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Pulmonary Disease, Chronic ObstructiveACCESSNCT01516528

Assessment of Comorbidities in Chronic Obstructive Pulmonary Disease (COPD) in European Symptomatic Subjects From Primary Care

An observational study of Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 233 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a prospective, observational, non-drug interventional, non-randomized study to compare the rate of moderate-severe COPD exacerbations in patients of all Chronic Obstructive Pulmonary Disease (COPD) severities with and without cardiovascular diseases. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Pulmonary Disease, Chronic Obstructive
What is being tested?
Spirometry
Type of treatment
Surgery or procedure
How many people
3,500 participants
Where
233 sitesin 6 countries
Study dates
17 Nov 2011to 12 Jun 2015
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Primary care outpatients who have a an established clinical history of COPD for a minimum of 12 months.

Who may be able to join

  • Male or female patients aged ≥ 40 years
  • An established clinical history of COPD for a minimum of 12 months, of any severity.
  • FEV1/FVC post-bronchodilator ratio < 0.70 (within the last 12 months, or confirmed at the screening visit [or 4 weeks after the screening visit if patient's COPD is not stable]).
  • Current or ex-smokers with a smoking history of at least 10 pack-years
  • A signed and dated written informed consent is obtained prior to participation

Who cannot join

  • In the opinion of the investigator, there is a current primary diagnosis of asthma (patients with a primary diagnosis of COPD but who also have asthma may be included)
  • A diagnosis of fibrosis or asbestosis
  • Diagnosis of cancer - current or within the last 5 years (patients in remission for ≥ 5 years may be included). Patients diagnosed with cancer during the study will be withdrawn
  • Diagnosis of clinically significant bronchiectasis
  • Subjects who are concurrently participating in any clinical study or who have received any investigational drugs within 4 weeks of baseline, or who will start any during the study period.
  • Unable to or unwilling to conform with the study requirements including completion of the health status questionnaires
  • Females who are pregnant or lactating.

Trial locations and contacts

233 sites in 6 countries.

233 sites in 6 countries

France97 sites
  • GSK Investigational Site

    Angers, 49000

  • GSK Investigational Site

    Angers, 49100

  • GSK Investigational Site

    Angers, 49933

  • GSK Investigational Site

    Aumetz, 57710

  • GSK Investigational Site

    Béziers, 34500

  • GSK Investigational Site

    Blois, 41000

  • GSK Investigational Site

    Bono, 56400

  • GSK Investigational Site

    Bordeaux, 33200

  • GSK Investigational Site

    Bouliac, 33270

  • GSK Investigational Site

    Bourg-des-Comptes, 35890

  • GSK Investigational Site

    Briollay, 49125

  • GSK Investigational Site

    Carbon-Blanc, 33650

  • GSK Investigational Site

    Carbonne, 31390

  • GSK Investigational Site

    Châtellerault, 86100

  • GSK Investigational Site

    Chatou, 78400

  • GSK Investigational Site

    Cholet, 49300

  • GSK Investigational Site

    Chollet, 49300

  • GSK Investigational Site

    Couzeix, 87270

  • GSK Investigational Site

    Cugnaux, 31270

  • GSK Investigational Site

    Dinard, 35800

  • GSK Investigational Site

    Donges, 44480

  • GSK Investigational Site

    Franconville, 95130

  • GSK Investigational Site

    Gémozac, 17260

  • GSK Investigational Site

    Grandchamps, 56390

  • GSK Investigational Site

    Haute-Goulaine, 44115

  • GSK Investigational Site

    Houilles, 78800

  • GSK Investigational Site

    La Baule-Escoublac, 44500

  • GSK Investigational Site

    La Bouëxière, 35340

  • GSK Investigational Site

    La Fôret Sur Sèvres, 79380

  • GSK Investigational Site

    La Fresnais, 35111

  • GSK Investigational Site

    La Jubaudière, 49510

  • GSK Investigational Site

    La Montagne, 44620

  • GSK Investigational Site

    La Riche, 37250

  • GSK Investigational Site

    La Rochelle, 17000

  • GSK Investigational Site

    La Teste-de-Buch, 33260

  • GSK Investigational Site

    La Varenne, 49270

  • GSK Investigational Site

    Le Fousseret, 31430

  • GSK Investigational Site

    Le Mesnil-en-Vallée, 49410

  • GSK Investigational Site

    Les Ponts-de-Cé, 49130

  • GSK Investigational Site

    Liffré, 35340

  • GSK Investigational Site

    Limoges, 87000

  • GSK Investigational Site

    Limoges, 87100

  • GSK Investigational Site

    Louvigné-de-Bais, 35680

  • GSK Investigational Site

    Marseille, 13009

  • GSK Investigational Site

    Martin-Église, 76370

  • GSK Investigational Site

    Montreuil-Juigné, 49460

  • GSK Investigational Site

    Montrevault, 49110

  • GSK Investigational Site

    Mouliherne, 49390

  • GSK Investigational Site

    Moulins-lès-Metz, 57160

  • GSK Investigational Site

    Muret, 31600

  • GSK Investigational Site

    Mûrs-Erigné, 49610

  • GSK Investigational Site

    Nantes, 44000

  • GSK Investigational Site

    Nantes, 44300

  • GSK Investigational Site

    Nexon, 87800

  • GSK Investigational Site

    Nieul-sur-Mer, 17137

  • GSK Investigational Site

    Parçay-les-Pins, 49390

  • GSK Investigational Site

    Paris, 75011

  • GSK Investigational Site

    Paris, 75013

  • GSK Investigational Site

    Paris, 75019

  • GSK Investigational Site

    Paris, 75020

  • GSK Investigational Site

    Périgny, 17180

  • GSK Investigational Site

    Pont-à-Mousson, 54700

  • GSK Investigational Site

    Rennes, 35000

  • GSK Investigational Site

    Rosiers-d'Égletons, 19300

  • GSK Investigational Site

    Royan, 17200

  • GSK Investigational Site

    Saint-Aubin-des-Châteaux, 44110

  • GSK Investigational Site

    Saint-Cyr-sur-Loire, 37540

  • GSK Investigational Site

    Saint-Etienne, 42100

  • GSK Investigational Site

    Saint-Étienne-de-Montluc, 44360

  • GSK Investigational Site

    Saint-Georges-de-Montaigu, 85600

  • GSK Investigational Site

    Saint-Herblain, 44800

  • GSK Investigational Site

    Saint-Jouan-des-Guérets, 35430

  • GSK Investigational Site

    Saint-Loubès, 33450

  • GSK Investigational Site

    Saint-Max, 54130

  • GSK Investigational Site

    Saint-Médard-en-Jalles, 33160

  • GSK Investigational Site

    Saint-Orens-de-Gameville, 31650

  • GSK Investigational Site

    Saint-Pierre-en-Val, 76260

  • GSK Investigational Site

    Sarrebourg, 57400

  • GSK Investigational Site

    Savonnières, 37510

  • GSK Investigational Site

    Scorbé-Clairvaux, 86140

  • GSK Investigational Site

    Segré, 49500

  • GSK Investigational Site

    Seysses, 31600

  • GSK Investigational Site

    St-Malo, 35400

  • GSK Investigational Site

    Thionville, 57100

  • GSK Investigational Site

    Thouars, 79100

  • GSK Investigational Site

    Tiercé, 49125

  • GSK Investigational Site

    Toulouse, 31200

  • GSK Investigational Site

    Tours, 37000

  • GSK Investigational Site

    Tours, 37100

  • GSK Investigational Site

    Vannes, 56000

  • GSK Investigational Site

    Verzy, 51380

  • GSK Investigational Site

    Vihiers, 49310

  • GSK Investigational Site

    Villey-Saint-Étienne, 54200

  • GSK Investigational Site

    Vitré, 35500

  • GSK Investigational Site

    Vue, 44640

  • GSK Investigational Site

    Witry-lès-Reims, 51420

  • GSK Investigational Site

    Yerres, 91330

Other trials in France

Germany42 sites
  • GSK Investigational Site

    Bad Segeberg, Schleswig-Holstein, 23795

  • GSK Investigational Site

    Bad Woerrishofen, Bavaria, 86825

  • GSK Investigational Site

    Bensheim, Hesse, 64625

  • GSK Investigational Site

    Berlin, 10555

  • GSK Investigational Site

    Berlin, 14052

  • GSK Investigational Site

    Bonn, North Rhine-Westphalia, 53119

  • GSK Investigational Site

    Bruchsal, Baden-Wurttemberg, 76646

  • GSK Investigational Site

    Cologne, North Rhine-Westphalia, 51069

  • GSK Investigational Site

    Dresden, Saxony, 01069

  • GSK Investigational Site

    Düren, North Rhine-Westphalia, 52349

  • GSK Investigational Site

    Essen, North Rhine-Westphalia, 45359

  • GSK Investigational Site

    Ettlingen, Baden-Wurttemberg, 76275

  • GSK Investigational Site

    Flörsheim, Hesse, 65439

  • GSK Investigational Site

    Goch, North Rhine-Westphalia, 47574

  • GSK Investigational Site

    Hagen, North Rhine-Westphalia, 58095

  • GSK Investigational Site

    Hamburg, 22143

  • GSK Investigational Site

    Hanover, Lower Saxony, 30159

  • GSK Investigational Site

    Harsewinkel, North Rhine-Westphalia, 33428

  • GSK Investigational Site

    Ingelheim, Rhineland-Palatinate, 55218

  • GSK Investigational Site

    Kelkheim, Hesse, 65779

  • GSK Investigational Site

    Köthen, Saxony-Anhalt, 06366

  • GSK Investigational Site

    Lübeck, Schleswig-Holstein, 23554

  • GSK Investigational Site

    Lübeck, Schleswig-Holstein, 23562

  • GSK Investigational Site

    Mainz, Rhineland-Palatinate, 55116

  • GSK Investigational Site

    Mainz, Rhineland-Palatinate, 55128

  • GSK Investigational Site

    Mannheim, Baden-Wurttemberg, 68161

  • GSK Investigational Site

    Messkirch, Baden-Wurttemberg, 88605

  • GSK Investigational Site

    Munich, Bavaria, 80335

  • GSK Investigational Site

    Neu-Isenburg, Hesse, 63263

  • GSK Investigational Site

    Nußbach, Rhineland-Palatinate, 67759

  • GSK Investigational Site

    Offenbach, Hesse, 63071

  • GSK Investigational Site

    Potsdam, Brandenburg, 14469

  • GSK Investigational Site

    Potsdam, Brandenburg, 14478

  • GSK Investigational Site

    Reinfeld, Schleswig-Holstein, 23858

  • GSK Investigational Site

    Rheine, North Rhine-Westphalia, 48431

  • GSK Investigational Site

    Riesa, Saxony, 01587

  • GSK Investigational Site

    Sinsheim, Baden-Wurttemberg, 74889

  • GSK Investigational Site

    Solingen, North Rhine-Westphalia, 42651

  • GSK Investigational Site

    Wardenburg, Lower Saxony, 26203

  • GSK Investigational Site

    Weinheim, Baden-Wurttemberg, 69469

  • GSK Investigational Site

    Witten, North Rhine-Westphalia, 58452

  • GSK Investigational Site

    Zerbst, Saxony-Anhalt, 39261

Other trials in Germany

Spain39 sites
  • GSK Investigational Site

    A Coruña, 15008

  • GSK Investigational Site

    Algeciras, 11205

  • GSK Investigational Site

    Alicante, 03005

  • GSK Investigational Site

    Barakaldo, 48903

  • GSK Investigational Site

    Barcelona, 08018

  • GSK Investigational Site

    Barcelona, 08023

  • GSK Investigational Site

    Barcelona, 08028

  • GSK Investigational Site

    Barcelona, 08033

  • GSK Investigational Site

    Barcelona, 08034

  • GSK Investigational Site

    Barcelona, 08041

  • GSK Investigational Site

    Barcelona, 8025

  • GSK Investigational Site

    Benidor / Alicante, 03503

  • GSK Investigational Site

    Canet de Mar - Barcelona, 08360

  • GSK Investigational Site

    Colloto - Oviedo, 33010

  • GSK Investigational Site

    Cornellá de Llobregat-Barcelona, 08940

  • GSK Investigational Site

    Culleredo - La Coruña, 15670

  • GSK Investigational Site

    El Puerto de Santa María-Cádiz, 11500

  • GSK Investigational Site

    Fuenlabrada / Madrid, 28943

  • GSK Investigational Site

    Gijón, 33211

  • GSK Investigational Site

    Gijón, 33212

  • GSK Investigational Site

    Gijón. Asturias., 33213

  • GSK Investigational Site

    Güeñes - Vizcaya, 48830

  • GSK Investigational Site

    Hostalric - Gerona, 17450

  • GSK Investigational Site

    La Roca Del Valles (Barcelona), 08430

  • GSK Investigational Site

    Les Franqueses Del Vallés - Barcelona, 08530

  • GSK Investigational Site

    Madrid, 28700

  • GSK Investigational Site

    Málaga, 29014

  • GSK Investigational Site

    Mataró, 08303

  • GSK Investigational Site

    Mataró. Barcelona., 08302

  • GSK Investigational Site

    Murcia, 30010

  • GSK Investigational Site

    Oviedo, 33009

  • GSK Investigational Site

    Oviedo

  • GSK Investigational Site

    Peralada( Girona), 17491

  • GSK Investigational Site

    Petrer/Alicante, 03610

  • GSK Investigational Site

    Portugalete - Vizcaya, 48920

  • GSK Investigational Site

    San Juan

  • GSK Investigational Site

    Santa Coloma de Gramanet - Barcelona, 08924

  • GSK Investigational Site

    Valencia, 46021

  • GSK Investigational Site

    Valencia

Other trials in Spain

Poland34 sites
  • GSK Investigational Site

    Bydgoszcz, 85-046

  • GSK Investigational Site

    Bydgoszcz, 85-796

  • GSK Investigational Site

    Bydgoszcz, 85-863

  • GSK Investigational Site

    Częstochowa, 42-200

  • GSK Investigational Site

    Domaradz, 36-230

  • GSK Investigational Site

    Elblag, 82-300

  • GSK Investigational Site

    Jasło, 38-200

  • GSK Investigational Site

    Katowice, 40-055

  • GSK Investigational Site

    Katowice, 40-645

  • GSK Investigational Site

    Katowice, 40-750

  • GSK Investigational Site

    Katowice, 40-954

  • GSK Investigational Site

    Krakow, 30-015

  • GSK Investigational Site

    Krakow, 30-053

  • GSK Investigational Site

    Krakow, 30-347

  • GSK Investigational Site

    Krakow, 31-637

  • GSK Investigational Site

    Libiąż, 32-590

  • GSK Investigational Site

    Lodz, 90-265

  • GSK Investigational Site

    Lublin, 20-854

  • GSK Investigational Site

    Mielec, 39-300

  • GSK Investigational Site

    Oświęcim, 32-600

  • GSK Investigational Site

    Puławy, 24-100

  • GSK Investigational Site

    Radom

  • GSK Investigational Site

    Radziszów, 32-052

  • GSK Investigational Site

    Rzeszów, 35-055

  • GSK Investigational Site

    Rzeszów, 35-068

  • GSK Investigational Site

    Tarnów, 33-100

  • GSK Investigational Site

    Torun, 87-100

  • GSK Investigational Site

    Warsaw, 01-231

  • GSK Investigational Site

    Warsaw, 01-868

  • GSK Investigational Site

    Wroclaw, 50-127

  • GSK Investigational Site

    Wroclaw, 50-349

  • GSK Investigational Site

    Zabrze, 41-800

  • GSK Investigational Site

    Zgierz, 95-100

  • GSK Investigational Site

    Zgłobień, 36-046

Other trials in Poland

Netherlands20 sites
  • GSK Investigational Site

    's-Hertogenbosch, 5235 KG

  • GSK Investigational Site

    Andijk, 1619XK

  • GSK Investigational Site

    Beek en Donk, 5741 CG

  • GSK Investigational Site

    Deurne, 5751 XJ

  • GSK Investigational Site

    Eersel, 5521 WD

  • GSK Investigational Site

    Enschede, 7544 BA

  • GSK Investigational Site

    Ermelo, 3851 EX

  • GSK Investigational Site

    Hoogwoud, 1718 BG

  • GSK Investigational Site

    Kloosterhaar, 7694 AC

  • GSK Investigational Site

    Lieshout, 5737 CB

  • GSK Investigational Site

    Musselkanaal, 9581 AJ

  • GSK Investigational Site

    Nijverdal, 7442 LS

  • GSK Investigational Site

    Soerendonk, 6027 PL

  • GSK Investigational Site

    Spijkenisse, 3207 NB

  • GSK Investigational Site

    The Hague, 2517 EW

  • GSK Investigational Site

    The Hague, 2582 LJ

  • GSK Investigational Site

    Voerendaal, 6367 ED

  • GSK Investigational Site

    Wildervank, 9648 BE

  • GSK Investigational Site

    Zaandam, 1504 JA

  • GSK Investigational Site

    Zwijndrecht, 3334 CL

Other trials in Netherlands

Belgium1 site
  • GSK Investigational Site

    Leuven, 3000

Other trials in Belgium

About this study

This is a prospective, observational, non-drug interventional, non-randomized study to compare the rate of moderate-severe COPD exacerbations in patients of all Chronic Obstructive Pulmonary Disease (COPD) severities with and without cardiovascular diseases. A total study population of 3330 subjects will be recruited by general practitioners (GPs) and assessed over a 27 month time frame.

Read the detailed description

COPD is a leading cause of morbidity and mortality worldwide. Comorbid diseases are an important factor in the prognosis and functional capabilities of COPD patients. There is a relationship between cardiac comorbidity and COPD exacerbation frequency within COPD patients. The main objective of this study is to compare the rate of moderate-severe COPD exacerbations in patients of all COPD severities with and without cardiovascular diseases. Secondary objectives will characterize the prevalence, severity and incidence over time of comorbidities and explore the relationships between comorbidities and rate of COPD exacerbations, force expiratory volume in 1 second (FEV1) decline and quality of life. This will be a prospective, observational, non-drug interventional, non-randomized study that will be carried out in up to 8 European countries. All patients will be enrolled by GP outpatient clinics and data will be collected over 4 visits (screening [-3 months], baseline, 12 months post baseline 24 months post baseline) and, additionally by 6 telephone calls (at 3, 6, 9, 15, 18 and 21 months post baseline). The study population will consist of 3330 evaluable patients with diagnosed COPD of any severity grade with and without comorbidities. Subjective and objective data on pre-defined comorbidities will be collected and analyzed.

Being tested
Spirometry
Keywords
COPD, exacerbation, comorbidities, lung function, burden, chronic bronchitis, emphysema, prevalence, cardiovascular disease
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Bronchitis, Chronic, Emphysema, Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SpirometryProcedure or surgery

    Assessment of lung function by spirometry

Study groups in NCT01516528
Study groupRoleWhat they receive
AllAll subjects enrolled in the study
Receives: Procedure: Spirometry

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of COPD Exacerbation

    COPD exacerbations (moderate-severe severity), defined as a worsening of symptoms that require oral corticosteroids or antibiotics or hospitalization, or any combination of these.

    Measured: From 15 months pre-baseline to 24 months post-baseline.

  2. Presence and severity of cardiovascular disease.

    The presence and severity pre-defined cardiovascular diseases.

    Measured: From 3 months pre-baseline to 24 months post-baseline.

Secondary outcomes (9)
  1. Presence and severity of other comorbidities

    The presence and severity of pre-defined comorbidities (depression/anxiety, diabetes with and without target organ disease, sleep apnoea syndrome, gastroesophageal reflux, hypercholesterolemia, osteoarthritis, osteoporosis, inflammatory bowel disease, peptic ulcer, other treated comorbidities) .

    Measured: Up to 24 months post baseline.

  2. Spirometry

    Post-bronchodilator FEV1 and forced vital capacity (FVC), FEV1/FVC ratio and FEV1 % of predicted.

    Measured: Up to 24 months post baseline.

  3. Health status

    As determined by COPD Assessment Test (CAT), EuroQOL Five Dimensions Questionnaire (EQ-5D), Hospital Anxiety Depression Scale (HADS) and Epworth Sleepiness Scale (ESS), Frequency Scale for the Symptoms of Gastro-oesophageal reflux disease (FSSG).

    Measured: Up to 24 months post baseline.

  4. Dyspnoea

    As determined by the modified Medical Research Council (mMRC) scale.

    Measured: Up to 24 months post baseline.

  5. Number of Deaths

    Patients who die during the study, including the reason for death, where known.

    Measured: up to 24 months post baseline.

  6. Healthcare Utilisation

    Number of unscheduled GP contacts and Hospitalisations

    Measured: Up to 24 months post baseline.

  7. Blood Chemistry

    Including glucose; Haemoglobin A1C (HbA1c); low density lipoprotein (LDL-c), High density lipoprotein (HDL-c), Total cholesterol; triglycerides, prohormone natriuretic peptide (pro-BNP); high-sensitivity C reactive protein (hs-CRP); protein; full blood count

    Measured: Up to 24 months post baseline.

  8. Electrocardiogram

    Assessment of normal or abnormal readings. Qualitative description and QT interval.

    Measured: Up to 24 months post baseline.

  9. Bone fractures

    The number and location of bone fractures.

    Measured: Within 12 months prior to baseline and up to 24 months post baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jan 2012 (estimated)
  2. Study start17 Nov 2011
  3. Primary completion1 May 2015
  4. Study completion12 Jun 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
3,500 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01516528
Sponsor's protocol ID
115058
Acronym
ACCESS
Status last verified
Sep 2017
First submitted
12 Jan 2012
Last updated
20 Sep 2017
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 233 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 233 sites in France, Germany, Spain, Poland, Netherlands and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of COPD Exacerbation (time frame: From 15 months pre-baseline to 24 months post-baseline.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Sep 2017.

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