Investigation of the Respiratory Profile of Patients With Obstructive Pulmonary Disease (ASTHMA, COPD)

NCT ID: NCT06966271

Last Updated: 2025-05-11

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

RECRUITING

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-01

Study Completion Date

2025-12-30

Brief Summary

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The primary aim of the OPTIPULM study is the evaluation of recorded pulmonary function curves and, based on them, the computer modelling of lung deposition for the individually used or potentially applicable inhalation drugs. The secondary aims include assessing the patients' inhalation device usage and providing recommendations for its optimization based on the recorded breathing curves and deposition calculations. The study also compares results across different flow rates and device resistances, aiming to identify the device with the highest modelled lung deposition for each patient.

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.

Detailed Description

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Study Title:

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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Asthma Bronchiale COPD

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Diagnosed obstructive pulmonary disease (asthma or COPD) confirmed by a pulmonologist.
* 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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medisol Development Kft.

INDUSTRY

Sponsor Role collaborator

Tradeflex Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status NOT_YET_RECRUITING

Csornai Margit Kórház Pulmonológiai és Allergológia Szakambulancia

Csorna, , Hungary

Site Status NOT_YET_RECRUITING

Debreceni Egyetem Tüdőgyógyászati Klinika

Debrecen, , Hungary

Site Status NOT_YET_RECRUITING

Dunakeszi-SZTK Nonprofit Kft. Tüdőgyógyászat

Dunakeszi, , Hungary

Site Status NOT_YET_RECRUITING

Győr-Moson-Sopron Vármegyei Petz Aladár Egyetemi Oktató Kórház

Győr, , Hungary

Site Status NOT_YET_RECRUITING

• Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ Tüdőgyógyászati Klinika

Szeged, , Hungary

Site Status NOT_YET_RECRUITING

Református Pulmonológiai Centrum

Törökbálint, , Hungary

Site Status RECRUITING

Countries

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Hungary

Facility Contacts

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Alpár Horváth, MD

Role: primary

+36302363122

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.

Reference Type BACKGROUND
PMID: 32836137 (View on PubMed)

Other Identifiers

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NNGYK/GYSZ/36422-4/2024

Identifier Type: -

Identifier Source: org_study_id

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