A Pilot Safety Study of Inhaled Dry Powder Mannitol in Acute Exacerbations of COPD
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Purpose
COPD is a major cause of ill health and death in Australia with 40,000 hospital admissions, and a national cost of $898,000,000 annually. The gold standard treatment of COPD is steroids for inflammation, antibiotics for infection and bronchodilators and oxygen for respiratory failure. However, associated mucus hypersecretion is responsible for much of the inflammation and infection. The use of pharmaceutical agents to assist in the early clearance of the retained mucus has been limited, primarily because of lack of demonstrated effect. There has been a recent development of interest in pursuing new therapies for improving mucociliary clearance and several studies have demonstrated that clinical outcomes can be improved when osmotic agents such as mannitol are added to standard treatments. The purpose of this study is to conduct a pilot safety study in patients with an acute exacerbation of COPD to determine if it is safe to administer inhaled mannitol for facilitating mucus clearance.
| Condition | Intervention | Phase |
|---|---|---|
|
COPD Exacerbation |
Drug: mannitol |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Pilot Safety Study of Inhaled Dry Powder Mannitol in Acute Exacerbations of COPD |
- FEV1 [ Time Frame: 2 days ]
- safety [ Time Frame: 2 days ]
| Estimated Enrollment: | 25 |
| Study Start Date: | October 2006 |
| Study Completion Date: | June 2008 |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: mannitol
400mg BD for 2 days
|
Eligibility| Ages Eligible for Study: | 35 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- FEV1 > 35% predicted
- COPD
- Exacerbation
- Inpatient
Exclusion Criteria:
- Pneumonia
- CO2 retention
Contacts and Locations| Australia, New South Wales | |
| Royal Prince Alfred Hospital | |
| Sydney, New South Wales, Australia, 2087 | |
| St George Hospital | |
| Sydney, New South Wales, Australia | |
| Principal Investigator: | David Barnes, MBBS FRACP | Royal Prince Alfred Hospital NSW Australia |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00446667 History of Changes |
| Other Study ID Numbers: | DPM-COPD-HIP-101b |
| Study First Received: | March 12, 2007 |
| Last Updated: | August 27, 2008 |
| Health Authority: | Australia: Department of Health and Ageing Therapeutic Goods Administration |
Additional relevant MeSH terms:
|
Pulmonary Disease, Chronic Obstructive Lung Diseases, Obstructive Lung Diseases Respiratory Tract Diseases Mannitol Diuretics, Osmotic |
Diuretics Natriuretic Agents Physiological Effects of Drugs Pharmacologic Actions Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013