CClinicalTrials.gg
Status unknownNCT02018432Updated Dec 23, 2013

Strategy to Improve Adherence of Roflumilast

A Phase 4 interventional study of Roflumilast escalation dosage and Roflumilast conventional dosage in Chronic Obstructive Pulmonary Disease, sponsored by Asan Medical Center. Status unknown at 1 site in Korea, Republic of. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2013-12-23.

Sponsored by Asan Medical Center · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2013), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
40 Years and older
Sex
All
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Study summary

Main adverse events of Roflumilast are weight loss, loss of appetite, insomnia, headache, diarrhea, vomiting, and nausea. Although the majority of these adverse reactions were mild or moderate. They occurred mainly at the beginning of therapy and mostly resolved with continued treatment around for two weeks according to experiences of clinicians. These adverse events occur more often in Roflumilast 500 μg than 250 μg, having negative impact on compliance of patients at the early stage of treatments.

Thus, investigators aim to compare the drop-out rates between the usual dosage (Roflumilast 500 μg once daily) and the dose escalation (Roflumilast 250 μg once daily for 4 weeks and then escalating dose of 500 μg once daily).

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Conditions studied

  • Chronic Obstructive Pulmonary Disease
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In context

Lung Diseases, Obstructive

2,592 studies on the registry are indexed under Lung Diseases, Obstructive; 198 are open to participants now.

This study's planned enrollment of 80 is above the median of 66 across 1,837 interventional studies indexed under Lung Diseases, Obstructive.

Browse Lung Diseases, Obstructive studies →

Lead sponsor

Asan Medical Center is the lead sponsor of 562 studies on the registry; 71 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  1. Male or female older than 40 years
  2. Clinical diagnosis of COPD (confirmed with a post-bronchodilator forced expiratory volume in 1 s [FEV1]/forced vital capacity [FVC] ratio ≤70%) at least 4 weeks prior to the study and post-bronchodilator FEV1 is 50% or less than the predicted value
  3. Former smokers or current smokers with at least a 10 pack-year history
  4. A history of exacerbation (scheduled/unscheduled visits to primary care physicians, specialists or allied healthcare professionals, or emergency room, or hospitalization due to purulent sputum or increased sputum, or increased dyspnea) in the previous year (at least one)
  5. Chronic bronchitis (cough and sputum production for at least three months within two years)
  6. Able to have the signed written informed consent prior to any study-related procedures.

Exclusion criteria

Exclusion Criteria:

  1. COPD exacerbation or respiratory infection 4 weeks prior to the baseline visit
  2. Known a1-antitrypsin deficiency
  3. Need for long-term oxygen therapy
  4. Moderate to severe liver impairment (Child-Pugh B or C)
  5. Severe immunological diseases (e.g. HIV infection, multiple sclerosis, lupus erythematosus, etc)
  6. Severe acute infectious diseases
  7. Cancers
  8. Subjects being treated with immunosuppressive medicinal products (i.e.: methotrexate, azathioprine, infliximab, etanercept, or oral corticosteroids to be taken long-term) except short-term systemic corticosteroids)
  9. Latent infections such as tuberculosis, viral hepatitis, herpes viral infection and herpes zoster
  10. Subjects with congestive heart failure (NYHA grades 3 and 4)
  11. Subjects with a history of depression associated with suicidal ideation or behavior
  12. Clinically meaningful bronchiectasis
  13. Pregnancy or breast feeding, or Female subjects of childbearing potential unwilling to use effective contraception
  14. Patients with known hypersensitivity to Roflumilast or rescue medication and their ingredients
  15. Patients with previous Roflumilast therapy within past 3 months
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Roflumilast escalation dosage

    Roflumilast 250 μg qd (4 weeks) →500 μg qd

    Drug: Roflumilast escalation dosage

  • Experimental
    Roflumilast conventional dosage

    Roflumilast 500 μg qd

    Drug: Roflumilast conventional dosage

Interventions

  • DrugRoflumilast escalation dosage

    This is a randomized, prospective, open label, comparative study to assess whether the administration of roflumilast by dose escalation varies the incidence of discontinuations due to adverse events when compared with the usual dosage in severe and very severe COPD patients. Roflumilast 250 μg once daily for 4 weeks and then increased dose of Roflumilast 500 μg once daily for 12 weeks

    Also known as: Daxas

  • DrugRoflumilast conventional dosage

    Roflumilast 500 μg once daily for 12 weeks

    Also known as: Daxas

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What researchers measure

Primary outcomes

  1. medication(Roflumilas) history taking

    In every follow-up, patients will be asked about their medication history. The patients will count the rest of the Roflumilast that they are going to take in the future.

    Time frame: 16 weeks

Secondary outcomes

  1. Laboratory test : Hematology, Biochemistry, and Urinalysis

    •Laboratory test : Hematology, Biochemistry, and Urinalysis

    Time frame: 16 weeks

  2. Urine pregnancy test

    •Urine pregnancy test

    Time frame: 16 weeks

  3. Chest X-ray Test

    •Chest X-ray Test

    Time frame: 16 weeks

  4. ECG Test

    •ECG Test

    Time frame: 16 weeks

  5. Lung Function Test

    •Lung Function Test

    Time frame: 16 weeks

  6. QoL Questionnaire (CAT score)

    •QoL Questionnaire (CAT score)

    Time frame: 16 weeks

  7. Other tests (HBsAg, HCV, HIV)

    •Other tests (HBsAg, HCV, HIV)

    Time frame: 16 weeks

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Study locations

1 site
  • Department of Pulmonary and Critical Care Medicine and Clinical Research Center for Chronic Obstructive Airway Diseases, Asan Medical Center, University of Ulsan College of Medicine
    Seoul, 138-736, Korea, Republic of
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References and documents

Publications

  • Park TS, Kang J, Lee JS, Oh YM, Lee SD, Lee SW. Adherence to roflumilast under dose-escalation strategy in Korean patients with COPD. Int J Chron Obstruct Pulmon Dis. 2019 Apr 16;14:871-879. doi: 10.2147/COPD.S191033. eCollection 2019. PubMed 31354255 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02018432
Lead sponsor
Asan Medical Center
Responsible party
Sei Won Lee (Department of Pulmonary and Critical Care Medicine and Clinical Research Center for Chronic Obstructive Airway Diseases, Asan Medical Center, University of Ulsan College of Medicine, Asan Medical Center) — Principal investigator
First posted
Dec 23, 2013
Start date
Dec 2013
Primary completion
Dec 2015 (estimated)
Completion
Dec 2015 (estimated)
Last update
Dec 23, 2013

Study contacts

Sei Won Lee, MD
Contact
iseiwon@gmail.com
+82-2-3010-3990
Sei Won Lee, MD
principal investigator · Department of Pulmonary and Critical Care Medicine and Clinical Research Center for Chronic Obstructive Airway Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Dec 2013. You cannot join it, but the record below documents what was studied.

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