- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04234360
Eosinophil-driven Corticotherapy for Patients Hospitalized for COPD Exacerbation (eo-Drive)
Eosinophil-driven Corticotherapy for Patients Hospitalized for COPD Exacerbation: a Double-blind, Randomized, Controlled Trial
The primary objective of this study is to compare treatment failure rates between a group of eosinophilic (eosinophilia > 2% on day 1 of hospitalization) patients hospitalised for a COPD exacerbation treated via corticotherapy versus a similar group treated via placebo.
Secondarily, treatment failure rates will also be compared between a group of non-eosinophilic patients hospitalised for a COPD exacerbation treated via corticotherapy versus a similar group treated via placebo. Study arms will also be compared for additional aspects of efficacy and safety:
- speed of recovery during the initial hospitalization;
- corticosteroid side effects / induced comorbidities;
- changes in symptoms and episodes of exacerbation;
- pulmonary function, oxygen use and ventilation;
- patient trajectories and resource use (e.g. survival, consults, episodes of hospitalization, medications);
- drug consumption (especially as relates to COPD management, exacerbations and induced comorbidities);
- health status, quality of life, activity/disability;
- patient safety / adverse events in general.
Eosinophilia thresholds optimizing the prediction of corticosteroid response and COPD outcomes will be re-evaluated. The relationships between corticosteroid response and key biomarkers (e.g. infectious groups) will be thoroughly explored, including within eosinophil strata. Potential gender subgroups differences will also be evaluated.
Finally, in prevision of further exploratory studies, a biological collection and an imaging library will be created in association with this protocol. The biological collection will be used to explore the genetic basis and physiology linked with treatment response, gender and patient trajectories. The image library will be used as a platform for the exploration of new imaging markers developed, for example, via machine learning and affiliated techniques.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Arnaud BOURDIN
- Phone Number: 0033467336126
- Email: a-bourdin@chu-montpellier.fr
Study Locations
-
-
-
Amiens, France
- Not yet recruiting
- CHU Amiens
-
Contact:
- Claire ANDREJAK
-
Principal Investigator:
- Claire ANDREJAK
-
Brest, France
- Recruiting
- CHU Brest - Hôpital Caval Blanche
-
Contact:
- Marie GUEGAN
-
Principal Investigator:
- Francis COUTURAUD, MD
-
Contact:
- Francis COUTURAUD
-
Castelnau-le-Lez, France
- Not yet recruiting
- Clinique du Parc
-
Contact:
- Khuder ALAGHA
-
Principal Investigator:
- Khuder ALAGHA
-
Créteil, France
- Withdrawn
- Centre Hospitalier Intercommunal de Créteil
-
Libourne, France
- Not yet recruiting
- Ch Libourne
-
Contact:
- Laurent PORTEL
-
Principal Investigator:
- Laurent Portel
-
Lille, France
- Withdrawn
- CHRU Lille
-
Lyon, France
- Recruiting
- Hospice Civils de Lyon
-
Contact:
- Gilles DEVOUASSOUX
-
Principal Investigator:
- Gilles DEVOUASSOUX, MD
-
Marseille, France
- Recruiting
- Aphm - Hopital Nord
-
Contact:
- Pascal CHANEZ
-
Principal Investigator:
- Pascal CHANEZ, MD
-
Montpellier, France
- Recruiting
- CHU Montpellier
-
Contact:
- Arnaud BOURDIN
-
Principal Investigator:
- Arnaud BOURDIN, PhD
-
Nancy, France
- Recruiting
- Chu Nancy
-
Contact:
- Anne GUILLAUMOT
-
Principal Investigator:
- Anne GUILLAUMOT, MD
-
Nîmes, France
- Not yet recruiting
- CHU Nîmes
-
Contact:
- Nathalie PLOUVIER
-
Principal Investigator:
- Nathalie PLOUVIER
-
Paris, France
- Recruiting
- APHP - Hôpital Cochin
-
Principal Investigator:
- Nicolas ROCHE, MD
-
Contact:
- Nicolas ROCHE
-
Paris, France
- Recruiting
- APHP - Hôpital BICHAT
-
Contact:
- Camille TAILLE
-
Principal Investigator:
- Camille TAILLE, MD
-
Paris, France
- Recruiting
- APHP - Hôpital Universitaire Pitié-Salpétrière
-
Contact:
- Morgane FAURE
-
Principal Investigator:
- Morgane FAURE, MD
-
Paris, France
- Recruiting
- APHP - Hôpital Européen Georges Pompidou
-
Contact:
- Thibaud SOUMAGNE
-
Principal Investigator:
- Thibaud SOUMAGNE, MD
-
Paris, France
- Not yet recruiting
- APHP - Hôpital Universitaire Pitié-Salpétrière
-
Contact:
- Jesus GONZALEZ
-
Principal Investigator:
- Jesus GONZELEZ
-
Pessac, France
- Recruiting
- CHU Bordeaux - Hôpital Haut Lévêque
-
Principal Investigator:
- Maeva ZYSMAN, MD
-
Contact:
- Maeva ZYSMAN
-
Reims, France
- Not yet recruiting
- CHU Reims
-
Contact:
- Gaétan DESLEE
-
Principal Investigator:
- Gaetan DESLEE, MD
-
Roubaix, France
- Withdrawn
- CH Roubaix
-
Strasbourg, France
- Not yet recruiting
- CHRU Strasbourg
-
Principal Investigator:
- Romain KESSLER, MD
-
Contact:
- Romain KESSLER
-
Toulouse, France
- Recruiting
- Hopital Larrey CHU Toulouse
-
Principal Investigator:
- Elise NOEL-SAVINA, MD
-
Contact:
- Elise NOEL-SAVINA
-
Trévenans, France
- Completed
- Hôpital Nord Franche-Comté
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult patients admitted to a participating hospital (ward, ICU or emergency services) for an acute COPD exacerbation
- For patients with known COPD: COPD defined according to GOLD 2018 criteria: (1) Post-bronchodilator FEV1/FVC < 70% of predicted values; (2) > 10 pack years smoking history
- For incident COPD cases with no spirometric history: symptoms and exposure according to GOLD 2018 report will be considered for the diagnosis, but if the spirometric diagnosis is not confirmed during follow-up, then the patient will be excluded
- Signed consent has been obtained, or the appropriate emergency procedure (under French law) allows enrolment
- Subjects must be covered by public health insurance
- Patient available for 3 months of follow-up. Subjects must be able to attend all scheduled visits and to comply with all trial procedures.
Exclusion Criteria:
- Subject unable to read or write; language barrier
- Subject who is in a dependency or employment with the sponsor or investigator
- Pregnancy or lactation
- Patients who are prisoners or under other forms of judicial protection
- Patients under any kind of guardianship
- The patient has already participated in the present protocol
- The patient is participating in another interventional study or has done so in the past 3 months
- The patient is in an exclusion period determined by a previous study
- The patient has been taking long-term systemic corticosteroids for longer than 1 month prior to inclusion
- The patient has already received > 1 mg/kg of systemic corticotherapy in the past 48h
- Intubated-ventilated patient
- Administration of oral experimental drug is impossible
- Cancer within the last 12 months
- Current diagnosis of Asthma
- T2-inflammation targeting biologics (Benralizumab, reslizumab, mepolizumab, dupilumab) treatment
- Admitted for any other reason including, but not limited to, pulmonary embolism, pneumothorax, heart failure
- Known allergy to corticosteroids
- Consideration of a potential negative drug interaction with corticosteroids (at the investigator's discretion)
- White blood cell formula already performed and distributed to implicated teams
- Directives for limitation-of-care ("LATA" in French) already established
- SARS-Cov2 positive test carry out during the COPD exacerbation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Eosinophil count > 2%; corticotherapy
Eosinophilic patients randomized to this arm will receive 5 days of corticotherapy.
|
Patients randomized to this arm will receive 40 mg prednisone per os per day for 5 days.
Other aspects of standard, recommended care (e.g.
antibiotherapy) are respected.
|
Experimental: Eosinophil count <= 2%; corticotherapy
Non-eosinophilic patients randomized to this arm will receive 5 days of corticotherapy.
|
Patients randomized to this arm will receive 40 mg prednisone per os per day for 5 days.
Other aspects of standard, recommended care (e.g.
antibiotherapy) are respected.
|
Placebo Comparator: Eosinophil count > 2%; placebo
Eosinophilic patients randomized to this arm will receive 5 days of placebo.
|
Patients randomized to this arm will receive an appropriate placebo per os for 5 days.
Other aspects of standard, recommended care (e.g.
antibiotherapy) are respected.
|
Placebo Comparator: Eosinophil count <= 2%; placebo
Non-eosinophilic patients randomized to this arm will receive 5 days of placebo.
|
Patients randomized to this arm will receive an appropriate placebo per os for 5 days.
Other aspects of standard, recommended care (e.g.
antibiotherapy) are respected.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Treatment failure
Time Frame: 3 months
|
Treatment failure for the primary outcome is defined according to Niewoehner et al. (1999) as death from any cause or need for intubation and mechanical ventilation, readmission due to COPD, or intensification of pharmacologic therapy (defined as the prescription of open-label systemic glucocorticoids, high-dose inhaled glucocorticoids (more than eight puffs per day of triamcinolone acetonide or its equivalent), theophylline, or any combination of these three therapies) at three months. In addition, an investigator meeting determined additional components of treatment failure that should be added to Niewoehner's definition in order to bring it up-to-date :
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The speed of initial recovery: Time elapsed before showing signs of improvement
Time Frame: During initial hospitalization (expected maximum of 28 days)
|
During initial hospitalization (expected maximum of 28 days)
|
|
The speed of initial recovery: Time elapsed in acidosis/hypercapnia
Time Frame: During initial hospitalization (expected maximum of 28 days)
|
During initial hospitalization (expected maximum of 28 days)
|
|
The speed of initial recovery: Time elapsed before meeting pre-defined discharge criteria
Time Frame: During initial hospitalization (expected maximum of 28 days)
|
Time elapsed before meeting pre-defined discharge criteria (acidosis has normalized, symptoms have returned to manageable levels, the patient is capable of performing minimal daily activities).
|
During initial hospitalization (expected maximum of 28 days)
|
Presence /absence of comorbidities or steroid side effects: glycemia
Time Frame: During initial hospitalization (expected maximum of 28 days)
|
During initial hospitalization (expected maximum of 28 days)
|
|
Presence /absence of comorbidities or steroid side effects: glycemia
Time Frame: 1 month
|
1 month
|
|
Presence /absence of comorbidities or steroid side effects: glycemia
Time Frame: 3 months
|
3 months
|
|
The occurrence of new or worsened diabetes/hyperglycemia
Time Frame: Throughout the study (3 months)
|
Throughout the study (3 months)
|
|
Body mass index
Time Frame: Baseline (day 0)
|
Baseline (day 0)
|
|
Body mass index
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Body mass index
Time Frame: 1 month
|
1 month
|
|
Body mass index
Time Frame: 3 month
|
3 month
|
|
Hospital anxiety and depression scale (HAD)
Time Frame: baseline (day 0)
|
The HAD results in a score ranging from 0 (low anxiety or depression) to 21 (strong anxiety or depression).
|
baseline (day 0)
|
Hospital anxiety and depression scale (HAD)
Time Frame: 3 months
|
The HAD results in a score ranging from 0 (low anxiety or depression) to 21 (strong anxiety or depression).
|
3 months
|
The occurrence of any other potentially corticosteroid-induced comorbidities throughout the study
Time Frame: Throughout the study; 3 months
|
Throughout the study; 3 months
|
|
Episodes of pneumonia
Time Frame: Throughout the study; 3 months
|
Beginning and end dates of episodes.
|
Throughout the study; 3 months
|
Episodes of infection
Time Frame: Throughout the study; 3 months
|
Beginning and end dates of episodes.
|
Throughout the study; 3 months
|
Episodes of mild exacerbation.
Time Frame: Throughout the study; 3 months
|
Episodes of exacerbation will be recorded (date of start/finish for each episode) throughout the study. Exacerbation severity is determined (GOLD 2018) as follows:
|
Throughout the study; 3 months
|
Episodes of moderate exacerbation.
Time Frame: Throughout the study; 3 months
|
Episodes of exacerbation will be recorded (date of start/finish for each episode) throughout the study. Exacerbation severity is determined (GOLD 2018) as follows:
|
Throughout the study; 3 months
|
Episodes of severe exacerbation.
Time Frame: Throughout the study; 3 months
|
Episodes of exacerbation will be recorded (date of start/finish for each episode) throughout the study. Exacerbation severity is determined (GOLD 2018) as follows:
|
Throughout the study; 3 months
|
Forced expiratory volume in 1 second (litres)
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Forced expiratory volume in 1 second (litres)
Time Frame: 3 months
|
3 months
|
|
Forced expiratory volume in 1 second (% predicted)
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Forced expiratory volume in 1 second (% predicted)
Time Frame: 3 months
|
3 months
|
|
Forced vital capacity (litres)
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Forced vital capacity (litres)
Time Frame: 3 months
|
3 months
|
|
Forced vital capacity (% predicted)
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Forced vital capacity (% predicted)
Time Frame: 3 months
|
3 months
|
|
Residual volume (litres)
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Residual volume (litres)
Time Frame: 3 months
|
3 months
|
|
Residual volume (% predicted)
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Residual volume (% predicted)
Time Frame: 3 months
|
3 months
|
|
Total lung capacity (litres)
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Total lung capacity (litres)
Time Frame: 3 months
|
3 months
|
|
Total lung capacity (% predicted)
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Total lung capacity (% predicted)
Time Frame: 3 months
|
3 months
|
|
Oxygen needs (litres/min) during initial hospitalisation
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At hospital discharge (expected maximum of 28 days)
|
|
Mode of pre-hospitalization living arrangements
Time Frame: Baseline (day 0)
|
At home, rehabilitation centre, assisted living centre, or other
|
Baseline (day 0)
|
Hospital discharge modality
Time Frame: At hospital discharge (expected maximum of 28 days)
|
At home, rehabilitation centre, assisted living centre, or other
|
At hospital discharge (expected maximum of 28 days)
|
Episodes of hospitalization
Time Frame: Throughout the study; 3 months
|
Episodes of hospitalization, distinguishing emergency department, intensive care, intermediate care and ward stays, will be recorded throughout the study .
|
Throughout the study; 3 months
|
Episodes of emergency department use
Time Frame: Throughout the study; 3 months
|
Throughout the study; 3 months
|
|
Episodes of intensive care
Time Frame: Throughout the study; 3 months
|
Throughout the study; 3 months
|
|
Consults
Time Frame: Throughout the study; 3 months
|
The number of consults and rehabilitation/therapy sessions in relation to COPD/respiratory symptoms (or not) will be tracked.
|
Throughout the study; 3 months
|
The cumulative days alive and event-free
Time Frame: Throughout the study; 3 months
|
The cumulative days alive and event-free (free from hospitalization, exacerbation, ventilation, oxygen use, pneumonia or infection)
|
Throughout the study; 3 months
|
Mortality/survival
Time Frame: Throughout the study; 3 months
|
Throughout the study; 3 months
|
|
Medications
Time Frame: Throughout the study; 3 months
|
Drug consumption episodes (including vaccines) will be recorded throughout the study and linked to COPD exacerbations, COPD maintenance therapy or corticosteroid-induced side effects as appropriate.
|
Throughout the study; 3 months
|
VAS scale for coughing
Time Frame: Every morning during hospitalization (expected maximum of 28 days)
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
Every morning during hospitalization (expected maximum of 28 days)
|
VAS scale for coughing
Time Frame: 1 month
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
1 month
|
VAS scale for coughing
Time Frame: 3 months
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
3 months
|
VAS scale for dyspnoea
Time Frame: Every morning during hospitalization (expected maximum of 28 days)
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
Every morning during hospitalization (expected maximum of 28 days)
|
VAS scale for dyspnoea
Time Frame: 1 month
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
1 month
|
VAS scale for dyspnoea
Time Frame: 3 months
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
3 months
|
VAS scale for sputum production
Time Frame: Every morning during hospitalization (expected maximum of 28 days)
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
Every morning during hospitalization (expected maximum of 28 days)
|
VAS scale for sputum production
Time Frame: 1 month
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
1 month
|
VAS scale for sputum production
Time Frame: 3 months
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
3 months
|
VAS scale for sleep perturbation
Time Frame: Every morning during hospitalization (expected maximum of 28 days)
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
Every morning during hospitalization (expected maximum of 28 days)
|
VAS scale for sleep perturbation
Time Frame: 1 month
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
1 month
|
VAS scale for sleep perturbation
Time Frame: 3 months
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
3 months
|
VAS scale for anxiety
Time Frame: Every morning during hospitalization (expected maximum of 28 days)
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
Every morning during hospitalization (expected maximum of 28 days)
|
VAS scale for anxiety
Time Frame: 1 month
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
1 month
|
VAS scale for anxiety
Time Frame: 3 months
|
Patient reported, separate visual analogue scales (VAS) for coughing, dyspnoea (at rest), sputum production, sleep perturbation and anxiety. VAS scales range from 0 (absence of symptoms) to 10 (strongest possible symptoms imaginable). |
3 months
|
The Breathlessness, Cough and Sputum Scale
Time Frame: Baseline (day 0)
|
Symptoms are evaluated on a 5-point Likert-type scale ranging from 0 to 4, with higher scores indicating more severe symptoms.
|
Baseline (day 0)
|
The Breathlessness, Cough and Sputum Scale
Time Frame: On hospital discharge (expected maximum of 28 days)
|
Symptoms are evaluated on a 5-point Likert-type scale ranging from 0 to 4, with higher scores indicating more severe symptoms.
|
On hospital discharge (expected maximum of 28 days)
|
The Breathlessness, Cough and Sputum Scale
Time Frame: 1 month
|
Symptoms are evaluated on a 5-point Likert-type scale ranging from 0 to 4, with higher scores indicating more severe symptoms.
|
1 month
|
The Breathlessness, Cough and Sputum Scale
Time Frame: 3 months
|
Symptoms are evaluated on a 5-point Likert-type scale ranging from 0 to 4, with higher scores indicating more severe symptoms.
|
3 months
|
The modified medical research council (mMRC) dyspnoea scale
Time Frame: Baseline (day 0)
|
Scores range from 0 (none) to 4 (very severe).
|
Baseline (day 0)
|
The modified medical research council (mMRC) dyspnoea scale
Time Frame: 3 months
|
Scores range from 0 (none) to 4 (very severe).
|
3 months
|
The COPD assessment test
Time Frame: Baseline (day 0)
|
Scores range from 0-40 with higher scores indicative of greater COPD impact on health status.
|
Baseline (day 0)
|
The COPD assessment test
Time Frame: 1 month
|
Scores range from 0-40 with higher scores indicative of greater COPD impact on health status.
|
1 month
|
The COPD assessment test
Time Frame: 3 months
|
Scores range from 0-40 with higher scores indicative of greater COPD impact on health status.
|
3 months
|
The Euroqol (EQ-5D-5L) questionnaire
Time Frame: Baseline (day 0)
|
The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability").
This decision results in a 1-digit number that expresses the level selected for that dimension.
The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.
|
Baseline (day 0)
|
The Euroqol (EQ-5D-5L) questionnaire
Time Frame: 1 month
|
The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability").
This decision results in a 1-digit number that expresses the level selected for that dimension.
The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.
|
1 month
|
The Euroqol (EQ-5D-5L) questionnaire
Time Frame: 3 months
|
The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability").
This decision results in a 1-digit number that expresses the level selected for that dimension.
The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.
|
3 months
|
The St George Respiratory Questionnaire
Time Frame: 3 months
|
Scores range from 0 to 100, with higher scores indicating more limitations.
|
3 months
|
Six minute walking tests
Time Frame: 1 month (optional)
|
1 month (optional)
|
|
Six minute walking tests
Time Frame: 3 months
|
3 months
|
|
The DIRECT questionnaire
Time Frame: 3 months
|
DIRECT: Disability related to Chronic Obstructive Pulmonary Disease (COPD) tool The DIRECT questionnaire provides a score ranging between 0 and 34, with higher values indicating higher levels of disability.
|
3 months
|
Other Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Blood differential
Time Frame: Baseline (day 0)
|
Baseline (day 0)
|
Blood differential
Time Frame: day 2
|
day 2
|
Blood differential
Time Frame: On hospital discharge (expected maximum of 28 days)
|
On hospital discharge (expected maximum of 28 days)
|
Blood differential
Time Frame: 1 month
|
1 month
|
Blood differential
Time Frame: 3 months
|
3 months
|
C reactive protein
Time Frame: Baseline (day 0)
|
Baseline (day 0)
|
C reactive protein
Time Frame: On hospital discharge (expected maximum of 28 days)
|
On hospital discharge (expected maximum of 28 days)
|
Sputum bacteriological analysis (or nasal swab if no sputum)
Time Frame: Baseline (day 0)
|
Baseline (day 0)
|
Nasal swab virology
Time Frame: Baseline (day 0)
|
Baseline (day 0)
|
Computed tomography scan of lungs: presence/absence of consolidation
Time Frame: Baseline (day 0); optional
|
Baseline (day 0); optional
|
Computed tomography scan of lungs: presence/absence of consolidation
Time Frame: 3 months; optional
|
3 months; optional
|
Computed tomography scan of lungs: % emphysema
Time Frame: Baseline (day 0); optional
|
Baseline (day 0); optional
|
Computed tomography scan of lungs: % emphysema
Time Frame: 3 months; optional
|
3 months; optional
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Arnaud BOURDIN, a-bourdin@chu-montpellier.fr
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Respiratory Tract Diseases
- Lung Diseases
- Disease Attributes
- Lung Diseases, Obstructive
- Chronic Disease
- Pulmonary Disease, Chronic Obstructive
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Prednisone
Other Study ID Numbers
- RECHMPL19_0069 UF 7771
- 2019-002724-33 (EudraCT Number)
- LIC-18-18-0374 (Other Grant/Funding Number: French DGOS PHRC National 2018)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
The general goal is to make the study data available to interested researchers as well as to provide proof of transparency for the study. Data (and an accompanying data dictionary) will be de-identified and potentially further cleaned or aggregated as the investigators deem necessary to protect participant anonymity.
Data will be made available to persons who address a reasonable dataset request to the sponsor coordinating team (c/o Dr Carey Suehs, Department of Medical Information, Hôpital La Colombière, 39 avenue Charles Flahault, 34295 Montpellier Cedex 5, France).
In accordance with French law, dataset usage requests must by approved by the French CNIL (Commission Nationale de l'Informatique et des Libertés : https://www.cnil.fr/professionnel) prior to access.
IPD Sharing Time Frame
Datasets (and accompanying analytic code) can be requested after the publication process has been completed.
The protocol, SAP and information materials will be made available in real-time (in as much as possible) on the study website at the Open Science Framework.
IPD Sharing Access Criteria
The conditions under which members of the public will be granted access to datasets are:
- The data will be used/examined in a not-for-profit manner;
- The data will not be used in an attempt to identify a participant or group of participants;
- The user does not work for a private insurance company;
- The data will not be used in support of any kind of private insurance policy or health penalties;
- The data will be used/examined for the advancement of science/teaching while respecting participant/patient privacy and rights;
- The user will state why they wish to access the data.
- The appropriate CNIL approval has been obtained by the user.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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