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Pulmonary Disease, Chronic ObstructiveNCT02719184

Longitudinal Follow up to Assess Biomarkers Predictive of Emphysema Progression in Patients With COPD (Chronic Obstructive Pulmonary Disease)

An observational study of Pulmonary Disease, Chronic Obstructive and Pulmonary Emphysema, run by Boehringer Ingelheim at 51 sites in 12 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

The study will include 60 healthy subjects (ex-smoker without any airflow limitation), 125 COPD GOLD (global initiative for chronic obstructive lung disease) I , 125 COPD GOLD II, 125 COPD GOLD III and up to 20 patients with COPD and A1AT (Alpha1-Antitrypsin) deficiency (ZZ genotype). Read more about this study

Who is it for?
Ages 40 to 60 yearsHealthy volunteers can take part
How many people
463 participants
Where
51 sitesin 12 countries
Study dates
13 Apr 2016to 14 Jun 2021
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: Healthy volunteers and COPD patients

Who may be able to join

  • General Inclusion Criteria
  • Male or female healthy subjects or COPD (GOLD I to III) outpatients with or without A1AT deficiency
  • Ex-smokers for at least 9 months with a smoking history of >=20 pack years
  • Signed informed consent consistent with ICH-GCP (International Conference on Harmonisation - Good Clinical Practice) guidelines prior to participation in the study, which includes the application of study restrictions
  • Age >= 40 and <=70 years
  • Body mass index (BMI) of >= 18 and <= 35 kg/m2 (<= 30 kg/m2 in the MRI subset)
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  • Ability to perform all study related procedures including technically acceptable pulmonary function tests, body plethysmography, DLCO ( Diffusing Capacity of the lungs for Carbon Monoxide) , sputum induction (if applicable), chest CT (Computed Tomography) and MRI (if applicable)
  • Inclusion Criteria Specific for Patients with COPD - Patients must have a current diagnosis of COPD made by a physician prior to or during Visit 1 and a mMRC (Modified Medical Research Council Dyspnea Scale) score of 1 or more. The diagnosis of COPD must be in accordance with GOLD Guidelines and must be documented by the following criteria: Known relatively stable airway obstruction with a post-bronchodilator FEV1 (Forced Expiratory Volume in first second)/FVC (Forced Vital Capacity) < 70 %
  • The current COPD must be mild, moderate or severe based on lung functions and symptoms and the clinical situation must have stabilized for at least 4 weeks prior to Visit 1. The following definitions adapted from the GOLD Guidelines apply:
  • mild: post-broncho-dilator FEV1 >=80% of predicted normal (GLI 2012 and JRS 2014) at Visit 1
  • moderate: 50%<= post-broncho-dilator FEV1 < 80% of predicted normal (GLI 2012 and JRS 2014) without chronic respiratory failure at Visit 1
  • severe: 30%<= post-bronchodilator FEV1 <50% of predicted normal (GLI 2012 and JRS 2014) without chronic respiratory failure at Visit 1
  • Patients must be on stable therapy (not limited to respiratory medication) for the last 4 weeks prior to Visit 1
  • Inclusion Criteria Specific Patients with COPD and A1AT Deficiency
  • Documented A1AT deficiency of ZZ genotype
  • Normal lung function values at Visit 1 with a documented post-bronchodilator FEV1 >=80% of predicted normal (GLI 2012 and JRS 2014) and a post-bronchodilator FEV1/FVC >= lower limit of normal
  • Mean post DLCO over all acceptable measurements at Visit 1 of >= 70% of predicted normal
  • Further inclusion criteria apply

Who cannot join

  • General Exclusion Criteria
  • Previous participation in this study or participation in another trial with an investigational drug within 6 weeks prior to Visit 1 or during the study
  • Significant pulmonary disease or other significant medical conditions* (as determined by medical history, examination and clinical investigations at screening) that may in the opinion of the investigator result in any of the following:
  • Put the subject at risk because of participation in the study
  • Cause concern regarding the subject's ability to participate in this study *e.g. rheumatoid arthritis, inflammatory bowel disease, severe liver disease, psoriasis, hematological, infectious and psychiatric diseases
  • Documented history of asthma. For allergic rhinitis or atopy, source documentation to verify that the subject does not have asthma
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  • Planned surgery during the study expected to interfere with study procedures and outcome
  • Blood withdrawal of more than 100 mL within the past 6 weeks prior to Visit 1 and between Visit 1 and 2
  • Significant alcohol or drug abuse within past 2 years prior to Visit 1
  • Women who are pregnant, nursing or plan to become pregnant while in the study
  • Place of permanent residence of less than 3 months prior to Visit 1
  • For the MRI subset: subject who do not meet the following criteria for the MRI assessment at Visit 2: systolic blood pressure between 90 and 180 mmHg (SBP), diastolic blood pressure between 50 and 110 mmHg (DBP), pulse rate between 40 and 110 bpm, ear temperature between 35 - 37.5 C, and a glomerular filtration rate (GFR) >= 30 mL/min (GFR must not be older than 14 days from the MRI assessment)
  • Respiratory tract infection or COPD exacerbation in the 4 weeks prior to Visit 1 or during the screening period prior to Visit 2, if rescheduling rules cannot be met
  • Exclusion Criteria Specific Patients with COPD and A1AT Deficiency
  • Newly added anti-inflammatory treatment within 4 weeks prior to Visit 1
  • Patients on treatment with PDE (Phosphodiesterase)-5 inhibitors (e.g. Roflumilast) and maintenance treatment Methylxanthines (e.g. Theophylline)
  • Hospitalisation for respiratory failure during the year prior to Visit 1
  • A history of cystic fibrosis
  • Clinical diagnosis of bronchiectasis requiring specific treatment
  • Clinically relevant abnormal baseline hematology and blood chemistry
  • Known active tuberculosis
  • Patients with change in any therapy within 4 weeks prior to Visit 1
  • Current and planned A1AT augmentation therapy
  • A malignancy for which the patient has undergone resection, radiation or chemotherapy within past 5 years. Patients with treated basal cell carcinoma or fully cured squamous cell carcinoma are allowed
  • Inability to comply with restrictions regarding diet, life style and medication
  • Further exclusion criteria apply

Trial locations and contacts

51 sites in 12 countries.

51 sites in 12 countries

United States11 sites
  • Johns Hopkins University

    Baltimore, Maryland, 21224

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • National Jewish Health

    Denver, Colorado, 80206

  • Baylor College of Medicine

    Houston, Texas, 77030

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • Temple University Hospital

    Philadelphia, Pennsylvania, 19140

  • University of Utah Health Sciences Center

    Salt Lake City, Utah, 84108

  • Diagnostics Research Group

    San Antonio, Texas, 78229

  • University of California San Diego

    San Diego, California, 92103-8415

  • The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

    Torrance, California, 90502

Other trials in United States

Canada6 sites
  • University of Alberta Hospital (University of Alberta)

    Edmonton, Alberta, T6G 1Z1

  • St. Joseph's Healthcare Hamilton

    Hamilton, Ontario, L8N 4A6

  • McMaster University Medical Centre

    Hamilton, Ontario, L8N 4K1

  • McGill University Health Centre (MUHC)

    Montreal, Quebec, H4A 3J1

  • IUCPQ (Laval University)

    Québec, G1V 4G5

  • Royal University Hospital

    Saskatoon, Saskatchewan, S7N 0W8

Other trials in Canada

Spain6 sites
  • Hospital del Mar

    Barcelona, 08003

  • Hospital Vall d'Hebron

    Barcelona, 08035

  • Hospital Clínic de Barcelona

    Barcelona, 08036

  • Hospital de Bellvitge

    L'Hospitalet de Llobregat, 08907

  • Hospital Son Espases

    Palma de Mallorca, 07010

  • Hospital Quirónsalud Madrid

    Pozuelo de Alarcón, 28223

Other trials in Spain

Japan5 sites
  • Kagoshima University Hospital

    Kagoshima, Kagoshima, 890-8520

  • Showa University Fujigaoka Hospital

    Kanagawa, Yokohama, 227-8501

  • Kishiwada City Hospital

    Osaka, Kishiwada, 596-8501

  • Osaka City University Hospital

    Osaka, Osaka, 545-8586

  • Showa University Hospital

    Tokyo, Shinagawa-ku, 142-8666

Other trials in Japan

Germany4 sites
  • IKF Pneumologie GmbH & Co. KG

    Frankfurt, 60596

  • Pneumologisches Forschungsinstitut an der LungenClinic Grosshansdorf GmbH

    Großhansdorf, 22927

  • Fraunhofer ITEM

    Hanover, 30625

  • KLB Gesundheitsforschung Lübeck GmbH

    Lübeck, 23552

Other trials in Germany

South Korea4 sites
  • Konkuk University Medical Center

    Seoul, 05030

  • SMG-SNU Boramae Medical Center

    Seoul, 07061

  • Korea University Guro Hospital

    Seoul, 08308

  • The Catholic University of Korea, Eunpyeong St. Mary's Hospital

    Seoul, 22711

Other trials in South Korea

United Kingdom4 sites
  • Queen Elizabeth Hospital

    Birmingham, B15 2GW

  • Glenfield Hospital

    Leicester, LE3 9QP

  • Royal Free Hospital

    London, NW3 2PF

  • Medicines Evaluation Unit

    Manchester, M23 9QZ

Other trials in United Kingdom

Denmark3 sites
  • Aarhus University Hospital

    Aarhus N, 8200

  • Gentofte Hospital

    Hellerup, 2900

  • Hvidovre Hospital

    Hvidovre, 2650

Other trials in Denmark

Poland3 sites
  • Respiratory Medicine Centre, private prac., Bialystok

    Bialystok, 15044

  • University Clinical Center, Gdansk

    Gdansk, 80 952

  • Institute of Tuberculosis & Lung Disease, Warsaw

    Warsaw, 01138

Other trials in Poland

Belgium2 sites
  • Brussels - UNIV St-Pierre

    Brussels, 1000

  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

Finland2 sites
  • HYKS Keuhkosairauksien tutkimusyksikkö

    Helsinki, 00029

  • TYKS

    Turku, 20520

Other trials in Finland

Sweden1 site
  • Skånes universitetssjukhus, Lund

    Lund, 221 85

Other trials in Sweden

About this study

Official title: Observational Study in Healthy Subjects and Patients With COPD to Assess the Relationship Between Clinical, Imaging and Biomarker Measurements, and Progression of Emphysema Over Three Years [FOOTPRINTS®].

The study will include 60 healthy subjects (ex-smoker without any airflow limitation), 125 COPD GOLD (global initiative for chronic obstructive lung disease) I , 125 COPD GOLD II, 125 COPD GOLD III and up to 20 patients with COPD and A1AT (Alpha1-Antitrypsin) deficiency (ZZ genotype). Soluble and imaging biomarkers will be investigated addressing different aspects of disease pathways postulated to be relevant for COPD progression.

Medical subject headings
Pulmonary Disease, Chronic Obstructive, Pulmonary Emphysema

What participants receive

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

Study groups in NCT02719184
Study groupRoleWhat they receive
Healthy subjectsAll eligible healthy subjects were included in this group. The observational period is 156 weeks.
COPD GOLD IAll eligible patients with Chronic Obstructive Pulmonary Disease (COPD) grade 1 according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) were included in this group. The observational period is 156 weeks.
COPD GOLD IIAll eligible patients with Chronic Obstructive Pulmonary Disease (COPD) grade 2 according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) were included in this group. The observational period is 156 weeks.
COPD GOLD IIIAll eligible patients with Chronic Obstructive Pulmonary Disease (COPD) grade 3 according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) were included in this group. The observational period is 156 weeks.
COPD and A1AT DeficiencyAll eligible patients with Chronic Obstructive Pulmonary Disease (COPD) and Alpha one anti-trypsin (A1AT) deficiency were included in this group. The observational period is 156 weeks.

What is being measured

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

  1. Absolute Change From Baseline at Week 156 in Adjusted Lung Density (ALD) Based on Percentile Density at 15% (PD15) Adjusted for Lung Volume

    The absolute change from baseline at Week 156 in adjusted lung density (ALD) based on Percentile Density at 15% (PD15) adjusted for lung volume was reported. The ALD was calculated as: Percentile Density at 15% (PD15) [gram/Liter (L)] * (Inspiratory volume [L]/predicted total lung volume [L]). The absolute change from baseline in ALD gram/Liter (g/L) was analyzed by Mixed Model for Repeated Measures (MMRM).

    Measured: Up to Week 156. Change from baseline value at Week 156 was reported.

  2. Annual Rate of Lung Function Decline Based on Forced Expiratory Volume in 1 Second (FEV1)

    The annual rate of lung function decline based on Forced Expiratory Volume in 1 second (FEV1) was reported. The annual rate was estimated from a random slope and intercept model with fixed categorical effects of diagnosis group, fixed continuous effects of time [Year], and including diagnosis group-by-time interaction. Random effect was included for subject specific intercept and time. Within-subject errors are modelled by an unstructured variance-covariance matrix.

    Measured: Up to Week 156

  3. Number of Participants by the Category of Number of Exacerbations During Study

    Number of participants by the category of number of exacerbations (no exacerbation, 1 exacerbation, or >= 2 exacerbations) during study was reported.

    Measured: Up to Week 156

  4. Duration of Exacerbations During Study (Per Year)

    The duration of exacerbations for each subject was calculated as: sum of duration of episodes during study (days)*(365.25/ number of days in study).

    Measured: Up to 156 weeks

  5. Number of Participants With at Least Moderate Exacerbation During Study by the Category of Number of Moderate Exacerbations

    Number of participants with at least moderate exacerbation during study by the category of number of moderate exacerbation (no moderate exacerbation, 1 moderate exacerbation, or >= 2 moderate exacerbations) was reported.

    Measured: Up to 156 weeks

  6. Number of Participants With Severe Exacerbations During Study by the Category of Number of Severe Exacerbations

    Number of participants with severe exacerbations during study by the category of number of severe exacerbations (no severe exacerbation, 1 severe exacerbation, or >= 2 severe exacerbations) was reported.

    Measured: Up to 156 weeks

Timeline

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

  1. First posted25 Mar 2016 (estimated)
  2. Study start13 Apr 2016
  3. Primary completion14 Jun 2021
  4. Study completion14 Jun 2021

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
Cohort
Time perspective
Prospective
Enrolment
463 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02719184
Sponsor's protocol ID
352.2069
Status last verified
Mar 2024
First submitted
18 Mar 2016
Last updated
16 Aug 2024
Individual data sharing
Yes: Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

Publications

  • Crapo JD, Gupta A, Lynch DA, Turner AM, Mroz RM, Janssens W, Ludwig-Sengpiel A, Koegler H, Eleftheraki A, Risse F, Diefenbach C. Baseline characteristics from a 3-year longitudinal study to phenotype subjects with COPD: the FOOTPRINTS study. Respir Res. 2023 Nov 17;24(1):290. doi: 10.1186/s12931-023-02584-2.

    PubMed 37978492
  • Crapo J, Gupta A, Lynch DA, Vogel-Claussen J, Watz H, Turner AM, Mroz RM, Janssens W, Ludwig-Sengpiel A, Beck M, Langellier B, Ittrich C, Risse F, Diefenbach C. FOOTPRINTS study protocol: rationale and methodology of a 3-year longitudinal observational study to phenotype patients with COPD. BMJ Open. 2021 Mar 22;11(3):e042526. doi: 10.1136/bmjopen-2020-042526.

    PubMed 33753437

Questions about this trial

What is this clinical trial studying?

An observational study of Pulmonary Disease, Chronic Obstructive and Pulmonary Emphysema, run by Boehringer Ingelheim at 51 sites in 12 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 18 inclusion and 26 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 16 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States, Canada, Spain, Japan, Germany and 7 more countries. 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?

Yes. Results are posted in the registry (first posted 16 Aug 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Absolute Change From Baseline at Week 156 in Adjusted Lung Density (ALD) Based on Percentile Density at 15% (PD15) Adjusted for Lung Volume (time frame: Up to Week 156. Change from baseline value at Week 156 was reported.). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02719184, which also lists 2 linked publications.

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 16 Aug 2024.

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