- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00920348
The Canadian Cohort Obstructive Lung Disease (CanCOLD)
Abstract Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in Canada. COPD is not just a disease of men, nor is it solely a disease in old age. Women have been underrepresented and early disease has not been studied. Underdiagnosis of COPD remains a significant problem, and it may indicate an unmet healthcare need. This can potentially results not only in a patient been misinformed, but can lead to incorrect management.
Epidemiological research is needed to develop a framework to combat this major health problem, by better characterization of the population of men and women at risk and patients with early disease, by better understanding which factors modifiable through health interventions are related to health perception (health-related quality of life) and disease evolution.
This will be possible through a nationwide study, the Canadian Cohort Obstructive Lung disease (CanCOLD), a prospective longitudinal study. The CanCOLD study is built on the current ongoing prevalence nationwide study, the Canadian Obstructive Lung disease "COLD" study.
The CanCOLD will be the first study to assess prevalence of disease across Canada and its consequence in men and women, and to evaluate a conceptual model of disease severity based on patient's health perception (health-related quality of life). Ultimately, this project will extend to a longitudinal follow up (3 years or beyond) and will allow to have a better understanding of the lifestyle risk factors, not only smoking but also diet, physical activity, and co morbid conditions. This will be a great asset to shift from management of a single risk factor (tobacco control) to total COPD risk management. The results of the study will greatly help to assist decision makers in developing policies to improve the diagnosis, the management of COPD and to optimize health care services use.
Study Overview
Status
Conditions
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
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Quebec, Canada, G1V 4G5
- Institut Universitaire de Cardiologie et de Pneumologie de Quebec
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Alberta
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Calgary, Alberta, Canada, T2N 4N1
- Health Sciences Centre
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British Columbia
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Vancouver, British Columbia, Canada, V6Z 1Y6
- St-Paul's Hospital
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 3A7
- Halifax Infirmary
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Ontario
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Kingston, Ontario, Canada, K7L 2V6
- Kingston General Hospital
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Ottawa, Ontario, Canada, K1H 8L6
- Ottawa Hospital General
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Toronto, Ontario, Canada, M5T 2S8
- University of Toronto
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Quebec
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Montreal, Quebec, Canada, H2X 2P4
- Montreal Chest Institute
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Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7N 0W8
- Royal University 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:
- All the subjects have taken part in the COLD study, a true population based prevalence study. Subjects must have an inclusion criteria of 40 years and older to participate in the COLD study.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Group 1
COPD moderate-severe(GOLD2-4)(post-BD FEV1/FVC<0.70 and FEV1<80% of pred.)
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Group 2
COPD mild (GOLD1)(post-BD FEV1/FVC<0.70 AND FEV1>=80% of pred.)
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Group 3
COPD at risk (ever smoker with post-BD FEV1/FVC>=0.70)
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Group 4
"Healthy control" never smokers without respiratory disease (post-BD FEV1/FVC>=0.70.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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What risk factors other than smoking determine the development and progression of COPD.
Time Frame: One visit a year every 18 months
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One visit a year every 18 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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What are the combinations of the disease and patient attributes that differentiate individuals (men/women) with COPD as they relate to relevant outcomes (symptoms, exacerbations, disease progression or death)
Time Frame: One visit a year 18 months
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One visit a year 18 months
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Is early detection of COPD with spirometry meaningful according to sex and ageing.
Time Frame: One visit a year 18 months
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One visit a year 18 months
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Jean Bourbeau, M.D., M.Sc., McGill University Health Centre/Research Institute of the McGill University Health Centre
- Principal Investigator: Wan Tan, M.D., CAAA University of British Columbia
- Principal Investigator: François Maltais, M.D., CFBA Université Laval
- Principal Investigator: Shawn Aaron, M.D., M.Sc., OHGC Ottawa Hospital General Campus
- Principal Investigator: Denis O'Donnell, M.D., CEDA Queen's University (Kinsgston)
- Principal Investigator: Darcy D Marciniuk, M.D., CCAA University of Saskatchewan
- Principal Investigator: Robert Cowie, M.D., CBBA University of Calgary
- Principal Investigator: Kenneth R. Chapman, M.D., M.Sc., CEAA University of Toronto
- Principal Investigator: Paul Hernandez, M.D., CHAA Dalhousie University (Nova Scotia)
- Principal Investigator: Mark J. FitzGerald, M.D., CAAA University of British Columbia
- Principal Investigator: Donald Sin, M.D., CAAA University of British Columbia
- Principal Investigator: Andrea Benedetti, Ph.D., INUD McGill University Healty Center
- Principal Investigator: Yves Lacasse, M.D., M.Sc., CPVR Institut universitaire de cardiologie et de pneumologie de Québec
- Principal Investigator: Pierre Ernst, M.D., McGill University
- Principal Investigator: Harvey Coxson, M.D., University of British Columbia
- Principal Investigator: Roger Goldstein, M.D., CEAA University of Toronto
- Principal Investigator: Carlo Marra, Ph.D., CAAA University of British Columbia
Publications and helpful links
General Publications
- Moslemi A, Makimoto K, Tan WC, Bourbeau J, Hogg JC, Coxson HO, Kirby M; Canadian Cohort of Obstructive Lung Disease. Quantitative CT Lung Imaging and Machine Learning Improves Prediction of Emergency Room Visits and Hospitalizations in COPD. Acad Radiol. 2022 Jun 8:S1076-6332(22)00311-7. doi: 10.1016/j.acra.2022.05.009. Online ahead of print.
- Phillips DB, Elbehairy AF, James MD, Vincent SG, Milne KM, de-Torres JP, Neder JA, Kirby M, Jensen D, Stickland MK, Guenette JA, Smith BM, Aaron SD, Tan WC, Bourbeau J, O'Donnell DE; CanCOLD Collaborative Research Group and the Canadian Respiratory Research Network. Impaired Ventilatory Efficiency, Dyspnea, and Exercise Intolerance in Chronic Obstructive Pulmonary Disease: Results from the CanCOLD Study. Am J Respir Crit Care Med. 2022 Jun 15;205(12):1391-1402. doi: 10.1164/rccm.202109-2171OC.
- Tan WC, Bourbeau J, Nadeau G, Wang W, Barnes N, Landis SH, Kirby M, Hogg JC, Sin DD; CanCOLD Collaborative Research Group; authors would also like to thank the men and women who participated in the study and individuals in the CanCOLD Collaborative Research Group not listed as authors:. High eosinophil counts predict decline in FEV1: results from the CanCOLD study. Eur Respir J. 2021 May 27;57(5):2000838. doi: 10.1183/13993003.00838-2020. Print 2021 May.
- Lewthwaite H, Elsewify O, Niro F, Bourbeau J, Guenette JA, Maltais F, Marciniuk DD, O'Donnell DE, Smith BM, Stickland MK, Tan WC, Jensen D; CanCOLD Collaborative Research Group; Canadian Respiratory Research Network. Normative Cardiopulmonary Exercise Test Responses at the Ventilatory Threshold in Canadian Adults 40 to 80 Years of Age. Chest. 2021 May;159(5):1922-1933. doi: 10.1016/j.chest.2020.11.009. Epub 2020 Nov 18.
- Barrecheguren M, Pinto L, Mostafavi-Pour-Manshadi SM, Tan WC, Li PZ, Aaron SD, Benedetti A, Chapman KR, Walker B, Fitzgerald JM, Hernandez P, Maltais F, Marciniuk DD, O'Donnell DE, Sin DD, Bourbeau J; CanCOLD Collaborative Research Group and the Canadian Respiratory Research Network. Identification and definition of asthma-COPD overlap: The CanCOLD study. Respirology. 2020 Aug;25(8):836-849. doi: 10.1111/resp.13780. Epub 2020 Feb 16.
- Gupta N, Pinto L, Benedetti A, Li PZ, Tan WC, Aaron SD, Chapman KR, FitzGerald JM, Hernandez P, Marciniuk DD, Maltais F, O'Donnell DE, Sin D, Walker BL, Bourbeau J; Canadian Respiratory Research Network and the CanCOLD Collaborative Research Group. The COPD Assessment Test: Can It Discriminate Across COPD Subpopulations? Chest. 2016 Nov;150(5):1069-1079. doi: 10.1016/j.chest.2016.06.016. Epub 2016 Jun 27.
- Tan WC, Sin DD, Bourbeau J, Hernandez P, Chapman KR, Cowie R, FitzGerald JM, Marciniuk DD, Maltais F, Buist AS, Road J, Hogg JC, Kirby M, Coxson H, Hague C, Leipsic J, O'Donnell DE, Aaron SD; CanCOLD Collaborative Research Group. Characteristics of COPD in never-smokers and ever-smokers in the general population: results from the CanCOLD study. Thorax. 2015 Sep;70(9):822-9. doi: 10.1136/thoraxjnl-2015-206938. Epub 2015 Jun 5.
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
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
- IRO-93326
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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