Airway Clearance for Prevention of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation

NCT ID: NCT00181207

Last Updated: 2018-10-19

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-05-31

Study Completion Date

2007-12-31

Brief Summary

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The purpose of this study is to show that one form of mechanical airway clearance techniques, High Frequency Chest Wall Oscillation (HFCWO)using a pneumatic vest, will diminish exacerbations of COPD which will improve respiratory health status.

Detailed Description

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Approximately 60 to 70% of people with COPD have chronic cough and phlegm, the cardinal symptoms of chronic bronchitis or chronic mucus hypersecretion (CMH). Once thought to be a relatively benign condition, recent evidence shows that CMH in patients with established COPD is associated with greater decline in lung function, more frequent respiratory infections, more frequent exacerbations and increased mortality.Using mechanical airway clearance techniques (The Vest) will diminish exacerbations of COPD which will improve respiratory health status.

Comparison: Patients randomly assigned to the vest will have fewer exacerbations of COPD,better quality of life and less health care use compared to patients assigned to a sham vest.

Conditions

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COPD Chronic Bronchitis Emphysema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Active

Pneumatic Compression Device used twice daily for 20 minutes each time for 12 weeks

Group Type EXPERIMENTAL

pneumatic vest

Intervention Type DEVICE

Sham

Device looked and sounded like a pneumatic compression device, but was not inflating nor deflating.

Group Type PLACEBO_COMPARATOR

placebo pneumatic vest

Intervention Type OTHER

Interventions

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pneumatic vest

Intervention Type DEVICE

placebo pneumatic vest

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Physician Diagnosis of COPD,chronic bronchitis and/or emphysema
* Forced Expiratory Volume in 1 second (FEV1)/ Forced Vital Capacity (FVC) \< or = 70%
* FEV1 \< or = 65%
* Current or former smoker \> or = 20 pack years
* History of 1 or more COPD exacerbations in past 6 months necessitation hospitalization, Emergency Department (ED) visit, antibiotic or steroid prescription

Exclusion Criteria

* Other lung diseases
* Co-morbid illnesses such as cancer, liver disease, cardiomyopathy
* Recent chest wall or abdominal trauma or surgery that would preclude using the vest
Minimum Eligible Age

45 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centers for Medicare and Medicaid Services

FED

Sponsor Role collaborator

Hill-Rom

INDUSTRY

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gregory B Diette, M.D.,M.H.S

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Johns Hopkins Asthma and Allergy Center

Baltimore, Maryland, United States

Site Status

Countries

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United States

Other Identifiers

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18-P-92858/3-01

Identifier Type: -

Identifier Source: secondary_id

NA_000202

Identifier Type: -

Identifier Source: org_study_id

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