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CompletedNCT03532893PIFCOPDUpdated Mar 29, 2022

Predictive Value of Inflammatory Biomarkers and FEV1 for COPD

An observational study in COPD and FEV1, sponsored by Peking University First Hospital. Completed at 10 sites in China. Open to participants aged 40 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-03-29.

Sponsored by Peking University First Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
10,385
Ages
40 Years to 75 Years
Sex
All
01

Study summary

This is a multi-center, prospective, cohort study. A total of 10,000 people aged 40~75 without lung disease will be recruited and followed for 3 years. By measure the rate of decline in forced expiratory volume at one second(FEV1) and baseline inflammatory biomarkers in exhaled breath condensate and peripheral blood, we aim to explore the predictive model for chronic obstructive pulmonary disease(COPD) in China.

Read the detailed description

This is a multi-center, prospective, cohort study. A total of 10,000 subjects aged 40~75 without history of lung disease will be recruited and followed for 3 years. The Department of Respiratory and Critical Care of Peking University First Hospital is responsible for this research. Other 9 units participating in the study, include the The Second Hospital of Hebei Medical University, Henan Provincial People's Hospital, The Second Hospital of Jilin University, The First Affiliated Hospital of Xi'an Jiaotong University, Shandong Provincial Hospital Affiliated to Shandong University,Shanxi Dayi Hospital, Tianjin Medical University General Hospital, The Affiliated Hospital of Inner Mongolia Medical University,The First Hospital of Qinhuangdao. Some questionnaire such as St George's Respiratory Questionnaire (SGRQ), income class, educational level, comorbidity, smoking habit and biomass smoke exposure history will be collected. The baseline level of Interleukin 6 (IL-6), high-sensitivity C-reactive Protein (hs-CRP), microRNAs-23a (miR-23a) in peripheral blood and pH value in exhaled breath condensate (EBC) will be measured, lung spirometry will be tested in the first, second and fourth years. Primary outcome is the incidence of COPD, multivariate regression analysis will be used to establish the predictive model for COPD in China.

The study protocol has been approved by the Peking University First Hospital Institutional Review Board (IRB) (2018-31). Any protocol modifications will be submitted for the IRB review and approval.

02

Conditions studied

  • COPD
  • FEV1

Keywords

  • COPD incidence
  • Decline in FEV1
  • Inflammatory biomarkers
  • EBC
  • microRNA-23a
03

In context

Lead sponsor

Peking University First Hospital is the lead sponsor of 378 studies on the registry; 178 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

A total of 10,000 subjects aged 40~75 without history of lung disease will be recruited and followed for 3 years.

Inclusion criteria

  1. aged at 40-75 years old;
  2. FEV1/FVC>70% after inhaled bronchodilator
  3. have willing to participate in this study, follow the research program and have the ability to sign the informed consent;
  4. lived in a community for more than 1 years and has no plans to move out in the next 4 years
  5. can be contacted

Exclusion criteria

Exclusion Criteria:

  1. history of asthma, COPD, lung cancer, active pulmonary tuberculosis, bronchiectasis, diffuse lung disease (interstitial pneumonia, pulmonary sarcoidosis, occupational lung disease, sarcoidosis et al) and pleural disease;
  2. history of lobectomy and / or lung transplantation;
  3. predicted life expectancy less than 3 years;
  4. history of severe psychiatric illnesses, mental disorders, neurological disorders, malignant tumors, chronic liver disease, heart failure, autoimmune diseases, chronic kidney disease;
  5. Alcoholism, drug abuse or abuse of toxic solvents;
  6. Cannot finish long term follow-up or poor compliance;
  7. Do not provide consent
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
10,385 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • OtherNo intervention

    This is a multi-center,observational, prospective, cohort study. A total of 10,000 subjects aged 40~75 without history of lung disease will be recruited and followed for 3 years. So there is no intervention in this study.

06

What researchers measure

Primary outcomes

  1. The incidence of COPD in the second and fourth year and the association between incidence of COPD and rapid decline of FEV1.

    FEV1/FVC(forced vital capacity)\<70% (after bronchial dilation test);Detect the decline of FEV1(%)by Vitalograph COPD6.

    Time frame: 4 years

Secondary outcomes

  1. The association between incidence of COPD and the air pollution level in different provinces in China.

    Record data of air pollution in different provinces in China from the environmental monitoring website. And analyze the correlation between the COPD incidence and air pollution level.

    Time frame: 4 years

  2. The association between incidence of COPD and different comorbidity condition, such as metabolic syndrome, cardiovascular disease.

    Record comorbidity condition data of human subjects, and then analyze the correlation between the COPD incidence and different comorbidity condition.

    Time frame: 4 years

  3. The mean decline rate of FEV1

    Monitor pulmonary function decline in the second and the fourth year, then calculate the mean decline value.

    Time frame: 4 years

  4. The association between decline rate of FEV1 and air pollution level

    Record data of air pollution in different provinces in China from the environmental monitoring website. And analyze the correlation between the decline rate of FEV1 and air pollution level.

    Time frame: 4 years

  5. The correlation between the incidence of COPD and serum IL-6 level.

    Detect the serum IL-6 levels(ng/L), then analyze the correlation between the IL-6 levels and COPD incidence.

    Time frame: 4 years

  6. The correlation between the incidence of COPD and serum hs-CRP level.

    Detect the serum hs-CRP levels(ng/L), then analyze the correlation between the hs-CRP levels and COPD incidence.

    Time frame: 4 years

  7. The association between the pH value of EBC and COPD incidence.

    Detect the EBC pH value, then analyze the correlation between the EBC pH value and COPD incidence.

    Time frame: 4 years

  8. The association between serum miR-23a level and COPD incidence.

    Detect the serum miR-23a level, then analyze the correlation between serum miR-23a level and COPD incidence.

    Time frame: 4 years

  9. The association between incidence of COPD and other factors.

    The association between incidence of COPD and other factors (smoking habit, biomass exposure history, eating habit and incoming class).The incidence of COPD in the second and fourth year and the association between incidence of COPD and other factors (smoking habit(has or does not, if has: accumulative total smoking amount), biomass exposure history(yes or no), eating habit(light or greasy) and incoming class(family income per capita \>¥4500, or not)).

    Time frame: 4 years

07

Study locations

10 sites
  • Peking University First Hospital
    Beijing, Beijing 100034, China
  • The First Hospital of Qinhuangdao
    Qinhuangdao, Hebei, China
  • The Second Hospital of Hebei Medical University
    Shijiazhuang, Hebei, China
  • Henan Provincial People's Hospital
    Zhengzhou, Henan, China
  • The Affiliated Hospital of Inner Mongolia Medical University
    Hohhot, Inner Mongolia, China
  • The Second Hospital of Jilin University
    Changchun, Jilin, China
  • Shandong Provincial Hospital Affiliated to Shandong University
    Jinan, Shandong, China
  • The First Affiliated Hospital of Shanxi Medical University
    Taiyuan, Shanxi, China
  • The First Affiliated Hospital of Xi'an Jiaotong University
    Xi'an, Shanxi, China
  • Tianjin Medical University General Hospital
    Tianjin, Tianjin, China
08

References and documents

Publications

  • Wang Y, Liao J, Zhong Y, Zhang C, Li X, Wang G. Predictive Value of Combining Inflammatory Biomarkers and Rapid Decline of FEV1 for COPD in Chinese Population: A Prospective Cohort Study. Int J Chron Obstruct Pulmon Dis. 2019 Dec 5;14:2825-2833. doi: 10.2147/COPD.S223869. eCollection 2019. PubMed 31824147 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 29, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03532893
Lead sponsor
Peking University First Hospital
Collaborators
The Second Hospital of Hebei Medical University, Henan Provincial People's Hospital, Second Hospital of Jilin University, First Affiliated Hospital Xi'an Jiaotong University, Shandong Provincial Hospital, Shanxi Dayi Hospital, Tianjin Medical University General Hospital, The Affiliated Hospital of Inner Mongolia Medical University, The First Hospital of Qinhuangdao
Responsible party
Guangfa Wang (Head of Respiratory and critical Medicine, Principal Investigator, Clinical Professor, Peking University First Hospital) — Principal investigator
First posted
May 22, 2018
Start date
Mar 3, 2018
Primary completion
Dec 31, 2020
Completion
Oct 9, 2021
Last update
Mar 29, 2022

Study contacts

Guangfa Wang, MD
study chair · Peking University First Hospital

Oversight

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

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