Effects of the Breathe Technologies Ventilation System in Subjects With Chronic Obstructive Pulmonary Disease
Primary Purpose
Chronic Obstructive Pulmonary Disease
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
NIOV - Room Air
NIOV - Oxygen
Nasal Cannula Oxygen
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease focused on measuring COPD, Ventilator, Constant work rate
Eligibility Criteria
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
Sites / Locations
- Harbor-UCLA Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Active Comparator
No Intervention
Arm Label
NIOV - Room air
NIOV - Oxygen
Nasal Cannula Oxygen
No treatment
Arm Description
Subjects exercise using the NIOV device powered by compressed air (room air, 21% O2).
Subjects exercise using the NIOV device powered by compressed medical oxygen (100% O2).
Subjects exercise using a standard nasal cannula using medical oxygen (100% O2).
Control arm. Subjects exercise without using supplemental oxygen or NIOV.
Outcomes
Primary Outcome Measures
Exercise Duration for Constant Work Rate Exercise Tests Under 4 Test Conditions
Mean differences between NIOV - oxygen, NIOV - Room Air, Nasal Cannula Oxygen, and no treatment (control).
Secondary Outcome Measures
SpO2 During Constant Workrate Exercise at Isotime
Mean differences between NIOV - oxygen, NIOV - Room Air, Nasal Cannula Oxygen, and no treatment (control).
Borg Dyspnea Score During Constant Workrate Exercise at Isotime
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
Full Information
NCT ID
NCT01372462
First Posted
June 7, 2011
Last Updated
August 18, 2016
Sponsor
Breathe Technologies, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01372462
Brief Title
Effects of the Breathe Technologies Ventilation System in Subjects With Chronic Obstructive Pulmonary Disease
Official Title
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
Study Type
Interventional
2. Study Status
Record Verification Date
August 2016
Overall Recruitment Status
Completed
Study Start Date
July 2011 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
May 2012 (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
Pilot study in 15 stable male subjects with severe-to-very severe Chronic Obstructive Pulmonary Disease (COPD) to evaluate the effects of short term use of the Breathe Technologies noninvasive open ventilation (NIOV) system on respiratory mechanics during constant work rate exercise in subjects with severe COPD.
Detailed Description
Study was a randomized double-blinded crossover design in which subjects completed a series of exercises at a constant work rate while using 1) Test noninvasive ventilation (NIOV) system powered by compressed air, 2) Test NIOV system powered by 100% oxygen, 3) nasal cannula oxygen, 4) nothing (Control). Subjects were assessed during constant work rate exercise as reflected by exercise duration, isotime oxygenation (SpO2), and isotime dyspnea score (Borg). Exercise sessions took place over 4 visits with each visit lasting approximately 5 hours.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease
Keywords
COPD, Ventilator, Constant work rate
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
15 (Actual)
8. Arms, Groups, and Interventions
Arm Title
NIOV - Room air
Arm Type
Experimental
Arm Description
Subjects exercise using the NIOV device powered by compressed air (room air, 21% O2).
Arm Title
NIOV - Oxygen
Arm Type
Experimental
Arm Description
Subjects exercise using the NIOV device powered by compressed medical oxygen (100% O2).
Arm Title
Nasal Cannula Oxygen
Arm Type
Active Comparator
Arm Description
Subjects exercise using a standard nasal cannula using medical oxygen (100% O2).
Arm Title
No treatment
Arm Type
No Intervention
Arm Description
Control arm. Subjects exercise without using supplemental oxygen or NIOV.
Intervention Type
Device
Intervention Name(s)
NIOV - Room Air
Other Intervention Name(s)
NIOV
Intervention Description
Noninvasive ventilation with device powered by compressed room air.
Intervention Type
Device
Intervention Name(s)
NIOV - Oxygen
Other Intervention Name(s)
NIOV
Intervention Description
Noninvasive ventilation with device powered by compressed medical (100%) oxygen.
Intervention Type
Device
Intervention Name(s)
Nasal Cannula Oxygen
Other Intervention Name(s)
Cannula
Intervention Description
Supplemental oxygen delivered using a standard nasal cannula connected to 100% medical oxygen.
Primary Outcome Measure Information:
Title
Exercise Duration for Constant Work Rate Exercise Tests Under 4 Test Conditions
Description
Mean differences between NIOV - oxygen, NIOV - Room Air, Nasal Cannula Oxygen, and no treatment (control).
Time Frame
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.
Secondary Outcome Measure Information:
Title
SpO2 During Constant Workrate Exercise at Isotime
Description
Mean differences between NIOV - oxygen, NIOV - Room Air, Nasal Cannula Oxygen, and no treatment (control).
Time Frame
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
Title
Borg Dyspnea Score During Constant Workrate Exercise at Isotime
Description
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
Time Frame
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
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard Casaburi, Ph.D., M.D.
Organizational Affiliation
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Harbor-UCLA Medical Center
City
Torrance
State/Province
California
ZIP/Postal Code
90502
Country
United States
12. IPD Sharing Statement
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Effects of the Breathe Technologies Ventilation System in Subjects With Chronic Obstructive Pulmonary Disease
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