Clinical trial

The Impact of Inhaled Furosemide and Perorally Administered Levodropropizine on Dyspnea in Patients With Respiratory Diseases

Name
INFURO_2023
Description
The goal of this monocentric double blinded cross over trial is to evaluate safety and tolerability of inhaled furosemide in patients with pulmonary diseases and dyspnea. The main question\[s\] it aims to answer are: * is inhaled furosemide safe and well tolerated? * is inhaled furosemide capable of dyspnea suppression and is there any additive effect of levodropropizine Participants will be given: * inhaled furosemide or placebo in double blinded cross over manner. Dyspnea severity and vital functions will be measured, adverse reactions monitored * all participants will receive levodropropizine open label. Dyspnea severity and vital functions will be measured, adverse reactions monitored
Trial arms
Trial start
2024-02-27
Estimated PCD
2024-12-01
Trial end
2025-12-01
Status
Recruiting
Phase
Early phase I
Treatment
Furosemide 40 mg
Furosemide will be used to block C fibers in the lungs, thus lowering intensity of sensation of dyspnea.
Arms:
Furosemide
Levodropropizine
Levodropropizine will be used to block C fibers in the airways, to evaluate if this double block of C fibers will have any effect on lowering intensity of dyspnea sensation
Arms:
Furosemide, Placebo
Other names:
Levopront
Placebo - saline
Placebo will be used as a comparator
Arms:
Placebo
Size
102
Primary endpoint
Safety and tolerability of inhaled furosemide
24 hour
Eligibility criteria
Inclusion Criteria: * ability to understand and sing written consent * ability to use visual analogue (VAS) and Borg dyspnea scale * presence of lung disease (asthma, chronic obstructive pulmonary disease, interstitial pulmonary disease, tumour affecting lungs, Coronavirus Disease 2019 (COVID19), drug induced dyspnea, lung infection) * dyspnea at least 50 points in VAS and at least 5 point in Borg dyspnea scale * women of childbearing age consent ot avoid sexual intercourse during the study participation Exclusion Criteria: * hypersensitivity to furosemide, levodropropizine or any additives in studied drugs * mucociliary disorder (kartegener syndrome, ciliary dyskinesis) * severe liver disease - cirrhosis Child Pugh B or C * renal failure, creatinine clearance less than 35 ml/min * unstable patient requiring frequent treatment changes * patients with continual intravenous medication requiring modification of their therapy more often than ever 4 hours * unability to participate in all study procedures * pregnancy, breast feeding * participation in other clinical trial with administration of study drug in last 28 days or 5 half times of studied drug (the longer period is taken into account) before screening
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2', 'PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'CROSSOVER', 'interventionModelDescription': 'Two arms. Subjects in both arms will get first inhalation of furosemide or placebo in double blinded order. After cross over the subjects will get placebo instead of furosemide and vice versa. Lastly all subjects will get unblinded levodropropizine', 'primaryPurpose': 'OTHER', 'maskingInfo': {'masking': 'TRIPLE', 'maskingDescription': 'The subjects and investigators as well as care provider will not know the order of the studied substances given to subjects.', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 102, 'type': 'ESTIMATED'}}
Updated at
2024-04-16

1 organization

2 products

1 indication

Product
Furosemide
Indication
Dyspnea