UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038945
Receipt number R000044403
Scientific Title Effect of high-flow nasal cannula oxygen therapy on exercise capacity in patients with Idiopathic Pulmonary Fibrosis
Date of disclosure of the study information 2019/12/20
Last modified on 2020/12/22 19:23:22

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Basic information

Public title

Effect of high-flow nasal cannula oxygen therapy on exercise capacity in patients with Idiopathic Pulmonary Fibrosis

Acronym

Effect of high-flow nasal cannula oxygen therapy in patients with Idiopathic Pulmonary Fibrosis

Scientific Title

Effect of high-flow nasal cannula oxygen therapy on exercise capacity in patients with Idiopathic Pulmonary Fibrosis

Scientific Title:Acronym

Effect of high-flow nasal cannula oxygen therapy in patients with Idiopathic Pulmonary Fibrosis

Region

Japan


Condition

Condition

Idiopathic Pulmonary Fibrosis

Classification by specialty

Pneumology Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the efficacy of high-flow nasal cannula oxygen therapy for exercise duration in patients with idiopathic pulmonary fibrosis who have exertion induced hypoxemia.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Endurance time of exercise

Key secondary outcomes

1. Dyspnea (modified Borg Scale)
2. Fatigue of lower limb (modified Borg Scale)
3. Desaturation (SpO2)
4. Heart rate
5. Blood pressure
6. Patient comfort to each device (Visual Analog Scale)


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 not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Arm A
A symptom-limited incremental exercise tests were carried out on cycle-ergometer with ambient air. Next time, patient performed constant-load symptom-limited exercise test in a random order arm A or arm B. A constant-load exercise test was performed at 80% of maximum workload achieved with the incremental test.
First time: constant-load exercise test with high-flow nasal cannula (60L/min, FiO2:0.5)
Second time: constant-load exercise test with venturi mask (FiO2:0.5).

Interventions/Control_2

Arm B
A symptom-limited incremental exercise tests were carried out on cycle-ergometer with ambient air. Next time, patient performed constant-load symptom-limited exercise test in a random order arm A or arm B. A constant-load exercise test was performed at 80% of maximum workload achieved with the incremental test.
First time: constant-load exercise test with venturi mask (FiO2:0.5)
Second time: constant-load exercise test with high-flow nasal cannula (60L/min, FiO2:0.5).

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

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patient aged =<40 years at informed consent
2. Patient with idiopathic pulmonary fibrosis diagnosed according to the diagnostic criteria of INPULSIS trial and 2011 or 2018 ATS/ERS/JRS/ALAT guideline
3. Patients who have exercise induced oxygen desaturation (SpO2 <90%) during 6 minute walking test on ambient air
4. Patient with dyspnea on exercise (1 =< mMRC =< 3)
5. Stable patients without any infection nor acute exacerbation within 3 months
6. Patients who can see a doctor's visit to take outpatient rehabilitation program
7. Patients who can adequately answer the questionnaire about subjective symptom
8. Written informed consent is obtained

Key exclusion criteria

1. Patients with connective tissue disease, neuromuscular disease or orthopedic problem and other disease which may affect to exercise assessment and requires exercise limitation
2. Patients who have pulmonary hypertension, according to WHO guideline [I-II => NYHA and 25mmHg => mean pulmonary arterial pressure (40mmHg => TRPG)] and use a pulmonary vasodilator
3. Using an anti-arrhythmic drug
4. Using long-term oxygen therapy
5. Patients who cannot be evaluated by 6 minute walk test for any reason
6. Patients who are judged by the investigator as not adequate to participate in this study
7. History of malignant disease within 3 years

Target sample size

26


Research contact person

Name of lead principal investigator

1st name Kentaro
Middle name
Last name Iwata

Organization

Kobe City Medical Center General Hospital

Division name

Kobe City Medical Center General Hospital

Zip code

6500047

Address

2-1-1 Minatojima-minamimachi, Chuo-ward, Kobe-city, Hyogo

TEL

078-302-4321

Email

iwaken@kcho.jp


Public contact

Name of contact person

1st name Jumpei
Middle name
Last name Harada

Organization

Kobe City Medical Center General Hospital

Division name

Department of Rehabilitation

Zip code

6500047

Address

2-1-1 Minatojima-minamimachi, Chuo-ward, Kobe-city, Hyogo

TEL

078-302-4321

Homepage URL


Email

jumpei_harada@kcho.jp


Sponsor or person

Institute

Kobe City Medical Center General Hospital
Department of Rehabilitation

Institute

Department

Personal name



Funding Source

Organization

No

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kobe City Medical Center General Hospital IRB

Address

2-1-1 Minatojima-minamimachi, Chuo-ward, Kobe-city, Hyogo

Tel

078-302-4321

Email

rinken@kcho.jp


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



Other administrative information

Date of disclosure of the study information

2019 Year 12 Month 20 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

26

Results


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

2019 Year 10 Month 28 Day

Date of IRB

2019 Year 10 Month 29 Day

Anticipated trial start date

2019 Year 12 Month 23 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 12 Month 20 Day

Last modified on

2020 Year 12 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044403


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name