Non-invasive Ventilation System in Moderate-to-Severe Chronic Obstructive Pulmonary Disease (COPD) (PRIDE)
Primary Purpose
Pulmonary Disease, Chronic Obstructive, Airflow Obstruction, Chronic, Chronic Obstructive Airway Disease
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Noninvasive Open Ventilation System
Sponsored by
About this trial
This is an interventional supportive care trial for Pulmonary Disease, Chronic Obstructive
Eligibility Criteria
Inclusion Criteria:
- Have participated and completed the NOVEL 1 or NOVEL 2 studies.
- Be 21-80 years of age (inclusive) at time of informed consent.
- Require nasal oxygen of ≥ 2 LPM during exertion, and ≥ 1 LPM at rest.
- Exhibit dyspnea and have lung disease process dominated by COPD per the Study Investigator.
- Have a self-reported MMRC Dyspnea Score ≥ 2 on a scale of 0-4.
- Have spirometric evidence of COPD with an FEV1 of < 50% predicted and FEV1/FVC < 0.70, measured within the last 6 months (GOLD stage III and IV).
- Have a resting respiratory rate of less than or equal to 30 bpm.
- Be fluent in reading and speaking the English language.
- Be able to clearly communicate and to indicate a self-assessment of dyspnea and/or fatigue.
- Be willing and able to participate in, and to complete all required study procedures, including the ability to pull an E-sized oxygen cylinder.
- Report having a smoking history of ≥ 10 pack-years.
- Provide written informed consent to participate in the study.
Exclusion Criteria:
Subject must NOT meet any of the following criteria, or they will be excluded from study participation:
- Be a current tobacco smoker
- Have a history of pneumothorax in last 2 years.
- Have a history of severe, giant bullae.
- Have a history of unstable angina
- Reports the onset of cardiac arrhythmia(s) within the past 7 days.
- Report having serious epistaxis within the last 10 days.
- Have a history of severe pulmonary hypertension and/or NYHA Stage III and IV decompensated heart failure.
- Reports symptoms of acute COPD exacerbation within the past 48 hours.
- Have been discharged from the hospital within 30 days of screening for infection or acute illness or COPD exacerbation.
- Have a prescription or history of requiring > 8 LPM oxygen during exertion.
- Have a history of serious allergic airways disease (e.g., high eosinophil count or elevated IgE).
- Report or have evidence of LVEF < 30 %
- Have a BMI > 40
- Have a history of thoracotomy, sternotomy, major cardiopulmonary intervention (e.g., lung resection, open heart surgery), or any procedure 6 months before study entry likely to cause instability of pulmonary status.
- Have a history of lung disease unrelated to smoking that affects oxygenation or survival.
- Is participating in another intervention study or have participated within 90 days of enrollment.
- Have endobronchial valves or other bronchial tree implants such as stents.
- Have a disease or condition expected to cause death, inability to perform procedures for the trial, or inability to comply with the therapy.
- Have a history of intolerance to oxygen therapy.
Sites / Locations
- John Muir Health
- Sharp Memorial Hospital
- McKay-Dee Hospital Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Noninvasive Open Ventilation System
Arm Description
Portable noninvasive open ventilator & nasal interface.
Outcomes
Primary Outcome Measures
Device Tidal Volume
Evaluate the mean test volume for three activity levels. Subjects completed five consecutive, 6-hour clinic days in which the NIOV system was worn continuously while at rest, during activities of daily living (ADLs).
Secondary Outcome Measures
Device Preference
5-point Likert Scale completed at the end or the 5-day study period
- Preference Scale: 5 = Max preference (Prefer to use the test device), 1 = Min preference (Do not prefer to use the test device)
Safety and Device-related Adverse Events
Any adverse events reported during he study period.
Full Information
NCT ID
NCT01355978
First Posted
May 17, 2011
Last Updated
August 18, 2016
Sponsor
Breathe Technologies, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01355978
Brief Title
Non-invasive Ventilation System in Moderate-to-Severe Chronic Obstructive Pulmonary Disease (COPD)
Acronym
PRIDE
Official Title
Acceptability, Comfort, and Exercise Tolerance Using a Non-invasive Ventilation System in Patients With Moderate-to-Severe COPD (PRIDE)
Study Type
Interventional
2. Study Status
Record Verification Date
August 2016
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
October 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Breathe Technologies, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
When using the Breathe Technologies Ventilation System during simulated activities of daily living (ADLs), Subjects with moderate-to-severe chronic obstructive pulmonary Disease (COPD) will be comfortable and report acceptability.
Detailed Description
The primary objective of the study was to evaluate the Breathe Technologies Ventilator System with regard to subject acceptability, comfort, and effect on exercise and activities of daily living tolerance.
Primary Hypothesis:
When using the Breathe Technologies Ventilation System during simulated activities of daily living (ADL), Subjects with moderate-to-severe COPD will be comfortable and report acceptability.
Secondary Hypotheses:
When using the Breathe Technologies Ventilation System during simulated ADLs, Subjects with moderate-to-severe COPD will experience tolerable dyspnea as measured using the Borg Dyspnea Score (BDS) and a visual analog Comfort Scale (VACS).
Subjects will prefer using the Breathe Technologies Ventilation System over standard oxygen therapy during exertion and during ADLs after using the ventilator therapy for five days.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pulmonary Disease, Chronic Obstructive, Airflow Obstruction, Chronic, Chronic Obstructive Airway Disease, Chronic Obstructive Lung Disease
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
22 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Noninvasive Open Ventilation System
Arm Type
Experimental
Arm Description
Portable noninvasive open ventilator & nasal interface.
Intervention Type
Device
Intervention Name(s)
Noninvasive Open Ventilation System
Intervention Description
Noninvasive ventilation system
Primary Outcome Measure Information:
Title
Device Tidal Volume
Description
Evaluate the mean test volume for three activity levels. Subjects completed five consecutive, 6-hour clinic days in which the NIOV system was worn continuously while at rest, during activities of daily living (ADLs).
Time Frame
Periodically over six hours x 5 days
Secondary Outcome Measure Information:
Title
Device Preference
Description
5-point Likert Scale completed at the end or the 5-day study period
- Preference Scale: 5 = Max preference (Prefer to use the test device), 1 = Min preference (Do not prefer to use the test device)
Time Frame
At conclusion of subject's participation (up to two weeks)
Title
Safety and Device-related Adverse Events
Description
Any adverse events reported during he study period.
Time Frame
Continuous from Study Day 2 through Study Day 6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Have participated and completed the NOVEL 1 or NOVEL 2 studies.
Be 21-80 years of age (inclusive) at time of informed consent.
Require nasal oxygen of ≥ 2 LPM during exertion, and ≥ 1 LPM at rest.
Exhibit dyspnea and have lung disease process dominated by COPD per the Study Investigator.
Have a self-reported MMRC Dyspnea Score ≥ 2 on a scale of 0-4.
Have spirometric evidence of COPD with an FEV1 of < 50% predicted and FEV1/FVC < 0.70, measured within the last 6 months (GOLD stage III and IV).
Have a resting respiratory rate of less than or equal to 30 bpm.
Be fluent in reading and speaking the English language.
Be able to clearly communicate and to indicate a self-assessment of dyspnea and/or fatigue.
Be willing and able to participate in, and to complete all required study procedures, including the ability to pull an E-sized oxygen cylinder.
Report having a smoking history of ≥ 10 pack-years.
Provide written informed consent to participate in the study.
Exclusion Criteria:
Subject must NOT meet any of the following criteria, or they will be excluded from study participation:
Be a current tobacco smoker
Have a history of pneumothorax in last 2 years.
Have a history of severe, giant bullae.
Have a history of unstable angina
Reports the onset of cardiac arrhythmia(s) within the past 7 days.
Report having serious epistaxis within the last 10 days.
Have a history of severe pulmonary hypertension and/or NYHA Stage III and IV decompensated heart failure.
Reports symptoms of acute COPD exacerbation within the past 48 hours.
Have been discharged from the hospital within 30 days of screening for infection or acute illness or COPD exacerbation.
Have a prescription or history of requiring > 8 LPM oxygen during exertion.
Have a history of serious allergic airways disease (e.g., high eosinophil count or elevated IgE).
Report or have evidence of LVEF < 30 %
Have a BMI > 40
Have a history of thoracotomy, sternotomy, major cardiopulmonary intervention (e.g., lung resection, open heart surgery), or any procedure 6 months before study entry likely to cause instability of pulmonary status.
Have a history of lung disease unrelated to smoking that affects oxygenation or survival.
Is participating in another intervention study or have participated within 90 days of enrollment.
Have endobronchial valves or other bronchial tree implants such as stents.
Have a disease or condition expected to cause death, inability to perform procedures for the trial, or inability to comply with the therapy.
Have a history of intolerance to oxygen therapy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard Kops, MD
Organizational Affiliation
John Muir Health
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Lynn McCabe, RRT, RCP
Organizational Affiliation
Sharp HealthCare
Official's Role
Principal Investigator
Facility Information:
Facility Name
John Muir Health
City
Concord
State/Province
California
ZIP/Postal Code
94520
Country
United States
Facility Name
Sharp Memorial Hospital
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
McKay-Dee Hospital Center
City
Ogden
State/Province
Utah
ZIP/Postal Code
84403
Country
United States
12. IPD Sharing Statement
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Non-invasive Ventilation System in Moderate-to-Severe Chronic Obstructive Pulmonary Disease (COPD)
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