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CompletedNCT07549932Updated Apr 24, 2026

Adjunctive Role of Statin Therapy on Airway Inflammation and Clinical Consequences of Chronic Obstructive Pulmonary Disease

An interventional study of Statin and placepo intervention in Statin, Airway Disease and Chronic Obstructive Pulmonary Disease, sponsored by Mohamed Salah El-Sayed. Completed at 1 site in Egypt. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-04-24.

Sponsored by Mohamed Salah El-Sayed · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 3 months after the study started (first participant enrolled Jan 2024, registered Apr 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

This study aimed to evaluate the impact of statin therapy on the clinical consequences, as well as airway inflammation and radiological features, in severe chronic obstructive pulmonary cases.

Read the detailed description

Chronic obstructive pulmonary disease (COPD) is characterized by persistent airflow obstruction due to chronic respiratory symptoms and abnormalities in the airways and alveoli. Despite new treatment developments, mortality rates remain high in both developed and developing countries. Chronic airway inflammation significantly contributes to Chronic obstructive pulmonary disease, with statins like atorvastatin showing potential benefits beyond lipid lowering. Observational studies suggest statins may reduce exacerbations and mortality; however, systematic reviews indicate inconsistent clinical benefits. A 2023 meta-analysis noted possible improvements in lung function and inflammation but called for more rigorous trials. A recent 2024 study indicated a minimal impact of statins on exacerbation risk in patients with cardiovascular comorbidities, highlighting ongoing controversy. In light of these findings, a focused randomized trial is proposed for GOLD Group E chronic obstructive pulmonary disease patients at higher exacerbation risk, testing atorvastatin's effectiveness on various outcomes.

02

Conditions studied

  • Statin
  • Airway Disease
  • Chronic Obstructive Pulmonary Disease
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 enrollment of 80 is above the median of 70 across 2,926 interventional studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

This is the only study on the registry with Mohamed Salah El-Sayed 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

Inclusion criteria

  • Diagnosed Chronic Obstructive Pulmonary Disease per the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria 2025 (post-bronchodilator forced expiratory volume₁/forced vital capacity \< 0.70), meets the definition of grade E Chronic Obstructive Pulmonary Disease by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria 2025 criteria.
  • Age ≥ 40 years

Exclusion criteria

Exclusion Criteria:

  • Chronic lung diseases other than COPD as bronchial asthma, interstitial lung disease
  • Acute or chronic Inhalational lung injury.
  • Established indication for statin therapy (atherosclerotic cardiovascular disease, familial hyperlipidemia).
  • Chronic debilitating diseases as diabetes mellitus, chronic liver disease, chronic kidney disease, and hematological disorders.
  • Pregnancy/lactation.
  • Known hypersensitivity to statins.
  • Unable or refuse to provide informed consent.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Statin group

    which includes 40 chronic obstructive pulmonary disease cases (grade E) who received statin (atorvastatin with a dose of 20 mg daily as an add-on therapy for 6 months)

    Drug: Statin

  • Active comparator
    non Statin group

    which includes 40 COPD (grade E) cases who did not receive statin

    Other: placepo intervention

Interventions

  • DrugStatin

    patients received statin (atorvastatin with a dose of 20 mg daily as an add-on therapy for 6 months).

  • Otherplacepo intervention

    patients didn't receive statin as in the statin group.

06

What researchers measure

Primary outcomes

  1. assessment of complete blood count

    A Complete Blood Count (CBC) is measured using an automated hematology analyzer to quantify different components of blood. A brief description suitable for a research paper could be: Blood samples were collected in EDTA-anticoagulated tubes and analyzed using an automated hematology analyzer. The complete blood count (CBC) parameters, including hemoglobin concentration, red blood cell (RBC) count, white blood cell (WBC) count, hematocrit (HCT), platelet count, and red cell indices (MCV, MCH, MCHC), were measured according to the manufacturer's instructions. Quality control procedures were performed daily to ensure accuracy and reliability of results.

    Time frame: baseline - 1 month - 6 months

  2. assessment of Liver function

    Blood samples were collected and centrifuged to obtain serum. Liver function tests were performed using an automated biochemistry analyzer according to the manufacturer's instructions. The measured parameters included alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), total and direct bilirubin, serum albumin, and total protein. Internal quality control procedures were carried out to ensure the accuracy and reliability of the results.

    Time frame: baseline - 1 month - 6 months

  3. assessment of Kidney function

    Blood samples were collected and centrifuged to obtain serum. Kidney function tests were performed using an automated biochemistry analyzer according to the manufacturer's instructions. The measured parameters included serum creatinine, blood urea (urea nitrogen), and uric acid. Estimated glomerular filtration rate (eGFR) was calculated using an appropriate equation. Internal quality control procedures were applied to ensure the accuracy and reliability of the results.

    Time frame: baseline - 1 month - 6 months

  4. assessment of Erythrocyte sedimentation rate.

    "For measurement of erythrocyte sedimentation rate (ESR), venous blood was collected in an anticoagulant-containing tube and transferred into a vertically positioned Westergren tube. The distance that red blood cells sedimented after 1 hour was recorded in mm/hour."

    Time frame: baseline - 1 month - 6 months

  5. assessment of C-reactive protein

    "C-reactive protein (CRP) was measured from a venous blood sample using a standard laboratory immunoassay technique, and the value was recorded in mg/L as an indicator of systemic inflammation."

    Time frame: baseline - 1 month - 6 months

  6. assessment of Serum eosinophil level.

    "Serum eosinophil count was determined from venous blood samples using an automated hematology analyzer and expressed as cells per microliter (cells/µL)."

    Time frame: baseline - 1 month - 6 months

Secondary outcomes

  1. assessment of the delta change forced expiratory volume1 gradient

    "The delta change in forced expiratory volume in one second (ΔFEV₁) was determined using spirometry as the difference between post-intervention and pre-intervention FEV₁ measurements."

    Time frame: baseline - 1 month - 6 months

  2. assessment of Peak expiratory flow rate

    "Peak expiratory flow rate (PEFR) was assessed by spirometry as the highest flow achieved during a forceful expiration following maximal inspiration."

    Time frame: baseline - 1 month - 6 months

  3. assessment of degree of hyperinflation of lung

    High-resolution computed tomography of the chest assesses the degree of hyperinflation by lung volumetry. The presence and degree of emphysema can be quantified using computed tomography. An emphysema index (volume fraction of the lung ≤ -950 Hounsfield Units \>10% at full inspiration) was defined as having emphysema

    Time frame: baseline - 1 month - 6 months

07

Study locations

1 site
  • utpatient clinic and Inpatient quarters of the Thoracic Medicine Department of Mansoura University Hospitals
    Al Mansurah, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07549932
Lead sponsor
Mohamed Salah El-Sayed
Responsible party
Mohamed Salah El-Sayed (principal investigator, Horus University) — Sponsor-investigator
First posted
Apr 24, 2026
Start date
Jan 1, 2024
Primary completion
May 1, 2025
Completion
Jun 1, 2025
Last update
Apr 24, 2026

Oversight

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 Apr 2026. You cannot join it, but the record below documents what was studied.

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