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Tracking Blood Eosinophil Levels in Severe COPD Flare-Ups

Studies low eosinophil counts and recovery in adults hospitalized for severe COPD flare-ups.

Plain-language title generated from the registry record
Registry title: Eosinopenia in Severe COPD Exacerbation

Key facts

Where
North Shields, United KingdomSee the site

Where in United Kingdom

  • Northumbria Healthcare NHS Foundation TrustNorth Shields, United KingdomTaking people

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Trial details

Who runs it
Northumbria Healthcare NHS Foundation Trust
Trial code
NCT06188065
Record updated
14 April 2026
Original description
The goals of this observational study are to identify factors independently associated with admission eosinopenia in patients with a severe exacerbation of chronic obstructive pulmonary disease (COPD) and to determine when blood eosinophil count (BEC) will recover to baseline stable state in patients who are admitted to hospital with a severe exacerbation of COPD and associated eosinopenia.Read full original descriptionShow less

Associates of, and Time to Recovery From, Eosinopenia in Severe COPD Exacerbation

The goals of this observational study are to identify factors independently associated with admission eosinopenia in patients with a severe exacerbation of chronic obstructive pulmonary disease (COPD) and to determine when blood eosinophil count (BEC) will recover to baseline stable state in patients who are admitted to hospital with a severe exacerbation of COPD and associated eosinopenia.

The main aims of the study are to:

1. Identify demographic, physiological and clinical factors independently associated with admission eosinopenia in patients with a severe exacerbation of COPD 2. Assess the time to recovery from eosinopenia to stable BEC following a severe exacerbation of COPD

Inclusion: Admitted to hospital with primary clinical diagnosis of exacerbation of COPD*; Smoking history of at least 10 pack years; Airflow obstruction: FEV1/FVC ratio < 0.7 confirmed on historic or inpatient spirometry; Capacity to give informed consent to participate; Eosinopenia on admission; Uneventful recovery*; Eosinopenia on admission who do not receive a further course of systemic corticosteroids or require emergency hospital admission for an acute illness in the six weeks following admission to hospital with a severe exacerbation of COPD.

Exclusion: Maintenance oral prednisolone or other systemic steroids, anti-interleukin 5 therapy or other medication known to influence eosinophils; Active malignancy; Investigator confirmed history of asthma; Parasitic infection, systemic fungal infection (excluding infection limited to nails or skin), eosinophilic granulomatosis with polyangiitis, hypereosinophilic syndrome or other conditions associated with a high eosinophil count#; Patients with poor venous access; Non-COPD related health problems which in the view of the primary investigator may compromise the conduct and completion of the study; ADDITIONAL CRITERIA FOR THE TIME TO RECOVERY FROM EOSINOPENIA ANALYSIS ONLY.

ClinicalTrials.gov NCT06188065