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CompletedNCT01071161CACTUSUpdated Sep 18, 2015

The Effect of Azithromycin in Patients With Chronic Obstructive Pulmonary Disease (COPD) and Chronic Productive Cough

A Phase 3 interventional study of azithromycin and placebo in Cough, Chronic Obstructive Pulmonary Disease and Chronic Bronchitis, sponsored by Isala. Completed at 1 site in Netherlands. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2015-09-18.

Sponsored by Isala · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The purpose of this study is to demonstrate the efficacy of azithromycin to produce a significant change in the cough-related health status, measured with the Dutch version of the Leicester Cough Questionnaire in patiënts with COPD gold classification 2-4 and chronic productive coughing.

Read the detailed description

This study is a prospective double-centre, double blind randomised trial. Patients > 40 years of age, referred to our outpatient clinic with chronic cough and sputum production due to COPD will be recruited after informed consent is obtained.

Consenting patients will be randomises to a 12-week treatment with 250 mg azithromycin three times a week or placebo.

Before randomisation all patients have to fill in the SF 36 , SGRQ and the Dutch version of the Leicester Cough Questionnaire (LCQ) for assessment of the baseline quality of life and the disease specific quality of life.

The LCQ questionnaires will be performed at the beginning and every 3 weeks afterwards until 18 weeks, except the second LCQ which will be filled in after 2 weeks. Scores from this questionnaire will be used to calculate the 2-week repeatability. The SF 36 and SGRQ will be performed at the start of the study and after 12 weeks. Adverse events will be recorded during the whole treatment period. After 2 and 12 weeks a Global Rating of Change will be performed. This questionnaire will be used to validate the LCQ in COPD patients.

Randomisation will take place using a computer allocation program (BAMI-computer)

Azithromycin and placebo will be provided by Teva Pharmaceuticals. Placebo and azithromycin will be identical in appearance and packaging.

02

Conditions studied

  • Cough
  • Chronic Obstructive Pulmonary Disease
  • Chronic Bronchitis

Keywords

  • chronic cough
  • COPD
  • Azithromycin
  • Zithromax
  • LCQ
03

In context

Bronchitis

268 studies on the registry are indexed under Bronchitis; 26 are open to participants now.

This study's enrollment of 84 is below the median of 120 across 184 interventional studies indexed under Bronchitis.

Browse Bronchitis studies →

Lead sponsor

Isala is the lead sponsor of 36 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients > 40 years of age, in our outpatient clinic with chronic cough and COPD (gold2-4)
  • Chronic cough is defined as a cough > 12 weeks duration, at least 12 weeks a year in 2 subsequent years.
  • Analysed for bronchiectasis prior to participation by CT-thorax.

Exclusion criteria

Exclusion Criteria:

  • Prior history of asthma
  • Use of i.v. or oral corticosteroids and or antibiotics for an exacerbation 3 weeks before inclusion
  • Patients suffering from other relevant lung diseases.
  • Clinically relevant abnormal laboratory values suggesting an unknown disease requiring further clinical evaluation.
  • Liver disease, (ALAT and/or ASAT levels two or more times the upper limit of normal).
  • Pregnancy or lactation.
  • Use of macrolides the last 6 weeks prior to inclusion.
  • Allergy or intolerance to macrolides.
  • Other research medication started 2 months prior to inclusion.
  • Prior randomisation in this study.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    Azithromycin

    Drug: azithromycin

  • Placebo comparator
    Placebo

    Drug: placebo

Interventions

  • Drugazithromycin

    azithromycin, tablets, during 12 weeks, three times a week, 250mg

    Also known as: Zithromax

  • Drugplacebo

    placebo

06

What researchers measure

Primary outcomes

  1. Mean change in the Leicester Cough Questionnaire (LCQ) scores.

    Time frame: 2 years

Secondary outcomes

  1. Mean change in the SF 36 and SGRQ scores.

    Time frame: 2 years

  2. Change in lung function, (FEV1 (L) and FVC (L)).

    Time frame: 2 years

  3. Number of exacerbations.

    Time frame: 2 years

  4. Adverse reactions.

    Time frame: 2 years

  5. Laboratory values: CRP, ASAT, ALAT

    Time frame: 2 years

  6. Sputum analysis

    Time frame: 2 years

07

Study locations

1 site
  • Isala Klinieken
    Zwolle, Ov 8011 JW, Netherlands
08

References and documents

Publications

  • Berkhof FF, Doornewaard-ten Hertog NE, Uil SM, Kerstjens HA, van den Berg JW. Azithromycin and cough-specific health status in patients with chronic obstructive pulmonary disease and chronic cough: a randomised controlled trial. Respir Res. 2013 Nov 14;14(1):125. doi: 10.1186/1465-9921-14-125. PubMed 24229360 ↗
  • Berkhof FF, Boom LN, ten Hertog NE, Uil SM, Kerstjens HA, van den Berg JW. The validity and precision of the Leicester Cough Questionnaire in COPD patients with chronic cough. Health Qual Life Outcomes. 2012 Jan 9;10:4. doi: 10.1186/1477-7525-10-4. PubMed 22230731 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01071161
Lead sponsor
Isala
Responsible party
Jan W.K. van den Berg (Dr., Isala) — Principal investigator
First posted
Feb 19, 2010
Start date
Sep 2009
Primary completion
Feb 2012
Completion
Feb 2012
Last update
Sep 18, 2015

Study contacts

Jan W van den Berg, MD
study director · Department of Pulmonology

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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