Functional Respiratory Imaging of Airways in ARDS
Primary Purpose
ARDS, Human
Status
Completed
Phase
Not Applicable
Locations
Belgium
Study Type
Interventional
Intervention
Repeated CT scan
CT scan
Sponsored by
About this trial
This is an interventional diagnostic trial for ARDS, Human
Eligibility Criteria
Inclusion Criteria:
- mechanically ventilated
- moderate or severe ARDS, as defined by the Berlin criteria
Exclusion Criteria:
- pregnancy
- hemodynamic instability
- obesity (BMI >30)
Sites / Locations
- Antwerp University Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Single arm
Arm Description
Repeated CT scan
Outcomes
Primary Outcome Measures
Regional bronchial recruitment
The difference in bronchial tree volume increase from one PEEP level to the other
Regional bronchial dilation
The difference in bronchial diameter from one PEEP level to the other
Regional alveolar recruitment
The difference in alveolar volume from one PEEP level to the other
Secondary Outcome Measures
Correlation between parenchymal recruitment and bronchial recruitment
Correlation between parenchymal recruitment (in milliliter) and bronchial (in milliliter) recruitment for each type of ARDS (focal versus diffuse)
Full Information
NCT ID
NCT03309085
First Posted
October 3, 2017
Last Updated
October 12, 2017
Sponsor
University Hospital, Antwerp
1. Study Identification
Unique Protocol Identification Number
NCT03309085
Brief Title
Functional Respiratory Imaging of Airways in ARDS
Official Title
Functional Imaging With Computational Fluid Dynamics to Evaluate the Airways in Patients With Acute Lung Injury
Study Type
Interventional
2. Study Status
Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
August 13, 2013 (Actual)
Primary Completion Date
April 14, 2014 (Actual)
Study Completion Date
April 14, 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University Hospital, Antwerp
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a prospective single-center cohort trial to compare regional bronchial recruitment, bronchial distention and alveolar recruitment in 6 patients with acute respiratory distress syndrome (ARDS). The investigators used CT scan images as the imaging modality, and the subjects were scanned on end-expiratory lung volume with different positive end-expiratory pressures. Those images were post-processed to evaluate the airways.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
ARDS, Human
7. Study Design
Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Allocation
N/A
Enrollment
7 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Single arm
Arm Type
Experimental
Arm Description
Repeated CT scan
Intervention Type
Procedure
Intervention Name(s)
Repeated CT scan
Intervention Description
CT scan of chest on different PEEP levels, 4 in total
Intervention Type
Device
Intervention Name(s)
CT scan
Intervention Description
CT scan
Primary Outcome Measure Information:
Title
Regional bronchial recruitment
Description
The difference in bronchial tree volume increase from one PEEP level to the other
Time Frame
Through study completion, within 24 hours after inclusion
Title
Regional bronchial dilation
Description
The difference in bronchial diameter from one PEEP level to the other
Time Frame
Through study completion, within 24 hours after inclusion
Title
Regional alveolar recruitment
Description
The difference in alveolar volume from one PEEP level to the other
Time Frame
Through study completion, within 24 hours after inclusion
Secondary Outcome Measure Information:
Title
Correlation between parenchymal recruitment and bronchial recruitment
Description
Correlation between parenchymal recruitment (in milliliter) and bronchial (in milliliter) recruitment for each type of ARDS (focal versus diffuse)
Time Frame
Through study completion, within 24 hours after inclusion
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
mechanically ventilated
moderate or severe ARDS, as defined by the Berlin criteria
Exclusion Criteria:
pregnancy
hemodynamic instability
obesity (BMI >30)
Facility Information:
Facility Name
Antwerp University Hospital
City
Edegem
State/Province
Antwerp
ZIP/Postal Code
2650
Country
Belgium
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Functional Respiratory Imaging of Airways in ARDS
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