Pulmonary Disease, Chronic Obstructive (COPD)NCT07868211
Effect of Dietary Fiber Supplementation on Systemic Inflammation and Clinical Parameters in COPD
A study testing Dietary Fiber Supplementation in people with Pulmonary Disease, Chronic Obstructive (COPD) and Pulmonary Diseases, run by Júnea Regina Pires Drews at 1 site in Brazil.
Trial summary
Chronic Obstructive Pulmonary Disease (COPD) is characterized by persistent respiratory symptoms and systemic inflammation. Dietary fiber intake has been associated with beneficial effects on gut microbiota composition and systemic inflammatory markers. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Pulmonary Disease, Chronic Obstructive (COPD), Pulmonary Diseases, Pulmonary Diseases, Obstructive
- What is being tested?
- Dietary Fiber Supplementation
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 100 participants
- Where
- 1 siteBrazil
- Study dates
- Nov 2026to Jul 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of COPD with no exacerbation episodes in the last 3 months
- Aged 18 to 75 years
- Patient at the Interstitial Lung Diseases Outpatient Clinic of Hospital das Clínicas da UFMG
- Ability to perform spirometry
- Ability to perform the 6-minute walk test (6MWT)
- Willingness to participate in the study and signed Informed Consent Form (ICF)
- Ability to read and write
- Daily dietary fiber intake between 10 and 20 grams
Who cannot join
- End-stage COPD (GOLD stage 4)
- Primary diagnosis of asthma
- Interstitial lung disease
- Lung transplant recipients
- Severe comorbidities impacting outcomes (severe pancreatic, hepatic, renal, or cardiac disease; inflammatory bowel disease; active neoplasm with prognostic impact; human immunodeficiency virus/AIDS; active pulmonary tuberculosis; multiple sclerosis)
- Any other condition identified during the screening visit by the investigator or nurse that could interfere with the study or patient safety
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- Diagnosed COPD exacerbation (ECOPD) within the 3 months prior to study start
- Recent acute respiratory infection
- Unwillingness or inability to comply with study procedures (e.g., inability to record dietary intake, attend visits, or manage oral supplementation)
- Pregnant, breastfeeding, or planning to become pregnant
- Change in smoking habits within the last 6 months
- Major changes in COPD maintenance therapy within 3 months prior to screening
- Requirement for other nutritional supplements or parenteral nutrition
- Daily dietary fiber intake exceeding 28 grams for women or 34 grams for men
- Use of a short course of oral corticosteroids within 4 weeks prior to Day 1 of the study
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Brazil1 site
Hospital das Clínicas da UFMG - Ambulatório de Doenças Pulmonares Intersticiais
Belo Horizonte, Minas Gerais, 30130-100
Eliane V Mancuzo, PhD, +55 31 3307-9901, elianevmancuzo4@gmail.com
Marcelo C Sales, MD, +55 31 3307-9901, drmarcelochagassales@gmail.com
About this study
Official title: Efeito Da Suplementação Dietética De Fibras Sobre Inflamação Sistêmica E Parâmetros Clínicos Na DPOC: Ensaio Clínico Randomizado, Duplo-Cego E Controlado Por Placebo
Chronic Obstructive Pulmonary Disease (COPD) is characterized by persistent respiratory symptoms and systemic inflammation. Dietary fiber intake has been associated with beneficial effects on gut microbiota composition and systemic inflammatory markers. This study aims to evaluate the effects of dietary fiber supplementation on systemic inflammation and clinical parameters in patients with COPD through a randomized, double-blind, placebo-controlled trial.
Read the detailed description
Patients with COPD will be randomized into two parallel groups: an intervention group receiving dietary fiber supplementation and a control group receiving placebo for a determined intervention period. Primary outcomes will include changes in systemic inflammatory markers (such as plasma cytokines and inflammatory mediators). Secondary outcomes will assess comprehensive nutritional parameters (including dietary intake, body composition, and anthropometric metrics), as well as clinical parameters (lung function, symptom scores, and health-related quality of life). Assessments will be conducted at baseline and at the end of the intervention period to evaluate the therapeutic efficacy and metabolic impact of dietary fiber supplementation.
- Conditions
- Pulmonary Disease, Chronic Obstructive (COPD), Pulmonary Diseases, Pulmonary Diseases, Obstructive
- Being tested
- Dietary Fiber Supplementation, Placebo Control
- Keywords
- Dietary Fiber, Systemic Inflammation, Nutritional Status, Gut Microbiota, Randomized Controlled Trial, Fibras alimentares
- Medical subject headings
- Lung Diseases, Pulmonary Disease, Chronic Obstructive, Lung Diseases, Obstructive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dietary Fiber SupplementationDietary supplement
Daily oral supplementation of dietary fiber administered for the intervention period alongside standard medical care.
Placebo ControlDietary supplement
Daily oral administration of an isocaloric placebo, identical in appearance, taste, and packaging to the active fiber supplement.
| Study group | Role | What they receive |
|---|---|---|
| High-Fiber Group | Experimental | Participants in this group will receive dietary fiber supplementation in addition to their standard care diet during the intervention period. Receives: Dietary Supplement: Dietary Fiber Supplementation |
| Placebo Group | Placebo comparator | Participants in this group will receive an isocaloric placebo supplement matching the appearance and taste of the active intervention. Receives: Dietary Supplement: Placebo Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Plasma Fibrinogen Levels
Change in plasma fibrinogen concentrations compared to baseline values at admission.
Measured: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).
Change in Serum C-Reactive Protein (CRP) Levels
Change in high-sensitivity C-reactive protein (hs-CRP) serum concentrations evaluated longitudinally from baseline.
Measured: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).
Change in BODE Index Score
Change in the multidimensional BODE index score, which integrates Body Mass Index (BMI), Airflow Obstruction via Forced Expiratory Volume in 1 second (FEV1), Dyspnea via modified Medical Research Council (mMRC) scale, and Exercise Capacity via 6-minute walk distance (6MWD). The BODE index ranges from 0 to 10 points, where higher scores indicate greater disease severity and higher mortality risk. Unit of Measure (Unidade de Medida): score on a scale (ou units on a scale)
Measured: Baseline (outpatient entry/visit 1) and week 9 (visit 5 / 8 weeks of intervention).
Change in Dyspnea Score
Assessed using the modified Medical Research Council (mMRC) dyspnea scale. The scale ranges from 0 (no breathlessness except with strenuous exercise) to 4 (too breathless to leave the house). Higher scores indicate worse outcome / greater dyspnea severity. Unit of Measure: score on a scale
Measured: Baseline and Month 6
Secondary outcomes (4)
Changes in Overall Nutritional Status
Evaluation of changes in nutritional status parameters and dietary intake (via food records and food frequency questionnaires) evaluated longitudinally from baseline.
Measured: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).
Change in Body Mass Index (BMI)
Assessed by bioelectrical impedance analysis (BIA) and calculated as weight in kilograms divided by height in meters squared.
Unit of Measure: kg/m^2 - weight in kilograms, height in meters
Measured: Baseline and Month 6
Changes in Basal Metabolic Rate (BMR)
Changes in basal metabolic rate evaluated by bioelectrical impedance analysis or indirect calorimetry measured longitudinally across visits.
Measured: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).
Change in Fat-Free Mass
Description: Assessed by bioelectrical impedance analysis (BIA). Unit of Measure: weight in kilograms, height in meters
Measured: Baseline and Month 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Oct 2026
- Study startNov 2026 (estimated)
- Primary completionApr 2027 (estimated)
- Study completionJul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Pulmonary Disease, Chronic Obstructive (COPD)Studies 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomized, double-blind, placebo-controlled, parallel-group trial.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Júnea Regina Pires Drews
- Sponsor type
- Other government
- Collaborators
- Instituto René Rachou (IRR), FAPEMIG - Fundação de Amparo a Pesquisa do Estado de Minas Gerais, Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Responsible party
- Sponsor-investigator, Júnea Regina Pires Drews, Instituto René Rachou (IRR)
- Investigators
- Cristiana C Garcia, Para a Dra. Cristiana Couto Ga, Principal investigator, Instituto René Rachou - Fiocruz MinasEliana V Mancuzo, PhD, Principal investigator, Hospital das Clínicas da UFMG - Ambulatório de Doenças Pulmonares Intersticiais
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07868211
- Sponsor's protocol ID
- 01203726400000444
- Other IDs
- U1111-1347-5581, 01203726.4.0000.0444, 8.729.912
- Status last verified
- Oct 2026
- First submitted
- 30 Sep 2026
- Last updated
- 14 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The plan for sharing individual participant data has not yet been determined and will depend on future decisions by the ethics committee and institutional policies of the participating centers.
Publications
• VESTBO, J. et al. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease: GOLD Executive Summary. Am J Respir Crit Care Med, 2013. • MENDES DE ALMEIDA et al. Gut microbiota alterations during respiratory viral infections. Gut Microbes, 2023. • CELLI, B. R. et al. The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease. N Engl J Med, 2004. • TROMBONE, A. J. et al. Dietary fiber and the gut-lung axis. Nature Communications, 2014.
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efeito Da Suplementação Dietética De Fibras Sobre Inflamação Sistêmica E Parâmetros Clínicos Na DPOC: Ensaio Clínico Randomizado, Duplo-Cego E Controlado Por Placebo
- ClinicalTrials.gov ID
- NCT07868211
- Acronym / sponsor ID
- 01203726400000444
- Conditions
- Pulmonary Disease, Chronic Obstructive (COPD), Pulmonary Diseases, Pulmonary Diseases, Obstructive
- Keywords
- Dietary Fiber, Systemic Inflammation, Nutritional Status, Gut Microbiota, Randomized Controlled Trial, Fibras alimentares
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- Júnea Regina Pires DrewsOther government
- Collaborators
- Instituto René Rachou (IRR), FAPEMIG - Fundação de Amparo a Pesquisa do Estado de Minas Gerais, Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Study start
- Nov 2026 (estimated)
- Primary completion
- Apr 2027 (estimated)
- Study completion
- Jul 2027 (estimated)
- First posted
- 9 Oct 2026 (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 (COPD) is characterized by persistent respiratory symptoms and systemic inflammation. Dietary fiber intake has been associated with beneficial effects on gut microbiota composition and systemic inflammatory markers. This study aims to evaluate the effects of dietary fiber supplementation on systemic inflammation and clinical parameters in patients with COPD through a randomized, double-blind, placebo-controlled trial.
Detailed description
Patients with COPD will be randomized into two parallel groups: an intervention group receiving dietary fiber supplementation and a control group receiving placebo for a determined intervention period. Primary outcomes will include changes in systemic inflammatory markers (such as plasma cytokines and inflammatory mediators). Secondary outcomes will assess comprehensive nutritional parameters (including dietary intake, body composition, and anthropometric metrics), as well as clinical parameters (lung function, symptom scores, and health-related quality of life). Assessments will be conducted at baseline and at the end of the intervention period to evaluate the therapeutic efficacy and metabolic impact of dietary fiber supplementation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Randomized, double-blind, placebo-controlled, parallel-group trial.
| Arm | Type | Receives |
|---|---|---|
| High-Fiber Group | Experimental | Dietary Supplement: Dietary Fiber SupplementationParticipants in this group will receive dietary fiber supplementation in addition to their standard care diet during the intervention period. |
| Placebo Group | Placebo comparator | Dietary Supplement: Placebo ControlParticipants in this group will receive an isocaloric placebo supplement matching the appearance and taste of the active intervention. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Diagnosis of COPD with no exacerbation episodes in the last 3 months
- Aged 18 to 75 years
- Patient at the Interstitial Lung Diseases Outpatient Clinic of Hospital das Clínicas da UFMG
- Ability to perform spirometry
- Ability to perform the 6-minute walk test (6MWT)
Key exclusion criteria (15 listed)
- End-stage COPD (GOLD stage 4)
- Primary diagnosis of asthma
- Interstitial lung disease
- Lung transplant recipients
- Severe comorbidities impacting outcomes (severe pancreatic, hepatic, renal, or cardiac disease; inflammatory bowel disease; active neoplasm with prognostic impact; human immunodeficiency virus/AIDS; active pulmonary tuberculosis; multiple sclerosis)
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 |
|---|---|---|
| Dietary Fiber SupplementationDaily oral supplementation of dietary fiber administered for the intervention period alongside standard medical care. | Dietary supplement | High-Fiber Group |
| Placebo ControlDaily oral administration of an isocaloric placebo, identical in appearance, taste, and packaging to the active fiber supplement. | Dietary supplement | Placebo Group |
Primary outcome
Change in Plasma Fibrinogen Levels
Time frame: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).
Change in plasma fibrinogen concentrations compared to baseline values at admission.
Change in Serum C-Reactive Protein (CRP) Levels
Time frame: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).
Change in high-sensitivity C-reactive protein (hs-CRP) serum concentrations evaluated longitudinally from baseline.
Change in BODE Index Score
Time frame: Baseline (outpatient entry/visit 1) and week 9 (visit 5 / 8 weeks of intervention).
Change in the multidimensional BODE index score, which integrates Body Mass Index (BMI), Airflow Obstruction via Forced Expiratory Volume in 1 second (FEV1), Dyspnea via modified Medical Research Council (mMRC) scale, and Exercise Capacity via 6-minute walk distance (6MWD). The BODE index ranges from 0 to 10 points, where higher scores indicate greater disease severity and higher mortality risk. Unit of Measure (Unidade de Medida): score on a scale (ou units on a scale)
Change in Dyspnea Score
Time frame: Baseline and Month 6
Assessed using the modified Medical Research Council (mMRC) dyspnea scale. The scale ranges from 0 (no breathlessness except with strenuous exercise) to 4 (too breathless to leave the house). Higher scores indicate worse outcome / greater dyspnea severity. Unit of Measure: score on a scale
4 secondary outcomes
Changes in Overall Nutritional Status
Time frame: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).
Change in Body Mass Index (BMI)
Time frame: Baseline and Month 6
Changes in Basal Metabolic Rate (BMR)
Time frame: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).
Change in Fat-Free Mass
Time frame: Baseline and Month 6
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2026.
- Background• VESTBO, J. et al. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease: GOLD Executive Summary. Am J Respir Crit Care Med, 2013. • MENDES DE ALMEIDA et al. Gut microbiota alterations during respiratory viral infections. Gut Microbes, 2023. • CELLI, B. R. et al. The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease. N Engl J Med, 2004. • TROMBONE, A. J. et al. Dietary fiber and the gut-lung axis. Nature Communications, 2014.
- Individual participant dataSharing planned: Yes. The plan for sharing individual participant data has not yet been determined and will depend on future decisions by the ethics committee and institutional policies of the participating centers.
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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.
Cristiana C Garcia, Para a Dra. Cristiana Couto Ga principal investigator
Instituto René Rachou - Fiocruz Minas
Eliana V Mancuzo, PhD principal investigator
Hospital das Clínicas da UFMG - Ambulatório de Doenças Pulmonares Intersticiais
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Dietary Fiber Supplementation in people with Pulmonary Disease, Chronic Obstructive (COPD) and Pulmonary Diseases, run by Júnea Regina Pires Drews at 1 site in Brazil.
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 8 inclusion and 15 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: opening soon, as of the sponsor's last update on 14 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 Brazil. 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?
Contact Eliane V Mancuzo, PhD (+55 (31) 3409-9300, elianevmancuzo4@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Plasma Fibrinogen Levels (time frame: Baseline (outpatient entry/visit 1), week 1 (visit 2), week 3 (visit 3), and week 9 (visit 5 / 8 weeks of intervention).). The study lists 4 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 NCT07868211, which also lists 1 linked publication.
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 14 Oct 2026.