Erdosteine (Erdotin) Versus Standard Care Plus Placebo on Erdosteine for Treatment of Cough in Acute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD)
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Purpose
This is a parallel group, double-blind, placebo controlled, multi-centre, randomised trial.
60 patients to be included who are adult patients admitted to hospital with a clinical diagnosis of acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD). Acute exacerbation of COPD will be defined as sustained worsening of the patient's condition with an increase in cough and one or more of dyspnoea, sputum volume or sputum purulence, necessitating a change in regular medication.
The primary objective of this study is to evaluate the effectiveness of standard care plus erdosteine in reducing hourly cough (24 hour cough recording using automated cough recorder) measured from baseline (Day 0) and at Day 5 of treatment, compared with standard care plus placebo.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Obstructive Pulmonary Disease |
Drug: Erdosteine Drug: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Double Blind, Placebo Controlled Multicentre Study of the Effects of Standard Care Plus Erdosteine (Erdotin) Versus Standard Care Plus Placebo on Cough in Acute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD) |
- 24 hr cough recording [ Time Frame: 5 days ] [ Designated as safety issue: No ]The primary objective is to evaluate the effectiveness of standard care plus erdosteine in reducing hourly cough (24 hour cough recording using automated cough recorder) measureing differerrence in hourly cough rate from baseline (Day 0) and Day 5 of treatment, compared with standard care plus placebo
- Quality of life questionnaire [ Time Frame: 10 days ] [ Designated as safety issue: No ]QOL questionnaire score,Compare differece in scores recorded at baseline (day 0) and day 10, compare the difference between erdosteine plus standard care with that of standard care plus placebo.
| Enrollment: | 0 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: erdosteine
standard care plus erdosteine for 10 days
|
Drug: Erdosteine
capsule 300mg twice daily for 10 days
Other Name: erdotin
|
|
Placebo Comparator: placebo
Standard care for exacerbation of COPD plus placebo
|
Drug: Placebo
placebo capsule, twice daily for 10 days
|
Eligibility| Ages Eligible for Study: | 40 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male/females aged between 40-80 years
- Previous diagnosis of COPD
- Acute exacerbation of COPD requiring treatment with antibiotics and/or corticosteroids
- Symptoms of increased breathlessness, cough, sputum volume or sputum purulence
- Acute exacerbation of COPD hospitalised within 24hrs of study participation.
- On a stable therapeutic regimen for COPD for 8 weeks prior to inclusion
- Known history of cigarette smoking at least 10 pack yrs
- Willing and able to comply with study procedures
- Able to provide written informed consent to participate
Exclusion Criteria:
- Acute exacerbation of COPD within 8 weeks prior to inclusion
- Arterial blood gas on admission < pH 7.26
- Currently on treatment with mucolytics
- Patients suffering from post nasal drip, or gastro-oesophageal reflux disease
- Clinically significant or unstable concurrent disease e.g. left ventricular failure, diabetes mellitus
- On long-term oxygen therapy
- Known or suspected hypersensitivity to erdosteine
Contacts and Locations| United Kingdom | |
| Castle Hill Hospital | |
| Cottingham, East Yorkshire, United Kingdom, HU16 5JQ | |
| Principal Investigator: | Alyn H Morice, FRCP | Hull and east Yorkshire NHS trust |
More Information
No publications provided
| Responsible Party: | Professor Alyn Morice, Hull and East orkshire HospitalsTrust |
| ClinicalTrials.gov Identifier: | NCT01176318 History of Changes |
| Other Study ID Numbers: | Erd090908 |
| Study First Received: | August 4, 2010 |
| Last Updated: | January 9, 2012 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Hull and East Yorkshire Hospitals NHS Trust:
|
cough exacerbation quality of life |
Additional relevant MeSH terms:
|
Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Lung Diseases, Obstructive Respiratory Tract Diseases |
Erdosteine Expectorants Respiratory System Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013