Effects of Supplemental Oxygen Delivery Via Demand Versus Continuous Flow in Hypoxemic COPD Patients
1 other identifier
interventional
70
1 country
1
Brief Summary
Oxygen supplementation has been proven to be effective in hypoxemic COPD patients by increasing oxygenation and reducing dyspnea. In clinical practice there are three common oxygen delivery systems used: continuous oxygen flow (CF), demand oxygen delivery with liquid oxygen (DDL) and demand oxgen delivery with portable oxygen concentrator (DDC). The CF involves considerable wastage of oxygen because oxygen is supplied during in- and exhalation. Demand oxygen delivery saves oxygen and results in a comparable oxygen saturation at rest in COPD patients. However, it is unknown, if oxygen supplementation via demand oxygen delivery is also sufficient during exercise in hypoxemic COPD patients. In addition, it has to be considered that the lower weight of demand oxygen delivery system might enable patients for higher physical activity level and mobility in daily life. The effects of These three oxygen delivery systems shall be investigated by a randomized, controlled cross-over Trial. Every patient has to perform an Incremental Shuttle Walk Test and three Endurance Shuttle Walk Tests with three different oxygen supplementation (via CF, DDL or DDK) in randomized order.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable chronic-obstructive-pulmonary-disease
Started Apr 2016
Typical duration for not_applicable chronic-obstructive-pulmonary-disease
1 active site
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 8, 2016
CompletedStudy Start
First participant enrolled
April 1, 2016
CompletedFirst Posted
Study publicly available on registry
April 20, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2018
CompletedJanuary 22, 2019
January 1, 2019
2.5 years
March 8, 2016
January 18, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Oxygen saturation at isotime of the endurance shuttle walk test (ESWT), compared between CF (liquid oxygen) and DD (liquid oxygen)
continuous transcutaneous recording during ESWT by Sentec-Digital-Monitor
at baseline, at isotime of ESWT and at the end (maximal 20 min) of ESWT
Secondary Outcomes (6)
Breathing frequency
at baseline, at isotime of ESWT and at the end (maximal 20 min) of ESWT
Inspiratory capacity
at baseline, at isotime of ESWT and at the end (maximal 20 min) of ESWT
Heart rate
at baseline, at isotime of ESWT and at the end (maximal 20 min) of ESWT
Walking distance during ESWT
at baseline, at isotime of ESWT and at the end (maximal 20 min) of ESWT
dyspnea
at baseline, at isotime of ESWT and at the end (maximal 20 min) of ESWT
- +1 more secondary outcomes
Study Arms (6)
COPD patients with delivery order 1, 2, 3
EXPERIMENTALPatients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.
COPD patients with delivery order 2,3, 1
EXPERIMENTALPatients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.
COPD patients with delivery order 3, 2, 1
EXPERIMENTALPatients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.
COPD patients with delivery order 1, 3, 2
EXPERIMENTALPatients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.
COPD patients with delivery order 2, 1, 3
EXPERIMENTALPatients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.
COPD patients with delivery order 3, 1, 2
EXPERIMENTALPatients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.
Interventions
This oxygen Supplementation is used in special order
This oxygen Supplementation is used in special order
This oxygen Supplementation is used in special order
Eligibility Criteria
You may qualify if:
- COPD patients (GOLD stage III to IV) with hypoxemia at rest or during exercise (paO2\<60mmHg)
- Participation in an inpatient pulmonary rehabilitation program (Schön Klinik BGL)
- Written informed consent
You may not qualify if:
- Signs of acute exacerbation
- Any orthopedic or neurological disabilities that prevent patient from walking
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Klinikum Berchtesgadener Land
Schönau, Berchtesgardener Land, 83471, Germany
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Klaus Kenn, Prof. Dr.
Philipps University Marburg
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
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. Dr. Klaus Kenn
Study Record Dates
First Submitted
March 8, 2016
First Posted
April 20, 2016
Study Start
April 1, 2016
Primary Completion
October 1, 2018
Study Completion
October 1, 2018
Last Updated
January 22, 2019
Record last verified: 2019-01
Data Sharing
- IPD Sharing
- Will not share