Clinical trial NCT02878252: Non-interventional Study of COPD Patients With Asthma Overlap Syndrome in Viet Nam and Taiwan
Official title: A Cross-sectional Study to Determine the Proportion and Clinical Characteristics of COPD Patients With Asthma Symptoms in Asia (ACOS) and Describe Current Practices in Diagnosis and Management
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Patients With Asthma-COPD Overlap Syndrome (ACOS)
Keywords: COPD, Asthma, ACOS
Lead sponsor: AstraZeneca
Sponsor class: INDUSTRY
Collaborators: name: ASK CRE Private Limited
First posted: 2016-08-25
Enrollment: 350
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Patients diagnosed with COPD who are seen at the outpatient clinics of Pulmonary Specialists

Brief summary: The purpose of this study to determine the proportion and clinical characteristics of COPD patients with asthma symptoms (ACOS) and describe current practices in diagnosis and management in Viet Nam and Taiwan.

Detailed description: Chronic Obstructive Pulmonary Disease (COPD) is a major cause of chronic morbidity and mortality. Around 15% to 20% of COPD patients would present with features of asthma and are considered to have the overlap syndrome of COPD and asthma, commonly called asthma-COPD overlap syndrome (ACOS). In Asia, specifically Taiwan, the overall prevalence of ACOS in patients with COPD is approximately 17.4%. COPD patients with asthma symptoms represent a relevant clinical population because they have worse health-related quality of life.

Given the increased morbidity among COPD patients with asthma overlap, it is critical that these patients are properly characterized to aid the appropriate diagnosis and treatment. The Global Initiative for Asthma (GINA) and Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines have given joint recommendations on the identification, diagnosis and treatment of these patients. These recommendations have been adapted for use in the Asia Area countries. The primary objective of this study is to determine the proportion and clinical characteristics of patients with ACOS as defined by the joint GINA and GOLD recommendation amongst diagnosed COPD patients seen at the out-patient clinics.

This study is planned to determine the proportion of patients with ACOS as defined by the joint GINA and GOLD recommendation amongst diagnosed COPD patients seen at the out-patient clinics

Eligibility criteria: Inclusion Criteria:

* All patients with confirmed diagnosis of COPD {post-bronchodilator FEV1/FVC\<0.7 (FEV1 - forced expiratory volume at one second, FVC - forced vital capacity) based on the medical records}
* Aged \>40 years old at time of diagnosis
* Seen at out-patient clinic

Exclusion Criteria:

* Patients currently with acute exacerbation of COPD by GOLD definition (any worsening of a patient's respiratory symptoms that is beyond normal day-to-day variations and requires a change in medication)
* Patients with respiratory diseases that can show similar symptoms to chronic airway diseases such as bronchiectasis, tuberculosis (TB)-destroyed lung parenchyma, endobronchial TB, and lung cancer, or those who have history of these diseases based on physician's judgment
* Patients currently diagnosed with pneumonia and acute bronchitis
* Patients currently randomized in other clinical studies

Primary outcomes:
measure: proportion of ACOS patients among COPD-diagnosed patients seen at the out-patient clinics
timeFrame: 6 month
Secondary outcomes:
measure: symptom control assessment
timeFrame: 6 months
Other outcomes:
measure: medications given to ACOS patients in current practice
timeFrame: 6 months
Locations:
city: Kaohsing
country: Taiwan
facility: Research Site
city: Taichung
country: Taiwan
facility: Research Site
city: Taipei
country: Taiwan
facility: Research Site
city: Ha Noi
country: Vietnam
facility: Research Site
city: Ho Chi Minh
country: Vietnam
facility: Research Site
Study officials:
References: