Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease state characterized by airflow limitation that is not fully reverible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking.
Conditions
Interventions
Product Name: acetylcysteine
Pharmaceutical Form: Tablet
Pharmaceutical form of the placebo: Tablet
Route of administration of the placebo: Oral use
Product Name: rosuvastatin
Pharmaceutical Form: Ta
Sponsors
AstraZeneca
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 50 clinically stable COPD patients (GOLD II, III, IV) with a low fat-free mass (=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exacerbation 6.3 kPa) Other chronic/exercise limiting disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To study the effects of fluimucil and rosuvastatin on the systemic inflammation, oxidative stress and muscle damage in muscle depleted COPD patients.;Secondary Objective: Specify marker of muscle damage.;Primary end point(s): Lungfunction: Flow-volume before and after COMBIVENT Spirometric, FRC Diffusioncapacity Breathingmuscle strength (PIMAX PEMAX) Blood parameters: Lactate en bloodgas:Lactate, PaO2, PaCO2 pre-exercise. Subsequently every 3 minutes during cycle ergometry. On Wmax and 3 minutes post-exercise Systemic inflammation: CRP, Leukocytes Cytokines: IL-6, IL-8, IL-1ra, TNF-a Oxidative stress: ROS production by neutrofils Plasma antioxidantcapacity (FRAP) Proteinoxidation (proteincarbonyls, ELISA) Lipidperoxidation (TBARs) GSSG/GSH ratio Muscle breakdown/damage: Plasma proteasome concentration Plasma proteasome activity Plasma proteinbound ubiquitin concentration Serum skeletal muscle troponine I concentration Main endpoints cycle ergometry: When patient indicates he/she can’t go on. When patient reaches maximal ventilation | — |
Countries
Netherlands
Outcome results
None listed