The MRC/ABPI COPD Cohort v1.7
COPDMAP
The Mechanisms of Inflammation and Immunity in COPD and Their Relationship to Exacerbations and Disease Progression.
1 other identifier
observational
400
1 country
1
Brief Summary
The UK Medical Research Council (MRC) together with the Association of British Pharmaceutical Industries (ABPI) have recently funded a program designed to foster collaboration between academic COPD researchers and the pharmaceutical industry in the UK, with the aim of developing and furthering our research capacity and expertise for the benefit of patients living with this prevalent and disabling condition. This builds on the strong international track record of COPD research in the UK. The program is divided into four work packages (WP1-4), each with specific aims. WP1 will collate and establish data from patient cohorts and share this information through the development of knowledge management platforms. WP2 will specifically assess how airway micro-organisms impact on COPD and how the effects of bacteria and viruses may be modified. WP3 is concerned with tissue injury and repair which are fundamental processes in the development of COPD. WP4 will examine in detail the potential for improving patient outcomes by targeting the skeletal muscle dysfunction that can profoundly affect exercise capacity.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at 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
February 1, 2011
CompletedFirst Submitted
Initial submission to the registry
June 13, 2012
CompletedFirst Posted
Study publicly available on registry
June 15, 2012
CompletedJune 15, 2012
June 1, 2012
June 13, 2012
June 13, 2012
Conditions
Study Arms (1)
COPD, GOLD II severity or above
Interventions
All participants will receive a single high resolution CT scan of the chest. This will be performed using a low tube current, helical technique. Participants may also receive a plain chest X-ray if clinically indicated. The total research protocol dose is 2 mSv. The dose from the chest X-ray is insignificant compared with the dose from the CT scan of the chest, therefore all this dose can be considered to be additional to standard of care. A dose of 2 mSv represents a risk of radiation induced detriment of approximately 1 in 10,000 and is equivalent to about 11 months of average natural background radiation in the UK.
Eligibility Criteria
Patients will be recruited from existing cohorts and may have participated in previously approved studies. Potential primary care patients will be identified from databases held in practices and contacted, by the GP, by letter in the first instance. If the patient replies to the GP that they are willing to participate in the research, then a telephone call will be made by the research team to arrange a clinic visit. Potential outpatient participants will be identified by the outpatient respiratory physician and if willing to participate will be referred to the research team via telephone call or referral letter.
You may qualify if:
- Confirmed spirometric evidence of moderate to very severe COPD (stage II to IV) according to the WHO GOLD criteria:
- All patients FEV1/FVC \<70%
- Stage II FEV1 50-80% predicted
- Stage III FEV1 30-50% predicted
- Stage IV FEV1 \<30% predicetd or \<50% predicted and chronic respiratory symptoms
- Past or present smokers
- Gender: male or female
- Age \>40 years at recruitment
- Reasonable command of English to complete daily diary cards
You may not qualify if:
- History of asthma
- History of neoplasia
- History of other significant respiratory disease
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University College, Londonlead
- Royal Free Hampstead NHS Trustcollaborator
- Royal Brompton & Harefield NHS Foundation Trustcollaborator
- Imperial College Londoncollaborator
- Sheffield Teaching Hospitals NHS Foundation Trustcollaborator
- University of Sheffieldcollaborator
- University Hospitals, Leicestercollaborator
- University of Leicestercollaborator
- University Hospital Birmingham NHS Foundation Trustcollaborator
- University of Birminghamcollaborator
- Cambridge University Hospitals NHS Foundation Trustcollaborator
- University of Cambridgecollaborator
- Liverpool University Hospitals NHS Foundation Trustcollaborator
- University of Liverpoolcollaborator
- NHS Lothiancollaborator
- University of Edinburghcollaborator
- Newcastle Universitycollaborator
- University of Nottinghamcollaborator
- University of Southamptoncollaborator
Study Sites (1)
Royal Free Hampstead NHS Trust
London, London, NW3 2QG, United Kingdom
Related Publications (1)
Wang Z, Singh R, Miller BE, Tal-Singer R, Van Horn S, Tomsho L, Mackay A, Allinson JP, Webb AJ, Brookes AJ, George LM, Barker B, Kolsum U, Donnelly LE, Belchamber K, Barnes PJ, Singh D, Brightling CE, Donaldson GC, Wedzicha JA, Brown JR; COPDMAP. Sputum microbiome temporal variability and dysbiosis in chronic obstructive pulmonary disease exacerbations: an analysis of the COPDMAP study. Thorax. 2018 Apr;73(4):331-338. doi: 10.1136/thoraxjnl-2017-210741. Epub 2017 Dec 21.
PMID: 29269441DERIVED
Biospecimen
Blood, sputum and urine samples will be collected. Commercially available ELISA assays will be be used to qualify inflammatory markers. Quantitative bacterial culture will be performed on sputum samples. Bacterial and viral load will be determined by polymerase chain reaction (PCR). Proteomics such as Cholesterol, BNP, CRP by routine hospital assay techniques. Specific DNA sections will be selected from the genome to identify/confirm genes believed to be associated with different COPD phenotypes by molecular techniques.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 13, 2012
First Posted
June 15, 2012
Study Start
February 1, 2011
Last Updated
June 15, 2012
Record last verified: 2012-06