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GOLD 0 - DLCO 1: A Look Beyond the Obstruction. Is Spirometry Enough for COPD (Chronic Obstructive Pulmonary Disease) Screening?

GOLD 0 - DLCO 1: A Look Beyond the Obstruction. Is Spirometry Enough for COPD Screening?

This is a multicenter observational prospective study in smokers or ex-smokers with cumulative exposure ≥ 10 a / p (years / pack) with respiratory symptoms and presenting a normal spirometry.

The patients who sign the corresponding informed consent, will undergo a DLCO and will be divided into two groups according to the result:

  • Group I. Patients with DLCO <80%.
  • Group II Patients with DLCO≥80%.

Both groups will be followed for 5 years.

Studieoversigt

Undersøgelsestype

Observationel

Tilmelding (Forventet)

236

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Valencian Community
      • Valencia, Valencian Community, Spanien, 46010
        • Hospital Clinico Universitario de Valencia
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 99 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Sandsynlighedsprøve

Studiebefolkning

Subjects over 18 smokers or ex-smokers with cumulative exposure ≥ 10 a / p (years /pack) with respiratory symptoms presenting normal spirometry

Beskrivelse

Inclusion Criteria:

  • Age ≥18 years. The participant or his / her legal representative is willing and able to give informed consent to participate in the study.
  • Female or male patients with age equal to or greater than 18 years.
  • Smokers or ex-smokers with cumulative exposure ≥ 10 a / p
  • Respiratory symptoms
  • Normal spirometry.

Exclusion Criteria:

  • Age under 18 years.
  • Participation in another clinical study.
  • Patients with a life expectancy of less than 2 years due to neoplasms or other serious systemic diseases.
  • Refusal to sing informed consent.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Group I. Patients with DLCO <80%.
Patients with DLCO <80% will be followed at baseline and once a year during the study
Patients will followed during 5 years, Annual follo-up visits will be carried out during this period
Group II. Patients with DLCO ≥ 80%.
Patients with DLCO ≥80% only will be followed at baseline and year 5.
Patients will followed during 5 years, and only 2 visits , baseline and 5 years

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Changes from baseline of Diffusion Capacity (DLCO) at 5 years
Tidsramme: through study completion, an average of 5 years
To determine the value of DLCO in COPD screening in smokers and ex-smokers with respiratory symptoms and normal spirometry (GOLD 0)
through study completion, an average of 5 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Risk factors associated to the development of COPD
Tidsramme: through study completion, an average of 5 years
Risk factors associated to the development of COPD
through study completion, an average of 5 years
Changes from baseline of inflammatory Markers at 2 and 5 years
Tidsramme: 2 and 5 years
To Study soluble receptors involved in inflammation processes and tissue repair in early disease stages.
2 and 5 years
Oxidative stress
Tidsramme: through study completion, an average of 5 years
To Study of oxidative stress parameters in early disease stages
through study completion, an average of 5 years
Diffusion study
Tidsramme: through study completion, an average of 5 years
To Characterize patients in stage 0 of GOLD with impaired diffusion
through study completion, an average of 5 years
Changes from baseline of High Resolution Computed Tomography (HRTC) at 5 years
Tidsramme: Baseline and 5 years
To determine changes in HRCT to identify subgroups of patients with different clinical and evolutionary trajectories
Baseline and 5 years
Airflow limitation Study
Tidsramme: through study completion, an average of 5 years
To Investigate the contribution of measuring lung volumes for the diagnosis of COPD when there is no evidence of airflow limitation in spirometry (GOLD 0).
through study completion, an average of 5 years
Gender differences in value of diffusion (DLCO)
Tidsramme: through study completion, an average of 5 years
To assess if there are differences between men and women with diffusion disorder
through study completion, an average of 5 years
Childhood background
Tidsramme: Baseline
To assess whether factors, such as the effect of lung development during childhood and adolescence, bronchial hyperreactivity and / or the role of infections influences the risk of developing the disease or its progression.
Baseline
Comorbidity
Tidsramme: through study completion, an average of 5 years
To characterize the comorbidities associated with GOLD 0 patients and altered diffusion.
through study completion, an average of 5 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Studieleder: Cruz González, PhD, Hospital Clinico Universitario de Valencia

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Forventet)

10. september 2021

Primær færdiggørelse (Forventet)

10. februar 2025

Studieafslutning (Forventet)

31. december 2025

Datoer for studieregistrering

Først indsendt

26. juli 2021

Først indsendt, der opfyldte QC-kriterier

16. august 2021

Først opslået (Faktiske)

23. august 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

23. august 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

16. august 2021

Sidst verificeret

1. juli 2021

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • GOLD 0-DLCO 1

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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