Determinants of Onset and Progression of COPD in Young Adults

NCT ID: NCT02352220

Last Updated: 2018-02-27

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

UNKNOWN

Total Enrollment

310 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-01-31

Study Completion Date

2020-12-31

Brief Summary

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COPD (Chronic Obstructive Pulmonary Disease) is a Public Health problem due to its impact in the patient's quality of life, high prevalence, growing incidence and socioeconomic implication. COPD natural history and first stages determinants are unknown. Knowing them will help to understand the natural history of the disease and to design interventions that can modify the prognosis of the disease.

Study objectives: (1) To characterize an early COPD population from a multidimensional point of view including demographic, social, family and clinical data, lung function, exercise capacity, image, microbiology, quality of life, exacerbations, comorbidities and blood and sputum biomarkers. (2) To compare this patients with smoking subjects, with normal lung function, matched by age, sex and site. (3) To create an early COPD cohort to be followed in the future to understand the complete natural history of the disease.

Methods: Design: multicenter cross-sectional study that will allow establishing a well-characterized cohort of early COPD patients for later follow-up. Recruitment will be done in Primary Care settings. Subjects: smokers (\> 10 packs year) between 35-50 years old with a spirometry (normal or obstructive) done in the last year. Diagnosis of COPD will be based on the smoking history and a postbronchodilator test FEV1(Forced Expiratory Volume in the first second) / FVC(Forced Vital Capacity) \< 70%. Age, sex and site matched 'healthy' smoker controls will be compared with the COPD cases. Variables that will be collected in the reference hospitals are: health questionnaires, lung function test, exercise capacity, blood and sputum samples, and low dose CT-scan. Statistical analysis: early COPD patient's characteristics will be described and then, will be compared, with control subjects through a conditional multiple logistic regression analysis.

Detailed Description

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Conditions

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COPD

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Eligibility Criteria

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Inclusion Criteria

COPD case:

* Subjects between 35 and 50 years
* Post-bronchodilator spirometry with FEV1/FVC \<70%
* Smoker or ex-smoker with total cumulative exposure \> 10 pack-years

Smoking control:

* Subjects between 35 and 50 years
* Post-bronchodilator spirometry with FEV1/FVC \>=70%
* Smoker or ex-smoker with total cumulative exposure\> 10 pack-years

Exclusion Criteria

For cases:

* Chronic inflammatory diseases including autoimmune diseases under treatment.
* HIV
* Active cancer
* Cystic or saccular bronchiectasis
* Conditions that may interfere with follow-up: frequent change of residence, psychiatric disorders, dementia…

For controls:

* Chronic inflammatory diseases including autoimmune diseases under treatment
* HIV
* Active cancer
* Chronic respiratory diseases:
* active tuberculosis
* interstitial lung diseases
* cystic or saccular bronchiectasis
* ever diagnosed asthma
* deficit of alpha1-antitrypsin
* Conditions that may interfere with follow-up: frequent change of residence, psychiatric disorders, dementia …
Minimum Eligible Age

35 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Spanish Research Center for Respiratory Diseases

OTHER

Sponsor Role collaborator

Hospital Son Espases

OTHER

Sponsor Role collaborator

Hospital Clinic of Barcelona

OTHER

Sponsor Role collaborator

Hospital del Mar

OTHER

Sponsor Role collaborator

Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz

OTHER

Sponsor Role collaborator

Hospital Universitario 12 de Octubre

OTHER

Sponsor Role collaborator

Parc Taulí Hospital Universitari

OTHER

Sponsor Role collaborator

Hospitales Universitarios Virgen del Rocío

OTHER

Sponsor Role collaborator

Hospital Universitari de Bellvitge

OTHER

Sponsor Role collaborator

Hospital Arnau de Vilanova

OTHER

Sponsor Role collaborator

Hospital Universitario Central de Asturias

OTHER

Sponsor Role collaborator

University Hospital of the Nuestra Señora de Candelaria

OTHER

Sponsor Role collaborator

University Hospital A Coruña

OTHER

Sponsor Role collaborator

Barcelona Institute for Global Health

OTHER

Sponsor Role collaborator

Boehringer Ingelheim

INDUSTRY

Sponsor Role collaborator

Borja Cosio

OTHER

Sponsor Role lead

Responsible Party

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Borja Cosio

Dr Fco. de Borja García-Cosío Piqueras

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Borja Cosio, Medical Doctor

Role: PRINCIPAL_INVESTIGATOR

Spanish Research Center for Respiratory Diseases

Locations

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Hospital Son Espases

Palma Mallorca, Mallorca, Spain

Site Status

Countries

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Spain

Other Identifiers

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PI13-02225

Identifier Type: -

Identifier Source: org_study_id

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