Closed-loop System for Oxygen Delivery and Exercise in Chronic Obstructive Pulmonary Disease
FreeO2-rehab
Using a Closed-loop System for Oxygen Delivery (FreeO2) to Optimize Exercise Tolerance During Walk in Patients With COPD, Oxygen Therapy and Hypercapnia
1 other identifier
interventional
15
1 country
3
Brief Summary
The purpose of this study is to investigate the benefit of Closed-loop System for Oxygen Delivery (FreeO2) as compared with fixed oxygen flow during endurance shuttle walking test in patients with Chronic obstructive pulmonary disease (COPD), oxygen therapy and hypercapnia. The study was designed to test the following hypotheses: As compared with fixed oxygen flow, the FreeO2 Oxygen Delivery system leads to higher exercise tolerance (distance during ESWT) and lower desaturation events without increase in hypercapnia in patients with COPD, oxygen therapy and hypercapnia. As compared with fixed oxygen flow, the FreeO2 Oxygen Delivery system leads to lower dyspnea and leg fatigue scores at a given endurance time during the shuttle walking test in patients with COPD, oxygen therapy and hypercapnia. As compared with fixed oxygen flow, the FreeO2 Oxygen Delivery system leads to lower cardiac and respiratory frequencies at a given endurance time during the shuttle walking test in patients with COPD, oxygen therapy and hypercapnia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2012
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 13, 2012
CompletedFirst Posted
Study publicly available on registry
April 11, 2012
CompletedStudy Start
First participant enrolled
July 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2016
CompletedMarch 14, 2018
January 1, 2017
3.9 years
March 13, 2012
March 13, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Endurance time
Duration during the endurance shuttle walking test
Day 0 (inclusion) + 14 and D0 +21
Secondary Outcomes (7)
Change in Dyspnea during ESWT
Day 0 (inclusion) + 14 and D0 +21
Change in Muscle fatigue during ESWT
Day 0 (inclusion) + 14 and D0 +21
Change in Respiratory frequency during ESWT
Day 0 (inclusion) + 14 and D0 +21
Change in PaCO2 during ESWT
Day 0 (inclusion) + 14 and D0 +21
Hypercapnia level at baseline
Day 0 (inclusion) - baseline evaluation
- +2 more secondary outcomes
Study Arms (2)
Fixed oxygen flow delivery
ACTIVE COMPARATOROxygen flow delivery is adjusted by respiratory therapists. Standard medical treatment.
FreeO2 system
EXPERIMENTALFreeO2 is a new system that automatically adjusts the oxygen flow delivered to patients in a closed-loop based on the SpO2 signal. This system is intended to maintain SpO2 in a predefined target and to adapt oxygen flow to patient's needs.
Interventions
FreeO2 automatically adjusts the oxygen flow delivered to patients based on the SpO2 signal and collects the cardiorespiratory parameters
FreeO2 system does not adjust oxygen flow but collects the cardiorespiratory parameters
Eligibility Criteria
You may qualify if:
- Years and older
- Patient with COPD severe to very severe requiring long-term Oxygen Therapy
- Hypercapnia (PaCO2 \> 45mmHg)
- Former or current smoker greater than or equal to 10 pack-years
You may not qualify if:
- Pregnant or breast-feed woman
- Patients under guardianship
- Imprisoned patients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AGIR à Domlead
- University Hospital, Grenoblecollaborator
Study Sites (3)
Hopital Universitaire
Grenoble, France
Centre ATRIR
Nyons, 26110, France
Centre Henri BAZIRE
Saint-Julien-de-Raz, 38134, France
Related Publications (1)
Vivodtzev I, L'Her E, Vottero G, Yankoff C, Tamisier R, Maltais F, Lellouche F, Pepin JL. Automated O2 titration improves exercise capacity in patients with hypercapnic chronic obstructive pulmonary disease: a randomised controlled cross-over trial. Thorax. 2019 Mar;74(3):298-301. doi: 10.1136/thoraxjnl-2018-211967. Epub 2018 Aug 30.
PMID: 30166425DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jean-Louis Pepin, MD, PhD
Laboratoire EFCR, CHU de Grenoble, 38043, Grenoble, France
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 13, 2012
First Posted
April 11, 2012
Study Start
July 1, 2012
Primary Completion
June 1, 2016
Study Completion
June 1, 2016
Last Updated
March 14, 2018
Record last verified: 2017-01