Unique ID issued by UMIN | UMIN000005204 |
---|---|
Receipt number | R000006182 |
Scientific Title | A randomized, comparative study of Budesonide/formoterol versus Fluticasone/Salmeterol in COPD with asthma patients to improve oxidative stress and inflammatory mediators |
Date of disclosure of the study information | 2011/03/06 |
Last modified on | 2011/03/06 21:46:22 |
A randomized, comparative study of Budesonide/formoterol versus Fluticasone/Salmeterol in COPD with asthma patients to improve oxidative stress and inflammatory mediators
A randomized, comparative study of Budesonide/formoterol versus Fluticasone/Salmeterol in COPD with asthma patients to improve oxidative stress and inflammatory mediators
A randomized, comparative study of Budesonide/formoterol versus Fluticasone/Salmeterol in COPD with asthma patients to improve oxidative stress and inflammatory mediators
A randomized, comparative study of Budesonide/formoterol versus Fluticasone/Salmeterol in COPD with asthma patients to improve oxidative stress and inflammatory mediators
Japan |
COPD with asthma
Pneumology |
Others
NO
COPD wit asthma patiens develop inflammatory chnages mainly at the distal airways, and it is suggested that the inflammation causes the elevations of the systemic inflammatory markers and the oxidative stress. The inhalable particle size of Budesonide/formoterol (BUD/FM) is smaller compared with Fluticasone/Salmeterol(FP/SM), so it is assumed that the inhaled particles of BUD/FM can reach the distal airways more effectively and interact with the inflammatory lesions to alleviate it. This randomized, comparative study compares the BUD/FM and FP/SM in COPD with asthma patients to find out which medication can improve the systemic oxidative stress and inflammatory mediators more effectively.
Efficacy
Exploratory
Pragmatic
Phase II
improvement in the urine samples of 8-OhdG/Cr and in the blood serum of TNF-a, hs-CRP amounts.
frequency of asthma attacks, ACT score, improvement in the respiratory functions(FEV1.0 etc), frequency of getting upper tract infections
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
YES
Numbered container method
2
Treatment
Medicine |
At first, COPD with asthma patients are assinged with FP/SM( Adair) 50ug/250ug 2 BLY per day for 4 weeks as a standard. Then, half patients are assigned randomly to BUD/FM 160/4.5ug 4 puffs per day and the therapy continues for 12 weeks to measure the oxidtive stress and inflammatory markers.
At first, COPD with asthma patients are assinged with FP/SM( Adair) 50ug/250ug 2 BLY per day for 4 weeks as a standard. Then, half patients are assigned randomly to BUD/FM 160/4.5ug 4 puffs per day and the therapy continues for 12 weeks to measure the oxidtive stress and inflammatory markers.
20 | years-old | <= |
Not applicable |
Male and Female
1. patients who fit the criteria [1] and [2] are defined as COPD with asthma. Criteria [3] and [4] are for reference.
[1] FEV1.0% less than 70% (measurements are done after inhaling 2 puffs of short acting beta-stimulants).
[2] the history of sudden breathing difficulties (especially sudden wheeze or coughing at night or in the morning) that are not caused by labor or infections
[3] history of asthma diagnosis by physicians
[4] elevations of eosinophil in blood serum
1.patients with other respiratory illness(IPF, ABPA, Chug-Strass syndrome, lung cancer, tuberculosis, bronchiectasis etc)
2.patients with circulatory illness( heart failure etc)
3.past allergic history to ICS
30
1st name | |
Middle name | |
Last name | Mitsuo Hashimoto |
Jikei University Hospital
respiratory medicine
3-19-18 Nishishinbashi, Minato-ku
1st name | |
Middle name | |
Last name |
Jikei University Hospital
respiratory medicine
3-19-18 Nishishinbashi, Minato-ku
Jikei University Hospital
None
Self funding
NO
Jikei Univerisity Hospital
2011 | Year | 03 | Month | 06 | Day |
Unpublished
Open public recruiting
2010 | Year | 12 | Month | 30 | Day |
2011 | Year | 01 | Month | 01 | Day |
2011 | Year | 03 | Month | 06 | Day |
2011 | Year | 03 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006182