Eosinophil-driven Corticotherapy for Patients Hospitalized for COPD Exacerbation (eo-Drive)

January 25, 2024 updated by: University Hospital, Montpellier

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

Study Type

Interventional

Enrollment (Estimated)

600

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

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

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 85 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

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

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: 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 :

  • Initiation of non-invasive ventilation for >24h after first treatment administration
  • Transfer to intensive care or indication for a transfer to intensive care. Incident limitations-of-care that can affect treatment failure should also be carefully noted.
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:

  • mild: treated with short acting bronchodilators (SABDs) only,
  • moderate: treated with SABDs plus antibiotics and/or oral corticosteroids,
  • severe: patient required hospitalization or visits the emergency room.
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:

  • mild: treated with short acting bronchodilators (SABDs) only,
  • moderate: treated with SABDs plus antibiotics and/or oral corticosteroids,
  • severe: patient required hospitalization or visits the emergency room.
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:

  • mild: treated with short acting bronchodilators (SABDs) only,
  • moderate: treated with SABDs plus antibiotics and/or oral corticosteroids,
  • severe: patient required hospitalization or visits the emergency room.
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

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

Investigators

  • Principal Investigator: Arnaud BOURDIN, a-bourdin@chu-montpellier.fr

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

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 (Actual)

October 12, 2021

Primary Completion (Estimated)

October 12, 2024

Study Completion (Estimated)

January 12, 2025

Study Registration Dates

First Submitted

January 13, 2020

First Submitted That Met QC Criteria

January 15, 2020

First Posted (Actual)

January 21, 2020

Study Record Updates

Last Update Posted (Estimated)

January 26, 2024

Last Update Submitted That Met QC Criteria

January 25, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

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

No

Studies a U.S. FDA-regulated device product

No

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.

Clinical Trials on COPD Exacerbation

Clinical Trials on 5 days of systemic corticotherapy (prednisone)

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