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| ID | Type | Description | Link |
|---|---|---|---|
| 2010-022038-10 | EudraCT Number |
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Study was not given ethical approval- a alternative protocol required
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Anxiety and depression are common in patients with severe chronic obstructive pulmonary disease (COPD). Frequently exacerbation's of breathlessness are associated with panic/fear and indeed this may be the main cause for the for hospital admission. Patients prone to a tendency to experience and communicate somatic distress in response to psychosocial stress and to seek medical help for it are top of the "frequent flyer" league, costing the health care economy dearly. This is a particular problem in Hull with the high levels of smoking and urban deprivation combining to place the city at the bottom of the Department of Health COPD league tables.
Our hypothesis is that an effective treatment for anxiety will reduce the number of episodes of hospital admission by reducing the panic/fear element of mild COPD exacerbation's thus allowing the patient time to access the existing community based support services.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| escitalopram | Experimental | escitalipram tablets 5mg, 10 mg and 20 mg, once a day for 12 months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| escitalopram | Drug | 5mg-20mg, tablet, od, 12 months |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| exacerbation rate | comparison of the rate of COPD exacerbation in the year preceding treatment with that on escitalopram treatment in patients with COPD adjudged to have a significant element of anxiety. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life | To assess the effect of escitalopram on the patient's quality of life, as measured by St Georges Respiratory Questionnaire | 12 months |
| Hospital Anxiety and depression scale (HADS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alyn H Morice, Professor | Hull University Teaching Hospitals NHS Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Respiratory Medicine, Clinical trials Unit, Castle Hill Hospital | Cottingham | East Yorkshire | HU16 5JQ | United Kingdom |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D000089983 | Escitalopram |
| D003909 | Dexetimide |
| ID | Term |
|---|---|
| D011437 | Propylamines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D009570 | Nitriles |
| D001572 |
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Change in HADS score at 3, 9, and 12 months from baseline
| 12 months |
| General anxiety disorder(GAD-7) | Change in GAD-7 score at 3,9 and 12 months from baseline | 12 months |
| Modified Medical Research Council (MMRC) dyspnoea scale | Change in Modified Medical research council Dyspnoea scale at 3, 9 and 12 months from baseline | 12 month |
| BODE index | Change in BODE index at 3, 9 and 12months from baseline | 12 months |
| Health related utilisation | Number of health related utilisations from baseline to 3, 9 and 12 months | 12 months |
| Spirometry | Change in Forced expired volume in 1 sec, Forced vital capacity and Peak expiratory flow measured at 3, 9 and 12 months from baseline | 12 months |
| D002908 |
| Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Benzofurans |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D010881 | Piperidones |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |