Effect of Tiotropium on Airway Remodeling in Patients With Early Stage COPD Accessed by Optical Coherence Tomography

NCT ID: NCT03842839

Last Updated: 2022-09-29

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

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-01

Study Completion Date

2022-12-31

Brief Summary

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The study aims to explore the effect of tiotropium on airway remodeling by using Endobronchial Optical Coherence Tomography (EB-OCT). We enrolled patients with GOLD I stage COPD. All the patients will be divided into four groups randomly to receive SABA as needed with or without regular use of tiotropium. Changes of airway morphology (accessed by EB-OCT), pulmonary function, QOL, and SABA usage will be obtained.

Detailed Description

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Conditions

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Airway Remodeling

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Tiotropium (0-12 month) + SABA as needed

* During the 2 years treatment phase patients will be administered with tiotropium bromide (Spiriva) capsule 18μg once daily from baseline to the 12th months.
* Any long acting bronchodilator will not be used from the 12 to 24 months.
* Salbutamol sulphate aerosol (Ventolin) will be administered as concomitant medication treatment when exacerbation occurs.

Group Type EXPERIMENTAL

Tiotropium Inhalation Powder [Spiriva] 0.018mg

Intervention Type DRUG

Tiotropium bromide (Spiriva) capsule 18μg once daily inhaled.

Salbutamol sulphate aerosol (Ventolin) 0.01mg

Intervention Type DRUG

As needed use of salbutamol sulphate aerosol (Ventolin) when exacerbation happens

Tiotropium (0-24 month) + SABA as needed

* During the 2 years treatment phase patients will be administered with tiotropium bromide (Spiriva) capsule 18μg once daily from baseline to the 24th months.
* Salbutamol sulphate aerosol (Ventolin) will be administered as concomitant medication treatment when exacerbation occurs.

Group Type EXPERIMENTAL

Tiotropium Inhalation Powder [Spiriva] 0.018mg

Intervention Type DRUG

Tiotropium bromide (Spiriva) capsule 18μg once daily inhaled.

Salbutamol sulphate aerosol (Ventolin) 0.01mg

Intervention Type DRUG

As needed use of salbutamol sulphate aerosol (Ventolin) when exacerbation happens

SABA as needed only

* During the 2 years treatment phase patients will be administered with salbutamol sulphate aerosol (Ventolin) when exacerbation occurs.
* Any long acting bronchodilator will not be used during the 2 years treatment phase.

Group Type OTHER

Salbutamol sulphate aerosol (Ventolin) 0.01mg

Intervention Type DRUG

As needed use of salbutamol sulphate aerosol (Ventolin) when exacerbation happens

Interventions

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Tiotropium Inhalation Powder [Spiriva] 0.018mg

Tiotropium bromide (Spiriva) capsule 18μg once daily inhaled.

Intervention Type DRUG

Salbutamol sulphate aerosol (Ventolin) 0.01mg

As needed use of salbutamol sulphate aerosol (Ventolin) when exacerbation happens

Intervention Type DRUG

Other Intervention Names

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Spiriva Ventolin

Eligibility Criteria

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Inclusion Criteria

* Over 40 yrs; Male or female Diagnosed with COPD
* Pre-bronchodilator FEV1 ≥80% pred ;
* Patients must be able to perform all study related procedures

Exclusion Criteria

* Patients with other lung diseases (such as bronchiectasis, pneumothorax, pleural effusion, airway deformation, lung surgery, etc.).
* Patients have poor compliance and are unwilling to receive medication regularly.
* Other complications of bronchoscopy or intolerance of bronchoscopy procedure.
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guangzhou Institute of Respiratory Disease

OTHER

Sponsor Role lead

Responsible Party

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ShiYue Li

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Facility Contacts

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Shiyue Li, MD

Role: primary

8620-83062896

Other Identifiers

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ESCOPD-20181001

Identifier Type: -

Identifier Source: org_study_id

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