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

24 mars 2015 mis à jour par: 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.

Aperçu de l'étude

Statut

Résilié

Les conditions

Intervention / Traitement

Type d'étude

Interventionnel

Inscription (Réel)

39

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

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

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

40 ans à 80 ans (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

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 d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Aucune intervention: Standard
The patients randomized into this arm of the study will not have spa therapy.
Expérimental: Spa Therapy
The patients randomized into this arm of the study will have 3 weeks of spa therapy
Autre: Spa therapy
3 weeks of spa therapy

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Number of exacerbations
Délai: 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

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
change in the BODE score
Délai: 3 weeks
3 weeks
change in SF36 questionnaire scores
Délai: 3 weeks
the SF36 quality of life questionnaire
3 weeks
Cost (€)
Délai: 3 weeks
Costs are evaluated from the point of view of payers associated with the pathology.
3 weeks
C reactive protein (mg/l)
Délai: 3 weeks
blood work
3 weeks
Eosiniphil count (thou/ml)
Délai: 3 weeks
blood work
3 weeks
Number of exacerbations
Délai: 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
Délai: 3 months
3 months
change in the BODE score
Délai: 6 months
6 months
change in the BODE score
Délai: 9 months
9 months
change in the BODE score
Délai: 12 months
12 months
change in SF36 questionnaire scores
Délai: 3 months
the SF36 quality of life questionnaire
3 months
change in SF36 questionnaire scores
Délai: 6 months
the SF36 quality of life questionnaire
6 months
change in SF36 questionnaire scores
Délai: 9 months
the SF36 quality of life questionnaire
9 months
change in SF36 questionnaire scores
Délai: 12 months
the SF36 quality of life questionnaire
12 months
Cost (€)
Délai: 3 months
Costs are evaluated from the point of view of payers associated with the pathology.
3 months
Cost (€)
Délai: 6 months
Costs are evaluated from the point of view of payers associated with the pathology.
6 months
Cost (€)
Délai: 9 months
Costs are evaluated from the point of view of payers associated with the pathology.
9 months
Cost (€)
Délai: 12 months
Costs are evaluated from the point of view of payers associated with the pathology.
12 months
Number of exacerbations
Délai: 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
Délai: 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
Délai: 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

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Centre Hospitalier Universitaire de Nīmes

Les enquêteurs

  • Directeur d'études: Nicolas Molinari, PhD, Centre Hospitalier Universitaire de Nîmes
  • Chercheur principal: Jean Victor Hérété, MD, Amélie les Bains

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 mai 2011

Achèvement primaire (Réel)

1 juin 2014

Achèvement de l'étude (Réel)

1 juin 2014

Dates d'inscription aux études

Première soumission

15 février 2011

Première soumission répondant aux critères de contrôle qualité

15 février 2011

Première publication (Estimation)

16 février 2011

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

25 mars 2015

Dernière mise à jour soumise répondant aux critères de contrôle qualité

24 mars 2015

Dernière vérification

1 mars 2015

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • LOCAL/2010/NM-02
  • 2010-A00693-36 (Autre identifiant: RCB number)

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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