chronic ibstructive brochitis( COPD) emphysema
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age 18-75 years • Age, pack years, FEV1/FVC and FEV1% predicted must fit in one of the 5 groups of table 4.1 • Able to stop smoking for 10 days and start smoking 3-4 cigarettes within 1 hour • Physically and mentally able to undergo the total study protocol • Written informed consent
Exclusion criteria
Exclusion criteria: • Participation in another study • Alpha-1-antitrypsin deficiency • Selected grade 1-3 co-morbidity listed in the ACE-27 • Active pulmonary infection like tuberculosis, pneumonia, flue, tracheobronchitis • Active extra-pulmonary infection like hepatitis A-C, cystitis, gastro-enteritis etc • Pulmonary diseases like sarcoidosis, IPF, silicosis, hypersensitivity pneumonitis • Life threatening diseases like carcinoma, AIDS (including HIV+), acute leukaemia etc • Medication that may affect the results of the study: NSAID*s, immunosuppressive agents like prednisolon, metotrexate, azathioprine,Sintrom tablets
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Local inflammation before and after cigarette smoking assessed by exhaled breath condensate, microprobe sampling and bronchial biopsies. • Systemic inflammation before and after cigarette smoking assessed by the expression of established and newly developed markers on innate immune cells associated with pre-activation. • Extensive clinical characterisation including life style factors, lung function, CT scanning of the lung. • Corticosteroid responsiveness of epithelial cells in vitro. • Distribution of candidate genes (SNPs) for COPD between the 5 different groups and associations with the inflammatory responses on acute smoking. | — |
Secondary
| Measure | Time frame |
|---|---|
| n.a. | — |
Countries
Netherlands