Tiotropium in Patients With Tuberculosis (TB) Destroyed Lung
Study Details
Study Description
Brief Summary
The aim of this study to evaluate clinical efficacy of tiotropium in patients with airflow obstruction due to Tuberculosis (TB) destroyed lung.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Tuberculosis can cause lung parenchymal destruction, volume loss, secondary bronchiectasis. Patients with TB destroyed lung complain chronic respiratory symptoms, such as chronic cough, sputum, dyspnea, exercise intolerance, and acute exacerbations. Some of them have chronic airflow obstructions on pulmonary function tests, similar to those of smokers.
Previous large randomized controlled trials, targeting patients with smoking related moderate to severe COPD,demonstrated that tiotropium improved quality of life and respiratory symptom with tolerable long-term safety. The investigators want to evaluate whether tiotropium can improve chronic respiratory symptom,an lung function in patients with COPD due to TB destroyed lung.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Tiotropium in TB destroyed lung
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Outcome Measures
Primary Outcome Measures
- St-George respiratory questionnaire(SGRQ) [6 months after initiation of tiotropium once-daily inhalation]
Secondary Outcome Measures
- lung function [6mo after initiation of tiotropium once-daily inhalation]
- cough VAS [6mo after initiation of tiotropium once-daily inhalation]
- adverse reaction of tiotropium [6 months after initiation of tiotropium once-daily inhalation]
Eligibility Criteria
Criteria
Inclusion Criteria:
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previous pulmonary tuberculosis history
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never smoker or light smoker (<10 pack-year)
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destruction of lung parenchyme, lung volume loss,secondary bronchiectasis due to tuberculosis in chest radiographs or chest CT, confirmed by board-certificate radiologist
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airflow obstruction confirmed by pulmonary function test, FEV1/FVC <70%
Exclusion Criteria:
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patients do not agree with study enrollment
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patients with active tuberculosis or current antituberculous medication
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patients under chemotherapy or other immunosuppressant therapy such as glucocorticoid.
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active infection such as pneumonia, tuberculosis
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patients who are illiterate
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patients with dementia
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pregnant or to be pregnant
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previous lung resection surgery history
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Seoul National University Bundang Hospital | Seongnam-si | Gyeonggi-do | Korea, Republic of | 463-707 |
Sponsors and Collaborators
- Seoul National University Bundang Hospital
Investigators
- Principal Investigator: Sei Won Lee, M.D., Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute of Medical research center, Seoul National University Bundang Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SNUBH_TLD and spiriva