Prospective evAluatIon foR Inhalation Devices Study (PAIR)
Multicenter, Prospective, Observational, Non Interventional Clinical Trial to Assess the Asthma and COPD Treatment by Inhalation Devices
ASTHMA:
Asthma is a chronic inflammatory disorder of the airways in which many different types of cells, and various cellular components. The chronic inflammation causes an increase of the over-responsiveness of the airways, which leads to recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, particularly at night or in the early morning hours. These episodes, usually associated with widespread but variable block the airway, which is usually reversible either spontaneously or by treatment.
Asthma is one of the most common chronic diseases worldwide, posing significant social burden in both children and adults. It is estimated that about 300 million people currently suffer from asthma. The incidence of asthma is universal regardless of the level of development of the country. There is evidence that over the last 20 years the prevalence has increased significantly, specially in pediatric populations.
COPD:
Chronic Obstructive Pulmonary Disease (COPD) is a major public health problem. It is the fourth leading cause of chronic morbidity and mortality in the United States after heart disease, strokes and acute respiratory infections, while on an annual basis, the disease robs the lives of more than 3,000,000 people around us worldwide. The most worrying is that the impact has been steadily rising, and this dramatic increase in the frequency shows that by 2020 the disease will be the third leading cause of death. In Greece, 8.4% of the population suffers from COPD.
Smoking is the leading cause of COPD. However, not all smokers develop the clinical picture of COPD, suggesting that additional factors are involved in manifestation. Further investigation of risk factors for COPD, methods of reducing exposure to these agents and the molecular and cellular mechanisms involved in the pathogenesis remain a major area of research to develop effective treatments that will reduce or prevent the development the disease.
연구 개요
상세 설명
ASTHMA TREATMENT:
As regards the pharmacological management of asthma, inhaled corticosteroids (eg budesonide, fluticasone and beclomethasone) underlying the maintenance therapy, while beta-2 agonists are the long-term preferred additional treatment. Other common medications are systemic corticosteroids, beta-2-agonist short duration (eg salbutamol) oral beta2-agonists, long-lasting, methylxanthines, converters leukotrienes, colors and anticholinergics.
The main clinical advantages of transport and deposition of the drug directly to the lungs associated with the safety and efficacy: the side effects associated with the systemic circulation zero, while high concentrations of the active substance can be directly attributed to the points of action. Furthermore, the onset of action of inhaled beta2-agonist is faster that of oral beta-2 agonist and the therapeutic response is achieved faster. Finally, require lower doses of the drug, due to the efficiency of this direct lungs, reducing the problems of poor absorption and metabolism by the liver.
COPD TREATMENT:
Effective management of COPD involves four steps: (1) assessment and monitoring of the disease, (2) minimize the risk factors, (3) stabilization of disease, and (4) the treatment of an exacerbation.
ELPENHALER:
A new multi-single dose inhaled dry powder (Elpenhaler ®) has been designed, developed and patented by the Elpen Pharmaceutical Co. Inc (Pikermi, Greece). The new inhaler is suitable for the performance of a range of drugs for asthma, such as budesonide, formoterol and fluticasone.
OTHER TREATMENT APPROACHES:
Most asthma medications are administered in the form of inhalers. There are various forms of devices that facilitate the administration of inhaled medications in young children. The correct use of inhalers drugs is very important for the treatment of asthma. If the patient does not understand the correct instructions, the drug is deposited satisfactorily lungs, ie organ must act, so there is no remission. Furthermore when the inhalers incorrectly used much of the drug remains in the oral cavity and the pharynx and therefore the patient is exposed to any adverse events drug while not treated properly asthma. Appropriate for patient inhaler should be chosen by the attending physician, after confirmation by pilot demonstration site at the clinic, the patient (depending on age) have understood and can apply the device user. A new study conducted by the Center for Capital allergies and respiratory diseases showed that 25% of asthmatic subjects reported that the inhaler was empty during an asthma attack. The reason: "There is no way for someone to see how much medicine has used the inhaler continues to blow air even when it is empty," says Bradley Chips, who was lead author of the study. To save your breath, look at the package leaflet number of inhaled doses contain.
연구 유형
등록 (실제)
연락처 및 위치
연구 장소
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Athens, 그리스
- Evagelismos hospital
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Athens, 그리스
- Private office
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Lamia, 그리스
- General State hospital of Lamia
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Piraeus, 그리스
- Private office
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Volos, 그리스
- Private office
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Voula, 그리스
- Asklipiion Hospital
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
샘플링 방법
연구 인구
설명
Inclusion Criteria:
- Patients (newly diagnosed or not) with asthma and / or COPD, who use correctly (according to the opinion of the responsible investigator) their device
- Male or female patients aged 18 years
- Patients with compliance to treatment
- Patients with compliance to the study procedures
- Patients who have signed the study participation consent form.
Exclusion Criteria:
- Patients who use incorrectly their inhalational devices
- Male or female patients under 18 years
- Patients who are non-compliant to their treatment for asthma and COPD
- Patients who are non-compliant to study procedures
- Patients who have not signed the study participation consent form.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
|---|
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asthma, COPD
patients with asthma and COPD treated with inhalation devices
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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FSI-10 score
기간: 2 months treatment
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FSI-10 questionnaire total score FSI-10 questionnaire score per question
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2 months treatment
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Adverse Events Reporting
기간: 2 months treatment
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Number of Adverse Events occured during study duration.
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2 months treatment
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공동 작업자 및 조사자
수사관
- 연구 책임자: Spyridon Papiris, MD, Professor, Professor of Pulmonology, Attikon University Hospital of Athens
- 수석 연구원: Athina Vlachou, MD, Private office
- 수석 연구원: Areti Xifteri-Nikolinati, MD, Messini, Greece
- 수석 연구원: Georgios Efraimidis, MD, Plmonology Hospital of Patras, Greece
- 수석 연구원: Nikolaos Harokopos, MD, General hospital of Pyrgos, Peloponnese, Greece
- 수석 연구원: Dionysia Kalampoka, MD, Private Office, Patras, Greece
- 수석 연구원: Athanasia Christara, MD, Private Office, Korinthos, Greece
- 수석 연구원: Emmanouel Fothiantakis, MD, Private Office, Chaidari, Athens, Greece
- 수석 연구원: Elias Kainis, MD, Sotiria Pulmonogy Hospital of Athens
- 수석 연구원: Adamantia Liapikou, MD, Sotiria Pulmonary Hospital of Athens
- 수석 연구원: Xenophon Agelidis, MD, Attikon Hospital
- 수석 연구원: Antonios Kopanakis, MD, Thriasio General Hospital, Greece
- 수석 연구원: Konstantina Houliara, MD, Private office, Patisia, Athens, Greece
- 수석 연구원: Helen Adamou, MD, Nea Filadelfia, Athens, Greece
- 수석 연구원: George Kalfountzos, MD, Private office, Larissa, Greece
- 수석 연구원: Athanasios Pitenis, MD, Private Office, Grevena, Greece
- 수석 연구원: Eugeneia Karyanou, MD, Private Office, Kaisariani, Athens, Greece
- 수석 연구원: Georgia Kotantoula, MD, Private Office, Gerakas, Attika, Greece
- 수석 연구원: Evangelos Bourantzis, MD, Private office, Athens, Greece
- 수석 연구원: Konstantinos Marosis, MD, Sotiria Pulmonary Hospital of Athens
- 수석 연구원: Harilaos Lambrakis, MD, Sotiria Pulmonary Hospital of Athens
- 수석 연구원: Anastasios Palamidas, MD, Sotiria Pulmonary Hospital of Athens
- 수석 연구원: Dimitrios Zois, MD, General Hospital of Karditsa, Greece
- 수석 연구원: Maria Varouha, MD, Private office, Rethymno, Crete, Greece
- 수석 연구원: Karmen Stahouli, MD, Hatzikosta Hospital of Ioannina, Greece
- 수석 연구원: Peter Oikonomides, MD, General Hospital of Filiata, Thesprotia, Greece
- 수석 연구원: George Balasoulis, MD, Private office, Thessaloniki, Greece
- 수석 연구원: Konstantinos Porpodis, MD, Private office, Thessaloniki, Greece
- 수석 연구원: Despina Melemeni, MD, Sismanogleio Hospital of Athens, Greece
- 수석 연구원: Andreas Stratis, MD, Private office, Greece
- 수석 연구원: Efrosini Manali, MD, Attikon University Hospital of Athens, Greece
- 수석 연구원: Theodora Tsiounta, MD, Theageneio oncology hospital of Thessaloniki, Greece
- 수석 연구원: Anna Gavriilidou, MD, Papageorgiou hospital of Thessaloniki, Greece
- 수석 연구원: Athanasia Pataka, MD, Papanikolaou General hospital of Thessaloniki, Greece
- 수석 연구원: Chrysavgi Terovitou, MD, General hospital of Kavala, Greece
- 수석 연구원: Elisavet Christina Filippidou, MD, General hospital of Kavala, Greece
- 수석 연구원: Paschalis Kakavelas, MD, Private office, Piraeus, Greece
- 수석 연구원: Nikolaos Manolakoglou, MD, Private office, Kalamaria, Thessaloniki, Greece
- 수석 연구원: Evangelia Tsikrika, MD, General hospital of Veroia, Greece
- 수석 연구원: Athanasios Papandreou, MD, Private office, Orestiada, Greece
- 수석 연구원: Vasilios Adamidis, MD, Private office, Kozani, Greece
- 수석 연구원: Paraskevi Tsafaridou, MD, Private office, Thessaloniki, Greece
- 수석 연구원: Maria Katertzi, MD, Private office, Moudania, Thessaloniki, Greece
- 수석 연구원: Pashalia Tsiaga, MD, Private office, Serres, Greece
- 수석 연구원: Christos Babalis, MD, Private office, Serres, Greece
- 수석 연구원: Konstantinos Albantakis, MD, Private office, Larisa, Greece
- 수석 연구원: Martha Andritsou, MD, Sotiria Pulmonology Hospital of Athens
간행물 및 유용한 링크
일반 간행물
- National Asthma Education and Prevention Program. National Asthma Education and Prevention Program. Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma Update on Selected Topics--2002. J Allergy Clin Immunol. 2002 Nov;110(5 Suppl):S141-219. No abstract available. Erratum In: J Allergy Clin Immunol. 2003 Mar;111(3):466.
- van der Palen J, Klein JJ, van Herwaarden CL, Zielhuis GA, Seydel ER. Multiple inhalers confuse asthma patients. Eur Respir J. 1999 Nov;14(5):1034-7. doi: 10.1183/09031936.99.14510349.
- Campbell JL, Kiebert GM, Partridge MR. Development of the satisfaction with inhaled asthma treatment questionnaire. Eur Respir J. 2003 Jul;22(1):127-34. doi: 10.1183/09031936.03.00097503.
- Perpina Tordera M, Viejo JL, Sanchis J, Badia X, Cobos N, Picado C, Sobradillo V, Martinez Gonzalez del Rio J, Duce F, Munoz Cabrera L. [Assessment of patient satisfaction and preferences with inhalers in asthma with the FSI-10 Questionnaire]. Arch Bronconeumol. 2008 Jul;44(7):346-52. Spanish.
- van Beerendonk I, Mesters I, Mudde AN, Tan TD. Assessment of the inhalation technique in outpatients with asthma or chronic obstructive pulmonary disease using a metered-dose inhaler or dry powder device. J Asthma. 1998;35(3):273-9. doi: 10.3109/02770909809068218.
- Reliability of the FSI-10 questionnaire for the assessment of the usability of drug inhalers in Greek patients, accepted for publication by 'Archives of Hellenic Medicine'
- Global Strategy for Asthma Management and Prevention NIH Publication No 02-3659 Issued January, 1995 (updated 2002) Management Segment (Chapter 7): Updated 2005 from the 2004 document. The GINA reports are available on www.ginasthma.org
- British Thoracic Society; Scottish Intercollegiate Guidelines Network. British guideline on the management of asthma. Thorax. 2003 Feb;58 Suppl 1(Suppl 1):i1-94. doi: 10.1136/thorax.58.suppl_1.1i. No abstract available.
- National Institutes of Health. Global strategy for asthma management and prevention. Bethesda (MD): Global Initiative for Asthma (GINA), National Institutes of Health, 2002 Feb. Publication no. 02-3659
- Dolovich MA, MacIntyre NR, Anderson PJ, Camargo CA Jr, Chew N, Cole CH, Dhand R, Fink JB, Gross NJ, Hess DR, Hickey AJ, Kim CS, Martonen TB, Pierson DJ, Rubin BK, Smaldone GC. Consensus statement: aerosols and delivery devices. American Association for Respiratory Care. Respir Care. 2000 Jun;45(6):589-96. No abstract available. Erratum In: Respir Care. 2000 Nov;45(11):1416.
- ICH topic E9 statistical principles for clinical trials - Note for guidance on statistical principles for clinical trials (CPMP/ICH/363/96).
- Frey U, Stocks J, Coates A, Sly P, Bates J. Specifications for equipment used for infant pulmonary function testing. ERS/ATS Task Force on Standards for Infant Respiratory Function Testing. European Respiratory Society/ American Thoracic Society. Eur Respir J. 2000 Oct;16(4):731-40. doi: 10.1034/j.1399-3003.2000.16d28.x.
- Lenney J, Innes JA, Crompton GK. Inappropriate inhaler use: assessment of use and patient preference of seven inhalation devices. EDICI. Respir Med. 2000 May;94(5):496-500. doi: 10.1053/rmed.1999.0767.
- Global Initiative for Chronic Obstructive Lung Disease, Global Strategy for the Diagnosis, Management and Prevention of Cronic Obstructive Pulmonary Disease (Updated 2009)
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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