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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT03377920
Other study ID # 143201733083
Secondary ID
Status Recruiting
Phase N/A
First received October 26, 2017
Last updated December 13, 2017
Start date October 12, 2017
Est. completion date September 2019

Study information

Verified date October 2017
Source Universitair Ziekenhuis Brussel
Contact Shane Hanon
Phone 00324776841
Email shane.hanon@uzbrussel.be
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The main aim is to study correlations between Peak inspiratory flow measured during a spirometry (PIFspiro) and Peak inspiratory flow measured over a pre-set resistance (PIFresist) in COPD patients and severe asthma patients. PIFresist will be measured using 5 different resistances, representing all DPI's relevant for the treatment of obstructive lung diseases. If this shows a distinct relationship between PIFspiro and PIFresist, PIFspiro cut-off points will be sought in an attempt to predict which patients are likely to be able to produce optimal flows for DPI use. If successful, this will make the actual measurement of PIFresist redundant in clinical practice. Also the relationship between PIFresist and device internal resistance in addition to PIFspiro (which corresponds to a very low resistance) will be examined.


Description:

The correct use of dry powder inhalers (DPI) crucially depends on the peak inspiratory flow (PIF) that the patient can generate when overcoming internal resistance of the inhaler device.

It has been shown that some patients cannot achieve sufficient peak inspiratory flows with some DPI's, especially in the elderly population. The In-check Dial device (Clement Clarke International Ltd, Harlow, UK) allows to measure these inspiratory flows for different pre-set resistances, representing different DPI's.

Study design: interventional, single center, single visit study

30 Severe asthmatics and 70 COPD patients will be recruited in the UZ Brussel respiratory outpatient clinic.

All participants will provide written informed consent.

Patients will perform:

- pre-bronchodilator spirometry for the measurement of PIFspiro as per European respiratory Society/American Thoracic Society (ERS/ATS) guidelines for standard lung function5 (part of routine clinical follow-up).

- 5 forced inspiratory manoeuvres using the In-check Dial device G16, set at 5 different resistances (performed in order of increasing resistance), yielding the PIFresist values for the different DPI's


Recruitment information / eligibility

Status Recruiting
Enrollment 100
Est. completion date September 2019
Est. primary completion date September 2019
Accepts healthy volunteers No
Gender All
Age group 21 Years and older
Eligibility Inclusion Criteria:

- Severe asthmatics (M/F; > 20 y) entering the Belgian Severe Asthma Registry (BSAR)

- COPD patients (GOLD stage II-IV; M/F; > 40 y)

Exclusion Criteria:

- Inability to perform spirometry

Study Design


Related Conditions & MeSH terms


Intervention

Device:
In-check Dial device (Clement Clarke International Ltd, Harlow, UK)
pre-bronchodilator spirometry for the measurement of PIFspiro as per ERS/ATS guidelines for standard lung function5 (part of routine clinical follow-up). 5 forced inspiratory manoeuvres using the In-check Dial device G16, set at 5 different resistances (performed in order of increasing resistance), yielding the PIFresist values for the different DPI's

Locations

Country Name City State
Belgium UZ Brussel Brussel

Sponsors (1)

Lead Sponsor Collaborator
Universitair Ziekenhuis Brussel

Country where clinical trial is conducted

Belgium, 

Outcome

Type Measure Description Time frame Safety issue
Primary PIFspiro PIFspiro (L/s): PIF measurement from standardized spirometry (3 flow-volume measurements); At inclusion (D0)
Primary PIFresist PIFresist (L/min): PIF from In-check Dial (5 flow measurements with flow restrictor in 5 different positions) At inclusion (D0)
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