ClinicalTrials.gg
CompletedNCT04360226Updated Apr 10, 2024

Assessing the Utility of Peak Inspiratory Flow as a Predictor for COPD Exacerbations

An observational study in Chronic Obstructive Pulmonary Disease, sponsored by Respiratory Effectiveness Group. Completed at 13 sites in 6 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2024-04-10.

Sponsored by Respiratory Effectiveness Group · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
40 Years and older
Sex
All
01

Study summary

This is an international, mulitcentre, observational, prospective study into Peak Inspiratory Flow in COPD patients that aims to: A) Determine the prevalence of suboptimal Peak Inspiratory Flow (PIF) and inadequate inhaler choice and assess the baseline characteristics of these groups. B) Assess the clinical role of PIF and inhaler choice in predicting COPD exacerbations and symptom burden. C) Assess the variability and correlation of PIF with other lung function measurements and CAT score in stable COPD. It is a 12 month study comprising one baseline assessment and 2 follow-up visits at 6 and 12 months.

02

Conditions studied

  • Chronic Obstructive Pulmonary Disease
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 400 is above the median of 158 across 1,497 observational studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

This is the only study on the registry with Respiratory Effectiveness Group as lead sponsor.

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

COPD patients, who are clinically stable (4 exacerbations in previous 4 weeks) and have been taking inhaled medications for at least 6 months, but have no other chronic respiratory conditions, other than asthma or bronchiectasis.

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. Spirometry-defined (i.e. post-bronchodilator /FVC\<0.7)
  2. Age ≥40 years
  3. Smokers or ex-smokers of at least 10 pack-years
  4. Clinically stable COPD (no exacerbations in the last 4 weeks)
  5. Capable of performing serial lung function tests
  6. Prescribed inhaled medication for at least 6 months

Exclusion criteria

Exclusion Criteria:

  1. Occurrence of an exacerbation during the previous 4 weeks
  2. Have any concomitant chronic respiratory condition other than asthma or bronchiectasis (e.g. cystic fibrosis, lung fibrosis, tuberculosis)
  3. Are unable to understand the instructions of the study or to fill the questionnaires
  4. Are unwilling to sign the
  5. Are participating in a clinical trial
Terms in these criteria, in plain language(3)

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.

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.

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.

05

Study design

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

Interventions

  • OtherNon-interventional

    Non-interventional, subjects will only have routine testing (blood biomarkers, spirometry, peak inspiratory flow measurements) and be asked to complete questionnaires.

06

What researchers measure

Primary outcomes

  1. Prevalence of suboptimal PIF and inadequate inhaler choice.

    Determine the prevalence of suboptimal PIF and inadequate inhaler choice.

    Time frame: Baseline

  2. Exacerbations

    Time to first exacerbation associated with different levels of PIF.

    Time frame: 12 months

Secondary outcomes

  1. PIF and symptom burden

    PIF measurements will be correlated with COPD Assessment Test (CAT) Scores. CAT scores range from 0-40 depending on the severity of a persons symptoms; higher scores denote a more severe impact of COPD on a patient's life.

    Time frame: Baseline, 6 and 12 months

  2. Mortality

    Annual mortality rate associated with different PIF levels.

    Time frame: 6 and 12 months

  3. Variability and correlation of PIF

    Variability of PIF over time and the correlation between PIF and other lung function measures (including FEV1, FVC, Inspiratory capacity), CAT scores, T2 markers (nasal polyps and dermatitis) and where available blood biomarkers.

    Time frame: Baseline, 6 and 12 months

  4. Exacerbation rate

    Annual rate of exacerbations associated with different PIF levels

    Time frame: 6 and 12 months

07

Study locations

13 sites
  • University Hospital Sassari
    Sassari, Italy
  • Hanyang University Guri Hospital
    Hanyang, Korea, Republic of
  • Seoul St. Mary's Hospital
    Seoul, Korea, Republic of
  • Ulsan University Hospital
    Ulsan, Korea, Republic of
  • Mater Dei Hospital
    Valletta, Malta
  • Changi General Hospital
    Singapore, Singapore
  • Singapore General Hospital
    Singapore, Singapore
  • Ljubljana University Medical Centre
    Ljubljana, Slovenia
  • Hospital University de Torrecárdenas
    Almeria, Spain
  • University Hospital Vall d'Hebron
    Barcelona, Spain
  • Hospital Inmaculada HLA
    Granada, Spain
  • HU Virgen de las Nieves
    Granada, Spain
  • Hospital Universitario de La Ribera
    Valencia, Spain
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 Apr 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04360226
Lead sponsor
Respiratory Effectiveness Group
Responsible party
Sponsor
First posted
Apr 24, 2020
Start date
Dec 14, 2020
Primary completion
Aug 1, 2023
Completion
Jan 25, 2024
Last update
Apr 10, 2024

Study contacts

Omar Usmani, MD
principal investigator · National Heart and Lung Institute, Imperial College London & Royal Brompton Hosp

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 Jan 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