Chronic obstructive pulmonary disease (COPD) Respiratory Chronic obstructive pulmonary disease (COPD)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients with a clinical and spirometric diagnosis of COPD, GOLD stage II-IV.
Exclusion criteria
Exclusion criteria: Clinically unstable patients (within one month of exacerbation), significant comorbidity limiting exercise tolerance, significant renal impairment (estimated glomerular filtration rate (eGFR) <50 ml.min-1), hypotension (systolic blood pressure <100 mmHg), pregnancy, use of nitrate based medication, other reason for benefit from nitrate supplementation (ischaemic heart disease, peripheral arterial disease), use of long-term oxygen therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to exhaustion in a fixed workload cycle ergometer test at 70% VO2max | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Area under VO2 curve to isotime (VO2) during endurance cycle ergometry 2. Fractional oxygen extraction of quadriceps muscle as assessed by NIRS | — |
Countries
United Kingdom