Evaluation Inhaled Corticosteroids on Exhaled Nitric Oxide Gas Exchange
Evaluation of the Effects of Varying Doses of Inhaled Corticosteroids on Suppression of Total Exhaled, Bronchial, and Alveolar Nitric Oxide as Markers of Endogenous Inflammation in Patients With Moderate-to-severe COPD
1 other identifier
observational
39
1 country
1
Brief Summary
To evaluate the role of inhaled corticosteroids to suppress nitric oxide gas exchange in stable patients with moderate-to-severe COPD who are current non-smokers and not on oral corticosteroids.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jan 2006
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2006
CompletedFirst Submitted
Initial submission to the registry
December 4, 2007
CompletedFirst Posted
Study publicly available on registry
December 6, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2013
CompletedMarch 17, 2015
March 1, 2015
7.8 years
December 4, 2007
March 13, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
total exhaled, bronchial, and small airway/alveolar nitric oxide
3 months
Secondary Outcomes (1)
lung function
3 months
Study Arms (3)
long acting bronchodilator
salmeterol 50mcg bid by DPI, no fluticasone in patients with COPD/emphysema to evaluate effect on bronchodilation and exhaled nitric oxide
bronchodilator/ inhaled corticosteroid
fluticasone 250mcg/salmeterol 50 mcg bid X 3momths to evaluate effect on lung function and exhaled nitric oxide
C
Fluticasone 100mcg/salmeterol 50mcg
Interventions
inhaled fluticasone 100mcg/salmeterol 50mcg bid X 3 months
inhaled fluticasone 250/salmeterol 50 X 3 months to evaluate effect on lung function and exhaled nitric oxide
salmeterol 50 mcg by dry powder inhaler disk bid to evaluated effect on lung function and exhaled nitric oxide
salmeterol 50mcg/fluticasone 250mcg by DPI bid
Eligibility Criteria
COPD
You may qualify if:
- Clinical diagnosis of copd
- Current non-smoker
- Not on oral corticosteroids
- Must be able to use Advair discus or salmeterol discus
You may not qualify if:
- Pregnancy
- Current smoker
- On corticosteroids
- Clinically unstable
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Arthur F Gelb MDlead
Study Sites (1)
Arthur F Gelb MD
Lakewood, California, 90712, United States
Related Publications (3)
Gelb AF, Flynn Taylor C, Shinar C. Nitric Oxide gas exchange in COPD. Am J Respir Crit Care Med 2007; 174: A630.
RESULTGelb AF, George SC, Camacho F, Fraser C, Flynn Taylor C, Shakkottai S. Increased nitric oxide concentrations in the small airway of older normal subjects. Chest. 2011 Feb;139(2):368-375. doi: 10.1378/chest.10-1157. Epub 2010 Aug 12.
PMID: 20705799DERIVEDGelb AF, Flynn Taylor C, Krishnan A, Fraser C, Shinar CM, Schein MJ, Osann K. Central and peripheral airway sites of nitric oxide gas exchange in COPD. Chest. 2010 Mar;137(3):575-84. doi: 10.1378/chest.09-1522. Epub 2009 Oct 9.
PMID: 19820080DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Arthur F Gelb, MD
Arthur F Gelb Medical Corporation
Study Design
- Study Type
- observational
- Observational Model
- ECOLOGIC OR COMMUNITY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDIV
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Arthur F Gelb MD
Study Record Dates
First Submitted
December 4, 2007
First Posted
December 6, 2007
Study Start
January 1, 2006
Primary Completion
October 1, 2013
Study Completion
October 1, 2013
Last Updated
March 17, 2015
Record last verified: 2015-03