NCT03628560

Brief Summary

This study will determine if the replacement of the measured arterial blood oxygen saturation with expired (end-tidal) oxygen value is an acceptable method to calculate the accuracy of pulse oximeters.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
2

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2018

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

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

August 9, 2018

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 14, 2018

Completed
1 month until next milestone

Study Start

First participant enrolled

September 26, 2018

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 2, 2019

Completed
1 day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 3, 2019

Completed
7.6 years until next milestone

Results Posted

Study results publicly available

August 11, 2026

Completed
Last Updated

August 11, 2026

Status Verified

March 1, 2023

Enrollment Period

3 months

First QC Date

August 9, 2018

Results QC Date

April 9, 2026

Last Update Submit

July 17, 2026

Conditions

Keywords

Healthy volunteerOximetryPulse oximeterHypoxia

Outcome Measures

Primary Outcomes (3)

  • Accuracy of FDA-approved Pulse Oximeter When Calculated With RespirAct-derived End-tidal PAO2 Values

    The unit of measure of accuracy is called Accuracy Root Mean Square Error (A\[RMS\]) and is a composite value of bias and precision. A\[RMS\] is reported as a single percentage value representing the overall accuracy of a medical device with lower values indicating better performance.

    1 study day

  • Accuracy of FDA-approved Pulse Oximeter When Calculated With Co-oximeter Measured Arterial PaO2 Values

    The unit of measure of accuracy is called Accuracy Root Mean Square Error (A\[RMS\]) and is a composite value of bias and precision. A\[RMS\] is reported as a single percentage value representing the overall accuracy of a medical device with lower values indicating better performance.

    1 study day

  • PAO2 Values

    A\[RMS\] of RespirAct-derived end-tidal PAO2 values with co-oximeter measured arterial PaO2 values. The unit of measure of accuracy is called Accuracy Root Mean Square Error (A\[RMS\]) and is a composite value of bias and precision. A\[RMS\] is reported as a single percentage value representing the overall accuracy of a medical device with lower values indicating better performance.

    1 study day

Secondary Outcomes (2)

  • Accuracy, A[RMS], When a Step-wise Desaturation Sequence is Used Against a Slope Desaturation Sequence.

    1 study day

  • Level of PaCO2 (Hypocapnia Versus Normocapnia)

    1 study day

Study Arms (5)

RespirAct Step-Wise Normocapnia desaturation sequence

EXPERIMENTAL

Reduction in oxygen saturation 100 to 70% in approximate 5% steps.

Device: RespirAct Step-Wise Normocapnia desaturation sequence

RespirAct Slope Normocapnia desaturation sequence

EXPERIMENTAL

Reduction in oxygen saturation 100 to 70% as gradual slope.

Device: RespirAct Slope Normocapnia desaturation sequence

RespirAct Step-Wise Hypocapnia desaturation sequence

EXPERIMENTAL

Reduction in oxygen saturation 100 to 70% in approximate 5% steps.

Device: RespirAct Step-Wise Hypocapnia desaturation sequence

RespirAct Slope Hypocapnia desaturation sequence

EXPERIMENTAL

Reduction in oxygen saturation 100 to 70% as gradual slope.

Device: RespirAct Slope Hypocapnia desaturation sequence

ROBD Step-Wise desaturation sequence

ACTIVE COMPARATOR

ROBD = Reduced Oxygen Breathing Device. Reduction in oxygen saturation 100 to 70% in approximate 5% steps. This represents the standard type of desaturation sequence for pulse oximeter accuracy testing.

Device: ROBD Step-Wise desaturation sequence

Interventions

Blood carbon dioxide controlled at normal value (normocapnia).

RespirAct Step-Wise Normocapnia desaturation sequence

Blood carbon dioxide controlled at normal value (normocapnia).

RespirAct Slope Normocapnia desaturation sequence

Blood carbon dioxide controlled at lower than normal value (hypocapnia).

RespirAct Step-Wise Hypocapnia desaturation sequence

Blood carbon dioxide controlled at lower than normal value (hypocapnia).

RespirAct Slope Hypocapnia desaturation sequence

Blood carbon dioxide is controlled at normal or lower value by subject's own breathing rate.

ROBD Step-Wise desaturation sequence

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Aged 18 - 50 years
  • Subject is willing to provide written informed consent and is able to comply with anticipated study procedures

You may not qualify if:

  • Body Mass Index (BMI) \< 18.0 or \> 30.0
  • Known significant respiratory, cardiovascular or medical condition that precludes study participation as judged by investigator
  • Anemia \[hemoglobin value below lower range of normal for gender\]
  • Abnormal hemoglobin electrophoresis result
  • Exposure to nicotine \[positive test at screening or study day\]
  • Abnormal drug screen \[positive test at screening or on day of study\]
  • Positive pregnancy test for females \[serum test at screening; urine test on study day\]
  • Abnormal Allen's test for collateral circulation
  • Abnormal Electrocardiogram
  • Abnormal Pulmonary Function Test
  • Abnormal venous blood gas result
  • Intolerance of facemask

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Duke University

Durham, North Carolina, 27710, United States

Location

Related Links

MeSH Terms

Conditions

Hypoxia

Condition Hierarchy (Ancestors)

Signs and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
David MacLeod, MBBS
Organization
Duke University Medical Center

Study Officials

  • David B MacLeod, FRCA

    Duke University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 9, 2018

First Posted

August 14, 2018

Study Start

September 26, 2018

Primary Completion

January 2, 2019

Study Completion

January 3, 2019

Last Updated

August 11, 2026

Results First Posted

August 11, 2026

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Locations