UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061458
Receipt number R000070326
Scientific Title A Prospective Observational Study on the Effect of Spacer (PARI Vortex) Use in Patients with Residual Symptoms Receiving Triple Inhalation Therapy with Budesonide/Glycopyrronium/Formoterol
Date of disclosure of the study information 2026/05/06
Last modified on 2026/05/06 11:55:59

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Basic information

Public title

A Prospective Observational Study on the Effect of Spacer (PARI Vortex) Use in Patients with Residual Symptoms Receiving Triple Inhalation Therapy with Budesonide/Glycopyrronium/Formoterol

Acronym

BGF-VORTEX Study

Scientific Title

A Prospective Observational Study on the Effect of Spacer (PARI Vortex) Use in Patients with Residual Symptoms Receiving Triple Inhalation Therapy with Budesonide/Glycopyrronium/Formoterol

Scientific Title:Acronym

BGF-VORTEX Study

Region

Japan


Condition

Condition

chronic obstructive pulmonary disease

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The efficacy of spacer use (PARI Vortex) will be evaluated in patients aged 40 years or older with COPD who have persistent symptoms despite triple inhalation therapy with budesonide/glycopyrronium/formoterol in routine clinical practice.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

CAT scores at baseline and at 4 weeks after spacer use.

Key secondary outcomes

1.Proportion of patients achieving the MCID in CAT score (2 or more point improvement)
2.Pulmonary function at baseline and at 4 weeks after spacer use (%FVC, %FEV1, FEF25-75)
3.IOS parameters at baseline and at 4 weeks after spacer use (R5, R20, X5, Fres)
4.Medication adherence at baseline and at 4 weeks after spacer use (ASK-12)


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

1.Patients diagnosed with COPD who have been receiving triple inhalation therapy with budesonide glycopyrronium formoterol in routine clinical practice for 4 weeks or longer
2.Patients with a COPD Assessment Test CAT score of 10 or higher
3.Adults aged 40 years or older
4.Patients who have provided written informed consent for participation in the study

If a patient develops influenza or a similar illness during the observation period the patient will be considered withdrawn however re enrollment is allowed if 4 weeks or more have passed after recovery and the eligibility criteria are met

Key exclusion criteria

1.Patients diagnosed with other respiratory diseases except for those with comorbid asthma
2.Patients with a history of allergy or hypersensitivity to inhaled medications
3.Patients who plan to participate in another study during the study participation period
4.Patients who have experienced an exacerbation within 4 weeks
5.Patients considered ineligible by the investigator due to impaired cognitive function or other reasons

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Soichiro
Middle name
Last name Hozawa

Organization

Hiroshima Allergy and Respiratory Clinic Hatchobori

Division name

Chief Medical Director

Zip code

730-0013

Address

4F Hatchobori Miyata Building, 14-7 Hatchobori, Naka-ku, Hiroshima-shi, Hiroshima, Japan

TEL

082-511-5911

Email

hozawa@vesta.ocn.ne.jp


Public contact

Name of contact person

1st name Soichiro
Middle name
Last name Hozawa

Organization

Hiroshima Allergy and Respiratory Clinic Hatchobori

Division name

Chief Medical Director

Zip code

730-0013

Address

4F Hatchobori Miyata Building, 14-7 Hatchobori, Naka-ku, Hiroshima-shi, Hiroshima, Japan

TEL

082-511-5911

Homepage URL


Email

hozawa@vesta.ocn.ne.jp


Sponsor or person

Institute

Other

Institute

Department

Personal name

Soichiro Hozawa


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of the Medical Corporation HARG Hiroshima Allergy and Respiratory Clinic

Address

6F Daiichi Teraoka Building, 1-9-28 Hikarimachi, Higashi-ku, Hiroshima-shi, Hiroshima, Japan

Tel

082-568-1167

Email

hozawa@vesta.ocn.ne.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

2026 Year 05 Month 06 Day


Related information

URL releasing protocol

Not applicable

Publication of results

Unpublished


Result

URL related to results and publications

Not applicable

Number of participants that the trial has enrolled

20

Results

Enrolled 20 patients 16 eligible dropout 2 missing 2 CAT score significantly decreased by mean 8.56 at 4 weeks p less than 0.0001 MCID achievement 100 percent No significant change in percent FVC percent FEV1 IOS or adherence FEF25 decreased p equals 0.014 PARI Vortex improved symptoms in COPD on BGF suggesting enhanced drug delivery No clear lung function change possibly due to short duration longer use may provide further benefit Low cost and clinical utility supported

Results date posted

2026 Year 05 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Age sex smoking status body mass index COPD severity pulmonary function percent FVC percent FEV1 IOS parameters CAT score and medication adherence ASK-12 at baseline were collected

Participant flow

Twenty patients were enrolled Sixteen patients were included in the analysis Two patients dropped out and two patients were excluded due to missing data

Adverse events

None

Outcome measures

Primary outcome
Change in CAT score from baseline to 4 weeks after spacer use

Secondary outcomes
Proportion of patients achieving MCID in CAT score 2 or more point improvement
Pulmonary function percent FVC percent FEV1 FEF25-75 at baseline and 4 weeks
IOS parameters R5 R20 X5 Fres at baseline and 4 weeks
Medication adherence ASK-12 at baseline and 4 weeks

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 12 Month 01 Day

Date of IRB

2024 Year 01 Month 17 Day

Anticipated trial start date

2024 Year 03 Month 12 Day

Last follow-up date

2025 Year 03 Month 21 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2026 Year 05 Month 06 Day

Last modified on

2026 Year 05 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070326