Evaluation of the Effectiveness of the Nebulization Bronchodilators Under High Nasal Flow Humidified

NCT ID: NCT02812979

Last Updated: 2025-12-22

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

COMPLETED

Clinical Phase

NA

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2018-04-27

Brief Summary

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The principal objective is to show noninferiority of nebulized salbutamol through the high flow nasal system moistened AIRVO ™ 2 in terms of reversibility of airflow obstruction compared to nebulization by the usual method (spray mask).

Detailed Description

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Randomized, comparative, non inferiority study between two nebulization strategies bronchodilators, one according to the method tested namely the spray - in across the top humidified nasal flow system and the other according to a customary procedure, through a mask. A third arm will be evaluated (control arm) to overcome a possible own bronchodilator effect of high flow nasal humidified.

Conditions

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Chronic Obstructive Pulmonary Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Airvo2 with Aerogen Solo

AIRVOTM2 will be set to deliver air (21% oxygen concentration ) at a rate of 30 L / min at 100 % relative humidity at 37 ° C.

Nebulization of salbutamol will be effected by means of a nebulizer to the vibrating screen (Aerogen® Solo, Aerogen , Galway, Ireland ) which is a nebulizing device for single use, commonly used in invasive and non invasive mechanical ventilation.

Nebulizer will be responsible for a salbutamol solution available in the form of containers of 2.5 ml containing 2.5 mg of salbutamol

Group Type EXPERIMENTAL

Airvo2 with Aerogen Solo

Intervention Type DEVICE

Nebulization of salbutamol with Airvo 2 and Aerogen solo

Mask

During nebulization in the usual way ( oral facial mask ) , it will be used a pneumatic nebulizer powered by a 6 L / min air flow rate ( usual method ).

Nebulizer will be responsible for a salbutamol solution available in the form of containers of 2.5 ml containing 2.5 mg of salbutamol

Group Type ACTIVE_COMPARATOR

Mask

Intervention Type DEVICE

Usual nebulization of salbutamol with mask

arm control Airvo2 without nebulization of salbutamol

control procedure is to be placed under humidified high flow nasal alone

Group Type PLACEBO_COMPARATOR

arm control Airvo2 without nebulization of salbutamol

Intervention Type DEVICE

Airvo2 with Aerogen Solo. No nebulization of salbutamol

Interventions

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Airvo2 with Aerogen Solo

Nebulization of salbutamol with Airvo 2 and Aerogen solo

Intervention Type DEVICE

Mask

Usual nebulization of salbutamol with mask

Intervention Type DEVICE

arm control Airvo2 without nebulization of salbutamol

Airvo2 with Aerogen Solo. No nebulization of salbutamol

Intervention Type DEVICE

Other Intervention Names

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AirvoNEB

Eligibility Criteria

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Inclusion Criteria

* adults
* Patient with chronic obstructive pulmonary disease
* Patients, when performing lung function tests performed outside of the study :

1. A report FEV / FVC less than 60% prior to bronchodilator treatment AND
2. A positive reversal test defined by FEV variation of over 12 % and 200 mL after administration of inhaled salbutamol
* Patients affiliated to social security scheme
* Informed consent signed by the patient

Exclusion Criteria

* Exacerbation of chronic obstructive pulmonary disease during
* Uncontrolled asthma
* Pneumothorax current or recent ( \< 2 months)
* Pleural aspiration or biopsy , trans - bronchial biopsies and / or bronchoalveolar lavage in the preceding 48h
* hemoptysis in progress
* Patient under guardianship or trusteeship safeguard justice
* Pregnant or breastfeeding women or parturient woman
* Known allergy or intolerance to salbutamol
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Tours

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Service de Réanimation Polyvalente

Tours, , France

Site Status

Countries

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France

References

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Reminiac F, Vecellio L, Bodet-Contentin L, Gissot V, Le Pennec D, Salmon Gandonniere C, Cabrera M, Dequin PF, Plantier L, Ehrmann S. Nasal high-flow bronchodilator nebulization: a randomized cross-over study. Ann Intensive Care. 2018 Dec 20;8(1):128. doi: 10.1186/s13613-018-0473-8.

Reference Type RESULT
PMID: 30570679 (View on PubMed)

Other Identifiers

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2016-A00064-47

Identifier Type: OTHER

Identifier Source: secondary_id

PHAO15-SE / AirvoNEB

Identifier Type: -

Identifier Source: org_study_id