UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004676
Receipt number R000005560
Scientific Title A Cross-over study to compare the Lung Flute method with hypertonic saline inhalation for the examination of M. tuberculosis in induced sputum
Date of disclosure of the study information 2010/12/08
Last modified on 2015/11/24 11:32:07

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Basic information

Public title

A Cross-over study to compare the Lung Flute method with hypertonic saline inhalation for the examination of M. tuberculosis in induced sputum

Acronym

A study to compare the Lung Flute method with hypertonic saline inhalation in TB

Scientific Title

A Cross-over study to compare the Lung Flute method with hypertonic saline inhalation for the examination of M. tuberculosis in induced sputum

Scientific Title:Acronym

A study to compare the Lung Flute method with hypertonic saline inhalation in TB

Region

Japan


Condition

Condition

Pulmonary tuberculosis

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify the equivalence of the Lung Flute and hypertonic saline inhalation for sputum induction in mycobacterial (tuberculosis) examination

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

The results of AFB smear, culture, and TB PCR in (induced) sputum

Key secondary outcomes

1. Success rate of sputum induction and timing of expectoration
2. Condition and amount of sputum
3. Oxygen saturation before and after sputum induction
4. Adverse events


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment

Interventions/Control_1

(A) Examinations are performed by spontaneous sputum on day 1, the Lung Flute on day 2, and hypertonic saline inhalation on day 3.
The period of observation : day 1 to day 7.
(60 cases in each group).

Interventions/Control_2

(B) Examinations are performed by spontaneous sputum on day 1, hypertonic saline inhalation on day 2, and the Lung Flute on day 3.
The period of observation : day 1 to day 7.
(60 cases in each group).

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients with pulmonary tuberculosis
2. Hospitalized patients in the TB ward (or in a negative ventilation room)
3. Sputum ABF smear below 2+ (Gaffky 7 in Ziehl-Neelsen staining) on admission
4. Written informed consent

Key exclusion criteria

1. ABF sputum smear 3+ before admission
2. Patients who expectorate sputum at any time
3. Laryngeal tuberculosis
4. Bronchial asthma
5. Hemoptysis
6. Respiratory failure (Spo2 below 90% on breathing room air)
7. Pneumothorax
8. Hyperventilation syndrome (including past history)
9. Poorly controlled hypertension
10. Unable to understand sputum induction
11. Inability to follow sputum induction instruction
12. Pregnant women
13. Unsuitable for participation by the decision of the responsible doctors
14. Over days after the start of TB treatment

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Akira Fujita

Organization

Tokyo Metropolitan Health and Medical Corporation Tama-Nambu Chiiki Hospital

Division name

Internal Medicine

Zip code


Address

2-1-2 Nakazawa, Tama-shi, Tokyo

TEL

042-338-5111

Email

akira_fujita@tokyo-hmt.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kumiko Hiratake

Organization

Tokyo Metropolitan Tama Medical Center

Division name

Pulmonary Medicine

Zip code


Address

2-8-29 Musashidai, Fuchu-shi, Tokyo

TEL

042-323-5111

Homepage URL


Email

akira_fujita@tmhp.jp


Sponsor or person

Institute

Sputum Induction Research Group

Institute

Department

Personal name



Funding Source

Organization

Acoustic Innovations, Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京都立多摩総合医療センター(東京都)
国立病院機構茨城東病院(茨城県)
(公財)結核予防会複十字病院(東京都)
(公財)結核予防会結核研究所 (東京都)
国立病院機構東名古屋病院(愛知県)
大阪府立病院機構大阪府立呼吸器・アレルギー医療センター(大阪府)
国立病院機構東広島医療センター(広島県)
金沢市立病院(石川県)


Other administrative information

Date of disclosure of the study information

2010 Year 12 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Total of 63 patients were analyzed. A crossover study of the Lung Flute method (LF) and hypertonic saline inhalation (HSI) demonstrated no significant difference in grading of smear, positive culture rate, time to positivity (days), and PCR positivity between LF and HSI. The Lung Flute method was equivalent in terms of bacteriological diagnosis to hypertonic saline inhalation in hospitalized patients with tuberculosis.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 09 Month 20 Day

Date of IRB


Anticipated trial start date

2010 Year 12 Month 01 Day

Last follow-up date

2014 Year 02 Month 28 Day

Date of closure to data entry

2014 Year 06 Month 30 Day

Date trial data considered complete

2014 Year 07 Month 30 Day

Date analysis concluded

2014 Year 09 Month 30 Day


Other

Other related information



Management information

Registered date

2010 Year 12 Month 07 Day

Last modified on

2015 Year 11 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005560


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name