Evaluation of the Effect of Roflumilast in Hyperinflated COPD Patients Using Functional Respiratory Imaging
Primary Purpose
Pulmonary Disease, Chronic Obstructive
Status
Terminated
Phase
Phase 2
Locations
Belgium
Study Type
Interventional
Intervention
HRCT scan
Placebo of Roflumilast
Roflumilast
Sponsored by
About this trial
This is an interventional treatment trial for Pulmonary Disease, Chronic Obstructive focused on measuring Pulmonary Disease, Chronic Obstructive, dynamics hyperinflation, Computed Tomography scan, CT scan, Functional Respiratory Imaging, FRI, Roflumilast, PRO
Eligibility Criteria
Inclusion Criteria:
- Male or female patient ≥ 30 years old
- Written informed consent obtained
- Patient with Body mass index (BMI) ≥ 20
- Female patient of childbearing potential who confirm that a contraception method was used at least 14 days before visit 1 and will continue to use a contraception method during the study
- COPD patient with GOLD stages C and D
- Patient with a Borg Fatigue score after the 6MWT on screening above 4 to indicate the susceptibility to dynamics hyperinflation
- Patient with smoking history of at least 10 pack-years
- Patient takes a combination therapy of LABA/ LAMA at least 6 weeks before visit 1
- Patient must be able to understand and complete the protocol requirements, instructions, questionnaires and protocol-stated restrictions
Exclusion Criteria:
- Pregnant or lactating females
- Patient with severe immunological diseases and/ or severe acute infectious diseases
- Patient with heart failure as documented in the medical history or as defined by the investigator during the physical examination performed at visit 1
- Patient with diagnosis of cancer (except basal cell carcinoma)
- Patient with a history of depression associated with suicidal ideation or behaviour
- Patient with moderate or severe hepatic impairment.
- Patient with lactose intolerance
- Patient is unlikely to comply with the protocol or unable to understand the nature, scope and possible consequences of the study.
- Patient who received inhalation corticosteroids (ICS) within the last 6 weeks prior to the screening visit
- Patient who received any investigational new drug within the last 4 weeks prior to the screening visit or twice the duration of the biological effect of any drug (whichever is longer)
Sites / Locations
- University Hospital of Antwerp
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
Roflumilast
Placebo
Arm Description
Patient will take Roflumilast (500 micrograms) once a day for 3 months. A HRCT scan will be taken at baseline and after 3 months of treatment
Patient will take the Placebo of Roflumilast once a day for 3 months. A HRCT scan will be taken at baseline and after 3 months.
Outcomes
Primary Outcome Measures
Changes in Airway volume (iVaw)
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Changes in Airway resistance (iRaw)
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Changes in Lobe volumes (iVlobes)
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Changes in Air trapping
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Changes in Internal Lobar Airflow Distribution
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Low Attenuation or Emphysema Score
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Changes in Blood Vessel Density
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Changes in Airway Wall Thickness
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Aerosol deposition concentrations
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Secondary Outcome Measures
Changes in Spirometry
Spirometry is a composite outcome measure consisting of the following parameters:
FEV1
Peak Expiratory Flow (PEF)
Forced Vital Capacity (FVC)
Maximum Expiratory Flow at 50% of FVC (MEF 50)
Maximum Expiratory Flow at 25% of FVC (MEF 25)
Changes in Body plethysmography
Body plethysmography is a composite outcome measure consisting of the following parameters:
Residual Volume (RV)
TLC
FRC
Airway resistance (Raw)
Changes in Diffusion capacity
Diffusion capacity is a composite outcome measure consisting of the following parameters:
carbon monoxide transfer factor (TCO)
Alveolar volume (VA)
Changes in 6MWT
Exercise capacity: distance walked in 6 minutes (m), oxygen saturation measurement will be performed during the test
Changes in Patient Related Outcome (PRO)
Patient Related Outcome is a composite outcome measure consisting of the following questionnaires:
Borg CR10 Scale: measure of the present dyspnea and leg fatigue before and after exercise
COPD assessment test (CAT): measure of the impact of COPD on your life
Saint George's Respiratory Questionnaire (SGRQ): measure health related quality of life and comfort
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02451540
Brief Title
Evaluation of the Effect of Roflumilast in Hyperinflated COPD Patients Using Functional Respiratory Imaging
Official Title
Placebo Controlled Study to Assess the Effect of Roflumilast in Hyperinflated COPD Patients in Addition to LABA/LAMA Therapy Using Functional Respiratory Imaging.
Study Type
Interventional
2. Study Status
Record Verification Date
March 2018
Overall Recruitment Status
Terminated
Why Stopped
No new investigational product can be delivered to the site.
Study Start Date
September 2015 (undefined)
Primary Completion Date
August 31, 2017 (Actual)
Study Completion Date
August 31, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
FLUIDDA nv
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
In this study the efficacy of Roflumilast in addition to LAMA/LABA therapy will be assessed using Functional Respiratory Imaging.
In total 40 Chronic obstructive pulmonary disease (COPD) patients, Global Initiative for Chronic Obstructive Lung Disease (GOLD) stages C and D, who are stable on LABA/LAMA therapy and who are prone to dynamics hyperinflation will be included in this study. To indicate the susceptibility to dynamics hyperinflation patients should have a baseline Borg Fatigue score after the 6-minute walk test (6MWT) above 4.
The patients will be randomized in such a way that 1 out of 2 patients will receive placebo and 1 the active component.
Image parameters will be assessed and the correlation with lung function and health related quality of life will be checked before and after treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pulmonary Disease, Chronic Obstructive
Keywords
Pulmonary Disease, Chronic Obstructive, dynamics hyperinflation, Computed Tomography scan, CT scan, Functional Respiratory Imaging, FRI, Roflumilast, PRO
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
13 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Roflumilast
Arm Type
Active Comparator
Arm Description
Patient will take Roflumilast (500 micrograms) once a day for 3 months. A HRCT scan will be taken at baseline and after 3 months of treatment
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Patient will take the Placebo of Roflumilast once a day for 3 months. A HRCT scan will be taken at baseline and after 3 months.
Intervention Type
Radiation
Intervention Name(s)
HRCT scan
Intervention Description
HRCT scan of thorax, at baseline and after 3 months
Intervention Type
Drug
Intervention Name(s)
Placebo of Roflumilast
Other Intervention Name(s)
Placebo
Intervention Description
Placebo, once a day in the morning during 3 months
Intervention Type
Drug
Intervention Name(s)
Roflumilast
Other Intervention Name(s)
Daxas
Intervention Description
Roflumilast, once a day in the morning during 3 months
Primary Outcome Measure Information:
Title
Changes in Airway volume (iVaw)
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Airway resistance (iRaw)
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Lobe volumes (iVlobes)
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Air trapping
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Internal Lobar Airflow Distribution
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
At baseline and after 3 months of treatment
Title
Low Attenuation or Emphysema Score
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Blood Vessel Density
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Airway Wall Thickness
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
3 months
Title
Aerosol deposition concentrations
Description
By using Functional Respiratory Imaging the efficacy of Roflumilast in addition to long-acting muscarinic antagonist (LAMA)/ long acting β2-agonist (LABA) therapy will be assessed.
Time Frame
At baseline and after 3 months of treatment
Secondary Outcome Measure Information:
Title
Changes in Spirometry
Description
Spirometry is a composite outcome measure consisting of the following parameters:
FEV1
Peak Expiratory Flow (PEF)
Forced Vital Capacity (FVC)
Maximum Expiratory Flow at 50% of FVC (MEF 50)
Maximum Expiratory Flow at 25% of FVC (MEF 25)
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Body plethysmography
Description
Body plethysmography is a composite outcome measure consisting of the following parameters:
Residual Volume (RV)
TLC
FRC
Airway resistance (Raw)
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Diffusion capacity
Description
Diffusion capacity is a composite outcome measure consisting of the following parameters:
carbon monoxide transfer factor (TCO)
Alveolar volume (VA)
Time Frame
At baseline and after 3 months of treatment
Title
Changes in 6MWT
Description
Exercise capacity: distance walked in 6 minutes (m), oxygen saturation measurement will be performed during the test
Time Frame
At baseline and after 3 months of treatment
Title
Changes in Patient Related Outcome (PRO)
Description
Patient Related Outcome is a composite outcome measure consisting of the following questionnaires:
Borg CR10 Scale: measure of the present dyspnea and leg fatigue before and after exercise
COPD assessment test (CAT): measure of the impact of COPD on your life
Saint George's Respiratory Questionnaire (SGRQ): measure health related quality of life and comfort
Time Frame
At baseline and after 3 months of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female patient ≥ 30 years old
Written informed consent obtained
Patient with Body mass index (BMI) ≥ 20
Female patient of childbearing potential who confirm that a contraception method was used at least 14 days before visit 1 and will continue to use a contraception method during the study
COPD patient with GOLD stages C and D
Patient with a Borg Fatigue score after the 6MWT on screening above 4 to indicate the susceptibility to dynamics hyperinflation
Patient with smoking history of at least 10 pack-years
Patient takes a combination therapy of LABA/ LAMA at least 6 weeks before visit 1
Patient must be able to understand and complete the protocol requirements, instructions, questionnaires and protocol-stated restrictions
Exclusion Criteria:
Pregnant or lactating females
Patient with severe immunological diseases and/ or severe acute infectious diseases
Patient with heart failure as documented in the medical history or as defined by the investigator during the physical examination performed at visit 1
Patient with diagnosis of cancer (except basal cell carcinoma)
Patient with a history of depression associated with suicidal ideation or behaviour
Patient with moderate or severe hepatic impairment.
Patient with lactose intolerance
Patient is unlikely to comply with the protocol or unable to understand the nature, scope and possible consequences of the study.
Patient who received inhalation corticosteroids (ICS) within the last 6 weeks prior to the screening visit
Patient who received any investigational new drug within the last 4 weeks prior to the screening visit or twice the duration of the biological effect of any drug (whichever is longer)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wilfried De Backer, M.D., M.S.
Organizational Affiliation
University Hospital of Antwerp
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospital of Antwerp
City
Edegem
State/Province
Antwerp
ZIP/Postal Code
2650
Country
Belgium
12. IPD Sharing Statement
Learn more about this trial
Evaluation of the Effect of Roflumilast in Hyperinflated COPD Patients Using Functional Respiratory Imaging
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