Acute exacerbation of COPD MedDRA version: 21.1 Level: LLT Classification code 10010953 Term: COPD exacerbation System Organ Class: 100000004855
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with an AE-COPD wherefore intubation occurred within 24 hours before enrollment. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 5
Exclusion criteria
Exclusion criteria: Patients with known asthma or interstitial lung disease (ILD) Known neurodegenerative diseases such as Amyotrophic Lateral Sclerosis (ALS), Multiple Sclerosis (MS), Guillain-Barre and Dementia Hypertrophic obstructive cardiomyopathy (HOCM) Severe aortic stenosis with aortic valve area 1.5 Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: a reduction in bronchoconstriction, measured by auto-PEEP, in patients with AE-COPD. ;Secondary Objective: To test for a dose-dependency. Decrease in pulmonary artery pressures Enhance cardiac output Measure occurrence of side effects by enoximone administration ;Primary end point(s): Auto-PEEP in cmH2O;Timepoint(s) of evaluation of this end point: One hour after every enoximone dose | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Respiratory parameters: - Lungcompliance in L/cmH2O - Airway resistance in cmH2O/L/s - VCO2 - etCO2 - FiO2 Cardiac parameters: - RVSP - Cardiac output - TAPSE - MAPSE Arterial blood gas analysis (2 ml of blood, obtained through an arterial cannula): - pH, PaCO2, PaO2, saturation, lactate, base excess, Vital Signs: - Occurrence of adverse side effects such as (supraventricular) arrhythmics and hypotension ;Timepoint(s) of evaluation of this end point: The respiratory variables are measured every 15 minutes for 5 hours after the first enoximone dose. The cardiac variables and bloodgas analysis are measured every hour for 5 hours after the first enoximone dose The vital signs are measured continously for 5 hours after the first enoximone dose. | — |
Countries
Netherlands
Contacts
Rijnstate Hospital, Arnhem