Hydrogen Peroxide and Nitrite Reduction in Exhaled Breath Condensate of COPD Patients

July 25, 2011 updated by: Medical University of Lodz
The aim of the study is to investigate the effect of inhaled apocynin on ROS (reactive oxygen species) and NOS (reactive nitrogen species) synthesis in 13 COPD patients. Effects of nebulized apocynin (0.5 mg/ml, 6 ml) were assessed in exhaled breath condensate (EBC) after 30, 60 and 120 minutes.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Apocynin reduced hydrogen peroxide concentration in exhaled breath condensate 60 and 120 minutes after apocynin nebulization comparing to placebo (0.43 μM vs. 0.59 μM and 0.41 μM vs. 0.58 μM respectively, p<0.05). Interestingly, apocynin caused decrease of NO2- concentration 30, 60 and 120 minutes after apocynin inhalation (3.9 μM vs. 4.5 μM, 3.8 μM vs. 4.5 μM and 3.7 μM vs. 4,4 μM respectively, p<0.05) comparing to placebo, but did not cause any significant changes in concentration of NO3- in any timepoint (p>0.05). No influence of apocynin on safety parameters, and no adverse effects has been observed.

Study Type

Interventional

Enrollment (Actual)

13

Phase

  • Phase 1

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

40 years to 80 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • patients suffering from bronchial COPD (II and III stage)
  • patients free of any medication few days before research
  • patients had not suffered from any infectious diseases including upper respiratory tract infections for at least 3 months prior to the study

Exclusion Criteria:

  • Patients suffering from GOLD I stage
  • patients taking medications few days before the study
  • infectious diseases that had occurred 3 months or less before the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: CROSSOVER
  • Masking: TRIPLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: COPD patients
Thirteen nonsmoking patients, suffering from GOLD II and GOLD III stage participated in the study (mean age 57 years (range 42-79), 9 men, 4 women). COPD was diagnosed based on GOLD 2009 criteria. All the participants were diagnosed at Department of Clinical Physiology, Medical university of Lodz.
6 ml of apocynin of total dose 3 mg (0.5 mg/ml dissolved in sterile 0.9% NaCl as the study drug) and 0,9% NaCl as placebo, has been nebulized for 15-20 min through the mouthpiece with using of a nose clip. A nebulizer Pulmo Aide AP-50 (DeVilbiss; Richmond, VA) was used (mass median aerosol diameter 3.1 mm, output 0.3 ml/min.)
Other Names:
  • 4-hydroxy-3-methoxyacetophenone,
  • acetovanillone

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Blood Pressure
Time Frame: 3 months
Apocynin Did Not Cause Any Adverse Effect or influence blood pressure
3 months
Peripheral Blood Differential Count
Time Frame: 3 months
Apocynin did not influence Peripheral Blood Differential Count and did not cause any adverse events
3 months
Lung function tests (spirometry)
Time Frame: 3 months
Apocynin did not cause changes in lung function tests
3 months
Single Breath Carbon Monoxide Diffusing Capacity (DLCO)
Time Frame: 3 months
Single breath DLCO was not modified by apocynin nebulization.
3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Determination of H2O2
Time Frame: 3 months
apocynin decreased H2O2 concentrations 60 and 120 minuter after nebulization in comparison to placebo
3 months
Determination of NO3- concentration in Exhaled Breath Condensate
Time Frame: 3 months
Apocynin did not influence NO3- concentration in Exhaled Breath Condensate
3 months
Determination of NO2- concentration in Exhaled Breath Condensate
Time Frame: 3 months
Apocynin decreased NO2- concentration in Exhaled Breath Condensate 30, 60 and 120 minuter after nebulization in comparison to placebo
3 months
Determination of NO2- Concentration in Serum
Time Frame: 3 months
No influence of apocynin on NO2- Concentration in Serum was observes
3 months
Blood Pressure
Time Frame: 3 months
No influence of apocynin on blood pressure was observed
3 months
Peripheral Blood Differential Count
Time Frame: 3 months
Apocynin Did Not Cause Any Adverse Effect or influence Peripheral Blood Differential Count
3 months
Lung Functional Tests
Time Frame: 3 months
Single breath DLCO was not modified by apocynin nebulization.
3 months
Single Breath Carbon Monoxide Diffusing Capacity (DLCO)
Time Frame: 3 months
Apocynin did not influence DLCO
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Study Chair: Rafal Pawliczak, Professor, Medical University of Lodz

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2010

Primary Completion (ACTUAL)

January 1, 2011

Study Completion (ACTUAL)

April 1, 2011

Study Registration Dates

First Submitted

July 18, 2011

First Submitted That Met QC Criteria

July 25, 2011

First Posted (ESTIMATE)

July 26, 2011

Study Record Updates

Last Update Posted (ESTIMATE)

July 26, 2011

Last Update Submitted That Met QC Criteria

July 25, 2011

Last Verified

April 1, 2011

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Nowak-02

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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