NCT02744170

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

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
70

participants targeted

Target at P50-P75 for not_applicable chronic-obstructive-pulmonary-disease

Timeline
Completed

Started Apr 2016

Typical duration for not_applicable chronic-obstructive-pulmonary-disease

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 8, 2016

Completed
24 days until next milestone

Study Start

First participant enrolled

April 1, 2016

Completed
19 days until next milestone

First Posted

Study publicly available on registry

April 20, 2016

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2018

Completed
Last Updated

January 22, 2019

Status Verified

January 1, 2019

Enrollment Period

2.5 years

First QC Date

March 8, 2016

Last Update Submit

January 18, 2019

Conditions

Keywords

COPDIncremental Shuttle Walk TestEndurance Shuttle Walk Testoxygen therapy

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

EXPERIMENTAL

Patients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.

Device: 1 continuous flow oxygen supplementationDevice: 2 demand delivery liquid oxygen supplementationDevice: 3 demand delivery oxygen supplementation via concentrator

COPD patients with delivery order 2,3, 1

EXPERIMENTAL

Patients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.

Device: 1 continuous flow oxygen supplementationDevice: 2 demand delivery liquid oxygen supplementationDevice: 3 demand delivery oxygen supplementation via concentrator

COPD patients with delivery order 3, 2, 1

EXPERIMENTAL

Patients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.

Device: 1 continuous flow oxygen supplementationDevice: 2 demand delivery liquid oxygen supplementationDevice: 3 demand delivery oxygen supplementation via concentrator

COPD patients with delivery order 1, 3, 2

EXPERIMENTAL

Patients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.

Device: 1 continuous flow oxygen supplementationDevice: 2 demand delivery liquid oxygen supplementationDevice: 3 demand delivery oxygen supplementation via concentrator

COPD patients with delivery order 2, 1, 3

EXPERIMENTAL

Patients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.

Device: 1 continuous flow oxygen supplementationDevice: 2 demand delivery liquid oxygen supplementationDevice: 3 demand delivery oxygen supplementation via concentrator

COPD patients with delivery order 3, 1, 2

EXPERIMENTAL

Patients on long-term oxygen therapy will perform 3 Endurance Shuttle Walk Tests on three consecutive days with one of three different Oxygen delivery devices.

Device: 1 continuous flow oxygen supplementationDevice: 2 demand delivery liquid oxygen supplementationDevice: 3 demand delivery oxygen supplementation via concentrator

Interventions

This oxygen Supplementation is used in special order

Also known as: Companion 1000 Chart Industries, Inc. Garfield Heights, USA
COPD patients with delivery order 1, 2, 3COPD patients with delivery order 1, 3, 2COPD patients with delivery order 2, 1, 3COPD patients with delivery order 2,3, 1COPD patients with delivery order 3, 1, 2COPD patients with delivery order 3, 2, 1

This oxygen Supplementation is used in special order

Also known as: Caire Spirit 300 Chart Industries, Inc. Garfield Heights
COPD patients with delivery order 1, 2, 3COPD patients with delivery order 1, 3, 2COPD patients with delivery order 2, 1, 3COPD patients with delivery order 2,3, 1COPD patients with delivery order 3, 1, 2COPD patients with delivery order 3, 2, 1

This oxygen Supplementation is used in special order

Also known as: one oxygen concentrator, Inogen, Goleta, CA, USA
COPD patients with delivery order 1, 2, 3COPD patients with delivery order 1, 3, 2COPD patients with delivery order 2, 1, 3COPD patients with delivery order 2,3, 1COPD patients with delivery order 3, 1, 2COPD patients with delivery order 3, 2, 1

Eligibility Criteria

Age40 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Lung Diseases, ObstructiveLung DiseasesRespiratory Tract DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Klaus Kenn, Prof. Dr.

    Philipps University Marburg

    PRINCIPAL INVESTIGATOR

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

Locations