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Chronic Obstructive Pulmonary DiseaseNCT04348344

Study on the Prevention and Control System of Chronic Airway Diseases

A study testing pulmonary rehabilitation in people with Chronic Obstructive Pulmonary Disease, run by China-Japan Friendship Hospital.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In this study, patients with Chronic Obstructive Pulmonary Diseases (COPD) in stable and acute exacerbation stage were selected as the research objects, and the open, parallel and randomized controlled clinical trial design was adopted. Participants were randomly divided into trial group and control group. Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
pulmonary rehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
522 participants
Where
No sites listed yet
Study dates
1 Jun 2020to 1 Sep 2021
Phase
Interventional
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • It meets the diagnostic criteria of global initiative for chronic obstructive pulmonary disease (gold 2017 Edition), is in a stable period of disease or meets the diagnostic criteria of guidelines for the prevention and treatment of bronchial asthma (GINA 2016 Edition)
  • Have lived in the local area for more than 2 consecutive years, and there is no plan to go out for more than half a year in succession during the survey period
  • No smoking history or no smoking for half a year or more
  • 40-75 years old

Who cannot join

  • Patients with history of chronic diseases, such as serious cardiovascular and cerebrovascular diseases, liver and kidney dysfunction, epilepsy and other nervous system diseases, mental diseases, psychiatric diseases, active pulmonary tuberculosis, tumor, anti tuberculosis treatment or combined influence information collection
  • Patients who have undergone thoracic, abdominal and ophthalmic operations in the past 3 months
  • Pregnant and lactating women
  • Did not sign informed consent

Trial locations and contacts

No sites are listed yet.

Ting Yang, MD contact

13651380809

dryangting@qq.com

About this study

In this study, patients with Chronic Obstructive Pulmonary Diseases (COPD) in stable and acute exacerbation stage were selected as the research objects, and the open, parallel and randomized controlled clinical trial design was adopted. Participants were randomly divided into trial group and control group. The control group was only given routine education, and the experimental group, on the basis of routine education, developed a respiratory rehabilitation training program lasting for 12 weeks according to the individual situation of patients. All participants were interviewed for 6 times (baseline and 4,8,12 weeks, 6 months and 12 months after admission) for a period of 1 year. Acute exacerbation, activity tolerance (6-minute walking test), living environment, clinical symptoms, lung function, airway inflammation water level index and biological samples were collected at each visit. At the same time, according to the diary filled in by the patients, the investigators can obtain the daily stay time indoors and outdoors and the longitude and latitude information of the regular stay fixed place, and geographic information system (GIS) is used to match the nearest environmental monitoring station, obtain the data of air pollutants and meteorological indicators (SO2, NO2, Co, O3, PM10, temperature and humidity, etc.), and estimate the individual exposure level of air pollutants.

Read the detailed description

First of all, the investigators need to obtain detailed history records, including cardio pulmonary vascular history, related complications, treatment history and other high-risk factors. After careful review, the investigators need to determine whether the patient is suitable to participate in the pulmonary rehabilitation plan. The investigators need to pay special attention to diseases that may affect the patient's performance, including special cardiovascular diseases, skeletal muscle and nervous system.

Functional evaluation: pulmonary function test, exercise cardiopulmonary function evaluation (6-minute walking test), grip strength test, psychological state evaluation ( Generalized Anxiety Disorder 7-item (GAD-7), Patient Health Questionnaire 9-item (phq-9)), nutrition screening and evaluation and others (general examination such as height, weight, BMI, waist and hip circumference, WHR, blood pressure, heart rate and blood biochemical examination; quality of life evaluation; other related individual evaluation Estimation includes smoking and sleep).

  1. Acute exacerbation: The exercise prescription of "hospitalization + home rehabilitation" was adopted, which mainly combined aerobic endurance training, intermittent strength training and inspiratory muscle training, as follows: Aerobic exercise: 4 times / week, 30min / time, fast walking or power cycling Strength training: unarmed or instrument, 4 times / week, 3 groups / time, 10-12 times / group Breath training: ① breath Trainer: once a day, 20-30min a time ② Abdominal breathing training: 1-2 times / day, 10min / time
  2. Stable patients:

Using the "home-based rehabilitation" exercise prescription, taking home exercise as the main form, using the sports bracelet and special respiratory rehabilitation app software, the home management system integrating home rehabilitation training, detection and feedback is mainly adopted, which is a combination of aerobic endurance training, intermittent strength training and inspiratory muscle training, as follows:

Aerobic exercise: 2-3 times / week, 30min / time, walk quickly Strength training: elastic band, 2-3 times / week, 3 groups / time, 10-12 times / group Breathing training: ① breathing exercise apparatus, 1-2 times / day, 10min / time

② Abdominal breathing training, 1-2 times / day, 10min / time

Being tested
pulmonary rehabilitation
Keywords
Chronic Obstructive Pulmonary Disease, asthma, pulmonary rehabilitation, air pollutans
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Asthma

What participants receive

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

  • pulmonary rehabilitationBehavioural

    Patients receive health education of pulmonary rehabilitation, using the "home-based rehabilitation" exercise prescription, taking home exercise as the main form, using the sports bracelet and special respiratory rehabilitation app software, the home management system integrating home rehabilitation training, detection and feedback is mainly adopted, which is a combination of aerobic endurance training: walking, intermittent strength training: elastic band and inspiratory muscle training:apparatus, abdominal breathing training.

Study groups in NCT04348344
Study groupRoleWhat they receive
intervention groupExperimentalhealth education of pulmonary rehabilitation pulmonary rehabilitation including aerobic exercise,strength training and breath training. Patients in stable stages using the "home-based rehabilitation" exercise prescription, taking home exercise, using the sports bracelet and special respiratory rehabilitation app software, the home management system integrating home rehabilitation training, detection and feedback is mainly adopted, which is a combination of aerobic endurance training, intermittent strength training and inspiratory muscle training.
Receives: Behavioral: pulmonary rehabilitation
control groupNo interventionhealth education of pulmonary rehabilitation

What is being measured

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

  1. Change from Baseline 6-minute Walking Distance at 4, 8, 12 weeks, 6 months and 12 months

    walking distance in 6-minute walking test

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  2. Times of acute exacerbation

    times of acute exacerbation in the period of one year

    Measured: through study completion, an average of 1 year

Secondary outcomes (13)
  1. Time from the beginning of follow-up to the first acute exacerbation and the duration of the first acute exacerbation

    Time from the beginning of follow-up to the first acute exacerbation and the duration of the first acute exacerbation

    Measured: 9 months

  2. Change from Baseline Fractional exhaled Nitric Oxide (FeNO) at 4, 8, 12 weeks, 6 months and 12 months

    changes of Fractional exhaled Nitric Oxide (FeNO)

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  3. Change from Baseline Eosinophil Count in Sputum at 4, 8, 12 weeks, 6 months and 12 months

    Eosinophil Count

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  4. Change from Baseline Inflammatory Factors in sputum at 4, 8, 12 weeks, 6 months and 12 months

    inflammatory factors in sputum

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  5. Change from Baseline modified Medical Research Council dyspnea (mMRC) at 4, 8, 12 weeks, 6 months and 12 months

    the minimum values is 0 and maximum values is 4, the higher scores mean a worse outcome.

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  6. Change from Baseline COPD assessment test (CAT) at 4, 8, 12 weeks, 6 months and 12 months

    the minimum values is 0 and maximum values is 40, the higher scores mean a worse outcome.

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  7. Change from Baseline St George's questionnaire (SGRQ) at 4, 8, 12 weeks, 6 months and 12 months

    the minimum values is 0 and maximum values is 100, the higher scores mean a worse outcome.

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  8. Change from Baseline Patient Health Questionnaire 9-item (PHQ-9) at 4, 8, 12 weeks, 6 months and 12 months

    the minimum values is 0 and maximum values is 27, the higher scores mean a worse outcome.

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  9. Change from Baseline Generalized Anxiety Disorder 7-item (GAD-7) at 4, 8, 12 weeks, 6 months and 12 months

    the minimum values is 0 and maximum values is 21, the higher scores mean a worse outcome.

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  10. Change from Baseline Pittsburgh Sleep Quality Index (PSQI) at 4, 8, 12 weeks, 6 months and 12 months

    the minimum values is 0 and maximum values is 21, the higher scores mean a worse outcome.

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  11. Change from Baseline Pulmonary Function of FEV1 at 4, 8, 12 weeks, 6 months and 12 months

    FEV1

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  12. Change from Baseline Pulmonary Function of FVC at 4, 8, 12 weeks, 6 months and 12 months

    FVC

    Measured: baseline and 4, 8, 12 weeks, 6 months and 12 months

  13. Change from Baseline Pulmonary Function of FEV1/FVC at 4, 8, 12 weeks, 6 months and 12 months

    FEV1/FVC

    Measured: baseline and 4, 8, 12 weeks, 6 months 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 Apr 2020
  2. Study start1 Jun 2020 (estimated)
  3. Primary completion1 Jun 2021 (estimated)
  4. Study completion1 Sep 2021 (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
Masking
None (open label)
Enrolment
522 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04348344
Sponsor's protocol ID
2019-161-K110
Status last verified
May 2020
First submitted
7 Apr 2020
Last updated
13 May 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wang C, Xu J, Yang L, Xu Y, Zhang X, Bai C, Kang J, Ran P, Shen H, Wen F, Huang K, Yao W, Sun T, Shan G, Yang T, Lin Y, Wu S, Zhu J, Wang R, Shi Z, Zhao J, Ye X, Song Y, Wang Q, Zhou Y, Ding L, Yang T, Chen Y, Guo Y, Xiao F, Lu Y, Peng X, Zhang B, Xiao D, Chen CS, Wang Z, Zhang H, Bu X, Zhang X, An L, Zhang S, Cao Z, Zhan Q, Yang Y, Cao B, Dai H, Liang L, He J; China Pulmonary Health Study Group. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study. Lancet. 2018 Apr 28;391(10131):1706-1717. doi: 10.1016/S0140-6736(18)30841-9. Epub 2018 Apr 9.

    PubMed 29650248
  • Alison JA, McKeough ZJ, Johnston K, McNamara RJ, Spencer LM, Jenkins SC, Hill CJ, McDonald VM, Frith P, Cafarella P, Brooke M, Cameron-Tucker HL, Candy S, Cecins N, Chan AS, Dale MT, Dowman LM, Granger C, Halloran S, Jung P, Lee AL, Leung R, Matulick T, Osadnik C, Roberts M, Walsh J, Wootton S, Holland AE; Lung Foundation Australia and the Thoracic Society of Australia and New Zealand. Australian and New Zealand Pulmonary Rehabilitation Guidelines. Respirology. 2017 May;22(4):800-819. doi: 10.1111/resp.13025. Epub 2017 Mar 24.

    PubMed 28339144
  • Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester C, Hill K, Holland AE, Lareau SC, Man WD, Pitta F, Sewell L, Raskin J, Bourbeau J, Crouch R, Franssen FM, Casaburi R, Vercoulen JH, Vogiatzis I, Gosselink R, Clini EM, Effing TW, Maltais F, van der Palen J, Troosters T, Janssen DJ, Collins E, Garcia-Aymerich J, Brooks D, Fahy BF, Puhan MA, Hoogendoorn M, Garrod R, Schols AM, Carlin B, Benzo R, Meek P, Morgan M, Rutten-van Molken MP, Ries AL, Make B, Goldstein RS, Dowson CA, Brozek JL, Donner CF, Wouters EF; ATS/ERS Task Force on Pulmonary Rehabilitation. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013 Oct 15;188(8):e13-64. doi: 10.1164/rccm.201309-1634ST.

    PubMed 24127811
  • Loeckx M, Rabinovich RA, Demeyer H, Louvaris Z, Tanner R, Rubio N, Frei A, De Jong C, Gimeno-Santos E, Rodrigues FM, Buttery SC, Hopkinson NS, Busching G, Strassmann A, Serra I, Vogiatzis I, Garcia-Aymerich J, Polkey MI, Troosters T. Smartphone-Based Physical Activity Telecoaching in Chronic Obstructive Pulmonary Disease: Mixed-Methods Study on Patient Experiences and Lessons for Implementation. JMIR Mhealth Uhealth. 2018 Dec 21;6(12):e200. doi: 10.2196/mhealth.9774.

    PubMed 30578215
  • Storer TW. Exercise in chronic pulmonary disease: resistance exercise prescription. Med Sci Sports Exerc. 2001 Jul;33(7 Suppl):S680-92. doi: 10.1097/00005768-200107001-00006.

    PubMed 11462077

Questions about this trial

What is this clinical trial studying?

A study testing pulmonary rehabilitation in people with Chronic Obstructive Pulmonary Disease, run by China-Japan Friendship Hospital.

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 4 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: status not confirmed, as of the sponsor's last update on 13 May 2020. Status can change between updates, so confirm with the study contact before making plans.

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?

Results are not available in the source record.

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

Contact Ting Yang, MD (13651380809, dryangting@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline 6-minute Walking Distance at 4, 8, 12 weeks, 6 months and 12 months (time frame: baseline and 4, 8, 12 weeks, 6 months and 12 months). 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 NCT04348344, which also lists 5 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 May 2020.

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