Acute Effects of Oxygen Supplementation Among IPF Patients
Primary Purpose
Idiopathic Pulmonary Fibrosis
Status
Unknown status
Phase
Not Applicable
Locations
Greece
Study Type
Interventional
Intervention
Oxygen 40 %
Medical air (sham O2)
Sponsored by
About this trial
This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis
Eligibility Criteria
Inclusion Criteria:
Stable IPF patients with no hospitalization, exacerbation or change in regular IPF medication during the last month, who do not present with resting hypoxemia, but manifest exercise induced hypoxemia
Exclusion Criteria:
- Major contraindications for CPET conduction
- Not provision of informed consent -
Sites / Locations
- "G. Papanikolaou" General HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Sham Comparator
Arm Label
IPF patients
IPF patients (crossover)
Arm Description
Supplementation of oxygen treatment (40% FiO2) during steady state cardiopulmonary exercise testing
Supplementation of medical air (sham Oxygen) during steady state cardiopulmonary exercise testing
Outcomes
Primary Outcome Measures
Exercise duration
Exercise duration (minutes) of steady state cardiopulmonary exercise testing until exhaustion
Secondary Outcome Measures
Dyspnea
maximum dyspnea assessed with modified Borg dyspnea scale (range from 0: nothing at all to 10: maximum dyspnea), during steady state cardiopulmonary exercise testing
Fatigue
maximum fatigue assessed by Borg's Rating of Perceived Exertion Scale (range from 6: no exertion to 20: maximal exertion), during steady state cardiopulmonary exercise testing
Full Information
NCT ID
NCT03688334
First Posted
September 20, 2018
Last Updated
September 27, 2018
Sponsor
George Papanicolaou Hospital
1. Study Identification
Unique Protocol Identification Number
NCT03688334
Brief Title
Acute Effects of Oxygen Supplementation Among IPF Patients
Official Title
Acute Effects of Oxygen Supplementation During Exercise Among Patients With Idiopathic Pulmonary Fibrosis Without Resting Hypoxemia
Study Type
Interventional
2. Study Status
Record Verification Date
September 2018
Overall Recruitment Status
Unknown status
Study Start Date
June 1, 2018 (Actual)
Primary Completion Date
June 1, 2019 (Anticipated)
Study Completion Date
June 1, 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
George Papanicolaou Hospital
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
Idiopathic pulmonary fibrosis (IPF) is a disease characterised with significant morbidity and poor prognosis. Dyspnoea and impaired exercise capacity are very common manifestations of the disease, and result in significant impairment of patients' quality of life. Although hypoxemia is common among subjects with IPF, published data on the effects of supplementary oxygen therapy on specific clinical outcomes among these patients are currently few, while the existing data on the potential benefits of oxygen supplementation to treat exercise-induced hypoxemia, in this patient population, are even more controversial.
Based on the aforementioned, the purpose of this prospective, cross-over clinical trial is to investigate the acute effects of supplemental oxygen administration on the: a) exercise capacity, b) severity of dyspnea, c) cerebral oxygenation, b) muscle oxygenation, and e) hemodynamic profile, as compared to delivery of medical air (sham oxygen), in a group of patients with IPF, without resting hypoxemia, during steady state cardiopulmonary exercise testing (CPET).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Idiopathic Pulmonary Fibrosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
15 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
IPF patients
Arm Type
Active Comparator
Arm Description
Supplementation of oxygen treatment (40% FiO2) during steady state cardiopulmonary exercise testing
Arm Title
IPF patients (crossover)
Arm Type
Sham Comparator
Arm Description
Supplementation of medical air (sham Oxygen) during steady state cardiopulmonary exercise testing
Intervention Type
Drug
Intervention Name(s)
Oxygen 40 %
Intervention Description
Oxygen supplementation (40%) via Venturi mask
Intervention Type
Drug
Intervention Name(s)
Medical air (sham O2)
Intervention Description
Medical air supplementation via Venturi mask
Primary Outcome Measure Information:
Title
Exercise duration
Description
Exercise duration (minutes) of steady state cardiopulmonary exercise testing until exhaustion
Time Frame
through study completion, an average of a year
Secondary Outcome Measure Information:
Title
Dyspnea
Description
maximum dyspnea assessed with modified Borg dyspnea scale (range from 0: nothing at all to 10: maximum dyspnea), during steady state cardiopulmonary exercise testing
Time Frame
through study completion, an average of a year
Title
Fatigue
Description
maximum fatigue assessed by Borg's Rating of Perceived Exertion Scale (range from 6: no exertion to 20: maximal exertion), during steady state cardiopulmonary exercise testing
Time Frame
through study completion, an average of a year
Other Pre-specified Outcome Measures:
Title
Cerebral oxygenated hemoglobin
Description
The minimum value of cerebral oxygenated hemoglobin during steady state cardiopulmonary exercise testing
Time Frame
through study completion, an average of a year
Title
Cardiac output
Description
The maximum value of cardiac output in L/min during steady state cardiopulmonary exercise testing
Time Frame
through study completion, an average of a year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Stable IPF patients with no hospitalization, exacerbation or change in regular IPF medication during the last month, who do not present with resting hypoxemia, but manifest exercise induced hypoxemia
Exclusion Criteria:
Major contraindications for CPET conduction
Not provision of informed consent -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Afroditi Boutou, MD, PhD, MSc
Phone
00306946611433
Email
afboutou@yahoo.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aikaterini Markopoulou, MD, PhD
Organizational Affiliation
"G. Papanikolaou" General Hospital, Thessaloniki, Greece
Official's Role
Study Chair
Facility Information:
Facility Name
"G. Papanikolaou" General Hospital
City
Thessaloníki
ZIP/Postal Code
57010
Country
Greece
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Afroditi Boutou, MD, MSc, PhD
Phone
00306946611433
Email
afboutou@yahoo.com
12. IPD Sharing Statement
Plan to Share IPD
No
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Acute Effects of Oxygen Supplementation Among IPF Patients
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