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Pulmonary Disease, Chronic ObstructiveNUTRECOVERNCT03807310

Targeted Nutrient Supplement in COPD (NUTRECOVER-trial)

A study testing Targeted nutrient supplementation (Long-drink) and Counselling in people with Pulmonary Disease, Chronic Obstructive, run by Maastricht University Medical Center at 1 site in Netherlands.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The overall objective is to investigate the efficacy of targeted nutrient supplementation on daily physical activity level as well as generic health status in patients with COPD. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pulmonary Disease, Chronic Obstructive
What is being tested?
Targeted nutrient supplementation (Long-drink) and Counselling
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
166 participants
Where
1 siteNetherlands
Study dates
19 Feb 2020to Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • COPD patients with moderate to very severe disease stage according to GOLD criteria (i.e. GOLD stage II-IV);
  • Medically stable.
  • Forced expiratory volume in 1 second/Forced vital capacity > 0.7;
  • Medically stable.

Who cannot join

  • Age <18 years;
  • Allergy or intolerance to components of the study product;
  • Not willing or not able to quit vitamin D or fatty acid supplement intake;
  • Investigator's uncertainty about the willingness or ability of the patient to comply with the protocol requirements (e.g. leg amputation) or patients suffering from other acute or unstable chronic diseases that will compromise the study outcome (e.g. active cancer requiring treatment);
  • Participation in any other study involving investigational or marketed products concomitantly or within four weeks prior to entry into the study;
  • Patients with terminal illness;
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  • Recent hospital admission (<4 weeks prior to the start of the study);
  • Temporary oral steroid or antibiotics use due to a COPD exacerbation in the last 4 weeks;
  • Lung malignancy in the previous 5 years;
  • Diagnosis of dementia or neurodegenerative disease (e.g., Alzheimer's disease, Parkinson's disease, Huntington's chorea, frontotemporal dementia) in the medical records;
  • Recent diagnosis of cerebral conditions (<1 year e.g. cerebral infarction, hemorrhage, brain tumors, transient ischemic attack) in the medical records;
  • Any medical condition that significantly interferes with digestion and/or gastrointestinal function (e.g. short bowel syndrome, inflammatory bowel disease, gastric ulcers, gastritis, (gastro)-enteritis, GI-cancer) as judged by the investigator.
  • Age <18 years;
  • Investigator's uncertainty about the willingness or ability of the patient to comply with the protocol requirements (e.g. leg amputation) or patients suffering from other acute or unstable chronic diseases that will compromise the study outcome (e.g. active cancer requiring treatment);
  • Participation in any other study involving investigational or marketed products concomitantly or within four weeks prior to entry into the study;
  • Patients with terminal illness;
  • Recent hospital admission (<4 weeks prior to the start of the study);
  • Temporary antibiotics use in the last 4 weeks;
  • Lung malignancy in the previous 5 years;
  • Diagnosis of dementia or neurodegenerative disease (e.g., Alzheimer's disease, Parkinson's disease, Huntington's chorea, frontotemporal dementia) in the medical records;
  • Recent diagnosis of cerebral conditions (<1 year e.g. cerebral infarction, hemorrhage, brain tumors, transient ischemic attack) in the medical records;
  • Any medical condition that significantly interferes with digestion and/or gastrointestinal function (e.g. short bowel syndrome, inflammatory bowel disease, gastric ulcers, gastritis, (gastro)-enteritis, GI-cancer) as judged by the investigator.
  • Diagnosis of any chronic lung disease.

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Maastricht University Medical Centre+ (MUMC+)

    Maastricht, Limburg, 6202 AZ

Other trials in Netherlands

About this study

Official title: The Effect of Targeted Nutrient Supplementation on Physical Activity and Healthy Related Quality of Life in COPD

The overall objective is to investigate the efficacy of targeted nutrient supplementation on daily physical activity level as well as generic health status in patients with COPD. Additionally the investigators aim to investigate the relative effect of targeted nutrient supplementation on the recovery after hospitalization for a COPD exacerbation. The secondary objective is to investigate the effect of targeted nutrient supplementation on mental health, physical performance, blood markers, patient related outcomes and gut health. Additionally, a secondary objective is to compare the gut microbiome composition of patients with COPD compared to healthy controls.

Read the detailed description

Rationale: Impaired physical and mental health are common features in COPD adversely affecting disease course and quality of life. Furthermore, nutritional status is often impaired due to dietary and plasma nutrient deficiencies, decreased muscle oxidative metabolism and impaired intestinal permeability. The investigators hypothesize that targeted nutrient supplementation can lead to gut-muscle-brain axis-mediated amelioration of physical, cognitive and mental health domains, resulting in a healthier lifestyle, in patients with COPD.

Study design: Randomized, placebo-controlled, double-blind trial.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness: The nutrient supplement is hypothesized to have beneficial effects on general health because it applies physical and mental health domains. The healthy lifestyle counselling aims to improve medical adherence, to address a healthier lifestyle and to manage weight loss which would contribute to improved general health. Risks and inconveniences are limited to the time investment associated with taking the supplements and measuring days. During the test-days various non-invasive measurements as well as minor invasive blood sampling will be performed. The investigators expect no risk of the nutrient supplementation. Healthy controls will only attend a subgroup of baseline measurements which are limited to non-invasive measurements and one minor invasive blood sampling. Healthy controls will not receive the nutritional supplement.

Being tested
Targeted nutrient supplementation (Long-drink), Placebo supplement, Counselling
Keywords
COPD, nutrient supplementation, Physical activity, Health related quality of life
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Motor Activity

What participants receive

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

  • Targeted nutrient supplementation (Long-drink)Dietary supplement

    Also called Nutritional supplementation, Dietary supplement, Nutritional supplement, Food supplement

    Once daily for at least 12 months

  • Placebo supplementDietary supplement

    Also called Non-active supplement

    Once daily for at least 12 months

  • CounsellingBehavioural

    Also called Motivational interviewing

    Counselling on healthy lifestyle (in particular physical activity, smoking cessation) and weight management by motivational interviewing

Study groups in NCT03807310
Study groupRoleWhat they receive
Group Long-drinkExperimental83 COPD patients will receive: * Targeted nutrient supplementation (Long-drink) once daily * Counselling once monthly
Receives: Dietary Supplement: Targeted nutrient supplementation (Long-drink); Behavioral: Counselling
Group PlaceboPlacebo comparator83 COPD patients will receive: * Isocaloric placebo supplement once daily * Counselling once monthly
Receives: Dietary Supplement: Placebo supplement; Behavioral: Counselling
Healthy control groupNo intervention30 healthy controls will be included for baseline comparison of the microbiome composition. These healthy controls will only perform a subset of baseline measurements and will not be included in the intervention.

What is being measured

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

  1. Change in physical activity level assessed by measuring step count with accelerometry

    Subjects will wear an activPAL accelerometer for 1 week to assess physical activity.

    Measured: 0, 3, and 12-14 months and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later

  2. Change in generic health status measured by EuroQol-5 dimensions (EQ-5D)

    The EQ-5D is a generic classification system used to characterize current health states of patients. It consists of 5 domains (mobility; self-care; usual activity; pain/discomfort; anxiety/depression) and a visual analogue scale (EQ-VAS). The domains have a scale from 1-3 and the VAS-scale from 0-100 in which higher values represent a better outcome.

    Measured: 0, 3, and 12-14 months and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later

Secondary outcomes (23)
  1. Change in cognitive function measured by the Neuropsychological test automated battery (CANTAB)

    The investigators will use the Motor Screening Task, Reaction Time Task, Paired Associates Learning, Delayed Matching-to-Sample, Spatial Working Memory and Stop Signal Task. The higher the score on these tasks, the better the cognitive function.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  2. Change in Depression Anxiety Stress Scale 21 (DASS-21)

    The DASS-21 measures 3 related states of depression, anxiety and stress. The DASS-21 consists of 21 negative emotional symptoms and subjects will be asked to extent to which have experienced each symptom over the past week, on a 4-point severity/frequency scale. The total score will range from 0-66 in which a higher score means more susceptibility to depression.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  3. Change in Hospital and Anxiety Scale (HADS)

    The HADS will allow the investigators to measure domain-specific quality of life. This is a 14-item instrument designed to detect the presence and severity of mild degrees of mood disorder, anxiety and depression in hospital and community setting and outside. Per scale (anxiety and depression) a maximum of 21 points can be scored, in which a higher score means worse outcome.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  4. Change in Cohen's Perceived Stress Scale (PSS)

    The PSS is a measure of the degree to which situations in one's life are appraised as stressful. Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  5. Change in blood pressure after the socially evaluated cold pressure test

    The SECPT asks the participant to immerse their right hand up to and including the writs into ice water for a maximum of 3 minutes. Blood pressure will be measured before and after the test.

    Measured: 0-12 months.

  6. Change in cortisol in the saliva after the socially evaluated cold pressure test

    The SECPT asks the participant to immerse their right hand up to and including the writs into ice water for a maximum of 3 minutes. Cortisol in the saliva will be measured before and after the test.

    Measured: 0-12 months.

  7. Change in hair cortisol

    Cortisol level in hair is a biomarker of chronic stress.

    Measured: 0 and 12-14 months and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  8. Change in lower extremity performance by the short physical performance battery (SPPB)

    Three manoeuvres will be performed: the balance test, the gait speed test and the chair stand test. Each individual can score 0-12 points in which a higher score means a better physical performance.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  9. Change in muscle strength by measuring handgrip strength

    Handgrip strength is measured in the dominant hand using a hydraulic grip strength dynamometer.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  10. Change in respiratory muscle strength by measuring the inspiratory and expiratory mouth pressure

    The mouth pressure will be measured using the MicroRPM monitor.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  11. Change in exercise performance by measuring the 6 minute walking distance

    Subjects will be instructed to walk as fast as possible for 6 minutes. The distance walked during these 6 minutes will be measured.

    Measured: 0-12 months.

  12. Change in body composition by performing Dual energy X-ray absorptiometry (DEXA-scan)

    Using the DEXA-scan three compartments of the body composition (lean mass, fat mass, bone mass) will be measured.

    Measured: 0-12 months.

  13. Change in weight

    Weight will be measured in kg.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  14. Change in height

    Height will be measured in cm.

    Measured: 0-12 months

  15. Change in blood markers of systemic inflammation

    Markers include high-sensitive C-reactive protein, procalcitonin, interleukin-6, interleukin-8 and leucocyte levels.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  16. Change in blood markers of nutritional status

    Markers include vitamin E, vitamin D, poly unsaturated fatty acids, amino acids (tryptophan), and homocysteine.

    Measured: 0-3 months; 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  17. Change in blood markers of gut-muscle-brain cross-talk

    Markers include tryptophan, kynurenine and kynurenic acid.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  18. Change in fatigue by using the checklist individual strength (CIS)

    The CIS is a 20-item self-report questionnaire that measures several aspects of fatigue: fatigue severity, concentration, motivation and physical activity. Individual scores can range from 20-140 in which higher scores mean fatigue problems.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  19. Change in pain using the Visual Analogue Scale (VAS)

    Pain will be assessed by the VAS range from 0-100, in which a higher score means more pain experience.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  20. Change in sleep quality by the Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a self-report questionnaire to assess sleep quality. It consists of 19 individual items, creating 7 components that produce one global score (0-21, in which higher scores indicate worse sleep quality).

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  21. Change in intestinal fatty acid binding protein (blood) in rest

    IFABP is a marker for intestinal integrity.

    Measured: 0-12 months; and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later.

  22. Change in intestinal fatty acid binding protein (blood) after the 6MWT

    IFABP is a marker for intestinal integrity.

    Measured: 0-12 months.

  23. Change in gut microbiome composition (optional)

    Several analysis will be performed after completion of the study. The exact markers of the microbiome will be determined.

    Measured: 0, 3 and 12 months.

Timeline

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

  1. First posted16 Jan 2019
  2. Study start19 Feb 2020
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2027 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Next to the 166 COPD patients that receive the nutritional supplement, a subgroup of 30 healthy controls will be included for baseline comparison of the microbiome composition. These healthy controls will not be included in the intervention arm.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
166 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03807310
Sponsor's protocol ID
METC18-011
Other IDs
10.2.16.119
Acronym
NUTRECOVER
Status last verified
Oct 2026
First submitted
9 Jan 2019
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Deidentified data will only be shared based on a reasonable request.

Publications

  • Born CDC, Beijers RJHCG, van Iersel LEJ, Muijrers IHMJE, Schuurman LT, Gerards SMPL, Simons SO, Gosker HR, van Helvoort A, Schols AMWJ, Crutzen R. Assessing Lifestyle Goal Setting in Patients with COPD. Int J Chron Obstruct Pulmon Dis. 2026 Mar 31;21:579191. doi: 10.2147/COPD.S579191. eCollection 2026.

    PubMed 41939921
  • van Iersel LEJ, Beijers RJHCG, Simons SO, Schuurman LT, Shetty SA, Roeselers G, van Helvoort A, Schols AMWJ, Gosker HR. Characterizing gut microbial dysbiosis and exploring the effect of prebiotic fiber supplementation in patients with COPD. Eur J Nutr. 2025 Jun 7;64(5):210. doi: 10.1007/s00394-025-03733-7.

    PubMed 40481968
  • Beijers RJ, van Iersel LEJ, Schuurman LT, Hageman RJJ, Simons SO, van Helvoort A, Gosker HR, Schols AM. Effect of targeted nutrient supplementation on physical activity and health-related quality of life in COPD: study protocol for the randomised controlled NUTRECOVER trial. BMJ Open. 2022 Mar 16;12(3):e059252. doi: 10.1136/bmjopen-2021-059252.

    PubMed 35296491

Questions about this trial

What is this clinical trial studying?

A study testing Targeted nutrient supplementation (Long-drink) and Counselling in people with Pulmonary Disease, Chronic Obstructive, run by Maastricht University Medical Center at 1 site in Netherlands.

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 4 inclusion and 23 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: under way, not looking for participants, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

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?

Change in physical activity level assessed by measuring step count with accelerometry (time frame: 0, 3, and 12-14 months and in case of hospitalization for COPD exacerbation within one week after discharge and 4 weeks later). 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?

On the ClinicalTrials.gov record for NCT03807310, which also lists 3 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 13 Oct 2026; AzTrials last refreshed its copy on 1 Nov 2026.

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