Efficacy of Helium/Oxygen Compared to Air/Oxygen in Severe Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)

NCT ID: NCT01155310

Last Updated: 2014-10-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

446 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2014-06-30

Brief Summary

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The primary objective of the study is to evaluate the efficacy of Helium/Oxygen (He/O2) 78%/22% compared to a conventional Air/O2 mixture in reducing endotracheal intubation rate and mortality in patients with severe hypercapnic exacerbations of Chronic Obstructive Pulmonary Disease (COPD) during their index Intensive/Intermediate Care Unit (ICU) stay.

Detailed Description

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Patients eligible for this study are critically ill patients with COPD admitted in Intensive Care Unit for an exacerbation of their chronic disease with hypercapnic acute respiratory failure. The patients will receive an Helium/Oxygen mixture or an Air/Oxygen mixture for a maximum of 72 hours during Non-Invasive Ventilation (NIV) and NIV-free sessions.

During NIV sessions, gas mixtures will be administered using a ventilator suitable for NIV with either He/O2 or Air/O2 and a NIV facemask.

Patients will be followed until hospital discharge and then contacted by phone up to the 6th month after randomization.

Conditions

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Chronic Obstructive Pulmonary Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Helium/Oxygen

Helium/Oxygen 78%/22% will be administered for a maximum of 72 hours.

Group Type EXPERIMENTAL

Helium/Oxygen 78%/22%

Intervention Type DRUG

The Helium/Oxygen mixture will be administered during NIV and NIV-free sessions for a maximum of 72 hours using study dedicated devices.

Patients will then receive the Air/Oxygen mixture with usual devices.

Air/Oxygen

Air/Oxygen will be administered for a maximum of 72 hours.

Group Type ACTIVE_COMPARATOR

Air/Oxygen

Intervention Type DRUG

The Helium/Oxygen mixture will be administered during NIV and NIV-free sessions for a maximum of 72 hours using study dedicated devices.

Patients will then receive the Air/Oxygen mixture with usual devices.

Interventions

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Helium/Oxygen 78%/22%

The Helium/Oxygen mixture will be administered during NIV and NIV-free sessions for a maximum of 72 hours using study dedicated devices.

Patients will then receive the Air/Oxygen mixture with usual devices.

Intervention Type DRUG

Air/Oxygen

The Helium/Oxygen mixture will be administered during NIV and NIV-free sessions for a maximum of 72 hours using study dedicated devices.

Patients will then receive the Air/Oxygen mixture with usual devices.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient with known or suspected COPD
* Patient presenting current exacerbation of COPD with hypercapnic acute respiratory failure
* Patient eligible for Non-Invasive Ventilation (NIV)
* Patient admitted in an ICU

Exclusion Criteria

* Patient who had lung transplant
* Patient having a contraindication to NIV
* Patient with tracheostomy
* Patient requiring Oxygen flow rate \> 6 L/min or Inspired Oxygen Fraction (FIO2) \> 0.50
* Patient admitted in the ICU for more than 24 hours and/or having received NIV in ICU for more than 6 hours (in total) for the current exacerbation of COPD
Minimum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Air Liquide Santé International

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Philippe JOLLIET, Prof.

Role: STUDY_CHAIR

Centre Hospitalier Universitaire Vaudois

Locations

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Cliniques Universitaires Saint Luc

Brussels, , Belgium

Site Status

Les Cliniques Universitaires UCL Mont Godinne

Yvoir, , Belgium

Site Status

Centre Hospitalier Universitaire Angers

Angers, , France

Site Status

Centre Hospitalier Universitaire Pellegrin-Tripode

Bordeaux, , France

Site Status

Hôpitaux de Chartes

Chartres, , France

Site Status

CHU Clermont-Ferrand - Hôpital ESTAING

Clermont-Ferrand, , France

Site Status

Hôpital Henri Mondor

Créteil, , France

Site Status

CHU NICE - Hopital Pasteur

Nice, , France

Site Status

Hôpital Cochin

Paris, , France

Site Status

Hôpital Européen Georges Pompidou

Paris, , France

Site Status

Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer - Hopital Sainte Musse

Toulon, , France

Site Status

Azienda Ospedaliera Univeritaria Careggi

Florence, , Italy

Site Status

Hôpitaux Universitaires de Genève

Geneva, , Switzerland

Site Status

Hôpital Abderrahmen Mami

Aryanah, , Tunisia

Site Status

Centre Hospitalier Universitaire Fattouma Bourguiba

Monastir, , Tunisia

Site Status

University Hospital of North Tees

Stockton-on-Tees, , United Kingdom

Site Status

Countries

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Belgium France Italy Switzerland Tunisia United Kingdom

References

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Jolliet P, Ouanes-Besbes L, Abroug F, Ben Khelil J, Besbes M, Garnero A, Arnal JM, Daviaud F, Chiche JD, Lortat-Jacob B, Diehl JL, Lerolle N, Mercat A, Razazi K, Brun-Buisson C, Durand-Zaleski I, Texereau J, Brochard L; E.C.H.O. ICU Trial Investigators. A Multicenter Randomized Trial Assessing the Efficacy of Helium/Oxygen in Severe Exacerbations of Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2017 Apr 1;195(7):871-880. doi: 10.1164/rccm.201601-0083OC.

Reference Type DERIVED
PMID: 27736154 (View on PubMed)

Other Identifiers

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ALMED-07-C3-009

Identifier Type: -

Identifier Source: org_study_id

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