Replacement of Nebulised Ipratropium With Inhaled Tiotropium in Stable Chronic Obstructive Pulmonary Disease (COPD)
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Some patients with chronic obstructive pulmonary disease (COPD) take nebulised treatments to ease the symptom of breathlessness, including the drug ipratropium. Nebulised bronchodilator drugs are taken up to 4 times through the day, and this can take up to 15 minutes each time. Although the treatment isbe effective, patients report that the time taken to set-up and use the nebuliser can be a disincentive to regular use. By contrast, an inhaler device is easy to use following appropriate instruction, and takes only a few seconds to administer. Inhaled tiotropium is a once daily treatment taken by inhaler which has been shown to be effective in COPD. We wish to assess whether inhaled Tiotropium as effective as nebulised ipratropium in patients with stable chronic obstructive pulmonary disease.
Condition | Intervention | Phase |
---|---|---|
Chronic Obstructive Pulmonary Disease |
Drug: Inhaled Tiotropium |
Phase 4 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
Official Title: | Replacement of Nebulised Ipratropium With Inhaled Tiotropium in Stable COPD |
- Spirometry
- St George's Respiratory Questionnaire
- Baseline/Transition Dyspnea index
Estimated Enrollment: | 45 |
Study Start Date: | June 2006 |
Estimated Study Completion Date: | December 2007 |
Ages Eligible for Study: | 35 Years to 80 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Stable Moderate to severe COPD (GOLD criteria)
- > 20 pack year smoking history
- current treatment with nebulised ipratropium bromide
- no exacerbations within preceding 3 months
Exclusion Criteria:
- current participation in other study
- < 20 pack year smoking history
- Significant co-morbidity e.g. cardiac
- history of intolerance to lactose
United Kingdom | |
Department of Respiratory Medicine, Glasgow Royal Infirmary | |
Glasgow, United Kingdom, G4 0SF |
Principal Investigator: | George W Chalmers, MD | NHS Greater Glasgow and Clyde |
Principal Investigator: | Anne Boyter, PhD | Strathclyde University |
No publications provided
ClinicalTrials.gov Identifier: | NCT00335621 History of Changes |
Other Study ID Numbers: | RN05RM001, REC 05/S0709/45, SSA 05/S0704/40 |
Study First Received: | June 8, 2006 |
Last Updated: | July 27, 2010 |
Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by NHS Greater Glasgow and Clyde:
COPD ipratropium tiotropium |
Additional relevant MeSH terms:
Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Lung Diseases, Obstructive Respiratory Tract Diseases Ipratropium Tiotropium Bronchodilator Agents Autonomic Agents Peripheral Nervous System Agents |
Physiological Effects of Drugs Pharmacologic Actions Anti-Asthmatic Agents Respiratory System Agents Therapeutic Uses Cholinergic Antagonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Parasympatholytics |
ClinicalTrials.gov processed this record on October 16, 2012