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Intestinal permeability during exercise (IPEX)

The contribution of the intestinal permeability in the systemic inflammation of patients with chronic obstructive pulmonary disease (COPD) during acute exercise: an observational case-control study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN33686980
Enrollment
105
Registered
2009-09-04
Start date
2009-10-01
Completion date
Unknown
Last updated
2020-11-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic obstructive pulmonary disease (COPD) Respiratory Other chronic obstructive pulmonary disease

Interventions

No intervention study. The study design includes three test days. During day 1, intestinal permeability at rest will be measured. When a blood samples is taken and urine is collected,

Sponsors

Top Institute Pharma (TIPharma) (Netherlands)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Diagnosis of COPD Global Initiative for chronic Obstructive Lung Disease (GOLD) stage II or III according to the American Thoracic Society (ATS) GOLD guidelines (forced expiratory volume in one second [FEV1] between 30% and 80% predicted and FEV1/forced vital capacity [FVC] less than 70%, and less than 10% predicted improvement in FEV1 after B2-agonist inhalation) 2. Both male and female, age-range from 40 to 75 years 3. No respiratory tract infection or exacerbation of the disease for at least 4 weeks before the study 4. Capable to provide informed consent 5. Presence of other non-gastro-intestinal related and non-renal chronic diseases are allowed in case the clinical status is stable for at least 4 weeks before the study

Exclusion criteria

Exclusion criteria: 1. External oxygen supplementation at rest 2. Investigator's uncertainty about the willingness or ability of the patient to comply with the protocol requirements 3. Participation in any other studies involving investigational or marketed products concomitantly or within two weeks prior to entry into the study 4. Any kind of gastro-intestinal complaints or gastro-intestinal disease 5. The presence of cardiovascular disease, assessed by analyses of plasma pro-brain natriuretic peptide (pro-BNP) levels 6. Use of non-steroidal anti-inflammatory drugs (NSAIDs) (ibuprofen, acetylsalicic acid, naproxen, meloxicam, diclofenac) or antibiotics or oral corticosteroids at least 4 weeks before the study

Design outcomes

Primary

MeasureTime frame
Markers for intestinal permeability: In plasma and collected in the post-absorptive state or immediately after exercise: 1. Intestinal fatty acid binding protein (IFABP); 2. Ileal lipid-binding protein (ILBP); 3. Claudine In urine, 5 hours after ingestion of the sugar solution: 4. Urinary concentration of various sugars

Secondary

MeasureTime frame
1. Markers of systemic inflammation in plasma collected in the post-absorptive state 2. Markers of respiratory permeability (surfactant D) in plasma collected in the post-absorptive state

Countries

Netherlands

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 21, 2026