Chronic obstructive pulmonary disease (COPD) Respiratory Other chronic obstructive pulmonary disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged greater than or equal to 40 years 2. Smoking history greater than or equal to 10 pack-years and moderate to very severe stable COPD (Global Initiative for Chronic Obstructive Lung Disease [GOLD] II - IV without exacerbation for greater than or equal to 4 weeks) 3. History of severe exacerbation in previous year
Exclusion criteria
Exclusion criteria: 1. Patients with pulmonary conditions other than COPD as the main respiratory disease 2. Rapid lethal disease 3. Severe immunosuppression 4. Known allergy or intolerance to the study medication 5. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number (%) of patients developing exacerbation within 21 days of URTI onset in the group receiving intensified combination therapy with inhaled steroids/LABA and placebo. | — |
Secondary
| Measure | Time frame |
|---|---|
| Viral polymerase chain reaction (PCR) positivity during upper respiratory tract infection (URTI), exacerbations and stable periods; positive sputum bacteriology and positive PCR for atypical pathogens during exacerbation and stable periods; symptoms scores and MMRC dyspnea scale; therapy-related side-effects; duration and cumulative dose of steroids and antibiotics; hospital admission for any cause. Endpoints will be assessed 10 days after upper respiratory tract symptoms onset, after 21 days, in case of exacerbation, and in the stable period of the disease (at 6, 12, and 18 months). In a second step, endpoints will be assessed in subgroups of patients according to the COPD severity. | — |
Countries
Belgium, Italy, Netherlands, Switzerland