Actively Recruiting

Phase 4
Age: 40Years +
All Genders
NCT06825013

Bronchodilators and Lung Mechanics During Exercise in COPD

Led by Dr. J. Alberto Neder · Updated on 2025-02-13

25

Participants Needed

1

Research Sites

111 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Bronchodilators are medications that open the bronchi to help patients with COPD to breathe better. It is still not known exactly how this effect improves shortness of breath in people with COPD. The goal of this clinical trial is to determine whether bronchodilators lower resistance in the smallest airways in the lungs, and whether this will improve the feeling of breathlessness in these patients. The main questions the investigators attempt to answer are: * In patients with COPD, does treatment with a short-acting bronchodilator improve small airway resistance during exercise? * In patients with COPD, does acute treatment with short-acting bronchodilator improve breathlessness and exercise endurance? The investigators will compare short-acting bronchodilators to placebo (a substance that contains no drug) to see if the bronchodilator medications improve small airway resistance and breathlessness during exercise. Participants will: * Visit the research laboratory 3 visits to complete tests of lung function and exercise * Complete 2 identical visits (Visit 2 and 3), one in which the participant receives bronchodilator and one in which the participant receives placebo.

CONDITIONS

Official Title

Bronchodilators and Lung Mechanics During Exercise in COPD

Who Can Participate

Age: 40Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of COPD
  • Male or female aged 40 years or older
  • Current or former smokers with at least 20 pack-year history
  • Forced expiratory volume in 1 second (FEV1) to forced vital capacity (FVC) ratio below lower limit of normal
  • At least 10% predicted increase in FVC after inhaling 400 mcg salbutamol
  • Functional residual capacity 120% predicted or above and/or above upper limit of normal
  • Modified Medical Research Council dyspnea scale score of 2 or higher
  • Clinically stable with no exacerbations in the past 6 weeks
  • Able to give informed consent and complete all study procedures
Not Eligible

You will not qualify if you...

  • Major heart or lung diseases other than COPD, including asthma, interstitial lung disease, pulmonary hypertension, and congestive heart failure
  • Neuromuscular or musculoskeletal disorders
  • Use of daytime oxygen or oxygen desaturation below 80% during exercise on room air
  • Any other condition causing breathlessness or exercise intolerance
  • Any reason that prevents safe cardiopulmonary exercise testing

AI-Screening

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Trial Site Locations

Total: 1 location

1

Respiratory Investigation Unit, Kingston Health Sciences Center

Kingston, Ontario, Canada, K7L 2V6

Actively Recruiting

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Research Team

J

J Alberto Neder Serafini, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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