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Trial registered on ANZCTR
Registration number
ACTRN12614001286639
Ethics application status
Approved
Date submitted
26/11/2014
Date registered
9/12/2014
Date last updated
26/11/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Differences in the gastrointestinal microbiome signature in chronic obstructive pulmonary disease (COPD)
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Scientific title
Differences in the gastrointestinal microbiome signature in patients with chronic obstructive pulmonary disease (COPD) compared to healthy people
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Secondary ID [1]
285743
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Nil
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Universal Trial Number (UTN)
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Trial acronym
COPooD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic obstructive pulmonary disease (COPD)
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Microbiome
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Condition category
Condition code
Respiratory
293923
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0
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Specimen collection / observational only (no intervention). Patients will be asked to undergo spirometry and will have blood and feces collected. Spirometry and blood collection will occur at assessment and the procedures should last no longer than 30 minutes. Feces will be collected by the participant at his/her own home and stored in their freezer until it can be brought to the clinic.
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Intervention code [1]
290699
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Not applicable
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Comparator / control treatment
Controls will be healthy persons without COPD. Spriometry will be performed and blood and feces collected.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The microbiome of persons with COPD will be compared to those without COPD. This will be done by extracting DNA from fecal samples which will be then PCR amplified for pyrosequencing of 16S ribosomal genes for bacterial taxa identification. The resulting microbiome profiles will be correlated to disease severity by means of inflammatory markers as determined by serum tests and to spirometry results.
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Assessment method [1]
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Timepoint [1]
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Baseline only (cross-sectional study)
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Secondary outcome [1]
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N/A
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Assessment method [1]
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Timepoint [1]
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N/A
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Eligibility
Key inclusion criteria
Adults > age 40 years with COPD GOLD grade 2 and above, confirmed by incompletely reversible airflow obstruction (post bronchodilator forced expiratory volume in one second (FEV1) <80% predicted and forced expiratory ratio (FER) <0.7 or physician confirmed COPD in patients with a reduced forced vital capacity (FVC)), and stable disease with no recent respiratory infection, acute exacerbation, or change in maintenance therapy in the previous 4 weeks.
Participants will be classified according to their GOLD quadrant (A, B, C, D).
Healthy controls subjects will be adults >40 years recruited from the Hunter Medical Research Institute volunteer register. Participants will have no history of cardiac or respiratory disease and have normal lung function measured by spirometry. In addition they will not have experienced a respiratory tract infection in the previous four weeks, nor used antibiotics.
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants will be excluded if they have received treatment with an antibiotic or oral prednisone in the last 4 weeks. This includes the regular use of antibiotics in subjects with COPD. In addition subjects with a previous history of gastrointestinal disease (GI disease), will be excluded. Subjects will also be excluded if they have a history of significant abdominal pain, bloating or diarrhoea in the previous 4 weeks. The study does not exclude current or ex-smokers.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Case control
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
5/01/2015
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Actual
4/03/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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John Hunter Hospital Royal Newcastle Centre - New Lambton
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Funding source category [2]
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Other
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Name [2]
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Hunter Medical Research Institute (HMRI)
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Address [2]
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Hunter Medical Research Institute (HMRI)
Lot 1 Kookaburra Circuit
New Lambton Heights
NSW 2305
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Peter Wark
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Address
Department of Respiratory and Sleep Medicine
Vaccines, Infection, Viruses & Asthma (VIVA)
Hunter Medical Research Institute
Lot 1 Kookaburra Circuit
New Lambton Heights
NSW 2305
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Philip Hansbro
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Address [1]
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The University of Newcastle
Immunology Hunter Medical Research (HMRI) Building
University Drive
Callaghan NSW 2308
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292020
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Hunter New England
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Ethics committee address [1]
292020
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Locked Bag 1 New Lambton NSW 2305
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Ethics committee country [1]
292020
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Australia
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Date submitted for ethics approval [1]
292020
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Approval date [1]
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14/10/2014
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Ethics approval number [1]
292020
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14/08/20/3.02
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Summary
Brief summary
Chronic obstructive pulmonary disease (COPD) affects approximately 7.5% of the Australian population over 40 years of age. Many people with COPD suffer periodic exacerbations that can make them feel much worse. We have effective treatments for managing the symptoms of COPD, but they do not cure the disease. The “microbiome” is the term given to all the microorganisms, such as bacteria, that live on and in our body. There are at least 10 times as many bacterial cells than human cells in the gut alone. All these microbes live in harmony with our body and we benefit from them being there; for example, they can produce vitamins that we need and can ward off pathogenic microbes that might do us harm. There are many ways in which the “health” of our microbiome can be affected. We have found that the number and species of bacteria in the microbiome of mice with COPD is different to that in mice without COPD. The purpose of this study is to determine if the same is true in people. The bacteria that are different might serve either protective or negative roles in terms of health.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Peter Wark
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Address
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Department of Respiratory and Sleep Medicine
Vaccines, Infection, Viruses & Asthma (VIVA)
Hunter Medical Research Institute
Lot 1 Kookaburra Circuit
New Lambton Heights, NSW 2305
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Country
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Australia
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Phone
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+61 2 40420110
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Peter Wark
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Address
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Department of Respiratory and Sleep Medicine
Vaccines, Infection, Viruses & Asthma (VIVA)
Hunter Medical Research Institute
Lot 1 Kookaburra Circuit
New Lambton Heights, NSW 2305
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Country
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Australia
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Phone
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+61 2 40420110
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Philip Hansbro
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Address
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The University of Newcastle
Immunology Hunter Medical Research Institute (HMRI) Building
University Drive
Callaghan NSW 2308
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Country
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Australia
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Phone
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+61 2 40420187
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
6411
Study protocol
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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