Chronic Obstructive Pulmonary Disease
Conditions
Keywords
Chronic Bronchitis, Statins, Endothelial dysfunction, Systemic inflammation, BODE index, Uric acid, Vascular growth factors
Brief summary
To evaluate in patients with stable Chronic Obstructive Pulmonary Disease (COPD) the efficacy of statins (simvastatin) on: (1) endothelial function; (2) systemic inflammation; (3)BODE (B: body mass , O: bronchial obstruction, D: dyspnea and, E: exercise tolerance) index; (4) Uric acid; and, (5)vascular growth factors. Design: a 12 weeks randomized (1:1), double-blind, placebo control study. Population: 18 males with stable COPD between 40-80 years of age, exsmokers, with Forced expiratory volume in one second (FEV1) between 30 and 80% predicted post-bronchodilation.
Interventions
Simvastatin 40 mg once a day during 12 weeks
Placebo once a day during 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Stable COPD between 40-80 years of age, exsmokers, with FEV1 lower that 80% predicted post-bronchodilation.
Exclusion criteria
* Severe co-morbidity (advanced-stage cancer, tuberculosis affecting more than a third of the total lung parenchyma, pneumonectomy, pneumoconiosis, left cardiac failure previously reported, known cardiopathy with ventricular dysfunction (ejection fraction \< 45%) or any cardiovascular disease, Diabetes Mellitus treated with insulin, Hypercholesterolemia, Chronic inflammatory diseases (asthma, rheumatoid arthritis, lung fibrosis, autoimmune diseases), Treatment with systemic steroid, non steroidal anti-inflammatory drugs or stains within 3 months prior to inclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endothelial Dysfunction (Arterial Stiffness) | Day 1 and day 84 (end of of week 12) |
Secondary
| Measure | Time frame |
|---|---|
| Systemic inflammation | Day 1 and day 84 (end of of week 12) |
| BODE index | Day 1 and day 84 (end of of week 12) |
| Uric acid | Day 1 and day 84 (end of of week 12) |
| Vascular growth factors | Day 1 and day 84 (end of of week 12) |
Countries
Spain