ClinicalTrials.gg
CompletedNCT03466021Updated Mar 16, 2021

Effects of Liraglutide in Chronic Obstructive Pulmonary Disease

A Phase 4 interventional study of Liraglutide and Placebo in Pulmonary Disease, Chronic Obstructive, sponsored by Claus Bogh Juhl. Completed at 2 sites in Denmark. Open to participants aged 30 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-03-16.

Sponsored by Claus Bogh Juhl · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
30 Years to 75 Years
Sex
All
01

Study summary

The study is a 44 weeks, prospective, randomized, placebo-controlled, double-blinded, parallel group two-center trial. Forty patients are recruited among the outpatients of the chronic obstructive pulmonary disease (COPD) clinic, Hospital of South West Jutland and Lillebælt Hospital according to the inclusion and exclusion criteria. The patients are randomized to receive liraglutide 3 mg per day (initial dose 0.6 mg, increasing by 0.6 mg weekly until 3 mg is reached) or placebo. At baseline, after four weeks (assessment of the acute effect of liraglutide), 20 weeks, and 40 weeks (assessment of the combined effect of liraglutide and weight loss) and at week 44 (assessment of the weight-loss after discontinuation of liraglutide) the patients are assessed by physical examination, carbon monoxide (CO) diffusion test, pulmonary function test, biomarkers of inflammation (CRP, interleucine-6 (IL-6), monocyte chemitactic protein-1 (MCP-1)), Fluorodeoxyglucose (FDG)/PET-CT scan of the lungs, 6-minute walking test, respiratory polygraphy and validated questionnaires including basic dyspnea index, transition dyspnea index, COPD Assessment Test (CAT)-score, short-form-36 (SF-36) and Epworth Sleepiness Score.

Read the detailed description

COPD is a common disease characterized by pulmonary inflammation, reduced pulmonary capacity, reduced physical activity and quality of life. Obesity is likewise a common disease characterized by inflammation, reduced physical activity and quality of life. Targeting both obesity and inflammation may turn out beneficial for patients with COPD and obesity, and this study explore the possibility to reverse a vicious cycle of COPD, lack of physical activity and obesity. The primary objective of the study is to evaluate the effect of Liraglutide 3mg in patients with COPD on patient reported outcomes as measured by the Transition Dyspnea Index. The hypothesis is that Liraglutide 3mg exerts beneficial effects on measures of pulmonary function and quality of life in overweight patients with COPD by reducing body weight and reducing inflammatory activity.

02

Conditions studied

  • Pulmonary Disease, Chronic Obstructive

Keywords

  • GLP-1 receptor agonist
  • Chronic obstructive pulmonary disease
  • FDG/PET-CT
  • inflammation
  • weightloss
  • quality of life
03

In context

Pulmonary Disease, Chronic Obstructive

5,520 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 856 are open to participants now.

This study's enrollment of 40 is below the median of 62 across 3,839 interventional studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

Claus Bogh Juhl is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. obtained before any trial-related activities
  2. as defined by /FVC\<70% after maximal broncho-dilatation and in accordance with the Gold guidelines 2017 (25)
  3. Previous smoking of ≥ 20 pack-years
  4. Overweight defined as > 27 kg/m2
  5. Age 30 - 75 years
  6. Women of must use a safe anti- method

Exclusion criteria

Exclusion Criteria:

  1. Chronic treatment with systemic (inhalation steroids allowed)
  2. Current smokers
  3. Diabetes mellitus type 1 and type 2 as defined by current or previous treatment with antidiabetic medications of any kind or ≥ 48mmol/mol
  4. Severe hepatic disease (Alanine transferase > 3 x UNL)
  5. Severe impaired renal function ( \< 30ml/min)
  6. Congestive heart disease (NYHA) class 3-4
  7. History of acute or chronic pancreatitis
  8. History of cholecystitis or cholecystolithiasis
  9. Pregnant or breastfeeding women
  10. Known bronchial asthma or interstitial lung disease
  11. Family history of multiple endocrine neoplasia type 2 (MEN2) or medullary thyroid carcinoma
  12. Large goiter or plasma-calcitonin > 50ng/ml
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    Liraglutide

    Liraglutide injection 3.0 mg daily

    Drug: Liraglutide

  • Placebo comparator
    Placebo

    Placebo, matching injection pen

    Drug: Placebo

Interventions

  • Initially 0.6 mg daily, increasing weekly with 0.6 mg, until 3.0 mg is reached.

    Also known as: Saxenda, NN2211

  • DrugPlacebo

    Matching injection

06

What researchers measure

Primary outcomes

  1. Transition Dyspnea Index (TDI)

    The primary objective is to evaluate the effect of Liraglutide 3mg on Transition Dyspnea Index (TDI) after 40 weeks of treatment in subjects with COPD and overweight (BMI\>27 kg/m2). A positive value indicates less dyspnea during specified activities

    Time frame: 40 weeks

Secondary outcomes

  1. 6 minutes walking test

    Walking distance during a 6-minutes walking test

    Time frame: 44 weeks

  2. Diffusion capacity of the lung for carbon monoxide (DLCO)

    Pulmonary Diffusion Capacity measured by Carbon Monoxide (CO) diffusion capacity test

    Time frame: 44 weeks

  3. FEV1/FVC

    Forced expiratory volume in first second (FEV1)/forced vital capacity (FVC)

    Time frame: 44 weeks

  4. Total lung capacity (TLC)

    Total lung capacity

    Time frame: 44 weeks

  5. Residual volume (RV)

    Residual volume

    Time frame: 44 weeks

  6. CAT-score

    Chronic Obstructive Pulmonary Disease assessment test, a measure of COPD impact on every day life, total score ranges 0-25, a higher score indicates more symptoms

    Time frame: 44 weeks

  7. SF-36

    Short Form (36) Health Survey, which is a Quality of life questionnaire score, subscale scores are calculated according to the SF-36 manual

    Time frame: 44 weeks

  8. CRP

    Inflammation marker, C-reactive protein, higher value indicates more inflammation

    Time frame: 44 weeks

  9. IL-6

    Inflammation marker, Interleukine 6, higher values indicates more inflammation

    Time frame: 44 weeks

  10. MCP-1

    Inflammation marker, Monocyte Chemoattractant Protein-1, higher value indicates more inflammation

    Time frame: 44 weeks

  11. Maximal standard uptake value (SUV max)

    Maximal standard uptake value as measure by FDG-PET/CT scan of the lungs, a higher value indicates more inflammation

    Time frame: Twice over 44 weeks

  12. Mean standard uptake value (SUV mean)

    Mean standard uptake value as measured by FDG-PET/CT scan of the lungs, a higher value indicates more inflammation

    Time frame: Twice over 44 weeks

  13. Total lesion glycolysis (TLG)

    Total lesion glycolysis as measured by FDG-PET/CT, a higher value indicates more inflammation

    Time frame: Twice over 44 weeks

  14. Body weight

    Changes in body weight

    Time frame: 44 weeks

  15. Number of COPD exacerbations

    Mild-moderate exacerbations: Treatment with antibiotics or/and oral prednisolone and Moderate-severe exacerbations: Hospitalization due to pulmonary symptoms.

    Time frame: 44 weeks

  16. Changes in use of bronchodilator drugs and anti-inflammatory drugs

    Defined by an increase in beta2agonists of more than 20 % per week and a change of more than 20 % of dose of anti-inflammatory drugs respectively.

    Time frame: 44 weeks

  17. Apnea/hypopnea index (AHI)

    Apnea/hypopnea index, higher value indicates more apnea/hypopnea episodes

    Time frame: Twice during 44 weeks

  18. Oxygen desaturation index (ODI)

    Oxygen desaturation index, higher values indicate more episodes of desaturation

    Time frame: Twice during 44 weeks

  19. Epworth score

    Epworth sleepiness scale questionnaire, total score is calculated, 0-9: Normal, 10-15: mild to moderate sleep apnea, 16 or more indicate severe sleep apnea

    Time frame: Twice during 44 weeks

07

Study locations

2 sites
  • Hospital of South West Jutland
    Esbjerg, 6700, Denmark
  • Lillebaelt Hospital
    Vejle, 7100, Denmark
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in May 2020, 28 months.

Of 86 non-industry phase 4 interventional studies under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 50. This study's 28 months is close to that.

Counting every sponsor, half of 157 studies reached it within 19 months; a quarter within 12 and three quarters within 40.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 2, 2018
First posted
Mar 15, 2018
StartActual
Jan 1, 2018
Primary completionActual
May 31, 2020
CompletionActual
May 31, 2020
Last update
Mar 16, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03466021
Lead sponsor
Claus Bogh Juhl
Responsible party
Claus Bogh Juhl (MD. ph.d, Esbjerg Hospital - University Hospital of Southern Denmark) — Sponsor-investigator
First posted
Mar 15, 2018
Start date
Jan 1, 2018
Primary completion
May 31, 2020
Completion
May 31, 2020
Last update
Mar 16, 2021

Study contacts

Claus B Juhl, MD PhD
principal investigator · Esbjerg Hospital - University Hospital of Southern Denmark

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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