- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00697177
The Prevalence of Gastro-oesophageal Reflux in Chronic Lung Disease
The Prevalence of Gastro-oesophageal Reflux in Chronic Obstructive Pulmonary Disease and Bronchiectasis and the Effects of Medications, Physiotherapy Airway Clearance Techniques and Exercise on Gastro-oesophageal Function.
Study Overview
Status
Detailed Description
Research plan:
Fifty-four subjects will be recruited from the Department of AIRMED outpatient clinics at the Alfred Hospital, Melbourne. Subjects will be considered eligible if they have a diagnosis of COPD or bronchiectasis and are clinically stable.
Subjects who give their consent will undergo the following measures:
- Demographic data including age, gender, BMI, prescribed medications at time of study.
- Structured symptom questionnaire A reliable, valid structured symptom questionnaire which will assess symptomatic GOR.
- Health -related quality of life and sleep quality Quality of life will be recorded using a Short form-36, St Georges's Respiratory Questionnaire and Quality of Life in Reflux and Dyspepsia questionnaire.
- Dual-channel 24 hour oesophageal pH monitoring
Ambulatory 24 hour oesophageal pH monitoring will be undertaken by all subjects using dual-channel oesophageal pH monitoring equipment. The distal antimony-tipped probe will be sited 5cm above the upper portion of the lower oesophageal sphincter (distal sensor) with the proximal sensor sited 15cm above the distal sensor. The probe is attached to the digitrapper and will record oesophageal pH for 24 hours. The subject will be instructed to activate the digitrapper's three event buttons recording start and finish time of meals, supine versus upright posture and GOR symptoms. The following indices will be measured in the distal and proximal oesophagus:
- number of reflux episodes,
- % reflux time,
- number of long episodes > 5 minutes,
- duration of the longest episode
- DeMeester score, a weighted overall score of gastro-oesophageal function.
All subjects will maintain a 24 hour diary recording meals, positions, medications and physiotherapy airway clearance sessions.
During the 24 hour oesophageal pH monitoring, the following interventions will be completed:
- Standard Spirometry. Measurement of spirometry will be performed according to the GINA guidelines.
- Pepsin Assay. Four sets of samples per subject of sputum and saliva for pepsin analysis will be collected during the study: at study commencement, during the airway clearance session, upon rising in the morning and post exercise testing. EnzChek Protease Assay kit will be used for analysis.
- Airway clearance techniques. Each subject with excessive secretions will perform PEP therapy, completing 8 cycles of 10 breaths, 2 forced expirations (huffs) and coughing using a PariPEP device.
- Exercise testing. Each subject will complete 2 x Six-Minute-Walk Tests and 3 x Grocery Shelving Tests according to the test protocols.
- Actigraphy. Each subject will wear a wrist actigraph on their dominant wrist which will record timing of activity and inactivity, so that sleep quality can be extrapolated. Subjects will also complete a Pittsburgh Sleep Diary during the study.
On study completion, subjects will return for removal of the oesophageal probe and retrieval of the digitrapper. Oesophageal pH study data will be downloaded onto a computer file for analysis. Oral intake, medications, symptoms, positioning, airway clearance and exercise will be extracted from subjective diaries that the subjects maintain, together with quality of life questionnaires and compared with pH recording data. Saliva and sputum pepsin assay results will be correlated with oesophageal pH monitoring data.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Victoria
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Melbourne, Victoria, Australia, 3004
- Alfred Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Diagnosis of Chronic obstructive pulmonary disease according to GOLD classification
- Diagnosis of Bronchiectasis
- Medically stable, without hospital admission in month prior to study
Exclusion Criteria:
- diagnosis of asthma, cystic fibrosis, interstitial lung disease
- known hiatus hernia, oesophageal varices, obstructive sleep apnoea
- medically unstable for exercise
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Prevalence of GOR
Time Frame: 12 months
|
12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Annemarie L Lee, BPhys, MPhys, University of Melbourne
- Principal Investigator: Brenda M Button, DPhysio, PhD, The Alfred
- Study Director: John W Wilson, MBBS, PhD, The Alfred
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 106/05
- CTG008/05
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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