Chronic Obstructive Pulmonary DiseaseNCT03244137
Effects of Pulmonary Rehabilitation on Cognitive Function in Patients With Severe to Very Severe Chronic Obstructive Pulmonary Disease
An observational study of Chronic Obstructive Pulmonary Disease, run by ADIR Association at 2 sites in France.
Trial summary
Chronic obstructive pulmonary disease is a leading cause of mortality worldwide. It is a systemic disease which includes pulmonary, cardiac, muscular, digestive and cognitive impairments. Pulmonary rehabilitation is a symptomatic treatment to reduce dyspnea and functional incapacity. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Obstructive Pulmonary Disease
- What is being tested?
- Pulmonary rehabilitation
- How many people
- 56 participants
- Where
- 2 sitesFrance
- Study dates
- 4 Sep 2017to 1 Dec 2019
- 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 18 years and older
- All sexes
- Adult, Older adult
Study population: Every patients with chronic obstructive pulmonary disease referred for pulmonary rehabilitation in ADIR Association (Rouen, France) and the Groupe Hospitalier du Havre (Le Havre, France) will be assessed for eligibility.
Who may be able to join
- Age > 18years;
- Chronic obstructive pulmonary disease stade III to IV;
- Referred for pulmonary rehabilitation.
- Non Inclusion Criteria:
- Pregnancy or likely to be;
- History of psychiatric, neuro-vascular, cognitive disease or cranial trauma;
Show all 9Show fewer
- Active alcoholism;
- Guardianship;
- Hospitalisation for acute exacerbation of chronic obstructive pulmonary disease in the previous 4 weeks;
Who cannot join
- Interruption of the pulmonary rehabilitation program > 15 days;
- Disruption of the training before the 18th session;
- Less than 18 sessions in four month.
Trial locations and contacts
2 sites in 1 country.
About this study
Chronic obstructive pulmonary disease is a leading cause of mortality worldwide.
It is a systemic disease which includes pulmonary, cardiac, muscular, digestive and cognitive impairments.
Pulmonary rehabilitation is a symptomatic treatment to reduce dyspnea and functional incapacity. However, it effects on cognitive dysfunction are not well known.
The aim of this study is to assess the effects of a comprehensive pulmonary rehabilitation program on cognitive dysfunction in patients with severe to very severe chronic obstructive pulmonary disease using the Montreal Cognitive Assessment tool.
- Conditions
- Chronic Obstructive Pulmonary Disease
- Being tested
- Pulmonary rehabilitation
- Medical subject headings
- Pulmonary Disease, Chronic Obstructive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pulmonary rehabilitationOther
See group description.
| Study group | Role | What they receive |
|---|---|---|
| Pulmonary rehabilitation | The whole population will benefit from a comprehensive pulmonary rehabilitation program, including aerobic training, superior and inferior limb strength training, self-management and add-on to pulmonary rehabilitation as needed (i.e : electrical muscle stimulation, inspiratory muscle training, non-invasive ventilation, high flow nasal canula). Receives: Other: Pulmonary rehabilitation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Baseline cognitive function
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Measured: Cognitive function is assessed at the beginning of the rehabilitation program : day 0
Cognitive function after pulmonary rehabilitation
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Measured: Cognitive function is assessed at the end of the rehabilitation program : day 60
Cognitive function : follow up
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Measured: Cognitive function is assessed 3 month after rehabilitation : day 150
Change in cognitive function from baseline to the end of pulmonary rehabilitation
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Measured: Change in cognitive function from baseline to the end of pulmonary rehabilitation is assessed with end of pulmonary rehabilitation minus baseline values (day 60 - day 0)
Change in cognitive function from the end of pulmonary rehabilitation to 3 month of follow up
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Measured: Change in cognitive function from the end of pulmonary rehabilitation to 3 month of follow up is assessed with the 3 month of follow minus the end of pulmonary rehabilitation values (day 150 - day 60)
Secondary outcomes (11)
Anxiety and depression : baseline
Anxiety and depression are assessed with the Hospital Anxiety and Depression scale (HAD).
Measured: Anxiety and depression are assessed at the beginning of the rehabilitation program : day 0
Anxiety and depression : end of pulmonary rehabilitation
Anxiety and depression are assessed with the Hospital Anxiety and Depression scale (HAD).
Measured: Anxiety and depression are assessed at the end of the rehabilitation program : day 60
Anxiety and depression : follow up
Anxiety and depression are assessed with the Hospital Anxiety and Depression scale (HAD).
Measured: Anxiety and depression are assesses 3 month after the end of pulmonary rehabilitation program : day 150
Quality of life : baseline
Quality of life is assessed using the Saint Georges Respiratory Questionnaire
Measured: Quality of life is assessed at the beginning of the rehabilitation program : day 0
Quality of life : end of pulmonary rehabilitation
Quality of life is assessed using the Saint Georges Respiratory Questionnaire
Measured: Quality of life is assessed at the end of the rehabilitation program : day 60
Quality of life : follow-up
Quality of life is assessed using the Saint Georges Respiratory Questionnaire
Measured: Quality of life is assessed 3 month after the end of the rehabilitation program : day 150
Functional capacity (six-minute stepper test) : baseline
Functional capacity is assessed with the six-minute stepper test
Measured: Functional capacity is assessed at the beginning of the rehabilitation program : day 0
Functional capacity (six-minute stepper test) : end of pulmonary rehabilitation
Functional capacity is assessed with the six-minute stepper test
Measured: Functional capacity is assessed at the end of the rehabilitation program : day 60
Functional capacity (six-minute walk test) : baseline
Functional capacity is assessed with the six-minute walk test
Measured: Functional capacity is assessed at the beginning of the rehabilitation program : day 0
Adherence
Adherence to the pulmonary rehabilitation program is assessed by the following equation : number of session performed divided by the number of scheduled sessions
Measured: Adherence is assessed at the end of the rehabilitation program : day 60
Relation between the cognitive function and the respiratory function (forced expiratory volume in 1 second)
Cognitive function is assessed with the Montreal Cognitive Assessement tool and respiratory function is assessed with spirometric evaluation
Measured: The relation is assessed between baseline demographic data at day 0
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Aug 2017
- Study start4 Sep 2017
- Primary completion1 Dec 2019
- Study completion1 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Obstructive Pulmonary DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 56 participants (actual)
Sponsor and investigators
- Lead sponsor
- ADIR Association
- Sponsor type
- University, hospital or other
- Collaborators
- CHU de Rouen - Accueil, Groupe Hospitalier du Havre
- Responsible party
- Sponsor
- Investigators
- Cuvelier Antoine, Prof, PhD, Principal investigator, CHU-Hôpitaux de Rouen - Service de pneumologie, Hôpital de Bois-Guillaume, Rouen, France ; UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France.Muir Jean-François, Prof, PhD, Study chair, CHU-Hôpitaux de Rouen - Service de pneumologie, Hôpital de Bois-Guillaume, Rouen, France ; UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France ; ADIR Association, Bois-Guillaume, France.Tardif Catherine, MD, Study chair, CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de physiologie urinaire, digestive, respiratoire et sportive, Bois-Guillaume, FranceViacroze Catherine, MD, Study chair, CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de pneumologie, Bois-Guillaume, FranceDebeaumont David, MD, Study chair, CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de physiologie urinaire, digestive, respiratoire et sportive, Bois-Guillaume, France.Patout Maxime, MD, Study chair, UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France ; CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de pneumologie, Bois-Guillaume, FranceLamia Bouchra, Prof, PhD, Study chair, UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France ; Service de pneumologie, Hôpital de Bois-Guillaume, Rouen, France.Quieffin Jean, MD, Study chair, Service de pneumologie, Hôpital Jacques Monod 76290 Montivilliers.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03244137
- Sponsor's protocol ID
- PR-COPD
- Status last verified
- Jan 2020
- First submitted
- 31 Jul 2017
- Last updated
- 7 Jan 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Pulmonary Rehabilitation on Cognitive Function in Patients With Severe to Very Severe Chronic Obstructive Pulmonary Disease
- ClinicalTrials.gov ID
- NCT03244137
- Acronym / sponsor ID
- PR-COPD
- Conditions
- Chronic Obstructive Pulmonary Disease
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 56 participants (actual)
- Lead sponsor
- ADIR AssociationUniversity, hospital or other
- Collaborators
- CHU de Rouen - Accueil, Groupe Hospitalier du Havre
- Study start
- 4 Sep 2017 (actual)
- Primary completion
- 1 Dec 2019 (actual)
- Study completion
- 1 Dec 2019 (actual)
- First posted
- 9 Aug 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Chronic obstructive pulmonary disease is a leading cause of mortality worldwide.
It is a systemic disease which includes pulmonary, cardiac, muscular, digestive and cognitive impairments.
Pulmonary rehabilitation is a symptomatic treatment to reduce dyspnea and functional incapacity. However, it effects on cognitive dysfunction are not well known.
The aim of this study is to assess the effects of a comprehensive pulmonary rehabilitation program on cognitive dysfunction in patients with severe to very severe chronic obstructive pulmonary disease using the Montreal Cognitive Assessment tool.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Pulmonary rehabilitation | – | Other: Pulmonary rehabilitationThe whole population will benefit from a comprehensive pulmonary rehabilitation program, including aerobic training, superior and inferior limb strength training, self-management and add-on to pulmonary rehabilitation as needed (i.e : electrical muscle stimulation, inspiratory muscle training, non-invasive ventilation, high flow nasal canula). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Age groups
- Adult, Older adult
- Study population
- Every patients with chronic obstructive pulmonary disease referred for pulmonary rehabilitation in ADIR Association (Rouen, France) and the Groupe Hospitalier du Havre (Le Havre, France) will be assessed for eligibility.
Key inclusion criteria (9 listed)
- Age > 18years;
- Chronic obstructive pulmonary disease stade III to IV;
- Referred for pulmonary rehabilitation.
- Pregnancy or likely to be;
- History of psychiatric, neuro-vascular, cognitive disease or cranial trauma;
Key exclusion criteria (3 listed)
- Interruption of the pulmonary rehabilitation program > 15 days;
- Disruption of the training before the 18th session;
- Less than 18 sessions in four month.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pulmonary rehabilitationSee group description. | Other | Pulmonary rehabilitation |
Primary outcome
Baseline cognitive function
Time frame: Cognitive function is assessed at the beginning of the rehabilitation program : day 0
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Cognitive function after pulmonary rehabilitation
Time frame: Cognitive function is assessed at the end of the rehabilitation program : day 60
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Cognitive function : follow up
Time frame: Cognitive function is assessed 3 month after rehabilitation : day 150
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Change in cognitive function from baseline to the end of pulmonary rehabilitation
Time frame: Change in cognitive function from baseline to the end of pulmonary rehabilitation is assessed with end of pulmonary rehabilitation minus baseline values (day 60 - day 0)
Cognitive function is assessed with the Montreal Cognitive Assessement tool
Change in cognitive function from the end of pulmonary rehabilitation to 3 month of follow up
Time frame: Change in cognitive function from the end of pulmonary rehabilitation to 3 month of follow up is assessed with the 3 month of follow minus the end of pulmonary rehabilitation values (day 150 - day 60)
Cognitive function is assessed with the Montreal Cognitive Assessement tool
11 secondary outcomes
Anxiety and depression : baseline
Time frame: Anxiety and depression are assessed at the beginning of the rehabilitation program : day 0
Anxiety and depression : end of pulmonary rehabilitation
Time frame: Anxiety and depression are assessed at the end of the rehabilitation program : day 60
Anxiety and depression : follow up
Time frame: Anxiety and depression are assesses 3 month after the end of pulmonary rehabilitation program : day 150
Quality of life : baseline
Time frame: Quality of life is assessed at the beginning of the rehabilitation program : day 0
Quality of life : end of pulmonary rehabilitation
Time frame: Quality of life is assessed at the end of the rehabilitation program : day 60
Quality of life : follow-up
Time frame: Quality of life is assessed 3 month after the end of the rehabilitation program : day 150
Functional capacity (six-minute stepper test) : baseline
Time frame: Functional capacity is assessed at the beginning of the rehabilitation program : day 0
Functional capacity (six-minute stepper test) : end of pulmonary rehabilitation
Time frame: Functional capacity is assessed at the end of the rehabilitation program : day 60
Functional capacity (six-minute walk test) : baseline
Time frame: Functional capacity is assessed at the beginning of the rehabilitation program : day 0
Adherence
Time frame: Adherence is assessed at the end of the rehabilitation program : day 60
Relation between the cognitive function and the respiratory function (forced expiratory volume in 1 second)
Time frame: The relation is assessed between baseline demographic data at day 0
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2020.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Cuvelier Antoine, Prof, PhD principal investigator
CHU-Hôpitaux de Rouen - Service de pneumologie, Hôpital de Bois-Guillaume, Rouen, France ; UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France.
Muir Jean-François, Prof, PhD study chair
CHU-Hôpitaux de Rouen - Service de pneumologie, Hôpital de Bois-Guillaume, Rouen, France ; UPRES EA 3830, Institut de Recherche et d'Innovation Biomédicale de Haute-Normandie, Université de Rouen, Rouen, France ; ADIR Association, Bois-Guillaume, France.
Tardif Catherine, MD study chair
CHU-Hôpitaux de Rouen - Hôpital de Bois-Guillaume, Service de physiologie urinaire, digestive, respiratoire et sportive, Bois-Guillaume, France
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Chronic Obstructive Pulmonary Disease, run by ADIR Association at 2 sites in France.
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 9 inclusion and 3 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 7 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in France. 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?
Baseline cognitive function (time frame: Cognitive function is assessed at the beginning of the rehabilitation program : day 0). The study lists 5 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 7 Jan 2020.