Status:

COMPLETED

Effectiveness of IMT/PEP Therapy in Group E COPD and Comparison of GOLD vs STAR Classifications

Lead Sponsor:

Bugra Kerget

Conditions:

COPD

Inspiratory Muscle Training

Eligibility:

All Genders

40-80 years

Brief Summary

Background: Inspiratory muscle training combined with positive expiratory pressure (IMT/PEP) may improve outcomes in chronic obstructive pulmonary disease (COPD), but evidence in exacerbation-prone (...

Eligibility Criteria

Inclusion

  • Age ≥ 40 years
  • Diagnosis of Group E COPD according to GOLD 2023 criteria
  • Post-bronchodilator FEV₁/FVC \< 0.70 and FEV₁ \< 50% predicted
  • mMRC score ≥ 2 or CAT score ≥ 10
  • History of ≥2 exacerbations or ≥1 hospitalization in the past year
  • Stable clinical condition (no exacerbation in the past 2 weeks)
  • Ability and willingness to perform IMT/PEP therapy
  • Provided written informed consent

Exclusion

  • Acute exacerbation of COPD at time of enrollment
  • Contraindications to pulmonary function testing or 6-minute walk test (e.g., recent myocardial infarction, unstable angina)
  • Inability to perform inspiratory or expiratory maneuvers reliably (e.g., due to cognitive or neuromuscular disorders)
  • Significant orofacial muscle weakness unresponsive to modified mouthpiece
  • Participation in another interventional study within the past 3 months
  • Nonadherence to COPD treatment plan
  • Any condition deemed by investigators to interfere with study participation

Key Trial Info

Start Date :

June 1 2023

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

April 4 2024

Estimated Enrollment :

61 Patients enrolled

Trial Details

Trial ID

NCT07001462

Start Date

June 1 2023

End Date

April 4 2024

Last Update

September 24 2025

Active Locations (1)

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1

Ataturk University

Erzurum, Yakutiye, Turkey (Türkiye), 25200