Heat Waves and the Elderly With COPD

NCT ID: NCT06295523

Last Updated: 2025-10-24

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

TERMINATED

Clinical Phase

NA

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-01

Study Completion Date

2025-10-01

Brief Summary

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The purpose of this study is to investigate thermoregulatory responses in older individuals with COPD.

Detailed Description

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Heat waves are the leading cause of death among natural disasters in the United States.

Elderly individuals are disproportionately more likely to become ill or die during heat waves. While the elderly have a reduced ability to regulate their body temperature,8-10 hospitalizations and deaths in this population during heat waves are primarily due to cardiovascular and/or respiratory complications, not solely hyperthermia. While previous research has primarily focused on the thermal and cardiovascular consequences of healthy aging, very little research has focused on the physiological responses to heat exposure in older individuals with chronic disease, such as chronic obstructive pulmonary disease (COPD). Notably, epidemiological data suggests that pulmonary complications are a leading cause of heat wave-related hospitalizations in older adults with a diagnosis of COPD, yet nothing is known regarding the physiological mechanisms by which those with COPD are most susceptible to heat waves. To fill this important gap, the investigators will identify the physiological responses that occur in this population, relative to healthy age-matched individuals, during two unique heat wave simulations.

Conditions

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COPD Aging Hyperthermia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Experimental: Very hot and dry

Subjects will be exposed to 3 hours in a climate chamber set to approximately 47 deg C and 15% relative humidity, which reflects a very hot and dry heat wave condition similar to the 2018 Los Angeles heat wave. Two visits will be required to complete this arm, with one visit including water spray for cooling.

Group Type EXPERIMENTAL

Water Spray

Intervention Type OTHER

Participants will receive water spraying on their body throughout the climate chamber exposure.

Control

Intervention Type OTHER

Participants will NOT receive water spraying on their body throughout the climate exposure.

Experimental: Hot and humid

Subjects will be exposed to 3 hours in a climate chamber set to approximately 41 deg C and 40% relative humidity, which reflects hot and humid heat wave similar to the 1995 Chicago heat wave. Two visits will be required to complete this arm, with one visit including water spray for cooling.

Group Type EXPERIMENTAL

Water Spray

Intervention Type OTHER

Participants will receive water spraying on their body throughout the climate chamber exposure.

Control

Intervention Type OTHER

Participants will NOT receive water spraying on their body throughout the climate exposure.

Interventions

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Water Spray

Participants will receive water spraying on their body throughout the climate chamber exposure.

Intervention Type OTHER

Control

Participants will NOT receive water spraying on their body throughout the climate exposure.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 65 years old or older
* Diagnosis of COPD

Exclusion Criteria

* Known heart disease
* Other chronic medical conditions requiring regular medical therapy including cancer, diabetes, uncontrolled hypertension, and uncontrolled hypercholesterolemia etc
* Abnormality detected on routine screening suggestive of provokable ischemia or previously undetected cardiac disease or resting left bundle branch block on screening electrocardiogram
* Current smokers
* Participant with a body mass index ≥31 kg/m2
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American Heart Association

OTHER

Sponsor Role collaborator

University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Craig Crandall

Professor of Internal Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Texas Health Presbyterian Hospital Dallas

Dallas, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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STU_2019_1759_COPD

Identifier Type: -

Identifier Source: org_study_id

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