Investigation of the Respiratory Profile of Patients With Obstructive Pulmonary Disease (ASTHMA, COPD)
NCT ID: NCT06966271
Last Updated: 2025-05-11
Study Results
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Basic Information
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RECRUITING
150 participants
OBSERVATIONAL
2025-01-01
2025-12-30
Brief Summary
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Understanding and Improving Inhalation Therapy in Lung Disease The OPTIPULM study looks at how well inhaled medications reach the lungs of people living with asthma or COPD (chronic obstructive pulmonary disease). It aims to improve treatment by helping doctors choose the best inhaler for each patient based on how they breathe.
Every patient breathes differently, and not all inhalers work the same way. Sometimes the medicine doesn't reach deep enough into the lungs, which can make treatment less effective. This study helps doctors better understand which device works best for each individual.
What happens during the study? No new treatments or changes to medication are made.
Patients do a regular breathing test (like blowing into a tube). A computer program uses this breathing data to simulate how much medicine reaches the lungs with different inhalers.
Doctors can then make more personalized choices for inhalation therapy.
Who can take part? Adults with asthma or COPD who are able to use their inhaler correctly and complete a breathing test.
What is the benefit? Although the study does not change treatments directly, it helps improve future care by identifying the best-matching inhaler for each patient. This can lead to better symptom control and fewer exacerbations.
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Detailed Description
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Assessment of the Relationship Between Inhalation Therapy Effectiveness and Breathing Profiles in Patients with Obstructive Pulmonary Diseases (OPTIPULM)
The primary goal of this observational cross-sectional study is to analyze the relationship between patients' breathing characteristics and the effectiveness of their inhaled therapies. The study targets adult patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD).
Background and Rationale:
Asthma and COPD are chronic obstructive airway diseases with increasing prevalence worldwide. Despite the availability of a wide range of inhaled medications and delivery devices, therapy is often suboptimal due to patient-specific factors such as improper inhalation technique or mismatch between inhaler resistance and the patient's inspiratory capacity.
Emerging data suggest that aerosol deposition in the lungs-and therefore the efficacy of treatment-can be significantly influenced by the individual's breathing profile and the inhalation device used. However, this is rarely taken into account in routine clinical practice.
Study Objectives:
Primary Objective:
To evaluate individual pulmonary function test (PFT) data and, based on this, to model and estimate drug deposition in the lungs using computer simulation for various inhaler-drug combinations.
Secondary Objectives:
To assess the inhalation techniques of patients.
To recommend device optimization strategies based on flow-resistance matching.
To identify which device (among commercially available options) is most likely to deliver the highest lung deposition for the individual patient.
Conditions
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Study Design
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OTHER
PROSPECTIVE
Eligibility Criteria
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Inclusion Criteria
* Proper use of inhalation device after training.
* Routine pulmonary function test performed during medical visit.
* Ambulatory (non-hospitalized) patient.
* Age over 18 years.
* Mentally competent and able to consent.
* Inability to complete the relevant parts of the questionnaire.
* Refusal to consent to participation.
* Presence of untreated severe chronic illness.
* Invalid or improperly conducted pulmonary function test.
18 Years
ALL
No
Sponsors
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Medisol Development Kft.
INDUSTRY
Tradeflex Ltd
INDUSTRY
Responsible Party
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Principal Investigators
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János Varga, Prof.
Role: PRINCIPAL_INVESTIGATOR
Semmelweis University
Locations
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Országos Korányi Pulmonológiai Intézet
Budapest, , Hungary
Csornai Margit Kórház Pulmonológiai és Allergológia Szakambulancia
Csorna, , Hungary
Debreceni Egyetem Tüdőgyógyászati Klinika
Debrecen, , Hungary
Dunakeszi-SZTK Nonprofit Kft. Tüdőgyógyászat
Dunakeszi, , Hungary
Győr-Moson-Sopron Vármegyei Petz Aladár Egyetemi Oktató Kórház
Győr, , Hungary
• Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ Tüdőgyógyászati Klinika
Szeged, , Hungary
Református Pulmonológiai Centrum
Törökbálint, , Hungary
Countries
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Facility Contacts
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References
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Horvath A, Farkas A, Szipocs A, Tomisa G, Szalai Z, Galffy G. Numerical simulation of the effect of inhalation parameters, gender, age and disease severity on the lung deposition of dry powder aerosol drugs emitted by Turbuhaler(R), Breezhaler(R) and Genuair(R) in COPD patients. Eur J Pharm Sci. 2020 Nov 1;154:105508. doi: 10.1016/j.ejps.2020.105508. Epub 2020 Aug 21.
Other Identifiers
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NNGYK/GYSZ/36422-4/2024
Identifier Type: -
Identifier Source: org_study_id
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