Chronic Obstructive Lung Disease
Conditions
Brief summary
The purpose of this study s to determine whether treatment with Iodinated Active Charcoal can improve lung function and physical capacity in patients with chronic obstructive lung disorders. The rational for the study is the observation that COPD patients have an increased tissue load of mercury interfering with the function by NeuroEpithelial Endocrine (NEE) cells in the respiratory tract. Mercury binding to these NEE cells leads to an increased smooth muscle tonus and a reduced response to bronchodilator treatment. Initial observational data have shown an improved lung function and improved functional capacity after treatment motivating a larger placebo controlled POC study
Interventions
3 g will be given as an oral suspension once daily for 56 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and \>1 year post-menopausal, or surgically sterile female. * 45-80 years old. * Smokers and ex-smokers, at least 15 pack years. * COPD according to GOLD II. FEV% \< 70 Post beta2-agonist FEV1 \>50 \< 80 % of predicted value * CO diffusion capacity \< 75 %. * Active symptomatic COPD with a COPD assessment test (CAT) score \>10.
Exclusion criteria
* Alpha-1 antitrypsin deficiency * Iodine allergy * Abnormal thyroid function * Severely reduced kidney function (Cystatin C \> 1.5 mg/L. * Exacerbation within 4 weeks prior to the study. * Use of per oral steroids within 4 weeks prior to the study. * Alcohol/drug abuse. * Psychiatric disease. * Severe cardio-vascular or other severe disease, according to the clinical investigator. * Oxygen treatment. * Participation in another ongoing clinical trial or participation in drug
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exercise Endurance time (EET) on constant workload 75% of maximum capacity | At baseline and after 8 weeks intervention | Bicycle work load where the endurance time is recorded. The patients are first doing a maximal workload test determining peak oxygen uptake. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in lung function FEV / FVC | At baseline and after 8 weeks intervention | Change in FEV and FVC in the morning before and after bronchodilation with SABA. |
| HrQoL | At baseline and after 8 weeks intervention | SGRQ CAT |
| Test of thyroid function | At baseline and after 8 weeks intervention | — |
Countries
Sweden