Can an inhaler boost heart pumping in COPD patients?
NCT ID NCT04522596
First seen Sep 21, 2026 · Last updated Sep 21, 2026
Summary
Researchers are testing whether an inhaled dual bronchodilator (umeclidinium/vilanterol) can improve heart function during exercise in people who have COPD, lung hyperinflation, and mild heart failure. About 60 adults aged 40 to 85 with these conditions will take either the drug or a placebo for a period, then switch to the other. The study measures changes in heart pumping and oxygen use during exercise, along with lung volumes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an inhaled combination bronchodilator containing umeclidinium and vilanterol
- What this could lead to
- If it works, this could offer a way to help people with COPD and mild heart failure breathe easier and exercise longer by improving how the heart pumps during activity.
- What could go wrong
- This is a small, single-center study, so results may not apply broadly. Inhaled bronchodilators can cause side effects like fast heartbeat or tremor, and the crossover design means each participant receives both the drug and placebo, which may limit how well the findings translate to long-term use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
60 people
The number who actually took part.
- Started
-
May 2021
- Finished
-
May 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
40 to 85 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age between 40 and 85 years with a clinical diagnosis of COPD * Airflow limitation indicated by a screening post-bronchodilator FEV1 \< 80% and \>35% predicted and a post-bronchodilator FEV1/FVC \< 0.7 * Smoking history of at least ten pack-years * Baseline lung hyperinflation with a residual volume of more than 135% predicted * Stable heart failure * Left ventricle ejection fraction in the range of 35% to 55%. * A suitable ultrasonic window from the apical view * No exacerbation within 2 months before study recruitment (defined as the use of systemic corticoids, antibiotics, or hospitalization) Exclusion Criteria: * Do not sign the informed consent * Unstable cardiovascular diseases * Atrial fibrillation or other arrhythmias requiring treatment * Unstable ischemic heart disease * Uncontrolled hypertension * Patients unable to undergo cardiac MR scanning (claustrophobia or carrying non-MR-compatible devices) * Patients unable to perform an exercise test (locomotor conditions)
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for COPD are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Hospital General Universitario Gregorio Marañón
Madrid, 28007, Spain
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can zapping the heart beat drugs for AF in heart failure?
- Can Device-Preserved donor lungs boost transplant success?
- Which SGLT2 inhibitor wins? trial pits empagliflozin against dapagliflozin
- Can daily mindful breathing ease heart failure symptoms?
- Can a smartphone app keep heart failure patients out of the hospital?
- Tiny One-Way valves for emphysema under close watch in japan