- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01693146
STIT-2: Evaluation of Safety and Efficacy of Short-time TNI® Treatment in Patients With COPD and Hypercapnia (STIT-2)
Evaluation of Safety and Efficacy of Short-time TNI® Treatment in Patients With COPD and Hypercapnia Acute Testing of Oxygen Demand Using TNI® vs. Standard Insufflation in COPD Patients With Hypercapnia at Rest
Evaluation of Safety and Efficacy of Short time TNI Treatment in Patients with COPD and hypercapnia.
Acute testing of oxygen demand using TNI vs. standard oxygen application in stable COPD patients with hypercapnia.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
TNI, the nasal insufflation of a high flow of warm, humidified air, is an extremely comfortable and uncomplicated alternative to numerous other approaches in non-invasive ventilation (NIV). Up to now, NIV therapy could only be applied by masks with the associated complications as patients could not tolerate high airflow delivered by a thin nasal cannula without humidification and warming, thus causing concomitant negative effects. The new therapy TNI shows a high rate of acceptance by children, too.
At present, there are two different types of devices available for nasal insufflation in clinics:
TNI 20s, an air humidifier for clinical compressed air, and the TNI20 oxy, an air humidifier for clinical compressed air, which can be combined with oxygen.
TNI 20 oxy The system, which is unique throughout the world, is optimized for the application of flows of up to 20L/min and fulfils the minimum requirements of the "American Society of Testing and Materials" for a high flow air humidifier in the non-invasive application of 10 mg H2O/L (equivalent to about 60% rel. humidity at an ambient temperature of 22°C) for the air humidity. The warming of the air flow by 5-15°C can be adjusted relative to the ambient temperature. Condensation is prevented in the nasal applicator by heating the tube as far as the nostrils. The device automatically controls humidity and temperature depending on the prevailing ambient conditions. The TNI®20s can be attached to the hospital infrastructure by means of a standard pressure regulator.
In another ongoing study (STIT-1) TNI 20 oxy was evaluated for its safety in COPD patients without hypercapnia. In a first interim analysis which included 14 patients high flow oxygen delivery was safe.
Study Type
Enrollment (Anticipated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Christian M Kaehler, MD
- Phone Number: 004351250423255
- Email: c.m.kaehler@i-med.ac.at
Study Locations
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Innsbruck, Austria, A-6020
- Recruiting
- Christian Kähler
-
Contact:
- Christian M Kaehler, MD
- Phone Number: 004351250423255
- Email: c.m.kaehler@i-med.ac.at
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Dresden, Germany, D-01307
- Not yet recruiting
- Pneumologie, Medizinische Klinik und Poliklinik I, University of Dresden
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Contact:
- Michael Halank, MD
- Phone Number: 0049 351 458 - 4721
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Principal Investigator:
- Gert Höffken, MD
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Homburg, Germany, D-66424
- Recruiting
- Klinik für Innere Medizin V, Universitätsklinikum Homburg, University of Homburg/Saar
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Contact:
- Heinrike Wilkens, MD
- Phone Number: 0049 6841 16-23633
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Berne, Switzerland, CH-3010
- Recruiting
- Klinik und Poliklinik für Pneumologie, Inselspital Berne, University of Berne
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Contact:
- Thomas Geiser, MD
- Phone Number: 0031 632 34 90
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- COPD patients with an indication for long-term oxygen therapy (LTOT)
- Presence of hypercapnia at rest without oxygen supplementation (PaCO2 > 45 mmHg)
- Age 30 - 85 years
- Functional GOLD class: COPD GOLD IV as defined by the following:
FEV1/FVC < 70% and a Post-bronchodilator FEV1 < 30% or FEV1 < 50% and a PaO2 < 60 mmHg and/or PaCO2 > 50 mmHg
Exclusion Criteria:
- Clinical instability of the patient
- No lung function testing possible
- Exacerbation within the last 14 days prior to inclusion into the study
- Serious concomitant diseases that may jeopardize the inclusion of the patient into the study from the investigator's point of view
- Severe anaemia, defined by a haemoglobin <8.5 G/L
- Participation of the patient in any other ongoing study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Nasal insufflation of oxygen
Nasal insufflation of oxygen starting at at flow of 0.5 L/min.
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Nasal insufflation of oxygen starting at at flow of 0.5 L/min.
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Active Comparator: Nasal oxygen insufflation with a TNI® 20 oxy device
Device: TNI®20 oxy Nasal insufflation at a constant high flow of 15 L/min with oxygen addition starting at 0.5 L/min
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Nasal insufflation at a constant high flow of 15 L/min with oxygen addition starting at 0.5 L/min
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PaO2
Time Frame: 60 min
|
Change in the partial oxygen pressure in the arterial blood (blood gas analysis) at a defined oxygen flow rate (L/min)
|
60 min
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
O2%
Time Frame: 60 min
|
Change in the oxygen saturation in the arterial blood (blood gas analysis) at a defined oxygen flow rate (L/min)
|
60 min
|
PaCO2
Time Frame: 60 min
|
Change in the PaCO2 in the arterial blood (blood gas analysis) at a defined oxygen flow rate (L/min)
|
60 min
|
AaDO2
Time Frame: 60 min
|
Change in the AaDO2 in the peripheral blood at a defined oxygen flow rate (L/min)
|
60 min
|
RV and TLC
Time Frame: 60 min
|
No increase in the residual volume (RV) and the total lung capacity (TLC) > 15% of the mean actual value at visits 1 and 2 (measurement 60 + 10 minutes after oxygen insufflation with a TNI system).
|
60 min
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Christian M Kaehler, MD, Medical University Innsbruck
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- UN4484 (Other Identifier: Ethic Committee Innsbruck)
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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