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Tests MxA and CRP blood markers to guide antibiotic use in COPD flare-ups

Tests whether MxA and CRP blood tests guide antibiotic treatment in adults with COPD flare-ups.

Plain-language title generated from the registry record
Registry title: MxA and CRP-Guided Use of Antimicrobial Agents for AECOPD

Key facts

Where
Beijing, ChinaSee the site

Where in China

  • China-Japan Friendship HospitalBeijing, ChinaNo longer taking part

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  2. Are travel costs paid?
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  4. What happens if I want to stop?
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Trial details

Who runs it
Capital Medical University
Trial code
NCT06779344
Record updated
16 January 2025
Original description
This randomized controlled trial will investigate the clinical impact of Myxovirus Resistance A (MxA) and C-Reactive Protein (CRP)-guided antimicrobial treatment compared to usual care in outpatients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD).Read full original descriptionShow less

Myxovirus Resistance Protein a and C-Reactive Protein-Guided Antimicrobial Treatment in Outpatients with Acute Exacerbations of Chronic Obstructive Pulmonary Disease

This randomized controlled trial will investigate the clinical impact of Myxovirus Resistance A (MxA) and C-Reactive Protein (CRP)-guided antimicrobial treatment compared to usual care in outpatients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD).

Inclusion: ≥40 years old;; Current or former smoker with a minimum smoking history of 10 pack years, clinical diagnosed with mild-to-severe COPD; Presenting with an acute exacerbation of COPD; The severity of AECOPD is mild to moderate.

Exclusion: Received interferon therapy within 30 days before screening; Had an active systemic inflammatory condition within 30 days prior to screening, such as cerebral infarction, myocardial infarction, or surgery; Received vaccine in the past 30 days; Had a concurrent infection at another site, such as urinary tract infections or sinusitis; Pre-treatment with corticosteroids (cumulative dose of methylprednisolone ≥ 80 mg or equivalent dose) for the present exacerbation; Active tuberculosis; Presenting with current respiratory failure; Required urgent hospitalization; Immunocompromised; Clinical suspicion of pneumonia or pulmonary edema; Coexisting bronchiectasis, cystic fibrosis, or asthma; Contraindications to antibiotics and/or antivirals; Known etiology of the present exacerbation.

ClinicalTrials.gov NCT06779344