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The Effect of Spa Treatment on Chronic Obstructive Pulmonary Disease (BPCeaux)

24 de marzo de 2015 actualizado por: Centre Hospitalier Universitaire de Nīmes
The primary objective of this study is to measure and compare the number of exacerbations (moderate or severe) between the two groups of randomized patients with and without thermal treatment). An exacerbation is defined by an increase in symptoms which justifies a unscheduled medical action: increased daily treatment and / or use of corticosteroids, and / or antibiotic therapy. Exacerbations are documented via prescriptions, hospitalisation reports or unscheduled visits.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Actual)

39

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • Francia
      • Aix les Bains, Francia, 73100
        • Private practice: Karim Berkani
      • Amélie les Bains Palalda, Francia, 66110
        • Private practice: Jean Hérété
      • Briey, Francia, 54150
        • Private practice: Pierre Ethève
      • Ceret, Francia, 66400
        • Private practice: Marc Bellier
      • Perpignan, Francia, 66000
        • Private practice: Pierre Olivier
      • Saint Amand les Eaux, Francia, 59230
        • Private practice: Muriel Nouvelle

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

40 años a 80 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • The patient must have given his/her informed and signed consent
  • The patient must be insured or beneficiary of a health insurance plan
  • The patient must have chronic obstructive pulmonary disease
  • Obstructive ventilation problem: Tiffeneau index (expiratory volume in one second / slow vital capacity) < 70%
  • Expiratory volume in one second < 80% of the theoretical value
  • Reversibility < 12% after inhalation of bronchodilators
  • Smokers or ex smokers
  • Available for study monitoring
  • Has access to diagnostic, medical and therapeutic care according to the best, current criteria (see the recommendations of the French Language Pseumologist Society)

Exclusion Criteria:

  • The patient is participating in another study
  • The patient has participated in another study in the past 12 months
  • The patient is in an exclusion period determined by a previous study
  • The patient is under judicial protection, under tutorship or curatorship
  • The patient refuses to sign the consent
  • It is impossible to correctly inform the patient
  • The patient is in military service (unavailable for monitoring)
  • Patient is on parole or otherwise has their liberty restricted by administrative or judiciary decision
  • The patient is pregnant, or does not have contraception
  • The patient is breastfeeding
  • Patient has neoplastic disease
  • Patient has asthma
  • Patient has another, evolving pulmonary disease (tuberculosis, pulmonary interstitium disease, active or recent pulmonary infection)
  • Patient has a clinical history indicating asthma or another respiratory disease (in particular bronchiectasis, pneumoconiosis and other occupational diseases, history of pulmonary neoplasia, HIV, immunosuppressive therapy including corticosteroids in the long term
  • Patient has respiratory insufficiency
  • Hypereosinophilic patient (the number of polynuclear eosinophils is > 0.5 giga/l; confirmed on 2 hemograms)
  • Recent psychiatric trouble (less than 1 year)
  • Takes illegal drugs
  • Patient does not have pneumological care according to the standards set by the French Language Pneumologist Society

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Sin intervención: Standard
The patients randomized into this arm of the study will not have spa therapy.
Experimental: Spa Therapy
The patients randomized into this arm of the study will have 3 weeks of spa therapy
Otro: Spa therapy
3 weeks of spa therapy

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Number of exacerbations
Periodo de tiempo: 12 months after the beginning of treatment
Exacerbation = increase in symptoms (IS) justifying an unprogrammed therapeutic intervention (TI). An IS = increase in >=2 of the following minor symptoms for >= 2 consecutive days (CD): (i) dyspnea, (ii) volume or (iii) purulence of sputum. Or an increase in any 1 of the following major symptoms associated with any of the minor symptoms for at least 2 CD: (a) sore throat, (b) cold, (c) fever, (d) coughing, (e) wheezing. A TI = systemic corticoids and/or antibiotics. An exacerbation is defined as severe if TI is accompanied by a hospital stay > 24h, and as "moderate" otherwise.
12 months after the beginning of treatment

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
change in the BODE score
Periodo de tiempo: 3 weeks
3 weeks
change in SF36 questionnaire scores
Periodo de tiempo: 3 weeks
the SF36 quality of life questionnaire
3 weeks
Cost (€)
Periodo de tiempo: 3 weeks
Costs are evaluated from the point of view of payers associated with the pathology.
3 weeks
C reactive protein (mg/l)
Periodo de tiempo: 3 weeks
blood work
3 weeks
Eosiniphil count (thou/ml)
Periodo de tiempo: 3 weeks
blood work
3 weeks
Number of exacerbations
Periodo de tiempo: 3 weeks
Exacerbation = increase in symptoms (IS) justifying an unprogrammed therapeutic intervention (TI). An IS = increase in >=2 of the following minor symptoms for >= 2 consecutive days (CD): (i) dyspnea, (ii) volume or (iii) purulence of sputum. Or an increase in any 1 of the following major symptoms associated with any of the minor symptoms for at least 2 CD: (a) sore throat, (b) cold, (c) fever, (d) coughing, (e) wheezing. A TI = systemic corticoids and/or antibiotics. An exacerbation is defined as severe if TI is accompanied by a hospital stay > 24h, and as "moderate" otherwise.
3 weeks
change in the BODE score
Periodo de tiempo: 3 months
3 months
change in the BODE score
Periodo de tiempo: 6 months
6 months
change in the BODE score
Periodo de tiempo: 9 months
9 months
change in the BODE score
Periodo de tiempo: 12 months
12 months
change in SF36 questionnaire scores
Periodo de tiempo: 3 months
the SF36 quality of life questionnaire
3 months
change in SF36 questionnaire scores
Periodo de tiempo: 6 months
the SF36 quality of life questionnaire
6 months
change in SF36 questionnaire scores
Periodo de tiempo: 9 months
the SF36 quality of life questionnaire
9 months
change in SF36 questionnaire scores
Periodo de tiempo: 12 months
the SF36 quality of life questionnaire
12 months
Cost (€)
Periodo de tiempo: 3 months
Costs are evaluated from the point of view of payers associated with the pathology.
3 months
Cost (€)
Periodo de tiempo: 6 months
Costs are evaluated from the point of view of payers associated with the pathology.
6 months
Cost (€)
Periodo de tiempo: 9 months
Costs are evaluated from the point of view of payers associated with the pathology.
9 months
Cost (€)
Periodo de tiempo: 12 months
Costs are evaluated from the point of view of payers associated with the pathology.
12 months
Number of exacerbations
Periodo de tiempo: 3 months
Exacerbation = increase in symptoms (IS) justifying an unprogrammed therapeutic intervention (TI). An IS = increase in >=2 of the following minor symptoms for >= 2 consecutive days (CD): (i) dyspnea, (ii) volume or (iii) purulence of sputum. Or an increase in any 1 of the following major symptoms associated with any of the minor symptoms for at least 2 CD: (a) sore throat, (b) cold, (c) fever, (d) coughing, (e) wheezing. A TI = systemic corticoids and/or antibiotics. An exacerbation is defined as severe if TI is accompanied by a hospital stay > 24h, and as "moderate" otherwise.
3 months
Number of exacerbations
Periodo de tiempo: 6 months
Exacerbation = increase in symptoms (IS) justifying an unprogrammed therapeutic intervention (TI). An IS = increase in >=2 of the following minor symptoms for >= 2 consecutive days (CD): (i) dyspnea, (ii) volume or (iii) purulence of sputum. Or an increase in any 1 of the following major symptoms associated with any of the minor symptoms for at least 2 CD: (a) sore throat, (b) cold, (c) fever, (d) coughing, (e) wheezing. A TI = systemic corticoids and/or antibiotics. An exacerbation is defined as severe if TI is accompanied by a hospital stay > 24h, and as "moderate" otherwise.
6 months
Number of exacerbations
Periodo de tiempo: 9 months
Exacerbation = increase in symptoms (IS) justifying an unprogrammed therapeutic intervention (TI). An IS = increase in >=2 of the following minor symptoms for >= 2 consecutive days (CD): (i) dyspnea, (ii) volume or (iii) purulence of sputum. Or an increase in any 1 of the following major symptoms associated with any of the minor symptoms for at least 2 CD: (a) sore throat, (b) cold, (c) fever, (d) coughing, (e) wheezing. A TI = systemic corticoids and/or antibiotics. An exacerbation is defined as severe if TI is accompanied by a hospital stay > 24h, and as "moderate" otherwise.
9 months

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Centre Hospitalier Universitaire de Nīmes

Investigadores

  • Director de estudio: Nicolas Molinari, PhD, Centre Hospitalier Universitaire de Nîmes
  • Investigador principal: Jean Victor Hérété, MD, Amélie les Bains

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de mayo de 2011

Finalización primaria (Actual)

1 de junio de 2014

Finalización del estudio (Actual)

1 de junio de 2014

Fechas de registro del estudio

Enviado por primera vez

15 de febrero de 2011

Primero enviado que cumplió con los criterios de control de calidad

15 de febrero de 2011

Publicado por primera vez (Estimar)

16 de febrero de 2011

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

25 de marzo de 2015

Última actualización enviada que cumplió con los criterios de control de calidad

24 de marzo de 2015

Última verificación

1 de marzo de 2015

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • LOCAL/2010/NM-02
  • 2010-A00693-36 (Otro identificador: RCB number)

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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