Clinical trial Recruiting at 1 site Observational Ages 40 to 85

Predicting Exacerbation Risk in Severe COPD Patients

Official title: A Risk-predictive Model for Frequent Acute Exacerbation Phenotype in Patients With Severe Chronic Obstructive Pulmonary Disease

Run by Beijing Chao Yang Hospital · NCT06198309 · Data updated 2026-11-12

This study is trying to see if analyzing gut bacteria can help predict which patients with severe COPD are more likely to have worsening symptoms.

Quick facts

Study typeObservational
Ages40 Years to 85 Years
SexAll
Enrollment365 (estimated)
SponsorBeijing Chao Yang Hospital
Academic / other
Locations1 site (Beijing, Beijing Municipality)
StatusRecruiting
StartedMay 1, 2023
Main results expectedDecember 1, 2027
Study endsDecember 1, 2027
Registry record updatedJanuary 10, 2024
Trial IDNCT06198309 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults over 40 years old with stable severe COPD who meet the GOLD 2022 diagnostic criteria.

Probably not a fit

Patients with asthma, active pulmonary tuberculosis, or other serious comorbidities may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to develop a risk prediction model for patients with severe chronic obstructive pulmonary disease (COPD) by analyzing gut microbiota. Using advanced machine learning techniques such as random forest, support vector machine, and BP neural network models, the study will identify potential diagnostic biomarkers that differentiate between patients with frequent and infrequent acute exacerbations. The findings are expected to enhance clinical classification and prognosis evaluation for COPD, ultimately improving patient health outcomes.

Why it matters

Potential benefit: If successful, this study could lead to better risk assessment and targeted treatments for patients with severe COPD.

How similar studies have gone: While similar studies have explored COPD exacerbation risk, this specific approach using gut microbiota and advanced machine learning is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients who meet the diagnostic criteria for COPD of the global initiative for chronic obstructive lung diseases (GOLD 2022) and GOLD grading Ⅲ - Ⅳ (FEV1/FVC\<70%, FEV1% predicted value ≤ 50% after Bronchiectasis)
2. Age\>40 years old
3. COPD stable for more than 4 weeks
4. Short acting Bronchiectasis was not used within 24 hours before this experiment, long acting Bronchiectasis was not used within 48 hours, and glucocorticoids were not used throughout the body in the past month
5. Patient informed and signed consent form

Exclusion Criteria:

1. Asthma, active pulmonary tuberculosis, interstitial pneumonia and severe Bronchiectasis
2. Complicated with serious diseases (acute infection, diabetes, stroke, heart disease, liver and kidney dysfunction, cancer or autoimmune disease)
3. History of chronic diarrhea or constipation
4. History of Gastrointestinal Surgery
5. Using probiotics or antibiotics within the past 4 weeks
6. No history of using oral hormones or traditional Chinese medicine in the past three months
7. Pregnancy or lactation

Where it's running

  • Beijing Chaoyang Hospital Affiliated to Capital Medical University
    Beijing, Beijing Municipality, China
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.