- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02877290
The Effect of Non-invasive Ventilation on the Oxygenation of Peripheral Muscle in Hypercapnic COPD Patients
The Effect of Non-invasive Ventilation on the Oxygenation of Peripheral Muscle Tissue, Cardiovascular System and Exercise Capacity in Hypercapnic COPD Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In this study patients will perform one incremental work rate test to obtain peak work rate. On the following days two constant work rate cycle endurance tests (CWRT) will be performed at 60% of Peak work rate using a randomised cross-over design. Between the two CWRTs there will be one hour of recovery time in between.
One of the CWRTs will be performed with the support of non-invasive Ventilation (NIV), the other one without. Respiratory and cardiovascular parameters will be observed through transcutaneous measurement of CO2 (Sentec device) and near-infrared spectroscopy devices.
The purpose of this study is, to examine whether the use of NIV not only decreases patients dyspnoea, but also has positive effects on the patients cardiovascular System, exercise capacity and muscle oxygenation. The investigators will examine the tissue oxygen saturation in the 7th intercostal space (reflecting a respiratory muscle) and on the M. vastus lateralis of the leg during both CWRTs. With the Support of NIV, it is expected to see a change in the oxygenation towards a better perfusion of the leg muscle, due to a facilitation of the work of breathing. This may result in a later onset of leg fatigue and an increased exercise capacity of the patients. To have an equivalent workload all parameters will be compared during isotime.
To conclude, aim of this study is to record the interplay of Oxygenation and Perfusion between the Intercostal muscles and the peripheral leg muscle during exercise. The investigators hypothesize, that the use of NIV may change the oxygenation in favour of the leg muscle through relieving the respiratory muscles.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Bayern
-
Schoenau Am Königssee, Bayern, Germany, 83471
- Schoen Klinik BGL
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Chronic obstructive pulmonary disease GOLD (Global initiative for chronic obstructive lung disease) stage IV
- Hypercapnia: pCO2>50mmHg (at rest or in exercise)
- written consent
Exclusion Criteria:
- orthopaedic comorbidities that do not allow a cycle endurance test
- acute exacerbation of COPD
- Cardiac insufficiency, acute coronary syndrome
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: cycling test first with NIV, then without NIV
patients in this arm will perform their first constant work rate test while using NIV and the second constant work rate test without NIV
|
|
Experimental: cycling test first without NIV, then with NIV
patients in this arm will perform their first constant work rate test without NIV and the second constant work rate test with NIV
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
cycle endurance time
Time Frame: maximum 20 minutes
|
time patient ist able to cycle at 60% of his peak work rate
|
maximum 20 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Borg scale of dyspnoea
Time Frame: 30 minutes
|
In the beginning and in the end of the constant work rate tests patients will be asked to rate their current level of dyspnoea on the modified Borg scale from 0 to 10
|
30 minutes
|
Borg scale of leg fatigue
Time Frame: 30 minutes
|
In the beginning and in the end of the constant work rate tests patients will be asked to rate their current Level of leg fatigue on the modified Borg scale from 0 to 10
|
30 minutes
|
Oxygen saturation
Time Frame: 30 minutes
|
Measurement of the oxygen saturation during the constant work rate tests
|
30 minutes
|
Heart rate
Time Frame: 30 minutes
|
Measurement of the heart rate during the constant work rate tests using a pulse oximeter
|
30 minutes
|
Arterial blood pressure
Time Frame: 30 minutes
|
Riva-Rocci measurement of the arterial blood pressure before and in the end of the constant work rate tests
|
30 minutes
|
arterial carbondioxide partial pressure
Time Frame: 30 minutes
|
recording of the transcutaneously measured arterial carbondioxide partial pressure using Sentec technology during the constant work rate tests
|
30 minutes
|
Tissue Saturation Index
Time Frame: 30 minutes
|
the near infrared technology delivers the Tissue Saturation Index throughout the constant work rate test
|
30 minutes
|
total hemoglobin
Time Frame: 30 minutes
|
the near infrared technology delivers the Tissue Saturation Index throughout the constant work rate test
|
30 minutes
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Klaus Kenn, Prof. Dr., Schoen Klinik BGL
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NIV/NIRS in exercise
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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