| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated  | 
| To investigate the effects of prednisone and Solu-Medrol on physical performance in patients with chronic obstructive pulmonary disease(COPD). Furthermore to examine the inflammatory response during and after exercise in patients with COPD | 
 
| To investigate the effects of prednisone and Solu-Medrol on physical performance in patients with chronic obstructive pulmonary disease(COPD). Furthermore to examine the inflammatory response during and after exercise in patients with COPD | 
 
 
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| E.1.1.1 | Medical condition in easily understood language  | 
| COPD is an obstructive respiratory disease with destruction and remodelling of the lung tissue, resulting in decreased lung function, shortness og breath and coughing. | 
 
| COPD is an obstructive respiratory disease with destruction and remodelling of the lung tissue, resulting in decreased lung function, shortness og breath and coughing. | 
 
 
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| E.1.1.2 | Therapeutic area  | Diseases [C] - Respiratory Tract Diseases [C08] | 
| MedDRA Classification | 
| E.1.3 | Condition being studied is a rare disease  |  No  | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial  | 
| The purpose of this trial is to investigate the effects of the drugs prednisone and Solu-Medrol on physical performance in patients with COPD | 
 
| The purpose of this trial is to investigate the effects of the drugs prednisone and Solu-Medrol on physical performance in patients with COPD | 
 
 
 | 
| E.2.2 | Secondary objectives of the trial  | 
| To examine the inflammatory response during and after exercise in patients with COPD | 
 
| To examine the inflammatory response during and after exercise in patients with COPD | 
 
 
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| E.2.3 | Trial contains a sub-study  |  No  | 
| E.3 | Principal inclusion criteria  | 
sex: male
 age 40-75
 FEV1<60%
 In a physical conditíon that allows cycling
 smoker or ex smoker
 informed consent
 
 
 | 
 
 
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| E.4 | Principal exclusion criteria | 
haemodynamicaly unstable heart conditions ie heart failure, atrial fibrilation and angina pectoris
 other respiratory diseases 
 cancer the last 5 years
 treatment with beta blockers
 allergi to study medication 
 insuline treated diabetes
 
 | 
 
 
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| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| prednisone and solumedrol improves cycling performance | 
 
 
 | 
| E.5.1.1 | Timepoint(s) of evaluation of this end point | 
| 1,5 years from first participant | 
 
 
 | 
| E.5.2 | Secondary end point(s) | 
| prednisonae and Solu-Medrol improves muscle power. to examine the inflammatory response during exercise during treatment with glucocorticoids | 
 
 
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| E.5.2.1 | Timepoint(s) of evaluation of this end point | 
 | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis |  No  | 
| E.6.2 | Prophylaxis |  No  | 
| E.6.3 | Therapy |  Yes  | 
| E.6.4 | Safety |  No  | 
| E.6.5 | Efficacy |  No  | 
| E.6.6 | Pharmacokinetic |  No  | 
| E.6.7 | Pharmacodynamic |  No  | 
| E.6.8 | Bioequivalence |  No  | 
| E.6.9 | Dose response |  No  | 
| E.6.10 | Pharmacogenetic |  No  | 
| E.6.11 | Pharmacogenomic |  No  | 
| E.6.12 | Pharmacoeconomic |  No  | 
| E.6.13 | Others |  Yes  | 
| E.6.13.1 | Other scope of the trial description | 
| ergogenic effects of prednisone and solumedrol | 
 
 
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| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) |  No  | 
| E.7.1.1 | First administration to humans |  No  | 
| E.7.1.2 | Bioequivalence study |  No  | 
| E.7.1.3 | Other |  No  | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) |  No  | 
| E.7.3 | Therapeutic confirmatory (Phase III) |  No  | 
| E.7.4 | Therapeutic use (Phase IV) |  Yes  | 
| E.8 Design of the trial | 
| E.8.1 | Controlled |  Yes  | 
| E.8.1.1 | Randomised |  Yes  | 
| E.8.1.2 | Open |  No  | 
| E.8.1.3 | Single blind |  No  | 
| E.8.1.4 | Double blind  |  Yes  | 
| E.8.1.5 | Parallel group |  Yes  | 
| E.8.1.6 | Cross over  |  Yes  | 
| E.8.1.7 | Other |  Yes  | 
| E.8.1.7.1 | Other trial design description | 
| the trial is in 2 parts 1 is a cross over 2 is parallel | 
 
 
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| E.8.2 |  Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) |  No  | 
| E.8.2.2 | Placebo  |  Yes  | 
| E.8.2.3 | Other |  No  | 
| E.8.2.4 | Number of treatment arms in the trial | 2 | 
| E.8.3 | 
                                The trial involves single site in the Member State concerned
                             |  Yes  | 
| E.8.4 |  The trial involves multiple sites in the Member State concerned  |  No  | 
| E.8.5 | The trial involves multiple Member States |  No  | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA |  No  | 
| E.8.6.2 | Trial being conducted completely outside of the EEA |  No  | 
| E.8.7 | Trial has a data monitoring committee |  Yes  | 
| E.8.8 | 
                        Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial
                     | 
| The clinical trial ends when the last subject has ended the last study visit in the clinic | 
 
 
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| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 1 | 
| E.8.9.1 | In the Member State concerned months | 6 | 
| E.8.9.1 | In the Member State concerned days |  | 
| E.8.9.2 | In all countries concerned by the trial years | 1 | 
| E.8.9.2 | In all countries concerned by the trial months | 6 |