A Comparison of Three Nebulizers for Standard Clinical and Research Use in Methacholine Challenge Testing

NCT ID: NCT02822859

Last Updated: 2017-10-26

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2016-09-30

Brief Summary

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The study will assess three different nebulizers for use in methacholine challenge testing in order to determine if the Aeroneb Solo would make a suitable replacement for the long-used and now obsolete Wright and Bennett-Twin nebulizers. Results from each device will be compared to evaluate whether current guidelines for the methacholine challenge should be updated for superior standardization.

Detailed Description

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Sixty asthmatics (20 at each testing site: University of Saskatchewan, McMaster University, Laval University) will be recruited to undergo this randomized, triple cross-over study. Three nebulizers will be tested, the Wright, the Bennett-Twin and the new Aeroneb Solo.

Breakdown of study procedure: Participants will undergo three (potentially four) methacholine challenges, one with each nebulizer in randomized order. An additional methacholine challenge may be performed for screening purposes if the participant has not undergone methacholine challenge testing in one of the participating labs in the previous 6 months. The screening challenge will be performed with the standard nebulizer used at the given testing site (i.e. the Wright or the Bennett-Twin).

The methacholine challenges performed with the Wright and Bennett-Twin nebulizers will follow the two-minute tidal breathing protocol as outlined in the 1999 American Thoracic Society Guidelines for Methacholine Challenge Testing. The testing protocol used with the Aeroneb solo will be identical save for a 1 min inhalation period instead of 2 min. Each challenge will be stopped when a participant's forced expiratory volume in 1 second (FEV1) drops at least 20%. This will allow for the determination of the participant's PC20 (provocative concentration of methacholine causing a 20% fall in FEV1), which will subsequently be converted to a PD20 (provocative dose) value. A minimum 24-hour washout period between challenges will be enforced.

Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Wright

Methacholine challenge performed using the Wright nebulizer

Group Type ACTIVE_COMPARATOR

Wright nebulizer

Intervention Type DEVICE

Roxon Medi-Tech, Montreal, QC, Canada

Bennett-Twin

Methacholine challenge performed using the Bennett-Twin nebulizer

Group Type ACTIVE_COMPARATOR

Bennett-Twin nebulizer

Intervention Type DEVICE

Puritan Bennett Corp., Carlsbad, CA, USA

Aeroneb Solo

Methacholine challenge performed using the Aeroneb Solo nebulizer

Group Type ACTIVE_COMPARATOR

Aeroneb Solo

Intervention Type DEVICE

Aerogen Ltd., Galway, Ireland

Interventions

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Wright nebulizer

Roxon Medi-Tech, Montreal, QC, Canada

Intervention Type DEVICE

Bennett-Twin nebulizer

Puritan Bennett Corp., Carlsbad, CA, USA

Intervention Type DEVICE

Aeroneb Solo

Aerogen Ltd., Galway, Ireland

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Men and women aged 18 or older
* Stable asthma
* Baseline methacholine PC20 less than or equal to 16mg/mL
* Baseline lung function greater than 65% predicted

Exclusion Criteria

* Use of long-acting bronchodilators within 30 days of Visit 1
* Pregnant or nursing
* Cardiovascular problems
* Respiratory illness within 4 weeks of Visit 1
* Allergen-induced asthma exacerbation within 4 weeks of Visit 1
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Saskatchewan

OTHER

Sponsor Role lead

Responsible Party

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Don Cockcroft

MD, Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Don Cockcroft, MD

Role: PRINCIPAL_INVESTIGATOR

University of Saskatchewan

Locations

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McMaster University

Hamilton, Ontario, Canada

Site Status

Asthma Research Lab - University of Saskatchewan

Saskatoon, Saskatchewan, Canada

Site Status

Laval University

Québec, , Canada

Site Status

Countries

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Canada

Other Identifiers

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MCH NEB-1

Identifier Type: -

Identifier Source: org_study_id