Chronic Obstructive Pulmonary Disease (COPD) Monitoring (COPD)
Primary Purpose
COPD, COPD Exacerbation
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
exercises
Sponsored by
About this trial
This is an interventional basic science trial for COPD
Eligibility Criteria
Inclusion Criteria:
- Subject must have a clinical diagnosis of COPD
- mMRC (Modified Medical Research Council) Dyspnea Scale Score > 1
- Subject must be indicated for regular inpatient pulmonary rehabilitation
- Subject must be hyperinflated, defined as residual volume (RV)>120% of the predicted value, measured by whole body plethysmography
- Subject must be willing to provide Informed Consent for their participation in the study
- Subject must be ≥18 years of age
Exclusion Criteria:
- Subjects who are unable/unwilling to voluntarily participate in the study
- Subjects who cannot read/write
- Subjects who are dependent on oxygen and/or unfit to wear a mask during sub- maximal constant work rate test (CWRT)
- Subject has congenital heart disease
- Subject has unstable coronary artery disease
- Subject has an active implanted cardiac device (i.e. IPG, ICD)
- Subject has heart failure NYHA 4
- Subject presents any concomitant condition which in the opinion of the investigator would not allow a safe participation in the study
- Subject is legally incompetent
- Subject is pregnant or has suspect to be pregnant
- Subject is enrolled in a concurrent study that may confound the results of this study without documented pre-approval from Medtronic study manager
- BORG scale assessment is evaluated as unreliable due to patient's cognitive condition
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
COPD patients
Arm Description
Outcomes
Primary Outcome Measures
Correlation between EMG and BORG scale during sub-maximal constant work rate test (CWRT) exercise
To evaluate the correlation between EMG amplitude collected by means of the data logger system and BORG scale during sub-maximal CWRT exercise.
Correlation between EMG and BORG scale during rehabilitation exercise
To evaluate the correlation between EMG amplitude collected by means of the data logger system and BORG scale during rehabilitation exercise .
Secondary Outcome Measures
EMG (Exacerbation symptoms assessment)
To evaluate the change of EMG amplitude between stable condition and an acute exacerbation episode
Respiration rate (Exacerbation symptoms assessment)
To evaluate the change of respiration rate between stable condition and an acute exacerbation episode
Transcutaneous oxygen saturation (Exacerbation symptoms assessment)
To evaluate the change of transcutaneous oxygen saturation between stable condition and an acute exacerbation episode
BORG scale (Exacerbation symptoms assessment)
To evaluate the change of BORG scale between stable condition and an acute exacerbation episode
Correlation between respiration rate and BORG scale
To evaluate the correlation between the respiration rate and BORG scale
Correlation between transcutaneous oxygen saturation and BORG scale
To evaluate the correlation between transcutaneous oxygen saturation and BORG scale
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04671888
Brief Title
Chronic Obstructive Pulmonary Disease (COPD) Monitoring
Acronym
COPD
Official Title
Chronic Obstructive Pulmonary Disease (COPD) Monitoring
Study Type
Interventional
2. Study Status
Record Verification Date
December 2020
Overall Recruitment Status
Unknown status
Study Start Date
February 2021 (Anticipated)
Primary Completion Date
May 2022 (Anticipated)
Study Completion Date
November 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medtronic BRC
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
The present feasibility study aims at assessing whether the EMG of respiratory muscles can serve as an objective marker of dyspnea in COPD patients.
The study aims also at evaluating the changes in physiological parameters (i.e., EMG, respiration rate, heart rate, temperature, and SpO2) occurring when simulating daily activities before, during and after acute exacerbations. All this information can be useful to detect the exacerbations earlier or to provide better treatment during the exacerbations.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COPD, COPD Exacerbation
7. Study Design
Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
COPD patients
Arm Type
Experimental
Intervention Type
Other
Intervention Name(s)
exercises
Intervention Description
COPD patients will be asked to wear a data logger system to collect EMG data and respiration parameters during exercise that simulate daily activity (i.e., walking, cycling)
Primary Outcome Measure Information:
Title
Correlation between EMG and BORG scale during sub-maximal constant work rate test (CWRT) exercise
Description
To evaluate the correlation between EMG amplitude collected by means of the data logger system and BORG scale during sub-maximal CWRT exercise.
Time Frame
through study completion, an average of 3 months
Title
Correlation between EMG and BORG scale during rehabilitation exercise
Description
To evaluate the correlation between EMG amplitude collected by means of the data logger system and BORG scale during rehabilitation exercise .
Time Frame
through study completion, an average of 3 months
Secondary Outcome Measure Information:
Title
EMG (Exacerbation symptoms assessment)
Description
To evaluate the change of EMG amplitude between stable condition and an acute exacerbation episode
Time Frame
through study completion, an average of 3 months
Title
Respiration rate (Exacerbation symptoms assessment)
Description
To evaluate the change of respiration rate between stable condition and an acute exacerbation episode
Time Frame
through study completion, an average of 3 months
Title
Transcutaneous oxygen saturation (Exacerbation symptoms assessment)
Description
To evaluate the change of transcutaneous oxygen saturation between stable condition and an acute exacerbation episode
Time Frame
through study completion, an average of 3 months
Title
BORG scale (Exacerbation symptoms assessment)
Description
To evaluate the change of BORG scale between stable condition and an acute exacerbation episode
Time Frame
through study completion, an average of 3 months
Title
Correlation between respiration rate and BORG scale
Description
To evaluate the correlation between the respiration rate and BORG scale
Time Frame
through study completion, an average of 3 months
Title
Correlation between transcutaneous oxygen saturation and BORG scale
Description
To evaluate the correlation between transcutaneous oxygen saturation and BORG scale
Time Frame
through study completion, an average of 3 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject must have a clinical diagnosis of COPD
mMRC (Modified Medical Research Council) Dyspnea Scale Score > 1
Subject must be indicated for regular inpatient pulmonary rehabilitation
Subject must be hyperinflated, defined as residual volume (RV)>120% of the predicted value, measured by whole body plethysmography
Subject must be willing to provide Informed Consent for their participation in the study
Subject must be ≥18 years of age
Exclusion Criteria:
Subjects who are unable/unwilling to voluntarily participate in the study
Subjects who cannot read/write
Subjects who are dependent on oxygen and/or unfit to wear a mask during sub- maximal constant work rate test (CWRT)
Subject has congenital heart disease
Subject has unstable coronary artery disease
Subject has an active implanted cardiac device (i.e. IPG, ICD)
Subject has heart failure NYHA 4
Subject presents any concomitant condition which in the opinion of the investigator would not allow a safe participation in the study
Subject is legally incompetent
Subject is pregnant or has suspect to be pregnant
Subject is enrolled in a concurrent study that may confound the results of this study without documented pre-approval from Medtronic study manager
BORG scale assessment is evaluated as unreliable due to patient's cognitive condition
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Elisa Scaccianoce, PhD
Phone
3405351232
Ext
+39
Email
elisa.scaccianoce@medtronic.cm
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Martijn Spruit
Organizational Affiliation
Center of Expertise for Chronic Organ Failure
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Chronic Obstructive Pulmonary Disease (COPD) Monitoring
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