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NCT03956888

The Anti-oxidant Effects of N-Acetylcysteine in Chronic Obstructive Pulmonary Disease (COPD)

Completed Phase 3 Last updated 14 March 2025
What this trial tests

Phase 3 trial testing N-acetylcysteine in Chronic Obstructive Pulmonary Disease in 35 participants. Completed in 30 December 2024.

Timeline
1 May 2019
Primary endpoint
30 December 2023
30 December 2024

Quick facts

Lead sponsorSiriraj Hospital
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposebasic science
Enrollment35
Start date1 May 2019
Primary completion30 December 2023
Estimated completion30 December 2024
Sites1 location across Thailand

Drugs / interventions tested

Conditions studied

Sponsor

Siriraj Hospital

Who can join

Adults 40 to 90, any sex, with Chronic Obstructive Pulmonary Disease. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Chronic obstructive pulmonary disease (COPD) is a condition defined as a disease state characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of lungs to noxious particles or gases, primarily caused by cigarette smoking. The accelerated decline in lung function is closely associated with an increased number of neutrophils in the sputum and hence with higher level of airway inflammation. It becomes clear that the inflammatory process potentiates as COPD progresses and exerts damage which is irreversible. Oxidative stress is inextricably linked to the inflammatory response. There is increasing evidence that an oxidant/antioxidant imbalance, in favor of oxidants, occurs in COPD. NAC has been reported to reduce the viscosity of sputum in both cystic fibrosis and COPD, facilitating the removal of pulmonary secretions. Moreover, by maintaining the airway clearance, it prevents bacterial stimulation of mucin production and hence mucus hypersecretion. The superiority of NAC over the other mucolytics may be in its anti-inflammatory and antioxidant properties and its mucolytic actions. The aim of this study is to evaluate the effects of treatment with NAC long on oxidative stress marker change and also explore the effect of NAC to airway inflammatory, lung function test and CAT scores. Selected oxidative stress marker was defined as 8 - isoprostane, protein carbonyl, DNA damage.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Anti-oxidative stress treatment and current clinical trials.
    Zhang CY, Yang M. · · 2024 · cited 3× · PMID 38495278 · DOI 10.4254/wjh.v16.i2.294

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Other trials of N-acetylcysteine

Trials testing the same drug.

Other recruiting trials for Chronic Obstructive Pulmonary Disease

Currently open trials in the same condition.

Other Siriraj Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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