- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03922789
Minimal Important Difference of Walking Test in Subjects With Bronchial Asthma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The Six Minute Walking Test (6MWT) efficiently represents the exercise capacity in subjects with chronic respiratory disease, as asthma. The variation of the walking distance is a parameter used to evaluate the effectiveness of pharmacologic and non-pharmacologic interventions, asPulmonary Rehabilitation (PR). However, statistically significant changes in the walking distance do not always represent clinically significant variations. For this reason, it is important to understand in terms of clinical impact, how to interpret the 6MWT when the walking distance changes over time in the same subject (for example, at the beginning and after PR) or when it differs between subjects (some subjects may improve more and some subjects less). It is not enough to state that the intervention works, it is necessary to say how much it works. The demonstration of a clinically relevant effect must be the primary goal of every treatment. A clinically relevant effect is defined as the minimum achievable benefit, which may lead the medical doctor to change his strategy towards the patient, for example by recommending a particular therapy or treatment. The international scientific community calls the minimum achievable benefit with different names; one of the most common is the Minimal Important Difference (MID). The identification of MID is relevant for the clinician, for the agency that is paying the treatment, for the Regulatory Agency and is equally important for the patient for whose health these groups are responsible. MID for 6MWT has been estimated in subjects with different respiratory diseases and not. In Chronic Obstructive Pulmonary Diseases, a variation of 25 meters is considered significant. Recent studies have shown that asthmatic subjects cover a distance of about 500 meters during 6MWT, and that this distance improves after PR on average of 30-60 meters. Up to-day, however, the 6MWT MID in asthmatic patients has not been investigated.
The aim of this prospective study is to determine the MID for the 6MWT in subjects affected by asthma, regardless of the severity of the disease.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
VA
-
Tradate, VA, Italy, 21049
- Istituti Clinici Scientifici Maugeri
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Documented diagnosis of asthma according to the current guidelines "Global Initiative for Asthma (GINA)
- In therapy with inhaled and/or oral drugs ≥30 days
- Signature of Informed Consent.
Exclusion Criteria:
- Concomitant pathologies with severe short term prognosis.
- Documented Chronic Obstructive Pulmonary Disease diagnosis.
- Inability to perform the 6 Minute Walking Test
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
meters
Time Frame: 20 days
|
define the MID for the 6MWT in subjects affected by bronchial asthma of different degrees of severity
|
20 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Asthma Control Questionnaire (ACQ)
Time Frame: 20 days
|
to measure the degree of asthma control.
Scores range between 0 (totally controlled) and 6 (severely uncontrolled).
|
20 days
|
St George Respiratory Questionnaire (SGRQ)
Time Frame: 20 days
|
to evaluate the quality of life.
Score range 0 (better), 100 (worse)
|
20 days
|
Chronic Obstructive Pulmonary Disease Assessment Test (CAT)
Time Frame: 20 days
|
to evaluate the health status.
Score range 0 (better), 40 (worse)
|
20 days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Antonio Spanevello, Prof, Maugeri Foundation
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 (Actual)
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
- 2279 CE
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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