Trial Outcomes & Findings for Acute Effect of Ventilatory Support During Exercise in Spinal Cord Injury (NCT NCT03267212)

NCT ID: NCT03267212

Last Updated: 2020-04-09

Results Overview

Volunteers performed 2 separate maximal FES-row tests, one with Non-invasive Ventilation Support and one with Sham-NIV

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

Day 0 and Day 2

Results posted on

2020-04-09

Participant Flow

Participant milestones

Participant milestones
Measure
Non-invasive Ventilation First, Then Sham Ventilation
All subjects performed FES-row testing while receiving bi-level positive airway pressure ventilation first and then Sham ventilation applied through a full face-mask. Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a minimal pressure of 12 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Sham Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a maximal pressure of 5 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Functional Electrical Stimulation Row Training (FESRT): FESRT couples volitional arm and electrically controlled leg exercise to allow whole body exercise training
Sham Ventilation First, Then Non-invasive Ventilation
All subjects performed FES-row testing while receiving Sham bi-level positive airway pressure ventilation first and then true ventilation applied through a full face-mask. Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a minimal pressure of 12 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Sham Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a maximal pressure of 5 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Functional Electrical Stimulation Row Training (FESRT): FESRT couples volitional arm and electrically controlled leg exercise to allow whole body exercise training
First Intervention
STARTED
6
9
First Intervention
High SCI
2
5
First Intervention
Low SCI
4
4
First Intervention
COMPLETED
5
6
First Intervention
NOT COMPLETED
1
3
Washout (Min 2 Days / Max 7 Days)
STARTED
5
6
Washout (Min 2 Days / Max 7 Days)
COMPLETED
4
6
Washout (Min 2 Days / Max 7 Days)
NOT COMPLETED
1
0
Second Intervention
STARTED
4
6
Second Intervention
COMPLETED
4
6
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Non-invasive Ventilation First, Then Sham Ventilation
All subjects performed FES-row testing while receiving bi-level positive airway pressure ventilation first and then Sham ventilation applied through a full face-mask. Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a minimal pressure of 12 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Sham Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a maximal pressure of 5 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Functional Electrical Stimulation Row Training (FESRT): FESRT couples volitional arm and electrically controlled leg exercise to allow whole body exercise training
Sham Ventilation First, Then Non-invasive Ventilation
All subjects performed FES-row testing while receiving Sham bi-level positive airway pressure ventilation first and then true ventilation applied through a full face-mask. Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a minimal pressure of 12 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Sham Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a maximal pressure of 5 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Functional Electrical Stimulation Row Training (FESRT): FESRT couples volitional arm and electrically controlled leg exercise to allow whole body exercise training
First Intervention
Lost to Follow-up
0
2
First Intervention
Withdrawal by Subject
1
1
Washout (Min 2 Days / Max 7 Days)
Physician Decision
1
0

Baseline Characteristics

Acute Effect of Ventilatory Support During Exercise in Spinal Cord Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Non-invasive Ventilation(NIV) vs. Sham Ventilation
n=15 Participants
All subjects performed FES-row testing while receiving bi-level positive airway pressure ventilation (or Sham ventilation) applied through a full face-mask. The tests were performed in a random order. Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a minimal pressure of 12 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Sham Non-invasive ventilation(NIV): The ventilator was set in spontaneous mode with a ramp to reach a maximal pressure of 5 centimeters of water (cmH2O) during inspiration and 3 cmH2O during expiration. Functional Electrical Stimulation Row Training (FESRT): FESRT couples volitional arm and electrically controlled leg exercise to allow whole body exercise training
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Age, Continuous
40 years
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
15 Participants
n=5 Participants
Body Mass Index
27 Kg/m2
n=5 Participants

PRIMARY outcome

Timeframe: Day 0 and Day 2

Population: 10 subjects completed both NIV and Sham tests

Volunteers performed 2 separate maximal FES-row tests, one with Non-invasive Ventilation Support and one with Sham-NIV

Outcome measures

Outcome measures
Measure
Non-invasive Ventilation
n=10 Participants
Volunteers performed a maximal FES-row tests with Non-invasive Ventilation Support
Sham Ventilation
n=10 Participants
Volunteers performed a maximal FES-row tests with Sham-NIV
Change in Peak Aerobic Capacity During FES-row Testing
1.83 L/min
Standard Deviation 0.76
1.82 L/min
Standard Deviation 0.64

SECONDARY outcome

Timeframe: Day 0 and Day 2

Population: Due to technical issues, only one participant could perform both tests (NIV and sham) for this outcome

Volunteers performed 2 separate maximal FES-row tests, one with Non-invasive Ventilation Support and one with Sham-NIV

Outcome measures

Outcome measures
Measure
Non-invasive Ventilation
n=1 Participants
Volunteers performed a maximal FES-row tests with Non-invasive Ventilation Support
Sham Ventilation
n=1 Participants
Volunteers performed a maximal FES-row tests with Sham-NIV
Change in Cardiac Output During FES-row Testing
9.6 L/min
10.3 L/min

SECONDARY outcome

Timeframe: Day 0 and Day 2

Population: Participants who completed both NIV and sham tests

Volunteers performed 2 separate maximal FES-row tests, one with Non-invasive Ventilation Support and one with Sham-NIV

Outcome measures

Outcome measures
Measure
Non-invasive Ventilation
n=10 Participants
Volunteers performed a maximal FES-row tests with Non-invasive Ventilation Support
Sham Ventilation
n=10 Participants
Volunteers performed a maximal FES-row tests with Sham-NIV
Change in Minute Ventilation During FES-row Testing
38.8 L/min
Standard Deviation 9.6
40.3 L/min
Standard Deviation 10.0

SECONDARY outcome

Timeframe: Day 0 and Day 2

Population: Participants who completed both NIV and sham tests

Volunteers performed 2 separate maximal FES-row tests, one with Non-invasive Ventilation Support and one with Sham-NIV

Outcome measures

Outcome measures
Measure
Non-invasive Ventilation
n=10 Participants
Volunteers performed a maximal FES-row tests with Non-invasive Ventilation Support
Sham Ventilation
n=10 Participants
Volunteers performed a maximal FES-row tests with Sham-NIV
Change in Tidal Volume During FES-row Testing
1.6 L
Standard Error 0.3
1.4 L
Standard Error 0.3

Adverse Events

Non-invasive Ventilation

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

Sham Ventilation

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr J. Andrew Taylor

Harvard Medical School

Phone: 6177585503

Results disclosure agreements

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