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Wearable Noninvasive Positive Pressure Ventilation Device in COPD (VITABREATH)

1. oktober 2018 opdateret af: Icadom

Evaluation of the Impact of a Wearable Noninvasive Positive Pressure Ventilation Device on Physical Activity and Quality of Life in Patients With COPD

The objective is to assess the impact of a wearable Noninvasive Positive Pressure Ventilation, on physical activity and quality of life in patients with severe COPD, complaining of dyspnea.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

In order to avoid the occurrence of uncomfortable dyspnea, patients with Chronic Obstructive Pulmonary Disease (COPD) are locked in a vicious circle of inactivity and social isolation which profoundly affects their quality of life and prognosis. A new wearable non invasive positive pressure ventilation device has been recently proposed; it can be used by intermittence during or after physical activities for reducing dyspnea or for shortening dyspnea- recovery time. The investigators hypothesize that this system, in reducing the inconvenience caused by dyspnea, would stimulate a more active lifestyle and improve quality of life. Their objective is to assess the impact of this device on physical activity and quality of life in patients with severe COPD, complaining of dyspnea.

In this open study with no control group, participants will use the device at their convenience, according to their needs in daily life and for 4 weeks.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

40

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Frankrig
      • Alès, Frankrig, 30100
        • Dr Michèle Bognie Pneumology Office
      • Castelnau-le-Lez, Frankrig, 34000
        • Clinique du Parc
      • Grenoble, Frankrig, 38043
        • CHU Grenoble-Alpes
      • Lille, Frankrig, 59042
        • Hôpital Privé La Louvière
      • Lunel, Frankrig, 34400
        • Dr Christian PAILLARGUELO Pneumology Office
      • Nîmes, Frankrig, 30900
        • CHU Caremeau
      • Toulouse, Frankrig, 31300
        • Clinique Pasteur

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

35 år til 85 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Patients with stable severe COPD (with FEV1 ≤50% predicted)
  • Patients with mMRC score > ou = 2.

Exclusion Criteria:

  • Exacerbate within a month prior.
  • Using other non invasive ventilation device > 15h per day.
  • Have musculoskeletal or neuromuscular problem affecting balance and walking.
  • Have cognitive problem affecting comprehension of the different évaluations or questionnaires.
  • Have recently participated in physical training or rehabilitation program (≤ 3 months).
  • Medical contra-indication to NIV.
  • Evolutionary pathologies (excluding COPD) may be life-threatening in the short term (1 year) (cancer, neuromuscular disease rapidly changing).
  • Simultaneously enrolled in an other clinical trial.
  • Not affiliated to social security.
  • Person deprived of liberty, major protected by law.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Enhedens gennemførlighed
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Noninvasive ventilation
Participants will use the device at home by intermittence during or after physical activities for reducing dyspnea or for shortening dyspnea-recovery time over a 4-week period.
Enhed: Non-Invasive Ventilation

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change of daily physical activity measured by actimetry
Tidsramme: Continuously over a 8-week period (2 weeks before the use of the device, over the 4-week period usinf the device and 2 weeks after the use of the device
Change of number of steps by day and daily energy expenditure over the 8 week period
Continuously over a 8-week period (2 weeks before the use of the device, over the 4-week period usinf the device and 2 weeks after the use of the device

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change of Baseline Dyspnea Index (BDI) score
Tidsramme: baseline and post use of the Vitabreath device at 4th weeks
The BDI represents importance and impact of dyspnea in daily life of COPD patients. The BDI is one of dyspnea parameters (questionnaire). Three dimension questions include; 1.effect of daily function on dyspnea, 2. effect of magnitude of task on dyspnea and 3. effect of magnitude off effort on dyspnea.
baseline and post use of the Vitabreath device at 4th weeks
Change of Modified Medical Research Council Questionnaire (mMRC) score
Tidsramme: baseline and post use of the Vitabreath device at 4th weeks
The mMRC is one of dyspnea parameters
baseline and post use of the Vitabreath device at 4th weeks
Change of Transition Dyspnea Index (TDI)
Tidsramme: baseline and post use of the Vitabreath device at 4th weeks
The TDI assesses change of dyspnea perception from the BDI in each dimensions. Patient will rate score from -6 to +6 (positive score reflect improve of dyspnea and negative score reflect worse dyspnea).
baseline and post use of the Vitabreath device at 4th weeks
Subjective appréciation of the device
Tidsramme: post use of the Vitabreath device at 4th weeks
Patients will rate their appreciation of the device using 3 scale relatives to ease of use, helps recovery shortness of breath, helps to be more active in daily life
post use of the Vitabreath device at 4th weeks
Change of Visual Simplified Respiratory Questionnaire (VSRQ) score
Tidsramme: baseline and post use of the Vitabreath device at 4th weeks
The VRSQ represents health related quality of life of COPD patients
baseline and post use of the Vitabreath device at 4th weeks
Change of Chronic Obstructive Pulmonary Disease Assessment Test (CAT)score
Tidsramme: Continuously over a 8-week period (2 weeks before the use of the device, over the 4-week period usinf the device and 2 weeks after the use of the device
The CAT represents health related quality of life of COPD patients
Continuously over a 8-week period (2 weeks before the use of the device, over the 4-week period usinf the device and 2 weeks after the use of the device

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Compliance to the device
Tidsramme: Every week over the 4-week period
During a weekly phone call, patients will indicate the daily duration and conditions of use of the device
Every week over the 4-week period
Number of acute exacerbation
Tidsramme: Up to 12 months before the date of inclusion
Exacerbation is defined as changing the respiratory status of the patient relative to the patient's usual state, which requires acute hospitalisation.
Up to 12 months before the date of inclusion
Weight
Tidsramme: baseline and post use of the Vitabreath device at 4th weeks
Patient will indicate their weight
baseline and post use of the Vitabreath device at 4th weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Icadom

Samarbejdspartnere

Philips Respironics

Efterforskere

  • Ledende efterforsker: Jean-Louis PEPIN, Pr, Laboratoire du sommeil - Centre hospitalier Universitaire Michallon - 38043 GRENOBLE

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

12. januar 2017

Primær færdiggørelse (Faktiske)

10. januar 2018

Studieafslutning (Faktiske)

10. januar 2018

Datoer for studieregistrering

Først indsendt

16. august 2016

Først indsendt, der opfyldte QC-kriterier

21. april 2017

Først opslået (Faktiske)

26. april 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

3. oktober 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

1. oktober 2018

Sidst verificeret

1. oktober 2018

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 2016-A01297-44

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

UBESLUTET

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