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Efficacy of Nebulized Pulmicort Respules in Primary Lung Cancer Patients With COPD

Primary Purpose

Post Operative Complication, Pulmonary, Lung Cancer, COPD

Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Budesonide
Sponsored by
Xiuyi Zhi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Post Operative Complication, Pulmonary focused on measuring primary lung cancer patients

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Newly diagnosed or existing COPD defined by GOLD, and FEV1 of<80% predicted and FEV1/FVC<70%
  2. Diagnosed as primary lung cancer by China guidelines on diagnosis and treatment of primary lung cancer
  3. .Consistent with indication of operation of pulmonary single lobectomy surgery by China guidelines on diagnosis and treatment of primary lung cancer
  4. General anesthesia and double cavity intubation was used during operation
  5. ASA Classification of Anesthesia Risk is in category 1-3 both in baseline
  6. age from 40-80 years old
  7. Smoking cessation more than two weeks before operation
  8. SP O2>90% before surgery
  9. Hemoglobin > 10g/dl
  10. Estimated duration of surgery < 4 hours
  11. 18.5<BMI < 28

Exclusion Criteria:

  1. Patients who had taken systemic corticosteroids in the preceding 1month before baseline
  2. Patients who had pneumonia in the preceding 1month before baseline
  3. Patients with a history of recent myocardial infarction, heart failure, tuberculosis
  4. Subject with known or suspected human immunodeficiency virus infection

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Placebo Comparator

    Arm Label

    nebulized Budesonide 2mg/4mL

    nebulized saline 4mL

    Arm Description

    +terbutaline 5mg/2mL,BID+ipratropium 2 puff(40ug)BID

    +terbutaline 5mg/2mL,BID+ipratropium 2 puff(40ug)BID

    Outcomes

    Primary Outcome Measures

    The incidence of post-operation pulmonary complication in two arms among primary lung cancer patients with COPD
    Definition of post-operation pulmonary complication: Pneumonia/other pulmonary infections, with X-ray evidence, fever and/or WBC>15,000mL Sputum retention:classified as purulent and the pour ability grade is 1 or 2 Acute respiratory failture or chronic respiratory failture Atelectasis Aerothorax:>30% by X-ray; pulmonary embolism

    Secondary Outcome Measures

    Full Information

    First Posted
    July 15, 2015
    Last Updated
    July 20, 2015
    Sponsor
    Xiuyi Zhi
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02504801
    Brief Title
    Efficacy of Nebulized Pulmicort Respules in Primary Lung Cancer Patients With COPD
    Official Title
    Efficacy of Nebulized Pulmicort Respules on Post Operation Pulmonary Complication During Pulmonary Single Lobectomy Surgery in Primary Lung Cancer Patients With COPD
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2015
    Overall Recruitment Status
    Unknown status
    Study Start Date
    July 2015 (undefined)
    Primary Completion Date
    July 2016 (Anticipated)
    Study Completion Date
    October 2016 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Xiuyi Zhi

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    To test the hypothesis that nebulized Pulmicort Respules could reduce post operation pulmonary complication incidence in primary lung cancer patients with COPD. Compare post-operation pulmonary complication incidence in two treatment arms among primary lung cancer patients with COPD required single lobectomy from 3days before operation to 7 days after operation.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Post Operative Complication, Pulmonary, Lung Cancer, COPD
    Keywords
    primary lung cancer patients

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    73 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    nebulized Budesonide 2mg/4mL
    Arm Type
    Active Comparator
    Arm Description
    +terbutaline 5mg/2mL,BID+ipratropium 2 puff(40ug)BID
    Arm Title
    nebulized saline 4mL
    Arm Type
    Placebo Comparator
    Arm Description
    +terbutaline 5mg/2mL,BID+ipratropium 2 puff(40ug)BID
    Intervention Type
    Drug
    Intervention Name(s)
    Budesonide
    Intervention Description
    To test the hypothesis that nebulizer Pulmicort Respules could reduce post operation pulmonary complication incidence in primary lung cancer patients with COPD. Compare post-operation pulmonary complication incidence in two arms among primary lung cancer patients with COPD required single lobectomy from 3 days before operation to 7 days after operation.
    Primary Outcome Measure Information:
    Title
    The incidence of post-operation pulmonary complication in two arms among primary lung cancer patients with COPD
    Description
    Definition of post-operation pulmonary complication: Pneumonia/other pulmonary infections, with X-ray evidence, fever and/or WBC>15,000mL Sputum retention:classified as purulent and the pour ability grade is 1 or 2 Acute respiratory failture or chronic respiratory failture Atelectasis Aerothorax:>30% by X-ray; pulmonary embolism
    Time Frame
    10 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Newly diagnosed or existing COPD defined by GOLD, and FEV1 of<80% predicted and FEV1/FVC<70% Diagnosed as primary lung cancer by China guidelines on diagnosis and treatment of primary lung cancer .Consistent with indication of operation of pulmonary single lobectomy surgery by China guidelines on diagnosis and treatment of primary lung cancer General anesthesia and double cavity intubation was used during operation ASA Classification of Anesthesia Risk is in category 1-3 both in baseline age from 40-80 years old Smoking cessation more than two weeks before operation SP O2>90% before surgery Hemoglobin > 10g/dl Estimated duration of surgery < 4 hours 18.5<BMI < 28 Exclusion Criteria: Patients who had taken systemic corticosteroids in the preceding 1month before baseline Patients who had pneumonia in the preceding 1month before baseline Patients with a history of recent myocardial infarction, heart failure, tuberculosis Subject with known or suspected human immunodeficiency virus infection
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Xiuyi Zhi, Professor
    Phone
    8613910086960
    Email
    hunthm1999@163.com

    12. IPD Sharing Statement

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    Efficacy of Nebulized Pulmicort Respules in Primary Lung Cancer Patients With COPD

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