The purpose of this study is to determine which treatment is more effective and safer for the patients in COPD C group with bronchiectasis.The research results will help guide physicians to select appropriate individualized treatment and hopefully provide some evidence-based medicine proofs for revising guide.
The diagnosis and treatment of COPD and bronchiectasis together seems to be more complicated than the diagnosis and treatment of either condition alone. According to the GOLD,there are three treatments for patients with COPD in group C: ICS combined with LABA or LAMA alone or LABA combined with LAMA. However, it has not yet been demonstrated about which method is more effective for the patients with COPD in group C and bronchiectasis. This study is designed as a prospective, randomized, case-control trial. Patients are divided into three groups, one group inhaled with ICS and LABA (Symbicort), the second group inhaled with LAMA (Tiotropium Bromide) and the third group inhaled with LAMA(Tiotropium Bromide) and (Symbicort).The course of treatment is 12 months. The investigators will also assess other relevant outcomes, including the quality of life (QOL) score, pulmonary function test and the incidence of adverse event.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
90
Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, China
Acute exacerbation
The times of acute exacerbation during the trial.
Time frame: 12 months
Number of patients with adverse events
All of the adverse events occurred in the processing of the trial,especially the prevalence of pneumonia.
Time frame: 12 months
FEV1
Forced Expiratory Volume in one second
Time frame: 12 months
FVC
Forced Vital Capacity
Time frame: 12 months
FEV1/FVC
Pulmonary function test
Time frame: 12 months
SGRQ
St. George's Respiratory Questionnaire
Time frame: 12 months
LCQ
The Leicester Cough Questionnaire
Time frame: 12 months
CAT
COPD Assessment Test
Time frame: 12 months
mMRC
Modified Medical Research Council Dyspnea Scale
Time frame: 12 months
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