with vasoactive intestinal peptide (VIP) was evaluated. Based on preliminary unpublished clinical and experimental results, the course of disease under VIP treatment and the molecular mechanisms involved were assessed.

34 patients with severe COPD were treated either with VIP inhalation in addition to conventional therapy or inhalation of placebo plus conventional therapy for a period of 3 months. The trial was conducted as a double blind, comparative study with two parallel groups.

Detailed Description

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Chronic obstructive bronchitis is a chronic inflammatory disease of the airways, which affects as many as 8% of individuals in industrialized nations. There is an increase in the number of woman and men suffering from COPD. Pulmonary hypertension and cor pulmonale are common sequelae of chronic airflow obstruction, but the precise mechanisms of increased vascular resistance are unclear. Potential causes of pulmo-nary hypertension in COPD include emphysematous destruction of the capillary bed, remodeling of pulmonary vessels and hypoxic pulmonary vasoconstriction. This proposal, a new immunomodulatory therapy of COPD with vasoactive intestinal peptide (VIP) was evaluated. Based on preliminary unpublished clinical and experimental results, the course of disease under VIP treatment and the molecular mechanisms involved were assessed.

34 patients with severe COPD were treated either with VIP inhalation in addition to conventional therapy or inhalation of placebo plus conventional therapy for a period of 3 months. The trial was conducted as a double blind, comparative study with two parallel groups.

In the absence of acute infection or acute worsening of the disease due to other conditions, 2 transbronchial biopsies were collected before treatment, and after 3 months of treat¬ment for assessment of the regulation of a) the immune response, b) the extracellular matrix and c) the epithelial growth. This assessment will be performed in fully equipped and experienced laboratories at the University of Vienna.

Conditions

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COPD Pulmonary Hypertension

Study Design

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Study Time Perspective

PROSPECTIVE

Interventions

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Vasoactive Intestinal Peptide (VIP)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Confirmed moderate to severe COPD with or without pulmonary hypertension
* Male and female patients.
* Aged 18 - 75 years.
* Written consent.
* Adequate contraception in female patients of childbearing age.
* Negative pregnancy test (four-weekly test repetition).

Exclusion Criteria

* Lack of consent
* Pregnancy (four-weekly tests)
* Lactation
* Presumed non-cooperativeness
* Patients outside the stipulated age range
* Myocardial infarction within the last 12 months
* Stroke within the last 12 months
* Malignant diseases in anamnesis
* Legal incapacity
* Parallel participation in a clinical trial
* Parallel participation in a clinical trial within the last 4 weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Principal Investigators

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Lutz-Henning Block, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of Vienna, Department of Pulmology

Other Identifiers

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EK 168/2003

Identifier Type: -

Identifier Source: org_study_id