# UAB Mentoring Program in COPD Patient Oriented Research

> **NIH NIH K24** · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 2020 · $88,617

## Abstract

ABSTRACT
COPD is the third leading cause of death in the United States and has major public health impacts. Current
treatments can improve symptoms but none prevent disease progression or reduce mortality. This is in part
due to the high burden of comorbidities, including cardiovascular disease, which complicate diagnosis and
treatment. COPD-associated cardiovascular disease has not been adequately studied but may provide
avenues to improve clinical outcomes. There are currently no proven therapies for COPD-related pulmonary
vascular disease despite numerous trials testing vasodilators in patients with severe pulmonary hypertension.
Conduct of these studies has been hampered by the lack of a non-invasive measure of pulmonary pressure
and no tools adequately detect early pulmonary vascular abnormalities. We have developed a novel, non-
invasive, cardiac MRI measure of pulmonary artery impedance (the velocity transfer function) that may prove
useful in the identification and quantification of COPD-associated pulmonary vascular disease. Specific Aim 1
of this proposal is to determine whether the velocity transfer function can identify abnormalities in pulmonary
arterial impedance in COPD and whether it correlates with right ventricular function. It is also well established
that beta-blockers reduce mortality in patients with cardiovascular disease, but COPD patients are often denied
these medications because of concerns about adverse effects of beta-blockade on airway function. Multiple
observational studies now indicate that beta-blockers may in fact reduce exacerbation risk in COPD and the
multicenter, randomized, placebo-controlled, Beta-Blocker for the Prevention of COPD Exacerbations (BLOCK-
COPD) trial is underway to test this hypothesis. Regardless of the results, questions will remain about the risk-
benefit of beta-blockers in patients with COPD, including their effects on exercise. Specific Aim 2 of this
proposal is to determine the effect of metoprolol on peak exercise as assessed by cycle ergometry in patients
with COPD. This proposal also aims to provide mentoring and training opportunities to new investigators
pursuing COPD Patient-Oriented Research (POR). Mentoring will be tailored to meet the interests and
objectives of individual trainees but a core set of topics will be presented through one-on-one and group
sessions. Specialized training in biostatistics as well as research applications of quantitative thoracic CT and
cardiac MRI will also be provided. Trainees will also take advantage of career development programs offered
by the UAB Center for Clinical and Translational Science. The proposal also aims to provide the PI with formal
mentoring training as well as research training in comparative effectiveness and health services methodology
which will open new avenues for his own investigative career as well as additional opportunities for trainees.
The K24 will contribute significantly to the PI's long term career objectives to 1)...

## Key facts

- **NIH application ID:** 9851443
- **Project number:** 5K24HL140108-03
- **Recipient organization:** UNIVERSITY OF ALABAMA AT BIRMINGHAM
- **Principal Investigator:** MARK T DRANSFIELD
- **Activity code:** K24 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $88,617
- **Award type:** 5
- **Project period:** 2018-01-15 → 2022-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9851443

## Citation

> US National Institutes of Health, RePORTER application 9851443, UAB Mentoring Program in COPD Patient Oriented Research (5K24HL140108-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9851443. Licensed CC0.

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