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Sildenafil for Chronic Obstructive Pulmonary Disease
This study has been completed.
Sponsors and Collaborators: Kawut, Steven, MD
Pfizer
Information provided by: Kawut, Steven, MD
ClinicalTrials.gov Identifier: NCT00104637
  Purpose

The purpose of this study is to determine if sildenafil improves the exercise capacity and lung function of patients with chronic obstructive pulmonary disease.


Condition Intervention Phase
Pulmonary Disease, Chronic Obstructive
Emphysema
Drug: sildenafil citrate
Phase II

MedlinePlus related topics: COPD (Chronic Obstructive Pulmonary Disease) Emphysema Exercise and Physical Fitness
Drug Information available for: Sildenafil citrate Sildenafil Citric acid Sodium Citrate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Crossover Assignment, Efficacy Study
Official Title: A Double-Blind, Placebo-Controlled, Crossover Study of Sildenafil in Patients With Chronic Obstructive Pulmonary Disease

Further study details as provided by Kawut, Steven, MD:

Primary Outcome Measures:
  • Exercise Function [ Time Frame: 4 week ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Pulmonary Function [ Time Frame: 4 week ] [ Designated as safety issue: No ]
  • Quality of Life [ Time Frame: 4 week ] [ Designated as safety issue: No ]
  • Shortness of breath score [ Time Frame: 4 week ] [ Designated as safety issue: Yes ]

Enrollment: 10
Study Start Date: February 2005
Study Completion Date: November 2008
Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: sildenafil citrate
    sildenafil citrate 25 mg po tid
Detailed Description:

Patients with chronic obstructive pulmonary disease (COPD) suffer from impaired exercise capacity and quality-of-life, largely related to shortness of breath. Many of the therapies currently available for COPD are aimed at improving these factors. Exercise capacity is limited in part by high blood pressure in the blood vessels in the lungs. Sildenafil, also known as Viagra, is an FDA-approved therapy for male erectile dysfunction. One of its effects is to relax (or open) the lung vessels, thereby lowering the blood pressure in the lungs. We hypothesize that sildenafil will result in an improvement in exercise capacity, quality-of-life, and shortness of breath.

Enrolled subjects will receive sildenafil or placebo for 4 weeks followed by exercise tests, breathing tests, and administration of quality-of-life questionnaires. Subjects will then receive placebo or sildenafil (whichever one they did not receive for the first 4 weeks) for another 4 weeks, followed by the same testing.

  Eligibility

Ages Eligible for Study:   40 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical diagnosis of chronic obstructive pulmonary disease (COPD) or emphysema
  • FEV1/FVC ratio < 70%
  • FEV1 < 80%
  • Stable medication regimen

Exclusion Criteria:

  • COPD exacerbation or hospitalization in the past 3 months
  • Heart disease
  • Contraindication to sildenafil
  • Unrelated lung disease
  • Inability to walk or pedal on a stationary bike
  • Pregnancy or breast-feeding
  • Pulmonary hypertension at rest
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00104637

Locations
United States, New York
Columbia Univeristy, College of Physicians and Surgeons
New York, New York, United States, 10032
Sponsors and Collaborators
Kawut, Steven, MD
Pfizer
Investigators
Principal Investigator: Steven M Kawut, M.D., M.S. Columbia University
  More Information

Responsible Party: Columbia University ( Steven Kawut, MD )
Study ID Numbers: 1022
Study First Received: March 3, 2005
Last Updated: November 14, 2008
ClinicalTrials.gov Identifier: NCT00104637  
Health Authority: United States: Food and Drug Administration

Keywords provided by Kawut, Steven, MD:
Chronic Obstructive Pulmonary Disease
Emphysema
Phosphodiesterase inhibitors
Sildenafil
Exercise testing
Quality of life

Study placed in the following topic categories:
Pulmonary Emphysema
Emphysema
Lung Diseases, Obstructive
Respiratory Tract Diseases
Lung Diseases
Citric Acid
Respiration Disorders
Quality of Life
Sildenafil
Chronic Disease
Pulmonary Disease, Chronic Obstructive

Additional relevant MeSH terms:
Vasodilator Agents
Disease Attributes
Phosphodiesterase Inhibitors
Pathologic Processes
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Enzyme Inhibitors
Cardiovascular Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009