Effects of the Breathe Technologies Ventilation System in Subjects With Chronic Obstructive Pulmonary Disease
A Pilot Study of the Physiologic Effects of Using the Breathe Technologies Noninvasive Open Ventilation System During Constant Work Rate Exercise in Subjects With Chronic Obstructive Pulmonary Disease
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
California
-
Torrance, California, Forenede Stater, 90502
- Harbor-UCLA Medical Center
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adult males, ≥ 40 years of age
- Diagnosis of severe COPD (GOLD stage III or IV) defined as having a FEV1 < 50% of predicted and an FEV1/FVC ratio < 70% of predicted
- Ventilatory limitation to exercise, documented by a VE/MVV > 0.85
- SpO2 between 80% and 88% during incremental exercise testing on room air
- Willingness and ability (after training) to exercise on a cycle ergometer
- Willingness and ability to perform all other study related procedures and tasks
- Ability to be properly fitted with the Breathe nasal mask
- Ability to tolerate and be appropriately titrated on the Breathe ventilator (See Appendix E)
- Ability to be properly fitted with an exercise mask
- Fluency in written and spoken English
- Provision of written informed consent
Exclusion Criteria:
- History of acute exacerbation of COPD within 30 days of screening
- History of serious epistaxis within 14 days of screening
- Requirement of > 5 LPM nasal O2 to maintain an SpO2 > 90% while at rest
- History of pneumothorax secondary to lung bullae
- History of intolerance to supplemental oxygen
- Musculoskeletal or other non-pulmonary impairment that limits exercise tolerance
- Inability to achieve an optimal CWR level (4-7 minutes) during Study Visit 1R
- Current participation in another interventional study or participation within 14 days of screening
- Presence of any condition or abnormality that in the opinion of the Principal Investigator may compromise the subject's safety or the quality of the study data
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: NIOV - Room air
Subjects exercise using the NIOV device powered by compressed air (room air, 21% O2).
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Noninvasive ventilation with device powered by compressed room air.
Andre navne:
|
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Eksperimentel: NIOV - Oxygen
Subjects exercise using the NIOV device powered by compressed medical oxygen (100% O2).
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Noninvasive ventilation with device powered by compressed medical (100%) oxygen.
Andre navne:
|
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Aktiv komparator: Nasal Cannula Oxygen
Subjects exercise using a standard nasal cannula using medical oxygen (100% O2).
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Supplemental oxygen delivered using a standard nasal cannula connected to 100% medical oxygen.
Andre navne:
|
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Ingen indgriben: No treatment
Control arm.
Subjects exercise without using supplemental oxygen or NIOV.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Exercise Duration for Constant Work Rate Exercise Tests Under 4 Test Conditions
Tidsramme: Study days 1,2,3, and 4; Day 1 for no treatment; day 2 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 3 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 4 for NIOV - oxygen and Nasal Cannula Oxygen.
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Mean differences between NIOV - oxygen, NIOV - Room Air, Nasal Cannula Oxygen, and no treatment (control).
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Study days 1,2,3, and 4; Day 1 for no treatment; day 2 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 3 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 4 for NIOV - oxygen and Nasal Cannula Oxygen.
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
SpO2 During Constant Workrate Exercise at Isotime
Tidsramme: Outcome was measured in each of the Study day 1,2, 3 and 4. Study days 1,2,3, and 4; Day 1 for no treatment; day 2 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 3 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 4 for NIOV - oxyg
|
Mean differences between NIOV - oxygen, NIOV - Room Air, Nasal Cannula Oxygen, and no treatment (control).
|
Outcome was measured in each of the Study day 1,2, 3 and 4. Study days 1,2,3, and 4; Day 1 for no treatment; day 2 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 3 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 4 for NIOV - oxyg
|
|
Borg Dyspnea Score During Constant Workrate Exercise at Isotime
Tidsramme: Outcome was measured in each Study day 1,2,3 and 4. Study days 1,2,3, and 4; Day 1 for no treatment; day 2 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 3 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 4 for NIOV - oxygen and N
|
Mean differences between NIOV - oxygen, NIOV - Room Air, Nasal Cannula Oxygen, and no treatment (control) at isotime. Borg Dyspnea Score ranges in values from 0 to 10. The lower score represent better outcome. 0 = No breathlessness at all, representing better outcome 10 = Maximum breathlessness, representing worse outcome |
Outcome was measured in each Study day 1,2,3 and 4. Study days 1,2,3, and 4; Day 1 for no treatment; day 2 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 3 for no treatment and NIOV - Room Air and NIOV - oxygen; Day 4 for NIOV - oxygen and N
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Richard Casaburi, Ph.D., M.D., Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CP-00-0035
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