None listed
Conditions
Brief summary
The aim of the ANTIC study is to identify one or more promising nutrition interventions targeting the gut-lung axis to reduce inflammation in COPD. This will be a 3-way crossover trial, with each intervention period run for 4 weeks, with a 4-week washout between each intervention. Interventions to be tested are: • Inulin, 6 grams twice daily with food • High Amylose Maize Starch, 10 grams twice daily with food • Control period, usual dietary intake.
Interventions
ANTIC is a 3-way crossover trial, with each intervention period run for 4 weeks, with a 4-week washout between each intervention. Interventions to be tested are: • Inulin, 6 grams of powder to be taken twice daily with food (mixed into usual meals) or liquid • High Amylose Maize Starch, 10 grams of powder taken twice daily with food (mixed into usual meals) or liquid • Control period, usual dietary intake. Patients will record intake in a patient diary. At the end of each intervention, the powder will be returned.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adults aged 40 years and over, 2. Current or ex-smokers (with smoking history >=10 pack years), 3. Have a diagnosis of COPD with a post-bronchodilator ratio of forced expiratory volume (FEV1) to forced vital capacity of less than 0·7, 4. On stable COPD-directed medication for 28 days prior to screening, 5. Willing and able to comply with all study requirements, including treatment, timing and/or nature of required assessments.
Exclusion criteria
1. Patients who have had a COPD exacerbation that required treatment with antibiotics and/or systemic corticosteroids in the 28 days prior to screening, 2. Co-morbid lung diseases (lung cancer, interstitial lung disease, bronchiectasis). A diagnosis of asthma is allowed if COPD is the primary condition. 3. Habitual fibre intake no more than 40g per day. 4. Use of fibre-based supplements in the preceding 28 days prior to enrolment, 5. Significant digestive issues, such as inflammatory bowel disease, hereditary fructose intolerance.