- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05796297
Clinical Impact of Patient-ventilator Asynchrony (INSPIRER)
Clinical Impact of Patient Ventilator Asynchrony in Patients With Chronic Respiratory Failure on Long-term Ventilation : a Prospective, Monocentric, Open-label Epidemiological Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Chronic respiratory failure (CRF) is an advanced stage of many respiratory diseases marked by an inability of the respiratory system to ensure vital gas exchange. It affects approximately 3.6 million people in France.
Non-invasive ventilation (NIV) remains the reference treatment in hypercapnic respiratory failure because it reduces inspiratory muscles's work and promotes alveolar ventilation.
The establishment of the NIV is carried out most of the time following an episode of acute decompensation revealing an underlying CRF. It is carried out and supervised in hospital departments to optimize the understanding and adherence of the patient to his illness and his treatment.
Thus, monitoring is a key to measure the tolerance and effectiveness of ventilation. Classically, it is based on multi-year medical consultations, blood gases and nocturnal oximetry. In recent years, the reading of detailed data from software integrated into NIV machines has been increasingly used in current practice in association with the monitoring tools already recommended. It provides additional detailed information on compliance, leaks, apnea-hypopnea index (AHI), obstructive events and asynchrony between the patient and their ventilator.
Many patient-ventilator asynchronies have been described in studies with a negative impact on the quality of ventilation, the quality of sleep under NIV and an increased risk of mortality. However, not all asynchronies have the same consequences and are not all felt by the patient
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Sandrine JAFFRE, PH
- Phone Number: 33 2 40 16 52 51
- Email: sandrine.jaffre@chu-nantes.fr
Study Contact Backup
- Name: Sandrine JAFFRE
Study Locations
-
-
Loire-Atlantique
-
Nantes, Loire-Atlantique, France, 44093
- Recruiting
- Nantes University Hospital
-
Contact:
- Sandrine JAFFRE, PH
- Phone Number: 33 2 40 16 52 51
- Email: sandrine.jaffre@chu-nantes.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Patient with chronic respiratory insufficiency fitted with long-term NIV, whatever the reason for the chronic respiratory insufficiency.
A transcutaneous capnography within 15 days preceding the follow-up consultation and obtaining the SIM card containing the machine data will be required to be included in the study.
Description
Inclusion Criteria :
- Women and Men aged of at least 18 years old.
- NIV equipment since 6 months ( at least)
- Chronic respiratory failure requiring NIV equipment defined by clinical symptoms (asthenia, excessive daytime sleepiness, headache, dyspnea) and:
In case of obstructive diseases :
Daytime hypercapnia (PaCO2 > 55 mmHg) or Daytime hypercapnia between 50-54 mmHg associated with nocturnal desaturations (at least 5 min below 88% saturation) or episodes of frequent hypercapnic exacerbations (at least 2 over the last 12 months)
In case of restrictive diseases :
Daytime hypercapnia (PaCO2>6 kPa (kilopascal) or 45 mm Hg) or Nocturnal desaturation (SaO2 < 88%) for at least 5 minutes without obstructive sleep apnea syndrome (OSAS) found or Marker of progression of neuromuscular damage (Maximum inspiratory pressure < 60 cm H2O and forced vital capacity (FVC) less than 50% of theory)
- NIV's start from at least 6 months.
- Patient who did not object to being included in the study.
- Patient in stable condition without exacerbation (for at least 3 months)
Exclusion Criteria :
- Minor patient
- Pregnant or breastfeeding women
- Adult patient subject to enhanced protection, deprived of liberty by judicial or administrative decision.
- Patient who is physically or psychologically unable to follow the protocol in an informed manner.
- Patient with chronic respiratory failure requiring mechanical ventilation by tracheotomy
- Patient having changed center or service provider (data not available).
- Patient who objected to being included in the study
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Patient with significant patient ventilator asynchrony
Active Comparator
|
Transcutaneous Capnography will be realized at patient home to monitoring nocturnal concentration of carbon dioxide during nocturnal sleeping ventilation
|
Patient without significant patient ventilator asynchrony
Active Comparator
|
Transcutaneous Capnography will be realized at patient home to monitoring nocturnal concentration of carbon dioxide during nocturnal sleeping ventilation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ventilation's efficiency/tolerance
Time Frame: Up to 14 days
|
Presence of a significant rate of patient-ventilator asynchrony when reading the ventilation curves of the NIV machine data.
|
Up to 14 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Estimation of quality of life with non-invasive ventilation
Time Frame: Up to 14 days
|
Estimation of perceived quality of life through the S3-Non Invasive Ventilation questionnaire (scale from 0 to 4 ; 0 being the worst outcome)
|
Up to 14 days
|
Estimation of quality of sleep with non-invasive ventilation
Time Frame: Up to 14 days
|
Estimation of perceived quality of sleep through the Epworth sleepiness scale (scale from 0 to 3 ; 3 being the worst outcome)
|
Up to 14 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: JAFFRE, PH, Nantes University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- RC23_0099
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
Clinical Trials on Chronic Respiratory Failure
-
Azienda Ospedaliera Città della Salute e della...CompletedChronic Heart Failure | Metastatic Cancer | Chronic Respiratory Failure | Chronic Liver Failure | Chronic Renal Failure | Locally Advanced CancerItaly
-
Johns Hopkins All Children's HospitalWithdrawn
-
The University of Texas Health Science Center,...TerminatedChronic Respiratory FailureUnited States
-
Michele VitaccaFondazione Salvatore MaugeriCompleted
-
Association Nationale pour les Traitements A Domicile...Completed
-
Rabin Medical CenterWithdrawnChronic Respiratory Failure
-
Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical...CompletedChronic Respiratory Failure
-
Groupe de Recherche sur le Handicap RespiratoireCompletedChronic Respiratory FailureFrance
-
University Hospital, ToursCompletedChronic Respiratory FailureFrance
-
University Hospital, RouenCompletedChronic Respiratory Failure | WeaningFrance
Clinical Trials on Transcutaneous Capnography
-
Yale UniversityThrasher Research FundCompleted
-
Lahey ClinicTerminatedChronic Obstructive Pulmonary Disease | Asthma | Interstitial Lung DiseaseUnited States
-
Chinese University of Hong KongNot yet recruitingNasogastric Tube | Diagnostic Accuracy | CapnographyChina
-
Akdeniz UniversityCeren KahramanCompletedDiabetic Ketoacidosis | Brain Edema | Metabolic AcidosisTurkey
-
University of GiessenEnrolling by invitationVascular Diseases | Lung Diseases | Hypertension, Pulmonary | Chronic Thromboembolic Pulmonary Hypertension | Hypertension;Pulmonary;PrimaryGermany
-
Rutgers, The State University of New JerseyTerminated
-
Bursa Uludag UniversitesiActive, not recruitingEndobronchial Ultrasound | CapnographyTurkey
-
Mashhad University of Medical SciencesCompletedCardiopulmonary ArrestIran, Islamic Republic of
-
Technical University of MunichCompletedApnea | Complications | HypoxemiaGermany
-
Izmir Katip Celebi UniversityCompleted