Capnometry-Assisted Breathing Training for COPD (CATCH)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- New York University School of Medicine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- over 40 years of age
- has COPD documented in their electronic medical record, as defined by FEV1/FVC of < 0.70 on pulmonary function testing (spirometry), or as shown on a chest CT
- Can maintain oxygen saturation (SaO2) ≥ 90% on room air at rest
- Is medically cleared to participate in NYULMC's outpatient pulmonary rehabilitation program
- English speaking. Pregnant patients will not be enrolled in the study
Exclusion Criteria:
- Requires 24-hour supplemental oxygen
- Has cognitive impairment as measured by ≤23/30 on the Mini Mental State Examination (MMSE)
- Is actively being treated for lung cancer (E.g. with chemotherapy or upcoming surgery)
- Has morbid obesity (BMI > 40)
- Is currently smoking
- Has unstable cardiac disease defined by a history of a myocardial infarction in the past 3 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CATCH Group
A portable capnometer (CapnoTrainer, Better Physiology, Cheyenne, WY) will be used in-session to provide continuous visual feedback of RR, ETCO2, rhythm, and depth of breathing, and ratio of inspirations to expiration.
CATCH will be once weekly for 6 weeks, for a total of 6 sessions; each session will be approximately 60 minutes duration.
The principal investigator will implement the CATCH intervention
|
Tailored intervention emphasizing slow, quiet, regular nasal breathing pattern.
Patients in both treatment groups will participate in a 10 week (16-20 sessions) comprehensive PR program.
The control group will receive the 10-Week PR program with traditional breathing training sessions (without biofeedback).
The program comprises 2 or 3 exercise training sessions per week by physical therapists (each 1 hour duration).
|
|
Active Comparator: Control Group
Pulmonary Rehabilitation (PR).
Patients in both treatment groups will participate in a 10-week (16 - 20 sessions) comprehensive PR program.
|
Patients in both treatment groups will participate in a 10 week (16-20 sessions) comprehensive PR program.
The control group will receive the 10-Week PR program with traditional breathing training sessions (without biofeedback).
The program comprises 2 or 3 exercise training sessions per week by physical therapists (each 1 hour duration).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of Participants With Adherence to Home Breathing Exercises
Time Frame: Day 1
|
Day 1
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Difference in Mean 6MWT Distance Between Pre and Post Intervention
Time Frame: Week 0 and Week 10
|
The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface.
The goal is for the individual to walk as far as possible in six minutes.
|
Week 0 and Week 10
|
|
Difference in Mean Dyspnea Management Questionnaire Computer Adaptive Test (DMQ-CAT) Anxiety Score Between Pre and Post Intervention
Time Frame: 2 weeks pre intervention and 4 weeks post intervention
|
The DMQ-CAT Dyspnea Anxiety is a 14 item scale; each item is scored off a 7 point likert scale for a total range of 0 to 98 where higher scores correlate with higher anxiety
|
2 weeks pre intervention and 4 weeks post intervention
|
|
Mean Difference in Heart Rate Maximum Between Pre and Post Intervention
Time Frame: 0 weeks and 10 weeks
|
0 weeks and 10 weeks
|
|
|
Difference in Mean PROMIS Fatigue Score Between Pre and Post Intervention
Time Frame: 0 weeks and 10 weeks
|
Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue 7a questionnaire.
Raw scores range from 7-35, with higher scores indicating higher levels of fatigue.
|
0 weeks and 10 weeks
|
|
Mean Difference in Resting Respiratory Rate Between Pre and Post Intervention
Time Frame: 0 weeks and 10 weeks
|
0 weeks and 10 weeks
|
|
|
Difference in Mean Score on St George's Respiratory Questionnaire (SGRQ) Between Pre and Post Intervention
Time Frame: Week 0 and Week 10
|
Disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease.
Scores range from 0 to 100, with higher scores indicating more limitations.
|
Week 0 and Week 10
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Anna Maria Norweg, MD, NYU Langone Health
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 17-01672
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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