Study to Evaluate the Effect of Megestrol Acetate in Severe Chronic Obstructive Pulmonary Disease With Loss of Weight

NCT ID: NCT00507949

Last Updated: 2011-06-08

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

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Study Completion Date

2009-09-30

Brief Summary

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The purpose of this trial is to study the effect of megestrol acetate in the gain of body weight in patients with severe Chronic obstructive pulmonary disease in order to improve the survival of the patients.

Detailed Description

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It has been demonstrated that the body weight measured as a Body mass index (BMI)is an independent risk factor of mortality in the severe COPD.It seems to be one influence of inflammatory factors in the development of denutrition in these patients.

The use of especial diets has no so good results in the aim to improve the weight, being necessary to complement with muscular rehabilitation or anabolic products. The megestrol acetate has demonstrated good results in a short period of time, nevertheless the studies are scarce.

The beneficial effects of the megestrol acetate seems to be mediated by cytokines.

Conditions

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Chronic Obstructive Pulmonary Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Megestrol acetate: sachets of granulated 160 mg. Dose: 160 mg/b.i.d. Duration 8 weeks

Group Type EXPERIMENTAL

Megestrol acetate

Intervention Type DRUG

Sachets of 160 mg of granulated. Dosage 160 mg /b.i.d. Duration 8 weeks.

2

The placebo is the excipient of the experimental drug.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

sachets of granulate of 160 mg. Dosage 160 mg b.i.d. Duration 8 weeks.

Interventions

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Megestrol acetate

Sachets of 160 mg of granulated. Dosage 160 mg /b.i.d. Duration 8 weeks.

Intervention Type DRUG

placebo

sachets of granulate of 160 mg. Dosage 160 mg b.i.d. Duration 8 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnose of COPD (criteria ATS/ERS 2004)
* Clinical stability more than 3 months
* Smokers or ex-smokers of more than \> 10 boxes/year than do not modify their smoking habit during the study.
* FEV1 (post-bronchodilator) \< 50%. FEV1/FVC ≤ 70
* Negative answer to bronchodilator(≤ 20% del FEV1 o ≤ 200 ml.after 400 mcg.de salbutamol inhaled)
* BMI \< 21 Kg/m2 ó BMI 21-25 Kg/m with loss weight of 5% of the habitual body weight in the last 3 months, without other reason that could explain it independently of the COPD.

Exclusion Criteria

* Use of nasogastric catheter
* Concomitant treatment with steroid, anabolics or other progestagens.
* Loss of body weight related with other causes: hyperthyroidism, enteral malnutrition ( Crohn disease...), neoplasias,etc
* Treatment with Megestrol Acetate in the last 6 months
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rottapharm Spain

INDUSTRY

Sponsor Role lead

Responsible Party

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Madaus, S.A.

Principal Investigators

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Herrejon Alberto, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario Dr. Peset, Valencia

Locations

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Neumology Service of the Hospital Universitario Dr. Peset

Valencia, Valencia, Spain

Site Status

Countries

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Spain

References

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Herrejon A, Palop J, Inchaurraga I, Lopez A, Banuls C, Hernandez A, Blanquer R, Estan N, Anguera A. [Low doses of megestrol acetate increase weight and improve nutrition status in patients with severe chronic obstructive pulmonary disease and weight loss]. Med Clin (Barc). 2011 Jul 23;137(5):193-8. doi: 10.1016/j.medcli.2011.02.016. Epub 2011 Apr 27. Spanish.

Reference Type RESULT
PMID: 21524765 (View on PubMed)

Other Identifiers

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EudraCT number:2005-005148-16

Identifier Type: -

Identifier Source: secondary_id

BO-EC-EPOC-01

Identifier Type: -

Identifier Source: org_study_id

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