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    HP:0006510: Chronic pulmonary obstruction

    Developed by Shray Alag, The Harker School
    Sections: Correlations, Clinical Trials, and HPO

    Correlations computed by analyzing all clinical trials.

    Navigate: Clinical Trials and HPO


    Correlated Drug Terms (16)


    Name (Synonyms) Correlation
    drug2954 Saliva specimen Wiki 0.41
    drug1378 HCFWO Wiki 0.41
    drug3775 exercise group Wiki 0.41
    Name (Synonyms) Correlation
    drug1283 Fingerstick Wiki 0.41
    drug2106 Nasal Swab Wiki 0.41
    drug1274 Fenofibrate Wiki 0.41
    drug3117 Standard Care Plus Monitoring Wiki 0.41
    drug3741 control group Wiki 0.41
    drug3357 Throat swab Wiki 0.29
    drug3505 Usual care Wiki 0.24
    drug359 BCG vaccine Wiki 0.20
    drug415 Best Practice Wiki 0.18
    drug2113 Nasopharyngeal swab Wiki 0.15
    drug864 Convalescent Plasma Wiki 0.08
    drug3375 Tocilizumab Wiki 0.07
    drug2448 Placebo Wiki 0.04

    Correlated MeSH Terms (16)


    Name (Synonyms) Correlation
    D029424 Pulmonary Disease, Chronic Obstructive NIH 1.00
    D008173 Lung Diseases, Obstructive NIH 0.77
    D003139 Common Cold NIH 0.41
    Name (Synonyms) Correlation
    D003327 Coronary Disease NIH 0.20
    D003324 Coronary Artery Disease NIH 0.20
    D007676 Kidney Failure, Chronic NIH 0.18
    D006331 Heart Diseases NIH 0.15
    D020521 Stroke NIH 0.11
    D008171 Lung Diseases, NIH 0.09
    D009369 Neoplasms, NIH 0.07
    D012141 Respiratory Tract Infections NIH 0.07
    D007239 Infection NIH 0.06
    D014777 Virus Diseases NIH 0.04
    D045169 Severe Acute Respiratory Syndrome NIH 0.03
    D003141 Communicable Diseases NIH 0.03
    D018352 Coronavirus Infections NIH 0.03

    Correlated HPO Terms (6)


    Name (Synonyms) Correlation
    HP:0006536 Pulmonary obstruction HPO 0.77
    HP:0001677 Coronary artery atherosclerosis HPO 0.20
    HP:0001297 Stroke HPO 0.11
    Name (Synonyms) Correlation
    HP:0002088 Abnormal lung morphology HPO 0.09
    HP:0002664 Neoplasm HPO 0.08
    HP:0011947 Respiratory tract infection HPO 0.07

    Clinical Trials

    Navigate: Correlations   HPO

    There are 6 clinical trials


    1 Audio Data Collection for Identification and Classification of Coughing

    An open access study that will define and collect digital measures of coughing in multiple populations and public spaces using various means of audio data collection.

    NCT04326309
    Conditions
    1. COVID-19
    2. Coronavirus Infections
    3. Hay Fever
    4. Asthma
    5. Chronic Obstructive Pulmonary Disease
    6. Influenza
    7. Common Cold
    8. Respiratory Tract Infections
    9. Healthy
    MeSH:Infection Communicable Diseases Respiratory Tract Infections Coronavirus Infections Severe Acute Respiratory Syndrome Common Cold Lung Diseases, Obstructive Pulmonary Disease, Chronic Obstructive
    HPO:Chronic pulmonary obstruction Pulmonary obstruction Respiratory tract infection

    Primary Outcomes

    Description: Size of collected audio dataset measured as number of collected cough sounds, targeting ≥10,000 identified coughs.

    Measure: Dataset size

    Time: 14 days

    Secondary Outcomes

    Description: Identification of cough sounds by the existing mathematical model with ≥ 99% specificity and ≥ 60% sensitivity

    Measure: Cough sound identification

    Time: 14 days

    Description: Increase in the sensitivity of the mathematical model to cough sounds to ≥ 70% while retaining the specificity of ≥ 99%

    Measure: Improvement of the existing model

    Time: 14 days

    Description: Determination of the level of acceptance and satisfaction of the solution by patients by means of a Standard Usability Questionnaire to provide feedback. The score ranges from 10 to 50, higher score indicating a better usability.

    Measure: Evaluate the usability of the application

    Time: 14 days
    2 Tociluzumab for Cytokine Release Syndrome With SARS-CoV-2: An Open-Labeled, Randomized Phase 3 Trial

    This phase III trial compares the effect of adding tocilizumab to standard of care versus standard of care alone in treating cytokine release syndrome (CRS) in patients with SARS-CoV-2 infection. CRS is a potentially serious disorder caused by the release of an excessive amount of substance that is made by cells of the immune system (cytokines) as a response to viral infection. Tocilizumab is used to decrease the body's immune response. Adding tocilizumab to standard of care may work better in treating CRS in patients with SARS-CoV-2 infection compared to standard of care alone.

    NCT04361552
    Conditions
    1. Cerebrovascular Accident
    2. Chronic Obstructive Pulmonary Disease
    3. Chronic Renal Failure
    4. Coronary Artery Disease
    5. Diabetes Mellitus
    6. Malignant Neoplasm
    7. SARS Coronavirus 2 Infection
    Interventions
    1. Other: Best Practice
    2. Biological: Tocilizumab
    MeSH:Infection Neoplasms Lung Diseases, Obstructive Pulmonary Disease, Chronic Obstructive Stroke Kidney Failure, Chronic Coronary Artery Disease
    HPO:Chronic pulmonary obstruction Coronary artery atherosclerosis Neoplasm Pulmonary obstruction Stroke

    Primary Outcomes

    Description: The 7-day length of invasive MV for each arm will be estimated with 95% confidence intervals (CIs) using the exact binomial distribution. Their difference by the arms will be tested by Cochran-Mantel-Haenszel (CMH) test stratified by the age group and Sequential Organ Failure Assessment (SOFA) score at significance level of 0.05.

    Measure: 7-day length of invasive mechanical ventilation (MV)

    Time: Up to 7 days

    Description: Defined as death within 30-day after randomization. The 30-day mortality rate for each arm will be estimated with 95% CIs using the exact binomial distribution. Their difference by the arms will be tested CMH test stratified by the age group and SOFA score at significance level of 0.05.

    Measure: 30-day mortality rate

    Time: Up to 30-day after randomization

    Secondary Outcomes

    Description: The rate of ICU transfer for each arm will be estimated with 95% CIs using the exact binomial distribution. Their difference by the arms will be tested CMH test stratified by the age group and SOFA score at significance level of 0.05.

    Measure: Rate of intensive care (ICU) transfer

    Time: Up to 2 years

    Description: The rate of invasive mechanical ventilation for each arm will be estimated with 95% CIs using the exact binomial distribution. Their difference by the arms will be tested CMH test stratified by the age group and SOFA score at significance level of 0.05.

    Measure: Rate of invasive mechanical ventilation

    Time: Up to 2 years

    Description: The rate of tracheostomy for each arm will be estimated with 95% CIs using the exact binomial distribution. Their difference by the arms will be tested CMH test stratified by the age group and SOFA score at significance level of 0.05.

    Measure: Rate of tracheostomy

    Time: Up to 2 years

    Description: Will first be described by median and inter-quartile, and then compared between two arms by Wilcoxon Sum-Rank test

    Measure: Length of ICU stay

    Time: Up to 2 years

    Measure: Length of hospital stay

    Time: Up 2 years
    3 Cross-Sectional Observation Telephone Survey Study to Understand the Changes in COPD Exacerbation Patterns and Potential Causes of These During the COVID-19 Pandemic

    This cross-sectional observational study will collect information about changes in exacerbation frequency and behaviour amongst a clinical cohort of severe or complex COPD clinic patients. This will be done through a combination of telephone survey and access to electronic heath records.

    NCT04407598
    Conditions
    1. COPD Exacerbation
    2. COPD
    MeSH:Pulmonary Disease, Chronic Obstructive
    HPO:Chronic pulmonary obstruction

    Primary Outcomes

    Description: The primary outcome will be the change in number of moderate or severe AECOPD events over the 46 days from the 15th March, 2020 to 30th April, 2020 compared to the same 46 day period in 2019.

    Measure: Change in COPD Exacerbation Rate

    Time: 46 days

    Secondary Outcomes

    Measure: Change in number of Severe AECOPD events during period of interest in 2020 from same period in 2019.

    Time: 46 days

    Measure: Change in Moderate AECOPD events during period of interest in 2020 from same period in 2019.

    Time: 46 days

    Measure: Social contact changes during i) pre-lockdown and ii) lockdown period

    Time: 46 days

    Measure: Household contacts during i) pre-lockdown and ii) lockdown period

    Time: 46 days

    Measure: Household visitors during i) pre-lockdown and ii) lockdown period

    Time: 46 days

    Measure: Regular shopping behaviour during i) pre-lockdown and ii) lockdown period

    Time: 46 days

    Measure: Medication changes during i) pre-lockdown and ii) lockdown period

    Time: 46 days

    Measure: Reported change in regular medication usage during i) pre-lockdown and ii) lockdown period

    Time: 46 days

    Measure: Change in physical activity levels during i) pre-lockdown and ii) lockdown period

    Time: 46 days

    Measure: Change in anxiety levels during i) pre-lockdown and ii) lockdown period

    Time: 46 days

    Measure: Perceived fear of hospitalisation during COVID-19 period

    Time: 46 days

    Measure: Patient reported changes in perception of symptoms, need for hospitalisation and availability and safety of healthcare resources thought semi-structured interviews in 20 patients (nested qualitative study)

    Time: 46 days

    Measure: Association between changes in AECOPD event rate and changes in local air pollution during the COVID-19 lockdown

    Time: 46 days
    4 A Randomized Clinical Trial for Enhanced Trained Immune Responses Through Bacillus Calmette-Guérin Vaccination to Prevent Infections by COVID-19: The ACTIVATE II Trial

    Based on findings of the interim analysis of the ACTIVATE study showing 53% decrease of the incidence of all new infections with BCG vaccination, a new trial is designed aiming to validate if BCG can protect against COVID-19 (Corona Virus Disease-19).The aim of the study is to demonstrate in a double-blind, placebo-controlled approach if vaccination of participants susceptible to COVID-19 with BCG vaccine may modulate their disease susceptibility for COVID-19. This will be validated using both clinical and immunological criteria. At the same time, a sub-study will be conducted and the mechanism of benefit from BCG vaccination by assessing its effect on vascular endothelial function and mononuclear blood cells will be studied

    NCT04414267
    Conditions
    1. COVID-19
    2. Virus Diseases
    3. Corona Virus Infection
    4. Coronary Heart Disease
    5. Chronic Obstructive Pulmonary Disease
    Interventions
    1. Biological: BCG vaccine
    2. Biological: Placebo
    MeSH:Infection Virus Diseases Coronavirus Infections Severe Acute Respiratory Syndrome Lung Diseases, Obstructive Pulmonary Disease, Chronic Obstructive Heart Diseases Coronary Disease
    HPO:Chronic pulmonary obstruction Pulmonary obstruction

    Primary Outcomes

    Description: This is set on visit 3 (90 ± 5 days from the date of visit 1). The two groups of vaccination are compared for the primary endpoints which is composite. Patients who meet any of the following will be considered to meet the primary endpoint: Positive for the respiratory questionnaire endpoint when at least one of the following combination is met either at visit 2 and/or at visit 3: One situation definitively related to COVID-19 All four questions of symptoms possibly related to COVID-19 At least two questions of symptoms possibly related to COVID-19 as well as need for admission at the emergency department of any hospital and/or need for intake of antibiotics At least four questions of symptoms probably related to COVID-19 one of which is "need for admission at the emergency department of any hospital and/or need for intake of antibiotics" Positive IgG or IgM antibodies against SARS-CoV-2

    Measure: Positive for the respiratory questionnaire consisted of questions concerning the appearance of symptoms possibly, probably and/or definitively related to COVID-19 on visit 3.

    Time: Visit 3 (90 +/- 5 days)

    Secondary Outcomes

    Description: The two groups of vaccination are compared for the primary endpoints which is composite (as defined at primary study endpoint) and meet a positive respiratory questionnaire endpoint on visit 4

    Measure: Positive respiratory questionnaire endpoint consisted of questions concerning the appearance of symptoms possibly, probably and/or definitively related to COVID-19 on visit 4

    Time: Visit 4 (135 +/- 5 days)

    Description: The two groups of vaccination are compared for the primary endpoints which is composite (as defined at primary study endpoint) and meet a positive respiratory questionnaire endpoint (as defined at primary study endpoint) on visit 5

    Measure: Positive respiratory questionnaire endpoint consisted of questions concerning the appearance of symptoms possibly, probably and/or definitively related to COVID-19 on visit 5

    Time: Visit 5 (180 +/- 5 days)

    Description: Prevalence of IgG/IgM against SARS-CoV-2 will be measured among the patients who failed the eligibility procedure and the patients that were eligible and were enrolled

    Measure: Prevalence of IgG/IgM against SARS-CoV-2

    Time: Screening Visit and Visit 3 (90 +/- 5 days)

    Description: Itemized analysis of each of the components of the respiratory questionnaire on each study visit

    Measure: Analysis of each of the components of the respiratory questionnaire consisted of questions concerning the appearance of symptoms possibly, probably and/or definitively related to COVID-19.

    Time: Visit 2 (45 +/- 5 days), Visit 3 (90 +/- 5 days), Visit 4 (135 +/- 5 days), Visit 5 (180 +/- 5 days)

    Description: The impact of new cardiovascular events between the two study groups (placebo and BCG) will be analyzed, though the collection of any cardiovascular events occured to the enrolled patients.

    Measure: The impact of new cardiovascular events between the two study groups

    Time: Visit 2 (45 +/- 5 days), Visit 3 (90 +/- 5 days), Visit 4 (135 +/- 5 days), Visit 5 (180 +/- 5 days)

    Description: Differences in repeated measurements of arterial stiffness in visit 3 between the two sub-study groups (placebo or BCG) will be analyzed through the speed of the pulse wave velocity. Pulse wave velocity is measured in m/sec.

    Measure: Differences in repeated measurements of angiometric parameters (arterial hardness) between the two sub-study groups in Visit 3

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days)

    Description: Differences in repeated measurements of central arterial pressures and reflected waves in visit 3 between the two sub-study groups (placebo or BCG) will be measured non-invasively by pulse wave analysis. Central arterial pressure is measured in mmHg.

    Measure: Differences in repeated measurements of angiometric parameters (central arterial pressures and reflected waves) between the two sub-study groups in Visit 3

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days)

    Description: Differences in repeated measurements of endothelial function in visit 3 between the two sub-study groups (placebo or BCG) will be measured by ultrasound measurement of endothelium-dependent flow-mediated dilatation and by nitrate-mediated dialatation. Endothelial function will be assessed by Flow Mediated Dilatation (FMD). Endothelium-dependent: diameter of the artery prior and after temporary ischemia in is measured in mm, nitrate-mediated: diameter of the artery prior and after nitrate administration is measured in mm

    Measure: Differences in repeated measurements of angiometric parameters (endothelial function) between the two sub-study groups in Visit 3

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days)

    Description: Differences in repeated measurements of thickness of the medial carotid sheath in visit 3 between the two sub-study groups (placebo or BCG) will be measured by B-mode ultrasound examination. Intima-Media Thickness is measured in mm

    Measure: Differences in repeated measurements of angiometric parameters (thickness of the medial carotid sheath) between the two sub-study groups in Visit 3

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days)

    Description: Differences in repeated measurements of arterial stiffness in visit 5 between the two sub-study groups (placebo or BCG) will be analyzed through the speed of the pulse wave velocity. Pulse wave velocity is measured in m/sec.

    Measure: Differences in repeated measurements of angiometric parameters (arterial hardness) between the two sub-study groups in Visit 5

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days), Visit 5 (180 +/- 5 days)

    Description: Differences in repeated measurements of central arterial pressures and reflected waves in visit 5 between the two sub-study groups (placebo or BCG) will be measured non-invasively by pulse wave analysis. Central arterial pressure is measured in mmHg.

    Measure: Differences in repeated measurements of angiometric parameters (central arterial pressures and reflected waves) between the two sub-study groups in Visit 5

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days), Visit 5 (180 +/- 5 days)

    Description: Differences in repeated measurements of thickness of the medial carotid sheath in visit 5 between the two sub-study groups (placebo or BCG) will be measured by B-mode ultrasound examination. Intima-Media Thickness is measured in mm

    Measure: Differences in repeated measurements of angiometric parameters (thickness of the medial carotid sheath) between the two sub-study groups in Visit 5

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days), Visit 5 (180 +/- 5 days)

    Description: Differences in repeated measurements of endothelial function in visit 5 between the two sub-study groups (placebo or BCG) will be measured by ultrasound measurement of endothelium-dependent flow-mediated dilatation and by nitrate-mediated dialatation. Endothelial function will be assessed by Flow Mediated Dilatation (FMD). Endothelium-dependent: diameter of the artery prior and after temporary ischemia in is measured in mm, nitrate-mediated: diameter of the artery prior and after nitrate administration is measured in mm

    Measure: Differences in repeated measurements of angiometric parameters (endothelial function) between the two sub-study groups in Visit 5

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days), Visit 5 (180 +/- 5 days)

    Description: Differences in cardiac ultrasound at visit 5 between the two sub-study groups (placebo or BCG) will be assessed using standard measurements from 2-D and Doppler echocardiography.

    Measure: Differences in cardiac ultrasound at visit 5 between the two sub-study groups

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days), Visit 5 (180 +/- 5 days)

    Description: Changes in the release of cytokines from blood mononuclear cells at visit 3 between the two sub-study groups (placebo or BCG) will be analyzed

    Measure: Changes in the release of cytokines from blood mononuclear cells at visit 3 between the two sub-study groups

    Time: Visit 1 (Day 0), Visit 3 (90 +/- 5 days)
    5 Effect of Home Exercise Activity on Cortisol and Depression in COPD Patients During the Pandemic COVID-19

    exercise activity during the COVID pandemic is appreciated to be conducted in home especially for chronic chest diseases as chronic obstructive pulmonary disease (COPD) to reduce the chance of viral contamination during the COVID-19 pandemic.

    NCT04639349
    Conditions
    1. Chronic Obstructive Pulmonary Disease
    Interventions
    1. Behavioral: exercise group
    2. Other: control group
    MeSH:Lung Diseases, Obstructive Pulmonary Disease, Chronic Obstructive
    HPO:Chronic pulmonary obstruction Pulmonary obstruction

    Primary Outcomes

    Description: it will be measured in plasma

    Measure: cortisol

    Time: It will be measured after eight weeks of training

    Description: this a questionnaire that will assess anxiety and depression in COPD patients

    Measure: hospital anxiety and depression scale

    Time: It will be measured after eight weeks of training

    Secondary Outcomes

    Description: it will be a measurement for lung volume and capacities

    Measure: pulmonary function test

    Time: It will be measured after eight weeks of training

    Description: It is an inflammatory marker in plasma

    Measure: Interleukin-8

    Time: It will be measured after eight weeks of training

    Description: it will measure body mass changes

    Measure: body mass index

    Time: It will be measured after eight weeks of training

    Description: it assess functional capacity

    Measure: six minute walking test

    Time: It will be measured after eight weeks of training

    Description: It assess the effect of COPD on general quality of life

    Measure: St. George's respiratory questionnaire

    Time: It will be measured after eight weeks of training
    6 Feasibility of Using a Home-Based High Frequency Chest Wall Oscillation Device (AffloVest) in At-Risk Respiratory Patients to Decrease Acute Respiratory Care Burden During the COVID-19 Pandemic

    The purpose of the study is to investigate the addition of high frequency chest wall oscillation (HFCWO) therapy to the prescribed care regimen to support the diaphragm during airway clearance among post-COVID patients with COPD and chronic productive cough as a way to limit the advancement of pulmonary symptoms and need for critical services during recovery from COVID-19.

    NCT04654481
    Conditions
    1. Chronic Obstructive Pulmonary Disease
    2. Chronic Cough
    3. Covid19
    Interventions
    1. Device: HCFWO
    2. Other: Standard Care Plus Monitoring
    MeSH:Lung Diseases Lung Diseases, Obstructive Pulmonary Disease, Chronic Obstructive
    HPO:Abnormal lung morphology Chronic pulmonary obstruction Pulmonary obstruction

    Primary Outcomes

    Description: Change in forced expiratory volume in one second (FEV1) as compared to baseline, measured by home spirometer.

    Measure: Change in forced expiratory volume in one second (FEV1)

    Time: Baseline and up to 90 Days

    Description: Changes in oxygen saturation from baseline as measured by pulse oximeter. Normal oxygen range is 95 to 100 percent and low oxygen range is under 90 percent.

    Measure: Change in Oxygen Saturation level

    Time: Baseline and up to 90 Days

    Description: Changes in basal temperature as measured by digital thermometer. Fever is indicated at 100.4 F (38 C) or higher.

    Measure: Change in Presence of Fever

    Time: Baseline and up to 90 Days

    Secondary Outcomes

    Description: CAP Symptom Questionnaire records how much the patient rated the bothersomeness of the symptom. Each item is scored as "0" (Patient did not have this symptom), "1" (Not at All) to "5" (Extremely). Full range scale from 0 to 90, higher score indicating patient experiencing more frequent or more severe symptoms.

    Measure: Change in Presence of pneumonia symptoms via Community Acquired Pneumonia (CAP) Symptom Questionnaire

    Time: Baseline and up to 90 Days

    Description: The QOL-B is a disease-specific questionnaire that measures symptoms, functioning, and health-related quality of life relevant to patients with bronchiectasis. Scores are generated from 37 items that fall on 8 domains: Physical Functioning, Role Functioning, Vitality, Emotional Functioning, Social Functioning, Treatment Burden, Health Perceptions, and Respiratory Symptoms. All subscales and the full range scale are standardized to score from 0 to 100, with higher scores indicating better enjoyment and satisfaction with specific life domains.

    Measure: Change in Quality of life via Quality of Life Questionnaire-Respiratory (QOL-B)

    Time: Baseline and up to 90 Days

    Description: The PHQ-8 is the depression module, which scores each of the eight DSM-IV criteria as "0" (not at all) to "3" (nearly every day). Full scale from 0-24, with higher score indicating more severe symptoms.

    Measure: Change in Mental health screening via Personal Health Questionnaire Depression Scale (PHQ-8)

    Time: Baseline and up to 90 Days

    Description: The General Anxiety Disorder 7-item questionnaire (GAD-7) is a 7-item questionnaire that asks user to rank how often they have been bothered by seven problems over the past two weeks from "0" (not at all) to "3" (nearly every day). Full scale from 0-21, with higher score indicating more symptoms.

    Measure: Change in Mental health screening via General Anxiety Disorder-7 (GAD-7)

    Time: Baseline and up to 90 Days

    Description: Eight questions that are specific to recent literature describing patients' experiences of symptoms during COVID. They are rated on a frequency scale from "never" to "always," using a 1-4 point scale. Full scale range from 8 to 32, with higher scores indicating more frequent symptoms.

    Measure: Change in COVID Symptom Checklist

    Time: Baseline and up to 90 Days

    Description: Amount of time used per week in minutes

    Measure: AffloVest Usage

    Time: 90 Days

    HPO Nodes


    Reports

    Data processed on December 13, 2020.

    An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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