CClinicalTrials.gg
CompletedNCT03957577Updated Feb 22, 2024

Etiology of Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) in Japan

An observational study in Pulmonary Disease, Chronic Obstructive, sponsored by GlaxoSmithKline. Completed at 13 sites in Japan. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-02-22.

Sponsored by GlaxoSmithKline · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
70
Ages
40 Years to 80 Years
Sex
All
01

Study summary

The purpose of this prospective, epidemiological, cohort study is to evaluate the lung microbiome in stable-state chronic obstructive pulmonary disease (COPD) in Japanese participants

02

Conditions studied

  • Pulmonary Disease, Chronic Obstructive

Keywords

  • Asthma-COPD overlap syndrome
  • Acute exacerbations of chronic obstructive pulmonary disease
  • Acute Exacerbation and Respiratory Infections in COPD-Japan
  • Chronic bronchitis
  • Chronic obstructive pulmonary disease
  • Exacerbation
  • Microbiome
  • Quantitative polymerase chain reaction (qPCR)
  • 16S ribosomal Ribonucleic acid (16S rRNA)
  • Metagenomic analysis
  • Sputum
03

In context

Lung Diseases

3,303 studies on the registry are indexed under Lung Diseases; 355 are open to participants now.

This study's enrollment of 70 is below the median of 157 across 929 observational studies indexed under Lung Diseases.

Browse Lung Diseases studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This study will enroll participants with a recorded clinical diagnosis of COPD, ACOS or chronic bronchitis (CB), who have airflow limitation indicative of COPD according to Global Initiative for Chronic Obstructive Lung Disease and a recent history of lower respiratory tract infection (LRTI).

Inclusion criteria

  • Participants must be able and willing to comply with the requirements of the protocol.
  • Participant must be aged greater than or equal to (>=)40 years to to less than or equal to (\<=)80 years at the time of signing the informed consent form (ICF).
  • Participants must have a record of a clinical diagnosis of COPD, ACOS or CB.
  • Participants must have moderate to severe airflow limitation based on spirometry: FEV1 percent predicted normal >=30 to \<=80 percent (%) and post-bronchodilator FEV1/forced vital capacity (FVC) ratio \<0.7.
  • Participants must be symptomatic at Screening, defined as having a CAT score >=10.
  • Participants must have a documented history of at least 1 LRTI treated with antibiotics and/or oral/systemic corticosteroids.
  • Participants must be current or former tobacco (cigarette) smokers with a smoking history of >=10 pack-years.
  • Participants may be male or female. For female participants: A female participant is eligible to participate if she is not pregnant or breastfeeding. Women of non-childbearing potential can also participate. A woman of childbearing potential must have had a highly sensitive negative urine pregnancy test.
  • Participants should be able to provide a spontaneous or induced sputum sample of >=0.2 grams (g) at the Screening Visit.

Exclusion criteria

Exclusion Criteria:

  • Participants with a diagnosed respiratory disorder other than COPD, ACOS or CB.
  • Participants with a diagnosis of alpha-1 antitrypsin deficiency as the underlying cause of COPD.
  • Participants who have received antibiotics within 1 month of Screening or have received antibiotics for more than 30 days within 90 days prior to Screening; Except for those who have received and are currently receiving long-term treatment with low-dose macrolide: erythromycin \<=600 milligrams (mg) per (/) day or clarithromycin \<=200 mg/day.
  • Participants who have received systemic corticosteroids (oral/intravenous/intramuscular) for more than 14 consecutive days within 90 days prior to giving informed consent.
  • Participants who are unable to use or to comply with daily completion of the eDiary.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
70 participants (actual)
Patient registry
No

Groups and cohorts

  • All participants

    Participants with COPD or Asthma-COPD overlap syndrome (ACOS)

    Other: Prospective observational cohort study

Interventions

  • OtherProspective observational cohort study

    Prospective observational cohort study

06

What researchers measure

Primary outcomes

  1. Number of participants with first evaluable moderate or severe AECOPD that have infectious or non-infectious etiology

    Time frame: Up to Month 12

  2. Microbiome composition of sputum in stable-state COPD as measured by bacterial ribosomal ribonucleic acid (rRNA) sequencing

    Time frame: Baseline (Screening visit or Month 0)

Secondary outcomes

  1. Number of all-cause moderate and severe AECOPD per participants

    Time frame: Up to Month 12

  2. Microbiome composition of sputum in stable-state COPD as measured by bacterial rRNA sequencing

    Time frame: Baseline (Screening visit or Month 0)

  3. Microbiome composition of sputum during participant's first evaluable moderate or severe AECOPD

    Time frame: Up to Month 12

  4. Number of participants with first evaluable sputum samples that are positive for potentially pathogenic viruses (overall and by species) and bacteria in stable state COPD as measured by bacterial culture or quantitative polymerase chain reaction (qPCR)

    Time frame: Baseline (Screening visit or Month 0)

  5. Number of participants with first evaluable sputum samples that are positive for potentially pathogenic viruses (overall and by species) and bacteria during moderate or severe AECOPD as measured by bacterial culture or qPCR

    Time frame: Baseline (Screening visit or Month 0)

  6. Number of EXACT events per participant over the course of 12 months

    An EXACT event is defined as an increase in EXACT score more than or equal to 12 points for 2 days or more than or equal to 9 points for 3 days, above the participant's mean Baseline score. Severity is indicated by the worst (i.e., highest) EXACT total score during the course of the event.

    Time frame: Up to Month 12

  7. Number of AECOPD events

    Time frame: Up to Month 12

  8. Severity of AECOPD according to healthcare utilization

    Time frame: Up to Month 12

  9. Severity of EXACT events according to EXACT total score

    Time frame: Up to Month 12

  10. Duration of AECOPD

    Time frame: Up to Month 12

  11. Duration of EXACT events

    Time frame: Up to Month 12

  12. Mean change in CAT score between stable-state COPD and participants' first evaluable moderate or severe AECOPD

    The CAT is a 8-item, participant-completed instrument that covers symptoms such as cough, phlegm, chest tightness and breathlessness, and disease impacts including physical activity, confidence, sleep and energy. Participants will be asked to score each item on a scale ranging from 0 (no symptom or impact at all) to 5 (maximal symptom or impact).

    Time frame: Baseline (Screening visit or Month 0) and up to Month 12

  13. Mean change in CAT score over the course of 1 year

    The CAT is a 8-item, participant-completed instrument that covers symptoms such as cough, phlegm, chest tightness and breathlessness, and disease impacts including physical activity, confidence, sleep and energy. Participants will be asked to score each item on a scale ranging from 0 (no symptom or impact at all) to 5 (maximal symptom or impact).

    Time frame: Baseline (Screening visit or Month 0) and up to Month 12

  14. Mean change in EXACT score

    EXACT is a validated, self-administered, 14-item daily diary that assesses 11 respiratory symptoms and 3 additional symptoms, which together characterize COPD exacerbations. The EXACT total score will range from 0 to 100, with higher scores indicating a more severe condition.

    Time frame: Baseline(Screening visit or Month 0) and up to Month 12

  15. Mean change in E-RS COPD total and subscale scores between stable-state COPD and participants' first evaluable moderate or severe AECOPD

    The E-RS: COPD comprises 11 of the 14 items of the parent EXACT that are specifically related to respiratory symptoms and will be completed using the eDiary. The RS-Total score is computed by taking the sum of the items comprising the instrument, with scores ranging from 0 to 40, with higher scores indicating more severe respiratory symptoms.

    Time frame: Baseline (Screening visit or Month 0) and up to Month 12

  16. Mean change in E-RS: COPD total and subscale scores over the course of 1 year

    The E-RS: COPD comprises 11 of the 14 items of the parent EXACT that are specifically related to respiratory symptoms and will be completed using the eDiary. The RS-Total score is computed by taking the sum of the items comprising the instrument, with scores ranging from 0 to 40, with higher scores indicating more severe respiratory symptoms.

    Time frame: Baseline (Screening visit or Month 0) and up to Month 12

  17. Mean change in Forced expiratory volume in 1 second (FEV1) between stable-state COPD, during participants' first evaluable moderate or severe AECOPD

    Time frame: Baseline (Screening visit or Month 0) and up to month 12

  18. Mean rate of AECOPD related healthcare resource utilization per participant

    Time frame: Up to Month 12

  19. Mean rate of non-AECOPD related healthcare resource utilization per participant

    Time frame: Up to Month 12

  20. Annual rate of AECOPD related healthcare resource utilization per participant

    Time frame: Up to Month 12

  21. Annual rate of non-AECOPD related healthcare resource utilization per participant

    Time frame: Up to Month 12

07

Study locations

13 sites
  • GSK Investigational Site
    Fukuoka, 807-8555, Japan
  • GSK Investigational Site
    Fukuoka, 811-1394, Japan
  • GSK Investigational Site
    Fukuoka, 820-8505, Japan
  • GSK Investigational Site
    Fukushima, 960-1295, Japan
  • GSK Investigational Site
    Hiroshima, 734-8530, Japan
  • GSK Investigational Site
    Mie, 515-8544, Japan
  • GSK Investigational Site
    Nagasaki, 859-0497, Japan
  • GSK Investigational Site
    Niigata, 940-2085, Japan
  • GSK Investigational Site
    Osaka, 560-8552, Japan
  • GSK Investigational Site
    Osaka, 591-8555, Japan
  • GSK Investigational Site
    Osaka, 596-8501, Japan
  • GSK Investigational Site
    Shizuoka, 438-8550, Japan
  • GSK Investigational Site
    Tokyo, 142-8666, Japan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03957577
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
May 21, 2019
Start date
Jun 13, 2019
Primary completion
Jun 30, 2022
Completion
Jun 30, 2022
Last update
Feb 22, 2024

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion