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COPD (Chronic Obstructive Pulmonary Disease)ECHELONNCT07543601

Enhanced COPD Management in Suspected Lung Cancer Patients

A study testing Tailored COPD consultations in people with COPD (Chronic Obstructive Pulmonary Disease) and Lung Cancer (Diagnosis), run by Ditte Krag-Hansen at 1 site in Denmark.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Identifying and treating COPD in patients undergoing lung cancer evaluation is crucial. Early intervention could lead to better management of both diseases, improving health status, reducing healthcare costs, and potentially increasing survival rates. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Tailored COPD consultations
Could I receive a placebo?
No, everyone receives an active treatment
How many people
280 participants
Where
1 siteDenmark
Study dates
6 Mar 2026to 30 Jun 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

  • Undergoing diagnostic evaluation for suspected lung cancer
  • Spirometry showing obstructive airflow limitation (FEV₁/FVC < 75 % or FEV₁ < 80 %, and no reversibility) at the first outpatient visit at the lung cancer evaluation

Who cannot join

  • Presence of significant comorbidities that may interfere with diagnostic procedures or spirometry
  • Pregnant or breastfeeding women

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Ditte Krag-Hansen, MD, PhD student contact

+45 7940 5720

ditte.krag-hansen@rsyd.dk

Morten Hornemann Borg, MD, PhD, Chief consultant contact

morten.hornemann.borg@rsyd.dk

Denmark1 site, 1 recruiting
  • Lung Cancer Investigation Unit, Lillebaelt Hospital Vejle

    Vejle, 7100

    Ditte Krag-Hansen, MD, PhD student, +45 7940 5720, ditte.krag-hansen@rsyd.dk

    Morten Hornemann Borg, MD, PhD, Chief consultant

    Recruiting

Other trials in Denmark

About this study

Official title: Enhanced COPD Management in Suspected Lung Cancer Patients - Improving Outcomes Through Timely Intervention

Identifying and treating COPD in patients undergoing lung cancer evaluation is crucial. Early intervention could lead to better management of both diseases, improving health status, reducing healthcare costs, and potentially increasing survival rates.

This study aims to assess the impact of early diagnosis and optimal treatment of COPD on clinical outcomes in patients under evaluation for lung cancer. The study will combine information through an open-label RCT at the Lung Cancer Investigation Unit at Lillebaelt Hospital Vejle.

The findings could inform clinical practice by emphasizing the importance of integrated care approaches for patients with coexisting COPD and lung cancer, ultimately leading to better health outcomes.

Read the detailed description

Chronic Obstructive Pulmonary Disease (COPD) and lung cancer frequently coexist due to shared risk factors, most notably smoking, which is the leading cause of both conditions. COPD, characterized by persistent airflow limitation and chronic inflammation of the airways, is a major contributor to morbidity and mortality worldwide. Similarly, lung cancer is one of the most common and deadliest cancers, with a significant overlap in the patient populations affected by COPD. Studies suggest that individuals with COPD are at an increased risk of developing lung cancer, with rates estimated to be four to six times higher than in the general population. This overlap is not merely coincidental but is thought to be influenced by chronic inflammation, oxidative stress, and impaired immune responses in the lungs of patients with COPD, which can promote carcinogenesis.

Despite the frequent coexistence of COPD and lung cancer, patients are usually not investigated for COPD as usual care, therefore, COPD often remains underdiagnosed or is diagnosed late, particularly in patients being evaluated for lung cancer. Delayed diagnosis and untreated COPD can negatively affect a patient's overall prognosis, complicating the management of lung cancer. At the same time, some patients with COPD are incorrectly diagnosed and suboptimal treated resulting in progressive deterioration of health status. Deterioration of health status including lung function is contributed by comorbidities in patients with COPD especially cardiovascular diseases.

Overall, patients with COPD tend to have poorer tolerance to lung cancer treatments, including surgery, chemotherapy, and radiotherapy, due to compromised lung function. In contrast, early detection and optimal management of COPD, including pharmacotherapy, smoking cessation, and pulmonary rehabilitation, may improve lung function, enhance treatment tolerance, and reduce complications during cancer therapy.

Given the high prevalence of both COPD and lung cancer in individuals with a history of smoking, identifying and treating COPD in patients undergoing lung cancer evaluation is crucial. Early intervention could lead to better management of both diseases, improving health status, reducing healthcare costs, and potentially increasing survival rates. This study aims to assess the impact of early diagnosis and optimal treatment of COPD on clinical outcomes in patients under evaluation for lung cancer. Specifically, it will explore how timely COPD management affects cancer treatment tolerability, postoperative recovery, hospitalization rates, and overall survival in this high-risk population. The findings could inform clinical practice by emphasizing the importance of integrated care approaches for patients with coexisting COPD and lung cancer, ultimately leading to better health outcomes.

Aim and objectives To assess the impact of early COPD diagnosis and optimal treatment on health status outcomes in patients undergoing lung cancer work-up and to evaluate the effect of early COPD diagnosis and optimal treatment on COPD-related health status in patients undergoing lung cancer work-up.

Being tested
Tailored COPD consultations
Keywords
Invesigation, Evaluation, Diagnostic Work-up, Diagnostic Pathway
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Lung Neoplasms, Disease

What participants receive

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

  • Tailored COPD consultationsOther

    These consultations will include assessment and treatment according to GOLD guidelines, including:

    Pharmacological management Smoking cessation support Referral to pulmonary rehabilitation as appropriate Referral for nutritional assessment and optimization when appropriate Referral to cardiovascular evaluation when appropriate Referral to sleep apnea evaluation when appropriate

Study groups in NCT07543601
Study groupRoleWhat they receive
Usual careNo interventionLung cancer investigation only
Tailored COPD consultationExperimentalTailored COPD consultations will include assessment and treatment according to GOLD guidelines, including: Pharmacological management Smoking cessation support Referral to pulmonary rehabilitation as appropriate Referral for nutritional assessment and optimization when appropriate Referral to cardiovascular evaluation when appropriate Referral to sleep apnea evaluation when appropriate
Receives: Other: Tailored COPD consultations

What is being measured

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

  1. CAT score

    CAT consists of a questionnaire with eight items with the possibility of scoring 0-40 on respiratory symptoms. Participants will be tested at baseline, and after a follow-up period of 3 and 6 months after enrollment of the study.

    Measured: Baseline, after 3 months and after 6 months

Secondary outcomes (13)
  1. Weight

    kg Reviews the change

    Measured: Baseline and after 6 months

  2. Height

    cm

    Measured: Basline

  3. BMI

    kg/m^2 Reviews the change

    Measured: Baseline and after 6 months

  4. 1 min sit-to-stand-test

    The higher the number the better

    Measured: Baseline and after 6 months

  5. The ProKOL questionnaire

    To clarify treatment and rehabilitation needs through patient reported outcomes related to COPD specific questions.

    Reviewed on a scale from zero to five with lower numbers being better outcomes

    Measured: Baseline, after 3 months and after 6 months

  6. The HADS questionnaire

    Consists of multiple questions regarding the risk of developing anxiety or depression.

    0-7 points are normal 8-10 points are borderline abnormal 11-21 points are abnormal

    Measured: Baseline, after 3 months and after 6 months

  7. Smoking cessation

    Self-reported through interview. Attempts at cessation, succeeded cessation or more motivated to cessation are perceived as an improvement.

    Measured: Baseline, after 3 months and after 6 months

  8. Number of exacerbations

    Self-reported through interview and medical records

    Measured: Baseline, after 3 months and after 6 months

  9. Mortality

    Lost to follow up because of death

    Measured: After 3 months and after 6 months

  10. Hospitalisations

    Prevalence Self-reported through interview and medical records

    Measured: Baseline, after 3 months and after 6 months

  11. Incidence of Treatment-Emergent Adverse Events

    Cancer treatment Self reported through interview and medical records

    Measured: After 3 months and after 6 months

  12. Postoperative recovery

    Self-reported through interview and medical records

    Measured: After 3 months and after 6 months

  13. Overall survival

    Measured: After 3 months and after 6 months

Timeline

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

  1. First posted22 Apr 2026
  2. Study start6 Mar 2026
  3. Primary completion30 Jun 2027 (estimated)
  4. Study completion30 Jun 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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
The study is a randomized, controlled, open label trial. The participants who meet the criteria for COPD will be randomized to receive either tailored COPD consultations alongside their lung cancer investigation or usual care (lung cancer investigation only) with an equal allocation ratio 1:1 using a computer-generated table of random numbers in REDcap.
Masking
None (open label)
Enrolment
280 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07543601
Sponsor's protocol ID
Journal nr.: 25/71
Other IDs
Project-ID S-20250091
Acronym
ECHELON
Status last verified
Apr 2026
First submitted
13 Mar 2026
Last updated
22 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: The collection and storage of personal data will comply with the Data Protection Act and the GDPR. The results of the project will be treated confidentially. The results will be stored on a secure server controlled by the Region of Southern Denmark. The results will only be disclosed in pseudonymised (de-identified) form, where neither your name, date of birth, address, nor the like will be disclosed. The results from the project will be published in an anonymous form. The individual participant data collected throughout the course of the study and the analyzable data set will not be openly disclosed due to data protection.

Publications

  • Huang CY, Hsieh MS, Hsieh PC, Wu YK, Yang MC, Huang SY, Tzeng IS, Lan CC. Pulmonary rehabilitation improves exercise capacity, health-related quality of life, and cardiopulmonary function in patients with non-small cell lung cancer. BMC Cancer. 2024 Feb 15;24(1):211. doi: 10.1186/s12885-024-11977-5.

    PubMed 38360680
  • Vagvolgyi A, Rozgonyi Z, Kerti M, Vadasz P, Varga J. Effectiveness of perioperative pulmonary rehabilitation in thoracic surgery. J Thorac Dis. 2017 Jun;9(6):1584-1591. doi: 10.21037/jtd.2017.05.49.

    PubMed 28740672
  • Shin S, Kong S, Kang D, Lee G, Cho JH, Shim YM, Cho J, Kim HK, Park HY. Longitudinal changes in pulmonary function and patient-reported outcomes after lung cancer surgery. Respir Res. 2022 Aug 30;23(1):224. doi: 10.1186/s12931-022-02149-9.

    PubMed 36042472
  • Illini O, Valipour A, Gattinger D, Petrovic M, Fabikan H, Hochmair MJ, Zwick RH. Effectiveness of Outpatient Pulmonary Rehabilitation in Patients with Surgically Resected Lung Cancer: A Retrospective Real-World Analysis. Cancers (Basel). 2022 Jul 18;14(14):3479. doi: 10.3390/cancers14143479.

    PubMed 35884540
  • Huang CY, Hsieh MS, Wu YK, Hsieh PC, Yang MC, Tzeng IS, Lan CC. Chronic obstructive pulmonary disease assessment test for the measurement of deterioration and recovery of health status of patients undergoing lung surgery. Thorac Cancer. 2022 Feb;13(4):613-623. doi: 10.1111/1759-7714.14306. Epub 2022 Jan 6.

    PubMed 34989126
  • Deng D, Peng D, Song Q, Lin L, Liu C, Li T, Zhang P, Zeng Y, Lei S, Chen P. Application of GOLD 2023 Initial Inhalation Therapy Recommendations in COPD patients: a real-world adherence and prognosis analysis. J Glob Health. 2025 Nov 28;15:04324. doi: 10.7189/jogh.15.04324.

    PubMed 41313168
  • Zhou R, Qin Y, Hu S, Xu Y, Feng C. Effect of dual bronchodilators plus preoperative rehabilitation in operable LC & chronic obstructive pulmonary disease. Future Oncol. 2024 Dec;20(40):3471-3476. doi: 10.1080/14796694.2024.2430164. Epub 2024 Nov 28.

    PubMed 39607005
  • Gottlieb M, Mellemgaard A, Marsaa K, Godtfredsen N. Optimizing COPD treatment in patients with lung- or head and neck cancer does not improve quality of life - a randomized, pilot, clinical trial. Eur Clin Respir J. 2020 Mar 2;7(1):1731277. doi: 10.1080/20018525.2020.1731277. eCollection 2020.

    PubMed 32194927
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.

    PubMed 6880820
  • Vaidya T, de Bisschop C, Beaumont M, Ouksel H, Jean V, Dessables F, Chambellan A. Is the 1-minute sit-to-stand test a good tool for the evaluation of the impact of pulmonary rehabilitation? Determination of the minimal important difference in COPD. Int J Chron Obstruct Pulmon Dis. 2016 Oct 19;11:2609-2616. doi: 10.2147/COPD.S115439. eCollection 2016.

    PubMed 27799759
  • Jones PW, Harding G, Wiklund I, Berry P, Tabberer M, Yu R, Leidy NK. Tests of the responsiveness of the COPD assessment test following acute exacerbation and pulmonary rehabilitation. Chest. 2012 Jul;142(1):134-140. doi: 10.1378/chest.11-0309.

    PubMed 22281796
  • Bolukbas S, Eberlein M, Eckhoff J, Schirren J. Short-term effects of inhalative tiotropium/formoterol/budenoside versus tiotropium/formoterol in patients with newly diagnosed chronic obstructive pulmonary disease requiring surgery for lung cancer: a prospective randomized trial. Eur J Cardiothorac Surg. 2011 Jun;39(6):995-1000. doi: 10.1016/j.ejcts.2010.09.025. Epub 2010 Oct 22.

    PubMed 20970351
  • Makino T, Otsuka H, Hata Y, Koezuka S, Azuma Y, Isobe K, Sugino K, Ebihara S, Homma S, Iyoda A. Long-acting muscarinic antagonist and long-acting beta2-agonist therapy to optimize chronic obstructive pulmonary disease prior to lung cancer surgery. Mol Clin Oncol. 2018 May;8(5):647-652. doi: 10.3892/mco.2018.1595. Epub 2018 Mar 26.

    PubMed 29725530
  • Andre S, Conde B, Fragoso E, Boleo-Tome JP, Areias V, Cardoso J; GI DPOC-Grupo de Interesse na Doenca Pulmonar Obstrutiva Cronica. COPD and Cardiovascular Disease. Pulmonology. 2019 May-Jun;25(3):168-176. doi: 10.1016/j.pulmoe.2018.09.006. Epub 2018 Dec 7.

    PubMed 30527374
  • Negewo NA, Gibson PG, McDonald VM. COPD and its comorbidities: Impact, measurement and mechanisms. Respirology. 2015 Nov;20(8):1160-71. doi: 10.1111/resp.12642. Epub 2015 Sep 16.

    PubMed 26374280

Questions about this trial

What is this clinical trial studying?

A study testing Tailored COPD consultations in people with COPD (Chronic Obstructive Pulmonary Disease) and Lung Cancer (Diagnosis), run by Ditte Krag-Hansen at 1 site in Denmark.

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 2 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 22 Apr 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 Denmark. 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?

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?

Contact Ditte Krag-Hansen, MD, PhD student (+45 7940 5720, ditte.krag-hansen@rsyd.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

CAT score (time frame: Baseline, after 3 months and after 6 months). 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 NCT07543601, which also lists 30 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 22 Apr 2026.

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