Trial Outcomes & Findings for The Respiratory Protection Effectiveness Clinical Trial (NCT NCT01249625)

NCT ID: NCT01249625

Last Updated: 2019-04-25

Results Overview

Number of influenza A and B events in healthcare practitioners wearing N95 respirators compared to medical masks.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

2862 participants

Primary outcome timeframe

60 weeks

Results posted on

2019-04-25

Participant Flow

participants were recruited from outpatient settings considered at high risk for respiratory illnesses (emergency rooms, internal medicine and pediatric clinics) and had to work at least 24 hours per week in a given setting. They had to have face to face exposure to patients and be willing and able to participate, sign informed consent.

Participant milestones

Participant milestones
Measure
N95 Respirator
The investigators are comparing the selected N95 respirators against the selected medical mask. N95 Respirator: Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Medical/Surgical Mask
The investigators are comparing the selected medical/surgical mask against the N95 respirator. Medical/surgical mask: Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
Overall Study
STARTED
1374
1488
Overall Study
COMPLETED
1374
1488
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Respiratory Protection Effectiveness Clinical Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
N95 Respirator
n=1374 Participants
The investigators are comparing the selected N95 respirators against the selected medical mask. N95 Respirator: Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Medical/Surgical Mask
n=1488 Participants
The investigators are comparing the selected medical/surgical mask against the N95 respirator. Medical/surgical mask: Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
Total
n=2862 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1347 Participants
n=5 Participants
1451 Participants
n=7 Participants
2798 Participants
n=5 Participants
Age, Categorical
>=65 years
27 Participants
n=5 Participants
37 Participants
n=7 Participants
64 Participants
n=5 Participants
Age, Continuous
43 years
STANDARD_DEVIATION 0.6 • n=5 Participants
43 years
STANDARD_DEVIATION 0.5 • n=7 Participants
43 years
STANDARD_DEVIATION 0.55 • n=5 Participants
Sex: Female, Male
Female
1149 Participants
n=5 Participants
1220 Participants
n=7 Participants
2369 Participants
n=5 Participants
Sex: Female, Male
Male
225 Participants
n=5 Participants
268 Participants
n=7 Participants
493 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
212 Participants
n=5 Participants
227 Participants
n=7 Participants
439 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1151 Participants
n=5 Participants
1245 Participants
n=7 Participants
2396 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
11 Participants
n=5 Participants
16 Participants
n=7 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
Asian
103 Participants
n=5 Participants
108 Participants
n=7 Participants
211 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
371 Participants
n=5 Participants
431 Participants
n=7 Participants
802 Participants
n=5 Participants
Race (NIH/OMB)
White
731 Participants
n=5 Participants
761 Participants
n=7 Participants
1492 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
50 Participants
n=5 Participants
57 Participants
n=7 Participants
107 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
108 Participants
n=5 Participants
118 Participants
n=7 Participants
226 Participants
n=5 Participants
Region of Enrollment
United States
1374 Participants
n=5 Participants
1488 Participants
n=7 Participants
2862 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 60 weeks

Number of influenza A and B events in healthcare practitioners wearing N95 respirators compared to medical masks.

Outcome measures

Outcome measures
Measure
Medical/Surgical Mask
n=1488 Participants
The investigators are comparing the selected medical/surgical mask against the N95 respirator. Medical/surgical mask: Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
N95 Respirator
n=1374 Participants
The investigators are comparing the selected N95 respirators against the selected medical mask. N95 Respirator: Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Protective Effects of N95 Respirators vs Medical Masks (MM) as Assessed by Number of Influenza A and B Events
204 number of influenza A and B events
222 number of influenza A and B events

SECONDARY outcome

Timeframe: 60 weeks

Number of influenza-like illnesses in healthcare practitioners wearing N95 respirators compared to medical masks.

Outcome measures

Outcome measures
Measure
Medical/Surgical Mask
n=1488 Participants
The investigators are comparing the selected medical/surgical mask against the N95 respirator. Medical/surgical mask: Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
N95 Respirator
n=1374 Participants
The investigators are comparing the selected N95 respirators against the selected medical mask. N95 Respirator: Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Protective Effects of N95 Respirators vs Medical Masks as Assessed by Number of Influenza-like Illnesses
166 number of influenza-like illnesses
128 number of influenza-like illnesses

SECONDARY outcome

Timeframe: 60 weeks

Number of lab confirmed respiratory illnesses in healthcare practitioners wearing N95 respirators compared to medical masks.

Outcome measures

Outcome measures
Measure
Medical/Surgical Mask
n=1488 Participants
The investigators are comparing the selected medical/surgical mask against the N95 respirator. Medical/surgical mask: Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
N95 Respirator
n=1374 Participants
The investigators are comparing the selected N95 respirators against the selected medical mask. N95 Respirator: Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Protective Effects of N95 Respirators vs Medical Masks as Assessed by Number of Lab Confirmed Respiratory Illnesses
417 number of respiratory illnesses
371 number of respiratory illnesses

SECONDARY outcome

Timeframe: 60 weeks

Number of lab detected respiratory infections in healthcare practitioners wearing N95 respirators compared to medical masks.

Outcome measures

Outcome measures
Measure
Medical/Surgical Mask
n=1488 Participants
The investigators are comparing the selected medical/surgical mask against the N95 respirator. Medical/surgical mask: Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
N95 Respirator
n=1374 Participants
The investigators are comparing the selected N95 respirators against the selected medical mask. N95 Respirator: Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Protective Effects of N95 Respirators vs Medical Masks as Assessed by Number of Lab Detected Respiratory Infections
745 number of respiratory infections
679 number of respiratory infections

SECONDARY outcome

Timeframe: 60 weeks

Number of acute respiratory illnesses in healthcare practitioners wearing N95 respirators compared to medical masks.

Outcome measures

Outcome measures
Measure
Medical/Surgical Mask
n=1488 Participants
The investigators are comparing the selected medical/surgical mask against the N95 respirator. Medical/surgical mask: Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
N95 Respirator
n=1374 Participants
The investigators are comparing the selected N95 respirators against the selected medical mask. N95 Respirator: Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Protective Effects of N95 Respirators vs Medical Masks as Assessed by Number of Acute Respiratory Illnesses
1711 number of acute respiratory illnesses
1556 number of acute respiratory illnesses

SECONDARY outcome

Timeframe: 60 weeks

Number of laboratory confirmed influenza illnesses in healthcare practitioners wearing N95 respirators compared to medical masks.

Outcome measures

Outcome measures
Measure
Medical/Surgical Mask
n=1488 Participants
The investigators are comparing the selected medical/surgical mask against the N95 respirator. Medical/surgical mask: Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
N95 Respirator
n=1374 Participants
The investigators are comparing the selected N95 respirators against the selected medical mask. N95 Respirator: Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Protective Effects of N95 Respirators vs Medical Masks as Assessed by Number of Laboratory Confirmed Illness
193 Number of laboratory confirmed illnesses
207 Number of laboratory confirmed illnesses

Adverse Events

N95 Respirator

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Medical/Surgical Mask

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
N95 Respirator
n=1374 participants at risk
The investigators are comparing specific N95 respirator against specific medical masks. Participants in this arm will be asked to wear an N95 respirator for the extent of the 12 week study period.
Medical/Surgical Mask
n=1488 participants at risk
The investigators are comparing medical/surgical masks against the N95 respirator. Participants in this arm will be asked to wear a medical/surgical mask for the extent of the 12 week study period.
Skin and subcutaneous tissue disorders
rash
1.4%
19/1374 • Number of events 19 • We collected adverse events (AEs) for each 12-week respiratory season (total of 4 seasons) while participants were actively wearing masks or respirators.
An AE is any adverse change from patient's baseline (pre-study) condition, which occurs during the course of the study, whether the event is considered to be related to the study intervention or not and documented in REDCap. Researchers assessed if the reported event meets the definition of an AE. Patients will be monitored until resolution. AEs were submitted to local Institutional Review Board according to their reporting policy. Participants reported symptoms in daily and weekly diaries.
0.00%
0/1488 • We collected adverse events (AEs) for each 12-week respiratory season (total of 4 seasons) while participants were actively wearing masks or respirators.
An AE is any adverse change from patient's baseline (pre-study) condition, which occurs during the course of the study, whether the event is considered to be related to the study intervention or not and documented in REDCap. Researchers assessed if the reported event meets the definition of an AE. Patients will be monitored until resolution. AEs were submitted to local Institutional Review Board according to their reporting policy. Participants reported symptoms in daily and weekly diaries.

Additional Information

Dr. Trish Perl

University of Texas Southwestern

Phone: 214-648-9022

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place