Trial Outcomes & Findings for Inhaler Lung Deposition in Chronic Obstructive Pulmonary Disease (COPD) (NCT NCT01721291)

NCT ID: NCT01721291

Last Updated: 2023-03-06

Results Overview

Images of the lungs will be taken for radiolabelled salbutamol treatment. The images will be processed using computer software and the lungs divided into central airways (C - region) and peripheral airways (P -region). We will analyse the amount of radiolabelled salbutamol in each region and calculate how deep into the lungs the inhaled salbutamol has reached by using the ratio C/P which is known as the Penetration Index.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

65 participants

Primary outcome timeframe

5 MINUTES AFTER INHALATION OF SALBUTAMOL

Results posted on

2023-03-06

Participant Flow

This protocol has two studies: Lung DEPOSITION study (in COPD patients and Healthy subjects) and Lung PHYSIOLOGY study (in COPD patients and Asthmatics).

Participant milestones

Participant milestones
Measure
COPD- Lung DEPOSITION Study
Lung DEPOSITION study COPD patients All participant received SALBUTAMOL INHALED VIA RESEARCH NEBULISER at 3 PARTICLES SIZES OF 1.5 MICRONS, 3 MICRONS AND 6 MICRONS GIVEN AT SLOW INHLATION AND AGAIN AT FAST INHALTION;DOSAGE- 30 MICROGRAMS, ONE SINGLE INHALATION ONLY. IN ADDITION, SALBUTAMOL AT 200 MICROGRAMS INHALED VIA A STANDARD METERED DOSE INHALER GIVEN AS A SINGLE INHALATION.
Healthy - Lung DEPOSITION Study
Lung DEPOSITION study Healthy participants received: SALBUTAMOL INHALED VIA RESEARCH NEBULISER at 3 PARTICLES SIZES OF 1.5 MICRONS, 3 MICRONS AND 6 MICRONS GIVEN AT SLOW INHLATION AND AGAIN AT FAST INHALTION;DOSAGE- 30 MICROGRAMS, ONE SINGLE INHALATION ONLY. IN ADDITION, SALBUTAMOL AT 200 MICROGRAMS INHALED VIA A STANDARD METERED DOSE INHALER GIVEN AS A SINGLE INHALATION.
Overall Study
STARTED
14
12
Overall Study
COMPLETED
12
12
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
COPD- Lung DEPOSITION Study
Lung DEPOSITION study COPD patients All participant received SALBUTAMOL INHALED VIA RESEARCH NEBULISER at 3 PARTICLES SIZES OF 1.5 MICRONS, 3 MICRONS AND 6 MICRONS GIVEN AT SLOW INHLATION AND AGAIN AT FAST INHALTION;DOSAGE- 30 MICROGRAMS, ONE SINGLE INHALATION ONLY. IN ADDITION, SALBUTAMOL AT 200 MICROGRAMS INHALED VIA A STANDARD METERED DOSE INHALER GIVEN AS A SINGLE INHALATION.
Healthy - Lung DEPOSITION Study
Lung DEPOSITION study Healthy participants received: SALBUTAMOL INHALED VIA RESEARCH NEBULISER at 3 PARTICLES SIZES OF 1.5 MICRONS, 3 MICRONS AND 6 MICRONS GIVEN AT SLOW INHLATION AND AGAIN AT FAST INHALTION;DOSAGE- 30 MICROGRAMS, ONE SINGLE INHALATION ONLY. IN ADDITION, SALBUTAMOL AT 200 MICROGRAMS INHALED VIA A STANDARD METERED DOSE INHALER GIVEN AS A SINGLE INHALATION.
Overall Study
Withdrawal by Subject
1
0
Overall Study
did not like the treatment
1
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
COPD
n=14 Participants
COPD patients
Healthy
n=12 Participants
Healthy participants
Total
n=26 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=14 Participants
0 Participants
n=12 Participants
0 Participants
n=26 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=14 Participants
5 Participants
n=12 Participants
10 Participants
n=26 Participants
Age, Categorical
>=65 years
9 Participants
n=14 Participants
7 Participants
n=12 Participants
16 Participants
n=26 Participants
Age, Continuous
66.08 years
n=14 Participants
64.08 years
n=12 Participants
65.08 years
n=26 Participants
Sex: Female, Male
Female
8 Participants
n=14 Participants
5 Participants
n=12 Participants
13 Participants
n=26 Participants
Sex: Female, Male
Male
6 Participants
n=14 Participants
7 Participants
n=12 Participants
13 Participants
n=26 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United Kingdom
14 participants
n=14 Participants
12 participants
n=12 Participants
65 participants
n=26 Participants
Force experation in 1s (FEV1)
1.63 litre
n=14 Participants
2.55 litre
n=12 Participants
2.12 litre
n=26 Participants

PRIMARY outcome

Timeframe: 5 MINUTES AFTER INHALATION OF SALBUTAMOL

Images of the lungs will be taken for radiolabelled salbutamol treatment. The images will be processed using computer software and the lungs divided into central airways (C - region) and peripheral airways (P -region). We will analyse the amount of radiolabelled salbutamol in each region and calculate how deep into the lungs the inhaled salbutamol has reached by using the ratio C/P which is known as the Penetration Index.

Outcome measures

Outcome measures
Measure
Healthy_1.5um Slow
n=12 Participants
Healthy participants Salbutamol 1.5um slow
Healthy_1.5um Fast
n=12 Participants
Healthy participants Salbutamol 1.5um fast
COPD 1_1.5um Slow
n=12 Participants
COPD patients Salbutamol 1.5um slow
COPD1_1.5um Fast
n=12 Participants
Second group of COPD patients Salbutamol 1.5um fast
Healthy_3um Slow
n=12 Participants
Healthy participants Salbutamol 3um slow
Healthy_3um Fast
n=12 Participants
Healthy participants Salbutamol 3um fast
COPD_3um Slow
n=12 Participants
COPD patients Salbutamol 3um slow
COPD_3um Fast
n=12 Participants
COPD patients Salbutamol 3um fast
Healthy_6um Slow
n=12 Participants
Healthy participants Salbutamol 6um slow
Healthy_6um Fast
n=12 Participants
Healthy participants Salbutamol 6um fast
COPD_6um Slow
n=12 Participants
COPD patients Salbutamol 6um slow
COPD_6um Fast
n=12 Participants
COPD patients Salbutamol 6um fast
ANALYSIS OF LUNG DEPOSITION - Penetration Index
0.8 ratio
Standard Deviation 0.08
0.72 ratio
Standard Deviation 0.12
0.69 ratio
Standard Deviation 0.13
0.58 ratio
Standard Deviation 0.14
0.75 ratio
Standard Deviation 0.11
0.63 ratio
Standard Deviation 0.15
0.65 ratio
Standard Deviation 0.18
0.48 ratio
Standard Deviation 0.16
0.51 ratio
Standard Deviation 0.1
0.46 ratio
Standard Deviation 0.04
0.37 ratio
Standard Deviation 0.12
0.32 ratio
Standard Deviation 0.08

Adverse Events

Healthy_1.5um Slow

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Healthy_1.5um Fast

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

COPD_1.5um Slow

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

COPD_1.5um Fast

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Healthy_3um Slow

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Healthy_3um Fast

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

COPD_3um Slow

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

COPD_3um Fast

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Healthy_6um Slow

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Healthy_6um Fast

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

COPD_6um Slow

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

COPD_6um Fast

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Healthy_1.5um Slow
n=12 participants at risk
Healthy participants received Salbutamol 1.5um slow - Lung DEPOSITION study
Healthy_1.5um Fast
n=12 participants at risk
Healthy participants received Salbutamol 1.5um fast - Lung DEPOSITION study
COPD_1.5um Slow
n=14 participants at risk
Participants with COPD received Salbutamol 1.5um slow - Lung DEPOSITION study
COPD_1.5um Fast
n=14 participants at risk
Participants with COPD received Salbutamol 1.5um fast - Lung DEPOSITION study
Healthy_3um Slow
n=12 participants at risk
Healthy participants received Salbutamol 3um slow - Lung DEPOSITION study
Healthy_3um Fast
n=12 participants at risk
Healthy participants received Salbutamol 3um fast - Lung DEPOSITION study
COPD_3um Slow
n=14 participants at risk
Participants with received COPD Salbutamol 3um slow - Lung DEPOSITION study
COPD_3um Fast
n=14 participants at risk
Participants with COPD Salbutamol 3um fast - Lung DEPOSITION study
Healthy_6um Slow
n=12 participants at risk
Healthy participants received Salbutamol 6um slow - Lung DEPOSITION study
Healthy_6um Fast
n=12 participants at risk
Healthy participants received Salbutamol 6um fast - Lung DEPOSITION study
COPD_6um Slow
n=14 participants at risk
Participants with COPD received Salbutamol 6um slow - Lung DEPOSITION study
COPD_6um Fast
n=14 participants at risk
Participants with COPD received Salbutamol 6um fast - Lung DEPOSITION study
Cardiac disorders
Hypertension
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
8.3%
1/12 • Number of events 1 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
Gastrointestinal disorders
Diarrhoe
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
7.1%
1/14 • Number of events 1 • 6 month
0.00%
0/14 • 6 month
Musculoskeletal and connective tissue disorders
Pulled muscle
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
7.1%
1/14 • Number of events 1 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
Infections and infestations
Chest infection
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
7.1%
1/14 • Number of events 1 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
Infections and infestations
Sore throat
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
Surgical and medical procedures
Cataract operatoin
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
8.3%
1/12 • Number of events 1 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
Respiratory, thoracic and mediastinal disorders
Flu
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
7.1%
1/14 • Number of events 1 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month
0.00%
0/12 • 6 month
0.00%
0/12 • 6 month
0.00%
0/14 • 6 month
0.00%
0/14 • 6 month

Additional Information

Dr Omar Usmani

Imperial College London

Phone: +440(0) 207351 8051

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place