UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052704
Receipt number R000060129
Scientific Title The study of association between skeletal muscle and gut microbiota in patients with COPD
Date of disclosure of the study information 2023/11/06
Last modified on 2025/05/08 09:17:21

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Basic information

Public title

The study of association between skeletal muscle and gut microbiota in patients with COPD

Acronym

COPD-Savior: Saga physical activity and gut environmental project

Scientific Title

The study of association between skeletal muscle and gut microbiota in patients with COPD

Scientific Title:Acronym

COPD-Savior: Saga physical activity and gut environmental project

Region

Japan


Condition

Condition

COPD

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to clarify the relationship between gut microbiota and skeletal muscle in patients with COPD; to analyze the effects of rehabilitation-induced skeletal muscle exercise on COPD patients and the changes in short-chain fatty acids and gut microbiota in this process.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Correlation between the amount of change in body composition (upper limb muscle mass, lower limb muscle mass, trunk muscle mass, and phase angle) and the diversity of the gut microbiota between baseline and 12 weeks later

Key secondary outcomes

(1) Baseline and 12-week change in the following
Percentage of achievement of individually defined target number of steps per day after 12 weeks
Change in 6-minute walk distance(6MWD)
Percentage of patients achieving a minimum clinical effective improvement of 30 m in 6-minute walk distance(6MWD).
Change in number of steps per day
Change in physical activity (1.0-1.5 METs, 2.0 METs or more, 3.0 METs or more activity time)
Change in body composition (upper limb muscle mass, lower limb muscle mass, trunk muscle mass, phase angle)
Changes in myokines (IL-6, myostatin, BDNF, irisin)
Changes in blood short-chain fatty acids
Changes in diversity of intestinal microflora (Chao 1 index, Shannon index, Simpson index) and bacterial species

(2) Examination of factors related to the following items, relationships among items, and relationships with other factors when divided into two counties by median values
Whether or not the goal of the number of daily walks was achieved.
Change in the number of daily walks
Change in physical activity (1.0-1.5 METs, 2.0 METs or more, 3.0 METs or more activity time)
Changes in body composition (upper limb muscle mass, lower limb muscle mass, trunk muscle mass, phase angle)
Changes in myokines (IL-6, myostatin, BDNF, irisin)
Changes in blood short-chain fatty acids
Changes in diversity of intestinal microflora (Chao 1 index, Shannon index, Simpson index)
Changes in species of intestinal microflora


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Inclusion Criteria:
1. patients with COPD over 40 years of age.
2. male and female
3. smoking history
4. FEV1 less than 0.7 after bronchodilator administration.
5. No history of COPD exacerbation requiring hospitalization in the past 12 months.
6. has received COPD treatment with inhaled long-acting anticholinergics (LAMA), inhaled long-acting beta2-stimulants (LABA), inhaled steroids (ICS), xanthine, expectorants, or other medications.

Key exclusion criteria

Exclusion criteria:
1. Patients who have undergone inpatient or outpatient induction or maintenance respiratory rehabilitation in the past 12 months.
2. Women of childbearing potential, pregnant or lactating during the study period, or planning to become pregnant.
3. Patients who are unable to undergo pulmonary function tests.
4. Patients who have experienced an acute respiratory infection (e.g., pneumonia) or moderate/severe COPD exacerbation within 4 weeks prior to screening
5. Patients with other serious comorbidities.
6. patients with malignant tumors requiring treatment.
7. Patients with other chronic respiratory diseases (bronchiectasis, interstitial pneumonia or pneumoconiosis).
8. Patients who have been identified as inappropriate subjects for this study (e.g., dementia, psychiatric disorders, cerebrovascular disease with paralysis, etc.). Consent will be obtained based on the patient's own consent, and consent by other guardians or proxies will not be accepted.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Koichiro
Middle name
Last name Takahashi

Organization

Saga university hospital

Division name

Division of Respiratory medicine

Zip code

8498501

Address

5-1-1, Nabeshima, Saga

TEL

0952342360

Email

takahak@cc.saga-u.ac.jp


Public contact

Name of contact person

1st name Clinical research center
Middle name
Last name Saga university hospital

Organization

Saga university hospital

Division name

Clinical research center

Zip code

8498501

Address

5-1-1, Nabeshima, Saga

TEL

0952343400

Homepage URL


Email

kenkyu-shinsei@ml.cc.saga-u.ac.jp


Sponsor or person

Institute

Saga university hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saga university hospital

Address

5-1-1, Nabeshima, Saga

Tel

0952343400

Email

kenkyu-shinsei@ml.cc.saga-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 11 Month 06 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2023 Year 10 Month 01 Day

Date of IRB

2023 Year 11 Month 06 Day

Anticipated trial start date

2023 Year 11 Month 13 Day

Last follow-up date

2024 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2023 Year 11 Month 06 Day

Last modified on

2025 Year 05 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060129