Hydrocortisone versus Prednisolone for COPD flare-ups
Official title: Comparing Hydrocortisone and Prednisolone for Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD)
Run by Copenhagen Respiratory Research · NCT06892210 · Data updated 2026-11-12
This test compares hydrocortisone and prednisolone to see which works better and causes fewer side effects in people 40 and older who have a COPD exacerbation.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 40 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | Copenhagen Respiratory Research Research network |
| Locations | 14 sites (Rønne, Bornholm and 13 other locations) |
| Status | Recruiting |
| Started | March 10, 2026 |
| Main results expected | August 1, 2030 |
| Study ends | November 1, 2030 |
| Registry record updated | March 18, 2026 |
| Trial ID | NCT06892210 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 40 or older with diagnosed COPD presenting with an acute exacerbation who do not have contraindications to systemic corticosteroids.
✕Probably not a fit
Patients who require a particular corticosteroid for another diagnosis, who are pregnant or breastfeeding, or who have active tuberculosis or invasive fungal infection are unlikely to benefit from or be eligible for this comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a cluster-randomized trial that assigns participating hospitals or units to treat patients with either hydrocortisone or prednisolone for acute COPD exacerbations. Adults aged 40 and older presenting with an acute exacerbation of COPD are enrolled and receive the assigned systemic corticosteroid according to local protocols. The primary outcome is readmission for COPD exacerbation or all-cause mortality within 30 days, and safety outcomes include treatment-related side effects. Key exclusions include conditions that require a specific corticosteroid, pregnancy or breastfeeding, and active tuberculosis or invasive fungal infection.
Why it matters
Potential benefit: If successful, the trial could identify which corticosteroid reduces 30-day readmissions and deaths or has a better side-effect profile for COPD exacerbations.
How similar studies have gone: Systemic corticosteroids are known to improve outcomes in COPD exacerbations, but direct head-to-head comparisons between hydrocortisone and prednisolone are limited, so this specific comparison is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥40 years * Chronic obstructive pulmonary disease with acute exacerbation, unspecified: ICDJ44 Exclusion Criteria: * All diagnoses that would merit treatment with a specific corticosteroid * Pregnant or breastfeeding women * Active tuberculosis or invasive fungal infection
Where it's running
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Bornholm Hospital
Rønne, Bornholm, Denmark Recruiting -
Amager Hospital
Copenhagen, Copenhagen City, Denmark Recruiting -
Bispebjerg Hospital
Copenhagen, Copenhagen City, Denmark Recruiting -
Frederiksberg Hospital
Frederiksberg, Copenhagen City, Denmark Recruiting -
Gentofte Hospital
Hellerup, Copenhagen City, Denmark Recruiting -
Herlev Hospital
Herlev, Copnhagen Surroundings, Denmark Recruiting
Show 8 more locations
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Hvidovre Hospital
Hvidovre, Copnhagen Surroundings, Denmark Recruiting -
Nordsjællands Hospital
Hillerød, North Zealand, Denmark Recruiting -
Holbæk Sygehus
Holbæk, Region Sjælland, Denmark Recruiting -
University Hospital of Region Zealand, Køge
Køge, Region Sjælland, Denmark Recruiting -
Næstved Sygehus
Næstved, Region Sjælland, Denmark Recruiting -
Ringsted Sygehus
Ringsted, Region Sjælland, Denmark Recruiting -
University Hospital of Region Zealand, Roskilde
Roskilde, Region Sjælland, Denmark Recruiting -
Slagelse Sygehus
Slagelse, Region Sjælland, Denmark Recruiting
Study contacts
- Study coordinator: Jens-Ulrik Stæhr Jensen, MD, PHD
- Email: jens.ulrik.jensen@regionh.dk
- Phone: 38673057
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.