Clinical trials will improve treatment, follow-up for COPD

By | October 21, 2013

"Randomised clinical trials are the best method of obtaining required documentation of the effect, safety and cost-efficacy of various methods or types of treatment employed by the health services," says Kåre Birger Haugen, chair of the programme board of the Research Council of Norway’s Programme on Clinical Research (KLINISKFORSKNING), which has provided funding to the studies.

Will follow up COPD patients at home

At the Norwegian Centre for Integrated Care and Telemedicine in Tromsø in Northern Norway, researchers will be studying the effect of telemedicine on people suffering from chronic obstructive pulmonary disease (COPD). Telemedicine involves treatment and monitoring activities for patients independent of the location of the medical expertise.

"Exercise training and pulmonary rehabilitation are recommended for COPD patients at all stages of the disease. Since we can’t offer all patients pulmonary rehabilitation in an institution, we are working to develop a low-intensity telerehabilitation service for patients in their own homes," explains project manager Paolo Zanaboni.

Roughly 120 patients in Norway, Denmark and Australia will be divided into one intervention group and two control groups.

The patients in the intervention group will be given a treadmill and a device that measures their oxygen saturation and pulse rate. They will receive regular follow-up from a physiotherapist via a videoconferencing system on an iPad. The physiotherapist can adjust the exercise training programme based on measurements patients enter on a website after each training session.

The patients in one of the control groups will receive standard COPD treatment, while the patients in the other control group will be given equipment for at-home exercise training with no telemedical follow-up.

"It’s important to find out whether it is the exercise on its own or the exercise in conjunction with telemedicine that is most effective," says Dr Zanaboni.

Longer life for lung cancer patients?

A new cancer study will explore whether a new therapy principle can extend the lives of patients with lung cancer with metastasis. Lung cancer is the second-most common form of cancer for both men and women in Norway, and the one with the highest mortality rate.

Some 85 per cent of the 3 000 individuals diagnosed with lung cancer each year have non-small-cell lung cancer. Patients with advanced metastasised cancer have a survival rate of between seven and 14 months. Normal treatment today consists of four courses of chemotherapy. Patients may be given more chemotherapy when the cancer gets worse.

"Instead of watching and waiting after the four standard courses of chemotherapy, we will be studying the effect of immediate pemetrexed maintenance therapy. Earlier studies have shown that this can prolong survival by three to five months, or 40-50 per cent," says project manager Bjørn Grønberg, who is a consultant in oncology at the Cancer Clinic at St. Olavs Hospital in Trondheim.

"No other studies on this patient group have even hinted at a similar improvement in survival rate," Dr Grønberg points out.

Approximately 25 Norwegian hospitals will be participating in the clinical trial, which will involve 700 patients over a two-and-a-half-year period.

Can rheumatoid arthritis patients stay healthy without biologics?

"In the past 10-15 years, new biologic drugs for rheumatoid arthritis have emerged that have shown excellent results when used with modern treatment strategies. Nine of 10 patients with recently diagnosed rheumatoid arthritis treated according to these principles will cease to exhibit signs or symptoms of active disease," explains project manager Espen A. Haavardsholm at Diakonhjemmet Hospital in Oslo.

The downside is that biologics are costly, and suppress the immune system to an extent that increases the risk of infection. Now the researchers are looking to see if it is possible to discontinue the drugs and still keep patients symptom-free. One group of patients will gradually taper off and withdraw from biologics, continuing standard treatment with older types of drugs. Another group will continue taking biologics.

"Perhaps the study will reveal that some patients should continue taking biologics, while others should stop. We will be looking for predictors that can indicate this at an early stage," says Dr Haavardsholm.

The clinical trial will involve 320 rheumatoid arthritis patients throughout Norway.

source : http://www.sciencedaily.com/releases/2013/10/131021094724.htm

12 thoughts on “Clinical trials will improve treatment, follow-up for COPD

  1. Helen Gertz

    I have been diagnosed with COPD for over 7 years. A couple of months ago it got harder and harder to breathe. All medication prescribed by my doctor were not working. In November 2016 i read in a health forum of a herbal clinic (NewLife Herbal Clinic) who sell herbal remedy to cure diseases including COPD, i immediately contacted the herbal clinic via their website and purchased the COPD herbal remedy. I used the herbal remedy for 7 weeks all my symptoms were reversed, i did another lungs function test and CT scan to be sure, my doctor confirmed my airway are repaired, visit www. newlifeherbalclinic. weebly. com or email newlifeherbalclinic @ gmail. com. Final breakthrough for all living with COPD/emphysema

    Reply
  2. Joan

    My husband was misdiagnosed with PD in 2000. Very rapid deterioration and many queries eventually led to MSA (Multiple System Atrophy) diagnosis. A horrible, horrible condition robbing people of independence, dignity, movement, speech, continence, ability to swallow and breathe.we didn’t know what to do we tried everything possible medically, we were waiting for his death then one day our daughter got back from work with the email of a herbal Clinic saying her friend from work told her about a testimony on how Health Herbal Clinic cured her mom from PD and it truely worked, we were desperate and sceptical but my daughter told me we got nothing to loose and i decided to give it a try. 4 weeks after he started taking the herb he regained his speech and today my husband is fully rocovered from this deadly disease called PD, this isn’t a BS it is real you can also contact health herbal clinic on healthherbalclinic(at)gmail(dot)com or website on www(dot)healthherbalclinic(dot)weebly(dot)com

    Reply
  3. Joan

    My husband was misdiagnosed with PD in 2000. Very rapid deterioration and many queries eventually led to MSA (Multiple System Atrophy) diagnosis. A horrible, horrible condition robbing people of independence, dignity, movement, speech, continence, ability to swallow and breathe.we didn’t know what to do we tried everything possible medically, we were waiting for his death then one day our daughter got back from work with the email of a herbal Clinic saying her friend from work told her about a testimony on how Health Herbal Clinic cured her mom from PD and it truely worked, we were desperate and sceptical but my daughter told me we got nothing to loose and i decided to give it a try. 4 weeks after he started taking the herb he regained his speech and today my husband is fully rocovered from this deadly disease called PD, this isn’t a BS it is real you can also contact health herbal clinic on healthherbalclinic @ gmailCOM

    Reply
  4. Becky

    I was diagnosed of Parkinson’s disease following a neurological examination and other series of tests, my symptoms first appeared in February 2014 tremor in both limbs, rigid muscle, impaired posture.. all medication prescribed were not working and i sadly took off from my job, being a single mother with two kids it was almost a hopeless situation. In September 2016, i read about Health herbal clinic in a health forum, this herbal clinic have successful parkinson’s disease herbal treatment and treatment for other list of terminal diseases, i contacted the herbal clinic via their website and purchased the parkinson’s disease herbal remedy. I received the parkinson’s disease herbal remedy via courier and immediately commenced usage. I used the remedy for 5 weeks, all my symptoms including tremor gradually dissapeared till i almost forgot i had the disease, i have started working again, thanks to Health herbal clinic. Visit www(dot)healthherbalclinic(dot)weebly(dot)com or email healthherbalclinic(at)gmail(dot)com Parkinson’s disease is not a death sentence, don’t die believing there is no cure, its a final breakthrough for all living with parkinson’s disease

    Reply
  5. Judith

    (MUST READ: COPD TREATMENT)
    I am Judith Hall from Portland, Oregon, USA. I was diagnosed of COPD/Emphysema in Providence St. Vincent Medical Center in 2014. In August 2016 my condition worsened and my doctor adviced me for Lung volume reduction surgery to remove part of my lungs, making room for the rest of the lung to work better, considering the risk involved i was scared and i resorted online for help, I was in a health website when i read a testimony of a woman from Canada who was totally cured of COPD through the herbal remedy she purchased from a herbal clinic in South Africa, i immediately contacted this herbal clinic via their website and purchased the COPD herbal remedy, i received the herbal remedy within 7 days via courier service and commenced usage. After four weeks and two days of usage, i did another lungs function test and CT scan to be sure, my doctor confirmed my airway are repaired, Thank you Health herbal clinic. Contact this herbal clinic via their website www(DOT)healthherbalclinic(DOT)weebly(DOT)com, email: healthherbalclinic(AT)gmail(DOT)com

    Reply
  6. Judith

    (MUST READ: COPD TREATMENT)
    I am Judith Hall from Portland, Oregon, USA. I was diagnosed of COPD/Emphysema in Providence St. Vincent Medical Center in 2014. In August 2016 my condition worsened and my doctor adviced me for Lung volume reduction surgery to remove part of my lungs, making room for the rest of the lung to work better, considering the risk involved i was scared and i resorted online for help, I was in a health website when i read a testimony of a woman from Canada who was totally cured of COPD through the herbal remedy she purchased from a herbal clinic in South Africa, i immediately contacted this herbal clinic via their website and purchased the COPD herbal remedy, i received the herbal remedy within 7 days via courier service and commenced usage. After four weeks and two days of usage, i did another lungs function test and CT scan to be sure, my doctor confirmed my airway are repaired, Thank you Health herbal clinic. Contact this herbal clinic via their website www(DOT)healthherbalclinic(DOT)weebly(DOT)com,

    Reply
  7. Louise

    I smoked for 20 years, October 2014 i was diagnosed of Emphysema I may have had it for 6 months to 1 year prior to diagnosis. It started with a dry cough, shortness of breath, and fatigue. A chest x-ray confirmed it and I was placed on corticosteroids. my doctor told me there is no permanent cure for the disease, i was given bronchodilators to help me relax my bronchiolar muscles, I managed on with the disease till a friend told me about a herbal clinic from johannesburg who sell herbal medicines to cure all kind of lung related diseases including emphysema, I spoke to few people who used the treatment here in USA and they all gave positive responses I contacted this herbal clinic via there email and made purchase of the emphysema herbal medicine, i received the herbal medicine through DHL within 5 days, when i received the herbal medicine i applied it as prescribed and was totally cured of emphysema within 7 weeks of usage, the symptoms reduced till i even forgot i had emphysema, i went back to my doctor for diagnosis with spirometry and he confirmed i was free from the disease, contact this herbal clinic via there email healthherbalclinic gmail com or website on www healthherbalclinic weebly com

    Reply
  8. Patricia

    I am 50 years old and I was told I had COPD 10 years ago. I immediately quit smoking, but as the years pass by my situation gets worse, and I started having attacks once a year, then every six months, and later every 3 to 4 months I was in the hospital. I used to be able to exercise, but it was so hard because i was out of breath. I see people say exercise, but understand this, you can`t exercise if you`re out of breath. I live off steroids and became type 2 diabetic from the steroids, but they`were the only medicine that kept me going. No one knows how you really feel unless they have been through your situation, not even some doctors. When the steroids no longer helps, i was introduced to Health herbal clinic in Johannesburg who have successful herbal treatment to COPD and other lungs diseases. I spoke to few people who used the treatment here in USA and they all gave a positive response, so i immediately purchased the COPD herbal remedy and commenced usage, i used the herbal supplement for only 7 weeks, all symptoms gradually faded away, herbs are truly gift from God. contact this herbal clinic via their email healthherbalclinic @ gmail. com or visit www. healthherbalclinic. weebly. com

    Reply
  9. Sonia

    I was told I had emphysema in 1987 when I was 45 years old. I smoked for 30 years, but quit smoking as soon as I was told that I had COPD. Quitting smoking was the hardest thing I ever did. But I knew I would die if I didn’t. My health was getting so bad that I needed oxygen 24/7 and was down to 92lbs. Thankfully, in 1999 I got lung volume reduction surgery. It saved my life. I no longer needed oxygen and was able to climb stairs, dance, and travel the world. That good fortune lasted for almost 13 years. I am now back on oxygen 24/7 and can’t climb stairs, dance or travel the world. i searched for alternative treatment Online i was introduced to Health herbal clinic by a friend here in the United states she told me they have successful herbal treatment to Emphysema and other lungs diseases. I spoke to few people who used the treatment here in USA and they all gave a positive response, so i immediately purchased the COPD herbal formula and commenced usage, its totally unexplainable how all the symptoms totally dissapeared, my cough was gone and i no longer experience shortness of breath(dyspnea), contact this herbal clinic via their email Info@ healthherbalclinic. net Or website www. healthherbalclinic. net Herbs are truely gift from God

    Reply
  10. Janice

    I was told I had emphysema in 1987 when I was 45 years old. I smoked for 30 years, but quit smoking as soon as I was told that I had COPD. Quitting smoking was the hardest thing I ever did. But I knew I would die if I didn’t. My health was getting so bad that I needed oxygen 24/7 and was down to 92lbs. Thankfully, in 1999 I got lung volume reduction surgery. It saved my life. I no longer needed oxygen and was able to climb stairs, dance, and travel the world. That good fortune lasted for almost 13 years. I am now back on oxygen 24/7 and can’t climb stairs, dance or travel the world. i searched for alternative treatment Online i was introduced to Health herbal clinic by a friend here in the United states she told me they have successful herbal treatment to Emphysema and other lungs diseases. I spoke to few people who used the treatment here in USA and they all gave a positive response, so i immediately purchased the COPD herbal formula and commenced usage, its totally unexplainable how all the symptoms totally dissapeared, my cough was gone and i no longer experience shortness of breath(dyspnea), contact this herbal clinic via their email Info@ healthherbalclinic. net Or website www. healthherbalclinic. net Herbs are truely gift from God

    Reply
  11. Janice

    I’ve had emphysema for four years. I was taking Spiriva and Advair. I started with oxygen at night, and later all day long. Nothing seems to help. The minute I start to walk around the breathing gets bad. Even the oxygen doesn’t seem to help.I smoked for approximately four years, from age 18 to age 22. I am now age 66 plus. I had for some time now noticed having difficulty catching a deep breath. Never in my wildest dreams did it cross my mind that I may develop a serious lung disease, but here I was with a serious case of COPD. I am only writing this to inform others that nothing was really working to help my condition.I went off the Spiriva (with the doctor’s knowledge) and started on Emphysema herbal formula i ordered from Health Herbal Clinic, my symptoms totally declined over a 5 weeks use of the Emphysema disease natural herbal formula. i am now almost 68 and doing very well, my lungs are totally repaired!! Visit there website www. healthherbalclinic. net or email Info@ healthherbalclinic. net

    Reply
  12. Janice

    I’ve had emphysema for four years. I was taking Spiriva and Advair. I started with oxygen at night, and later all day long. Nothing seems to help. The minute I start to walk around the breathing gets bad. Even the oxygen doesn’t seem to help.I smoked for approximately four years, from age 18 to age 22. I am now age 66 plus. I had for some time now noticed having difficulty catching a deep breath. Never in my wildest dreams did it cross my mind that I may develop a serious lung disease, but here I was with a serious case of COPD. I am only writing this to inform others that nothing was really working to help my condition.I went off the Spiriva (with the doctor’s knowledge) and started on Emphysema herbal formula i ordered from Health Herbal Clinic, my symptoms totally declined over a 5 weeks use of the Emphysema disease natural herbal formula. i am now almost 68 and doing very well, my lungs are totally repaired!! Visit there website www . healthherbalclinic . net or email Info @ healthherbalclinic . net

    Reply

Leave a Reply

Your email address will not be published. Required fields are marked *