Copd Exacerbation and Pulmonary Hypertension Trial

NCT ID: NCT04538976

Last Updated: 2025-03-13

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

PHASE4

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-01

Study Completion Date

2024-03-15

Brief Summary

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This trial will investigate whether patiens admitted with an acute exacerbation of chronic obstructive lung disease and pulmonary hypertension will benefit from a targeted pharmacological treatment.

Detailed Description

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During admittance due to acute exacerbation of chronic obstructive lung disease will patience have an echocardiography to examine their pulmonary pressure. If patient have a tricuspidal return gradient above 40 mmHg, they will receive treatment with a phosphordiesterase-5-inhibitor, Sildenafil.

Conditions

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Acute Exacerbation of COPD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study is a multicenter controlled, randomized, open-lapel trial.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

Patients in the control group will receive standard care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Sildenafil

Patients in the Sildenafil group will receive standard care and targeted Sildenafil-treatment.

Group Type ACTIVE_COMPARATOR

Sildenafil

Intervention Type DRUG

Sildenafil in standard dosage

Interventions

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Sildenafil

Sildenafil in standard dosage

Intervention Type DRUG

Other Intervention Names

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Vizarsin

Eligibility Criteria

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Inclusion Criteria

* COPD verified by specialist and spirometry
* Admitted with the diagnosis "acute exacerbation of COPD"
* TR-gradient ≥40 mmHg verified by specialist and echocardiography
* Informed consent

Exclusion Criteria

* Known pulmonal hypertension
* Known heart disease which affects the pump function of the heart
* Men \<40 years
* Women \<55 years
* Not-menopauseal women \<55 years (Menopause is defined as no menstruation within 12 months.)
* Severe mental illness which significantly complicates cooperation
* Severe language difficulties which significantly complicates cooperation
* known allergy to Sildenafil
* Sildenafil consumption ≥50 mg / week due to other indications
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chronic Obstructive Pulmonary Disease Trial Network, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Bispebjerg University Hospital

Copenhagen, , Denmark

Site Status

Herlev-Gentofte Hospital

Copenhagen, , Denmark

Site Status

Hvidovre Hospital

Copenhagen, , Denmark

Site Status

Nordsjællands Hospital

Hillerød, , Denmark

Site Status

Odense Universitetshospital

Odense, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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Study_protocol_CODEX-P_ver2_1

Identifier Type: -

Identifier Source: org_study_id

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