Efficacy of Vakum Technology in Patients With Chronic Hypersecretion

NCT ID: NCT01718067

Last Updated: 2014-12-10

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2016-04-30

Brief Summary

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Mechanical devices to increase the individual's bronchial hygiene are commonly used to assist patients with chronic retention of secretions. VAKÜM technology has been recently developed with the aim to improve the respiratory condition in hypersecretive patients suffering from chronic respiratory diseases.

The aim of this study is to assess the clinical efficacy of VAKÜM technology in patients with hypersecretion, and chronic respiratory diseases a clinical trial has been designed.

Patients with chronic respiratory diseases, hypersecretion (sputum production \>30 mL/die), and reduced cough efficiency (Peak Cough Expiratory Flow \> 150 and \< 300 L\*min-1) referred to standard pulmonary rehabilitation (PR) will be included. Study design is a single-blind multicentre randomized trial with consecutive recruitment. Following a preliminary run-in period, group comparison will be made between Intervention group using VAKÜM system (Free Aspire, MPR, Legnano-I) added to the conventional manual ELTGOL technique, and Control group using manual ELTGOL alone over 10 daily sessions.

Spirometric lung volumes, respiratory muscle strength, arterial blood gases, and quality of life will be recorded in both groups pre-to-post PR. Perceived dyspnea (by VAS scale), sputum volume and characteristics (on a semi-quantitative 3-point scale) and peak expiratory air flows (PEF and PCEF) will be registered on a daily basis over the study period. Primary outcome is the change in perceived dyspnea; in order to ensure 80% power to detect a 5 point (SD 5) group difference change in the primary outcome at the end of the study period as significant at the 0.05 level, at least 42 patients per group are needed. The minimum target sample size will be then fixed at 50 patients per group.

An higher and faster significant reduction of the perceived dyspnea is supposed in the Intervention group. Additional benefits among the secondary outcomes are also hypothesised in the same group.

Detailed Description

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Conditions

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Chronic Bronchitis/Bronchiectasis Chronic Obstructive Pulmonary Disease

Keywords

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Chest physiotherapy Rehabilitation Chronic respiratory diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Vakum

VAKÜM system (Free Aspire, MPR, Legnano-I) added to the conventional manual ELTGOL technique

Group Type EXPERIMENTAL

VAKÜM system

Intervention Type DEVICE

15 minutes, twice a day.

conventional manual ELTGOL technique

Intervention Type OTHER

20 minutes twice a day

Control

conventional manual ELTGOL technique

Group Type ACTIVE_COMPARATOR

conventional manual ELTGOL technique

Intervention Type OTHER

20 minutes twice a day

Interventions

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VAKÜM system

15 minutes, twice a day.

Intervention Type DEVICE

conventional manual ELTGOL technique

20 minutes twice a day

Intervention Type OTHER

Other Intervention Names

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Free Aspire, MPR, Legnano-I

Eligibility Criteria

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Inclusion Criteria

* patients with chronic respiratory diseases
* hypersecretion condition(sputum production \>30 mL/die)
* reduced cough efficiency (Peak Cough Expiratory Flow \> 150 and \< 300 L\*min- 1)
* patients admitted to standard pulmonary rehabilitation

Exclusion Criteria

* not able to use the device
* concomitant cardiovascular or neoplastic diseases
* utilization of Non Invasive Ventilation
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Villa Pineta Hospital

OTHER

Sponsor Role lead

Responsible Party

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Prof. Clini Enrico

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Enrico M Clini, MD

Role: PRINCIPAL_INVESTIGATOR

University of Modena Reggio Emilia

Locations

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Villa Pineta Hospital

Modena, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Enrico M Clini, Prof.

Role: CONTACT

Email: [email protected]

Other Identifiers

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2793

Identifier Type: -

Identifier Source: org_study_id