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Trial registered on ANZCTR
Registration number
ACTRN12617001562369
Ethics application status
Approved
Date submitted
5/11/2017
Date registered
17/11/2017
Date last updated
22/01/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Pulmonary artery pulsatility during and after exacerbations of chronic obstructive pulmonary disease (COPD): a prospective observational cohort study
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Scientific title
Pulmonary artery pulsatility during and after exacerbations of COPD: a prospective observational cohort study
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Secondary ID [1]
293281
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None
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Universal Trial Number (UTN)
U1111-1204-6875
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Trial acronym
PAPA COPD
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Linked study record
None
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Health condition
Health condition(s) or problem(s) studied:
COPD - chronic obstructive pulmonary disease
305356
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Condition category
Condition code
Respiratory
304638
304638
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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
Single centre prospective observational longitudinal cohort study with 12 months follow up. Hospitalised patients with acute exacerbations of COPD will be recruited, and undergo CT at baseline and after 12 months. This CT will measure a parameter called pulmonary artery pulsatility (a dynamic CT measurement of pulmonary artery diameter).
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Intervention code [1]
299541
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Mortality
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Assessment method [1]
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Timepoint [1]
303871
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12 months
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Secondary outcome [1]
340323
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Hospitalisations
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Assessment method [1]
340323
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Timepoint [1]
340323
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12 months
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Eligibility
Key inclusion criteria
Acute exacerbations of COPD admitted to Monash Medical Centre, Clayton, Victoria, Australia
Sinus rhythm
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Minimum age
35
Years
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Maximum age
85
Years
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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
WHO group I or III pulmonary hypertension
Unable to undergo CT (eg allergy to intravenous iodinated contrast, egfr <60, weight >204kg due to scanner limitations, pregnant)
Unable to consent or participate in follow up
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
We aim to recruit 152 patients.
The primary analysis will be a Cox proportional hazards regression. In our preliminary cohort (n=58) HR is about 14.0 (95% 1.6-127) and the prevalence is about 30%. Using Schoenfeld's method (Biometrics 1983) for sample size calculations and inputs alpha 0.05, power 0.8, PH prevalence 30%, a conservative estimate for HR of 2.5 with 10% dropout the number required is 152.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
12/02/2018
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Actual
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Date of last participant enrolment
Anticipated
28/02/2021
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Actual
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Date of last data collection
Anticipated
28/02/2022
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Actual
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Sample size
Target
152
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
9345
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Monash Medical Centre - Clayton campus - Clayton
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Recruitment postcode(s) [1]
18019
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3168 - Clayton
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Funding & Sponsors
Funding source category [1]
297907
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Hospital
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Name [1]
297907
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Monash Health
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Address [1]
297907
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Monash Health, 246 Clayton Rd, Clayton, 3168, Victoria
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Country [1]
297907
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Australia
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Primary sponsor type
Hospital
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Name
Monash Health
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Address
Monash Health, 246 Clayton Rd, Clayton, 3168, Victoria
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Country
Australia
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Secondary sponsor category [1]
296970
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None
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Name [1]
296970
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Address [1]
296970
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Country [1]
296970
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298957
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Monash HREC A
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Ethics committee address [1]
298957
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Monash Health, 246 Clayton Rd, Clayton, 3168, Victoria
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Ethics committee country [1]
298957
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Australia
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Date submitted for ethics approval [1]
298957
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15/11/2017
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Approval date [1]
298957
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21/12/2017
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Ethics approval number [1]
298957
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Summary
Brief summary
Many patients with Chronic Obstructive Pulmonary Disease (COPD) also have elevated lung blood pressures, or pulmonary hypertension (PH). Having both conditions increases the risk of death. It is difficult to diagnose PH in COPD. We will be using a new Computed Tomography (X-ray imaging) technique to investigate a marker of PH called ‘pulmonary artery pulsatility’. If PH can be diagnosed easily and accurately new treatments can be devised and researched potentially improving outcomes in COPD.
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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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Dr Paul Leong
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Address
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Monash Lung & Sleep
Monash Health
246 Clayton Rd, Clayton, 3168, Victoria
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Country
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Australia
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Phone
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+61 03 9594 2900
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Fax
78786
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Email
78786
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[email protected]
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Contact person for public queries
Name
78787
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Paul Leong
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Address
78787
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Monash Lung & Sleep
Monash Health
246 Clayton Rd, Clayton, 3168, Victoria
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Country
78787
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Australia
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Phone
78787
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+61 03 9594 2900
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Fax
78787
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Email
78787
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[email protected]
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Contact person for scientific queries
Name
78788
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Paul Leong
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Address
78788
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Monash Lung & Sleep
Monash Health
246 Clayton Rd, Clayton, 3168, Victoria
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Country
78788
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Australia
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Phone
78788
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+61 03 9594 2900
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Fax
78788
0
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Email
78788
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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
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Treatable cardiac disease in hospitalised copd exacerbations.
2021
https://dx.doi.org/10.1183/23120541.00756-2020
N.B. These documents automatically identified may not have been verified by the study sponsor.
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