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The Effect of Advair Diskus Treatment on Depression in Nursing Home Residents With Chronic Obstructive Pulmonary Disease (COPD) (DISK-02)
This study is not yet open for participant recruitment.
Verified by Valley Medical Research, September 2009
First Received: September 8, 2009   Last Updated: September 9, 2009   History of Changes
Sponsor: Valley Medical Research
Information provided by: Valley Medical Research
ClinicalTrials.gov Identifier: NCT00974246
  Purpose

The purpose of this study is to assess the effect of treatment with Advair Diskus on depression using the Cornell depression scale in COPD patients in the nursing home.


Condition Intervention Phase
Chronic Obstructive Pulmonary Disease
Depression
Drug: Advair diskus
Phase IV

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study
Official Title: The Effect of Advair Diskus Treatment on Depression in Nursing Home Residents With COPD

Resource links provided by NLM:


Further study details as provided by Valley Medical Research:

Primary Outcome Measures:
  • To determine the effect of treating COPD patients with Advair diskus for 16 weeks on the Cornell depression scale [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To determine the effect of treatment with Advair diskus on spirometry measure in nursing home residents with COPD [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 35
Study Start Date: October 2009
Estimated Study Completion Date: March 2011
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
COPD, ECF residents, Advair diskus: Experimental
open label treatment with Advair diskus in COPD patients
Drug: Advair diskus
Advair diskus 50/250 1 inhalation bid for 16 weeks

Detailed Description:

We are studying 35 residents in the ECF with a diagnosis of COPD. We are evaluating them for depressive symptoms using the Cornell Depression Scale and the MDS 3.0 section D. We are selecting patients who are not currently on treatment with Advair and starting them on Advair Diskus50/250 1 inhalation bid for a period of 16 weeks and reassessing the Cornell Depression SCale and MDS3.0 section D looking for any changes. We are also going to measure FEV1 and FVC using spirometry before treatment and at the end of 16 weeks. This is a pilot study. The numbers are not necessarily adequate to achieve statistical difference-we are looking for trends.

  Eligibility

Ages Eligible for Study:   18 Years to 94 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult men and women nursing home residents up to age 95
  • Stated diagnosis of COPD or FEV1/FVC <0.7 or being treated with an anticholinergic
  • Presence of depressive symptoms as measured on MDS 3.0 Section D SUM
  • Free from conditions likely to be fatal within six months
  • Able to read or understand English
  • Able and willing to provide informed consent or has a guardian/LAR who can provide informed consent

Exclusion Criteria:

  • Currently pregnant
  • Unable to read and understand English
  • Free from conditions likely to be fatal within six months
  • Enrolled in hospice
  • New treatment with antidepressant within the last 90 days.
  • Current or recent use (within the last 90 days) of Advair Diskus
  • Unwilling or unable to provide informed consent
  • Expected to be discharged within 3 months
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00974246

Contacts
Contact: Meenakshi Patel, MD 937-208-8298 mpatelmd@ymail.com
Contact: Malcolm R Fraser, MD 727 510 2785 mf@baygeriatrics.com

Locations
United States, Florida
Geriatric Medical Associates
Brooksville, Florida, United States, 34601
United States, Ohio
Valley Medical Research
Centerville, Ohio, United States, 45459
Sponsors and Collaborators
Valley Medical Research
Investigators
Principal Investigator: Meenakshi Patel, MD Valley Medical Research
  More Information

No publications provided

Responsible Party: Valley Medical Research ( Meenakshi Patel, MD )
Study ID Numbers: DISK-02
Study First Received: September 8, 2009
Last Updated: September 9, 2009
ClinicalTrials.gov Identifier: NCT00974246     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by Valley Medical Research:
COPD
Depression
Nursing Home

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Respiratory System Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Adrenergic Agents
Albuterol
Physiological Effects of Drugs
Reproductive Control Agents
Adrenergic Agonists
Lung Diseases, Obstructive
Respiratory Tract Diseases
Tocolytic Agents
Mental Disorders
Therapeutic Uses
Fluticasone
Dermatologic Agents
Salmeterol
Depression
Adrenergic beta-Agonists
Respiration Disorders
Anti-Asthmatic Agents
Anti-Allergic Agents
Depressive Disorder
Pharmacologic Actions
Behavioral Symptoms
Autonomic Agents
Lung Diseases
Mood Disorders
Peripheral Nervous System Agents
Bronchodilator Agents

ClinicalTrials.gov processed this record on February 08, 2010