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CompletedNCT02346292CLOUDUpdated Dec 22, 2017

Observational Multicenter Non-interventional Study on COPD Patients Treatment Strategies at the Time of Hospital Discharge and Within 12 Months of Follow-up on an Outpatient Primary Care Basement

An observational study in COPD, sponsored by AstraZeneca. Completed at 30 sites in Russian Federation. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2017-12-22.

Sponsored by AstraZeneca · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
1,250
Ages
40 Years and older
Sex
All
01

Study summary

The study is an observational multicenter descriptive study. It is planned to enroll approximately 1250 subjects with severe and very severe COPD hospitalized for the reason of COPD exacerbation into departments of pulmonology or therapy. The study will be conducted in approximately 20-25 institutions of treatment and prevention in Russian Federation and will include about 50 to 60 subject at each clinical site.

Read the detailed description

The study is an observational multicenter descriptive study. It is planned to enroll approximately 1000 subjects with severe and very severe COPD hospitalized for the reason of COPD exacerbation into departments of pulmonology or therapy. The study will be conducted in approximately 20-25 institutions of treatment and prevention in Russian Federation and will include about 50 to 60 subject at each clinical site.

This is an observational study, so there is no treatment protocol or subjects' management recommendations required. The study subjects receive medical treatment according to the routine practice for their disease in Russian Federation. A subject's participation in this clinical study should not affect character and amount of care provided according to the routine clinical practice.

The study includes 5 clinical visits: Study Enrolment Visit, Month 3 Visit, Month 6 visit, Month 9 Visit, Month 12 visit / End of Study Visit.

02

Conditions studied

  • COPD

Keywords

  • COPD
  • Spirometry
  • severe and very severe COPD
  • COPD exacerbations
  • therapy schemes
  • therapy changes
03

In context

Pulmonary Disease, Chronic Obstructive

4,131 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 697 are open to participants now.

This study's planned enrollment of 1,250 is above the median of 180 across 1,066 observational studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

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
Sampling method
Non-probability sample

Study population

Patients of both genders aged 40 years and older, smokers, with smoking history more than 10 pack-years, with severe and very severe COPD who were hospitalized with COPD exacerbation

Inclusion criteria

  • Signed informed consent . Men and women at least 40 years old, with smoking history more than 10 pack-years.
  • Hospitalization for the reason of COPD exacerbation (exacerbation defined as acute condition, different from typical fluctuations of general condition and requiring change of therapy).
  • Diagnosis of severe or very severe COPD based on final spirometry (performed in a standardized manner using salbutamol 400 mg), or history of diagnosis of severe or very severe COPD based on spirometry performed during 6 months before the hospitalization.

Exclusion criteria

Exclusion Criteria:

  • Participation in any interventional study.
  • Concomitant respiratory diseases, i.e. confirmed or suspected malignancy or any other serious condition, including lung tumor, lung fibrosis, interstitial lung disease, tuberculosis, sarcoidosis.
  • Patient is unable or unwilling to complete questionnaires, unable to understand study procedures, or other reasons which, in the investigator's opinion, could affect study procedures performance.
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
1,250 participants (estimated)
Patient registry
No

Groups and cohorts

  • 1

    Patients of both genders aged 40 years and older, smokers, with smoking history more than 10 pack-years, with severe and very severe COPD who were hospitalized with COPD exacerbation

06

What researchers measure

Primary outcomes

  1. Percentage of subjects with severe and very severe COPD who received prescription of therapy, including different schemes of inhaled glucocorticoids use, according to main principles of COPD therapy (GOLD 2014 recommendations)

    Time frame: up to 12 months

Secondary outcomes

  1. Description of social characteristics (days of disability, etc.), economical status of subjects if applicable (if patient agreed) (average monthly income) with severe and very severe COPD hospitalized for the reason of COPD exacerbation

    Time frame: at the time of 1st visit

  2. % of subjects with severe and very severe COPD for whom scheme of inhaled glucocorticoids use was changed after 3, 6, 9, and 12 months of follow-up (outpatient conditions after discharge from the hospital)

    Time frame: at the moment of discharge and after 3, 6, 9, and 12 months of follow-up

  3. Frequency and reasons of treatment scheme correction during follow-up after its prescription at the moment of discharge from the hospital

    As reasons of treatment changes and/or its correction it will be measured with: 1. Number of hospitalizations in the previous 3 months before enrollment and in 3, 6, 9, 12 months; 2. Number or emergency calls, outpatient care settings visits in the previous 3 months before enrollment and in 3, 6, 9, 12 months; 3. Number of exacerbations and number of related hospitalizations in the previous 3 months before enrollment and in 3, 6, 9, 12 months. 4. Number of pneumonia cases in the previous 3 months before enrollment and in 3, 6, 9, 12 months.

    Time frame: at the moment of discharge and after 3, 6, 9, and 12 months of follow-up

  4. % of subjects with severe and very severe COPD who during the follow-up period attended medical institution for the correction of treatment scheme prescribed at the moment of discharge from the hospital

    Time frame: at the moment of discharge and after 3, 6, 9, and 12 months of follow-up

  5. % of subjects with severe and very severe COPD, received treatment with short acting anticholinergic drugs, SABA, LABA, LAMA, oral CS, FDC, phosphodiesterase type 4 inhibitors, theophylline

    Time frame: at the moment of discharge and after 3, 6, 9, and 12 months of follow-up

  6. % of patients with asthma-COPD overlap syndrome among all subjects with severe and very severe COPD hospitalized for the reason of COPD exacerbation

    Time frame: at the time of 1st visit and 12 months of follow-up

  7. % of subjects with asthma-COPD overlap syndrome who received treatment with inhaled glucocorticoids both

    Time frame: at the moment of discharge and after 3, 6, 9, and 12 months of follow-up

  8. % of patients with severe and very severe COPD, who received treatment with short acting anticholinergic drugs, SABA, LABA, LAMA, oral CS, FDC, phosphodiesterase type 4 inhibitors, theophylline, among all subjects with ACOS

    Time frame: at the moment of discharge and after 3, 6, 9, and 12 months of follow-up

  9. EQ-5D results

    Time frame: at the moment of discharge and after 3, 6, 9, and 12 months of follow-up

  10. CAT results

    Time frame: at the moment of discharge and after 3, 6, 9, and 12 months of follow-up

07

Study locations

30 sites
  • Research Site
    Barnaul, Russian Federation
  • Research Site
    Blagoveshchensk, Russian Federation
  • Research Site
    Chelyabinsk, Russian Federation
  • Research Site
    Cherepovets, Russian Federation
  • Research Site
    Chita, Russian Federation
  • Research Site
    Ekaterinburg, Russian Federation
  • Research Site
    Gatchina, Russian Federation
  • Research Site
    Izhevsk, Russian Federation
  • Research Site
    Kazan, Russian Federation
  • Research Site
    Kemerovo, Russian Federation
  • Research Site
    Kirov, Russian Federation
  • Research Site
    Krasnodar, Russian Federation
  • Research Site
    Krasnoyarsk, Russian Federation
  • Research Site
    Kursk, Russian Federation
  • Research Site
    Moscow, Russian Federation
  • Research Site
    Naberezhnye Chelny, Russian Federation
  • Research Site
    Novokuznetsk, Russian Federation
  • Research Site
    Novosibirsk, Russian Federation
  • Research Site
    Omsk, Russian Federation
  • Research Site
    Orel, Russian Federation
  • Research Site
    Petrozavodsk, Russian Federation
  • Research Site
    Rostov-on-Don, Russian Federation
  • Research Site
    Ryazan, Russian Federation
  • Research Site
    Seversk, Russian Federation
  • Research Site
    Smolensk, Russian Federation
  • Research Site
    St.Petersburg, Russian Federation
  • Research Site
    Ufa, Russian Federation
  • Research Site
    Voronez, Russian Federation
  • Research Site
    Yakutsk, Russian Federation
  • Research Site
    Yaroslavl, Russian Federation
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02346292
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jan 27, 2015
Start date
Mar 31, 2015
Primary completion
Dec 30, 2016
Completion
Dec 30, 2016
Last update
Dec 22, 2017

Study contacts

Alexander Bedenkov, Medical Director
study director · AstraZeneca
Sergey Avdeev, MD, PHD
principal investigator · Federal State Institution "Scientific Research Institute of Pulmonology" FMBA of Russia
Andrey Belevsky, PHD
principal investigator · Federal State Institution "Scientific Research Institute of Pulmonology" FMBA of Russia

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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