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Effects of Long Term Macrolide Antibiotic Therapy in Patients With COPD
This study is ongoing, but not recruiting participants.
First Received: September 2, 2005   No Changes Posted
Sponsor: Royal Free and University College Medical School
Information provided by: Royal Free and University College Medical School
ClinicalTrials.gov Identifier: NCT00147667
  Purpose

The purpose of this study is to determine whether long term treatment with oral erythromycin is effective in the treatment of subjects with Chronic Obstructive Pulmonary Disease (COPD) by reducing the number of exacerbations and the degree of airway inflammation.


Condition Intervention Phase
COPD
Drug: Erythromycin
Phase II
Phase III

Study Type: Interventional
Study Design: Allocation: Randomized
Control: Placebo Control
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: Randomised Double Blind Placebo Controlled Trial of Effects of Long Term Low Dose Oral Erythromycin Therapy in Patients With Chronic Obstructive Pulmonary Disease

Resource links provided by NLM:


Further study details as provided by Royal Free and University College Medical School:

Primary Outcome Measures:
  • Exacerbation Frequency
  • Airway Inflammation

Secondary Outcome Measures:
  • Lung Function
  • Health Status
  • Exacerbation Recovery Time
  • Symptoms

Estimated Enrollment: 120
Study Start Date: April 2004
Estimated Study Completion Date: March 2006
Detailed Description:

COPD is characterised by persisting airway inflammation which leads to a progressive and irreversible deterioration in lung function with the eventual development of respiratory symptoms which may become disabling. Periodic episodes of worsening symptoms or exacerbations are a major cause of additional morbidity, mortality and health care utilization. Currently available therapies have limited efficacy in reducing airway inflammation or preventing exacerbations.

Macrolides such as erythromycin have been shown to have potent anti-inflammatory effects in in vitro experiments and in other lung conditions such as cystic fibrosis and bronchiectasis as well as in open label studies in COPD. We hypothesised that long term therapy with oral erythromycin would reduce airway inflammation and reduce the frequency of exacerbations in patients with COPD. If these properties are demonstrated this therapy can have potentially important benefits if effective in this condition.

  Eligibility

Ages Eligible for Study:   40 Years to 90 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical Diagnosis of COPD
  • Clinically stable for 6 weeks
  • Able to Swallow Tablets

Exclusion Criteria:

  • Clinically significant respiratory disease other than COPD
  • Women of child bearing age
  • Patients receiving existing Medication which may interact adversely with trial drug
  • History of clinically significant liver disease
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00147667

Locations
United Kingdom, England
Royal Free Hospital
London, England, United Kingdom, NW3 1PF
Sponsors and Collaborators
Royal Free and University College Medical School
Investigators
Principal Investigator: Jadwiga A Wedzicha, MD Royal Free and University College Medical School
  More Information

No publications provided by Royal Free and University College Medical School

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):
Study ID Numbers: P03/03
Study First Received: September 2, 2005
Last Updated: September 2, 2005
ClinicalTrials.gov Identifier: NCT00147667     History of Changes
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by Royal Free and University College Medical School:
COPD
EXACERBATIONS
AIRWAY INFLAMMATION

Additional relevant MeSH terms:
Erythromycin stearate
Anti-Infective Agents
Molecular Mechanisms of Pharmacological Action
Erythromycin Ethylsuccinate
Gastrointestinal Agents
Enzyme Inhibitors
Erythromycin
Pharmacologic Actions
Anti-Bacterial Agents
Protein Synthesis Inhibitors
Lung Diseases, Obstructive
Respiratory Tract Diseases
Erythromycin Estolate
Lung Diseases
Therapeutic Uses
Pulmonary Disease, Chronic Obstructive

ClinicalTrials.gov processed this record on March 18, 2010