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OPEP Therapy in COPD/chronic bronchitis patients with excess mucus


- candidate number23485
- NTR NumberNTR5529
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR13-dec-2015
- Secondary IDsABR 55392 
- Public TitleOPEP Therapy in COPD/chronic bronchitis patients with excess mucus
- Scientific TitleThe effectiveness of an Oscillating Positive Expiratory Pressure (OPEP) Therapy on respiratory symptoms in patients with COPD/chronic bronchitis with excess mucus in daily clinical practice”
- ACRONYM
- hypothesisThe objective of this prospective randomised, double-blind, controlled trial is to evaluate the effect of OPEP use on respiratory symptoms in patients with COPD or chronic bronchitis with excessive mucus in daily clinical practice.
- Healt Condition(s) or Problem(s) studiedCOPD
- Inclusion criteriaPatients with COPD or bronchitis with excessive mucus will be included in this study.

Inclusion criteria
- Diagnosis: Patients with COPD or chronic bronchitis.
- Aged 40 years or older
- Excessive mucus
- Exclusion criteriaExclusion criteria
- Patiënts with CF
- Patients with bronchiectasis
- Patients who used OPEP in the past.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingDouble
- controlPlacebo
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 16-dec-2015
- planned closingdate16-mei-2017
- Target number of participants96
- InterventionsPatients will be randomly allocated either to the intervention group (using a hand-held mechanical OPEP device, Aerobika) or the control group (using the sham version of the hand-held device).The sham version is an identically appearing device that has been adjusted (i.e. the system delivering the positive expiratory pressure is not working anymore but the system delivering the oscillation still works and therefore when using the device patients do hear a sound and feel vibrations comparable with the OPEP device used in the intervention group). At baseline, both groups will be provided with information on how to use and clean the OPEP system. During the study period (3 months) patients are instructed to use the OPEP system daily two times for ten minutes.
- Primary outcomeThe primary endpoint is the mean CCQ Total score after 3 months.
- Secondary outcomeThe secondary endpoints at 3 months are:
- mean subdomain scores of the CCQ, respectively symptoms, mental and functional state.
- mean Leicester Cough Questionnaire (LCQ) total and domain scores.
- St. George’s Respiratory Questionnaire (SGRQ).
- A global rating of change in health status and in ability of coughing up sputum after 3 months will be used to evaluate self-perceived change.
- Lung function (spirometry, FEV1, FEV1%pred, FVC, FVC%pred).
- Exacerbation rate.
- Hospitalisation rate for COPD.
- TimepointsThe study will consist of two visits, a baseline visit and a follow up visit (3 months later).
At 6 weeks patients will fill out a short version of the questionnaire to be able to determine the timing of the effect of the OPEP device.
- Trial web sitenot applicable
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Siebrig Schokker
- CONTACT for SCIENTIFIC QUERIES J.S. Vroegop
- Sponsor/Initiator Martini Hospital Groningen
- Funding
(Source(s) of Monetary or Material Support)
Martini Hospital Groningen, Trudell Medical International
- Publicationsnot yet
- Brief summaryChronic mucus hypersecretion and impaired mucociliary clearance are hallmark features of the chronic bronchitis phenotype of Chronic Obstructive Pulmonary Disease (COPD). Chronic cough and excess mucus production have been found to be associated with patient-related outcomes such as exacerbations, hospitalisations, lung function decline and increased mortality. Therefore, airway clearance techniques like Oscillating Positive Expiratory Pressure (OPEP) therapy might play an important role in the management of patients with COPD or chronic bronchitis with chronic sputum production. However, evidence for the routine use of these devices in clinical practice is lacking. Objective: To evaluate the effect of OPEP use on respiratory symptoms in patients with COPD or chronic bronchitis with excess mucus in daily clinical practice.
Study Design: A prospective randomised, double-blind, controlled trial.
Study Population: A total of 106 patients (of the department of pulmonary diseases of the Martini Hospital Groningen, the Netherlands) with COPD or chronic bronchitis (> 40 years of age) with excess mucus will be included.
Intervention: Patients will be allocated either to the intervention group (using a hand-held mechanical OPEP device) or the control group (using the sham version of the hand-held device). Patients in both groups will be instructed to use the device 10 minutes twice daily for three months.
Outcomes: Data will be collected at baseline and after three months. The primary outcome is respiratory symptoms as measured by the Clinical COPD Questionnaire (CCQ). Secondary outcomes are cough symptoms (LCQ), health-related Quality of Life (SGRQ), global rating of change in health status and ability of coughing up sputum, lung function (FEV1 and FVC (L and % predicted)) and exacerbations. In addition data on adherence and patient satisfaction will be collected.
Relevance: This study might improve the management of patients with COPD or chronic bronchitis with excess mucus, since it will clarify the role of OPEP Therapy in this patient population in daily clinical practice.
- Main changes (audit trail)
- RECORD13-dec-2015 - 27-jan-2016


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