Status:

RECRUITING

Effect of the Inhaled Triple Therapies Over the Small Airway in Biomass Exposure

Lead Sponsor:

National Institute of Respiratory Diseases, Mexico

Conditions:

COPD Bronchitis

Pollution Related Respiratory Disorder

Eligibility:

FEMALE

35-85 years

Phase:

PHASE4

Brief Summary

This phase IV randomized controlled clinical trial intend to compare the effect of three close standard inhaled triple therapies and one close standard inhaled double therapy on the small airway in pa...

Detailed Description

Selection visit day -21 to -1: The diagnosis of COPD-B or BCNO will be verified. The inclusion criteria will be checked and it will be verified if there are any exclusion criteria (clinical record wil...

Eligibility Criteria

Inclusion

  • Subject capable of understanding instructions and giving her consent for participation.
  • Diagnosis of COPD or chronic bronchitis without obstruction due to biomass smoke exposure:
  • Diagnosis of COPD according to GOLD guidelines 2023 with: \>100 hours-year of biomass exposure index, and with a post-bronchodilator spirometry FEV1 \> 70% of predicted value.
  • Diagnosis of Chronic Bronchitis without obstruction with at least \>100 hours-year of biomass smoke exposure index or more than 10 years of continued exposure to biomass smoke, and with 1) antecedent of chronic bronchitis, and 2) post-bronchodilator spirometry FEV1/FVC \>0.7.
  • Able to attend all visits.
  • Cooperative patients with adequate understanding and skill in using inhalers, or with caregivers capable of administering medications and filling out a daily symptom diary.
  • Stable patients, with no history of exacerbations in the last 4 weeks before inclusion.

Exclusion

  • Pregnancy or in the breastfeeding period.
  • Documented allergy or intolerance to any of the study medications.
  • History of clinically significant bronchiectasis, tuberculosis, recent respiratory infection (4 weeks), or cardiovascular comorbidity that contraindicates pulmonary function tests or that influences their status and functional class.
  • Patients with suspicion or history of cancer.
  • Uncontrolled diseases: acute hyperthyroidism, acute uncontrolled DM2, acid-peptic disease that causes bleeding, uncontrolled hematological diseases, etc. In general, any decompensated disease that, in the opinion of the principal investigator, may influence the results of the study.

Key Trial Info

Start Date :

November 15 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 15 2025

Estimated Enrollment :

128 Patients enrolled

Trial Details

Trial ID

NCT06571942

Start Date

November 15 2023

End Date

January 15 2025

Last Update

August 26 2024

Active Locations (1)

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1

Insituto Nacional de Enfermedades Respiratorias "Ismael Cosío Villegas"

Mexico City, Tlalpan, Mexico, 14080