- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05264441
Choice of Inhalation Device (Choice Device)
Choice of Inhalation Device in Asthma and COPD Patients
In this study, asthma and COPD patients will be invited to participate after the consultation with their pulmonologist.
The intervention consists of three steps. The first step is to perform a deep inspiration. The second step is to demonstrate the correct use of a pMDI. The third step is to perform a strong inspiration into the In-Check Dial device over 5 different resistances.
Study Overview
Detailed Description
The study will take place in the respiratory outpatient clinic. Patients will be invited to participate in the study after the consultation with the pulmonologist. All pulmonologists have a flowchart regarding the optimal choice of inhaler at their disposition.
Patients will be provided sufficient time to read the informed consent file and to ask questions about the study. After giving their informed consent they will be screened for eligibility by an investigator. Demographic data and characteristics will be retrieved from the medical record (EMD) of study participants.
The intervention will consist of three different steps.
First, the patient will perform a deep voluntary inspiration. The patient's ability to perform this inspiration will be assessed and scored by the investigator.
Secondly, the peak inspiratory flows (PIF) will be measured with an In-check Dial device over 5 different resistances.
The minimal and optimal peak inspiratory flow rates (PIFRs) differ by device. A minimum flow of 30 L/min is required for most DPI's. The optimal flow varies from 30 L/min to 35, 45, 50, 60 or 65 L/min.
Due to the fact that there is still discussion about the effectiveness of PIF's going from 30 to 60 L/min, an arbitrary cut-off value will be set at 45 L/min. This cut-off value for sufficient PIF will be measured over a moderate resistance to distinguish subtherapeutic from therapeutic levels. If the patient reaches a PIF lower than 45 L/min, the patient will be asked to make a second attempt.
Subsequently, the patient will receive education about the correct coordination, which is necessary in the use of dose inhalers. The patient will be evaluated for sufficient actuation-inhalation coordination, through a placebo pMDI.
The evaluation of the voluntary deep inspiration, PIF and coordination will be by pass or fail evaluation. Subsequently, the fitness of a patient to use any of the three inhaler classes will be determined by using a diagram designed by a Belgian expert group (unpublished to date; courtesy of Didier Cataldo, ULiège).
If a mismatch between prescribed inhaler and suitable inhaler types is found, the treating physician of the patient will be informed. By doing so, the investigators wish to avoid patients receiving prescriptions for inhalers that they cannot use properly.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- COPD patients (GOLD II-IV)
- Patients with severe asthma
- Patients with mild-to moderate asthma aged < 70y
- Patients with asthma aged ≥ 70y
Exclusion Criteria:
- Patients with asthma or COPD not on inhaled therapy for maintenance treatment
- Patients younger than 18y
- Patients unable to give their informed consent due to mental or physical disability
- Patients who don't speak French or Dutch
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Asthma and COPD patients
There will be only 1 arm in this study.
COPD and asthma patients will be in the same arm.
|
Patients will inspire into an In-Check DIAL G16 device.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of patients with device mismatch
Time Frame: up to 2 months
|
Data from COPD and asthma patients will be compared
|
up to 2 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Choice Device
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.
Clinical Trials on Asthma
-
Vanderbilt University Medical CenterNot yet recruitingAsthma in Children | Asthma Attack | Asthma Acute | Acute Asthma Exacerbation | Asthma; StatusUnited States
-
University of California, San FranciscoCompletedAsthma in Children | Asthma Attack | Asthma Acute | Asthma ChronicUnited States
-
Johann Wolfgang Goethe University HospitalCompleted
-
SingHealth PolyclinicsNot yet recruitingAsthma | Asthma in Children | Asthma Attack | Asthma Acute | Asthma Chronic
-
Universita di VeronaCompleted
-
Parc de Salut MarActive, not recruitingAsthma in Children | Persistent Asthma | Asthma ExacerbationSpain
-
Forest LaboratoriesCompleted
-
Johann Wolfgang Goethe University HospitalCompletedExercise-induced AsthmaGermany
-
Brunel UniversityKarolinska InstitutetUnknown
Clinical Trials on In-Check DIAL G16
-
University of Alabama at BirminghamWithdrawnChronic Obstructive Pulmonary DiseaseUnited States
-
Winthrop University HospitalCompleted
-
Universitair Ziekenhuis BrusselUnknownCOPD | Severe AsthmaBelgium
-
Virginia Commonwealth UniversityTerminatedHypertensionUnited States
-
Massachusetts General HospitalJuvenile Diabetes Research Foundation; Boston Children's HospitalNot yet recruitingType 1 Diabetes | Diabetes in Children
-
Northwestern UniversityNational Institutes of Health (NIH); Alzheimer's Association; Illinois Department... and other collaboratorsCompletedFrontotemporal Dementia | Primary Progressive AphasiaUnited States
-
Babes-Bolyai UniversityNorwegian University of Science and Technology; CheckWare ASCompleted
-
Children's Hospital of PhiladelphiaAgency for Healthcare Research and Quality (AHRQ); Devereux Center for Effective...Completed
-
Butler HospitalNational Institute of Mental Health (NIMH); Brown UniversityEnrolling by invitationSchizophrenia | Bipolar Disorder | Major DepressionUnited States
-
Centers for Disease Control and PreventionNorthwestern University; Emory University; Public Health SolutionsCompleted