Traditional Chinese medicine may reduce the dosage of systemic glucocorticoids in required patients with acute exacerbation of chronic obstructive pulmonary disease: Study protocol for a randomized placebo-controlled trial

Medicine (Baltimore). 2020 May;99(18):e20035. doi: 10.1097/MD.0000000000020035.

Abstract

Introduction: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) involves a severe inflammatory response. Systemic glucocorticoids are very important for the treatment of the acute exacerbation period; however, their use causes serious adverse effects. There is still no evidence on whether traditional Chinese medicine (TCM) can be used to reduce the dosage of systemic glucocorticoids in the treatment of patients with AECOPD.

Methods: In this trial, we plan to enroll 204 eligible patients with AECOPD who will be randomly assigned to receive TCM or a placebo. The effect of TCM in the treatment of patients with AECOPD will be measured by the dosage of systemic glucocorticoids (at which COPD assessment test [CAT] scores improve by 50%). Safety will also be assessed.

Trial registration: ChiCTR2000029568.

Publication types

  • Clinical Trial Protocol

MeSH terms

  • Adult
  • Aged
  • Disease Progression
  • Dose-Response Relationship, Drug
  • Female
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / therapeutic use*
  • Humans
  • Inflammation Mediators / metabolism
  • Male
  • Medicine, Chinese Traditional / adverse effects
  • Medicine, Chinese Traditional / methods*
  • Middle Aged
  • Prospective Studies
  • Pulmonary Disease, Chronic Obstructive / drug therapy*
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Research Design
  • Respiratory Function Tests

Substances

  • Glucocorticoids
  • Inflammation Mediators