The General Breathing Record Study

NCT ID: NCT03356288

Last Updated: 2018-09-20

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

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-08-09

Study Completion Date

2018-07-04

Brief Summary

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This study will test the use of a new handheld device (called the N-Tidal C), that measures a person's tidal breath carbon dioxide, in diagnosing the cause of someone's breathlessness. It will also evaluate whether this device can detect when a person's breathing problem is getting worse.

Detailed Description

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When a person breathes out, they exhale carbon dioxide (CO2). The CO2 levels in breath change as they breathe out and this makes a specific pattern, or "waveform". This waveform can tell a clinician a lot about the underlying health of a person. There are disease specific CO2 waveforms for common breathing conditions such as Asthma and Chronic Obstructive Pulmonary Disease (COPD). However up until this point there has been no accurate and non-invasive method of measuring the tidal breath CO2 waveform.

This study will test the N-Tidal C, a new handheld device that accurately measures this waveform, and whether it can differentiate different causes of breathlessness; namely asthma, heart failure, pneumonia, breathing pattern disorders and motor neurone disease.

Conditions

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Asthma Heart Failure Pneumonia Motor Neuron Disease Vocal Cord Dysfunction Breathlessness

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Asthma

20 Participants with moderate to severe asthma, as defined by British Thoracic Society (BTS) guidelines

No interventions assigned to this group

Chronic heart failure

10 Participants with a diagnosis of chronic heart failure

No interventions assigned to this group

Breathing Pattern Disorder

10 Participants with a diagnosis of Breathing Pattern Disorder

No interventions assigned to this group

Pneumonia

10 participants with a radiologically confirmed diagnosis of pneumonia

No interventions assigned to this group

Motor Neurone Disease

10 participants with a diagnosis of motor neurone disease with known hypercapnic failure.

No interventions assigned to this group

Healthy

10 Participants who have no known lung, cardiac or neuromuscular condition.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Asthma Cohort:

* A confirmed clinical diagnosis of asthma for ≥ 6months
* Moderate to severe asthma defined as British Thoracic Society stages 3-5
* 2 or more exacerbations in the previous 12 months with at least 1 exacerbation within the last 6 months.
* Exacerbation free for 2 weeks (defined as no increased dose or course of oral corticosteroids or antibiotics).

Breathing Pattern Disorder Cohort

* A Clinical diagnosis of a Breathing Pattern Disorder (BPD)

Chronic heart failure Cohort:

* A confirmed clinical diagnosis of chronic heart failure with both of the following:

1. A Left Ventricular Ejection Fraction \<40% on most recent imaging within the last 12 months.
2. New York Heart Association Class 2-4
* Admitted with an acute decompensation of their heart failure to hospital within the last 6 months

Motor Neurone Disease Cohort:

* A confirmed clinical diagnosis of Motor Neurone Disease
* Forced Vital Capacity (FVC) of less than 60% of predicted, sleep disordered breathing or daytime hypercapnia.
* Established on Home Non-Invasive Ventilation.

Pneumonia Cohort:

* A confirmed clinical diagnosis of Pneumonia supported by evidence of consolidation on a chest X-ray (CXR) or computed tomography (CT) imaging.

Healthy Cohort:

* No known history of lung, cardiac or neuromuscular disease (defined as no current clinical diagnosis of, or be receiving treatment for, a lung, cardiac or neuromuscular disease). A Body Mass Index of less than 40. A Non-smoker, or an ex-smoker with less than a 5 pack year history.

Exclusion Criteria

* Known other lung, chest wall, neuromuscular, cardiac or other comorbidity or abnormality that would affect spirometry and/or other measures of lung function or Tidal Breath Carbon Dioxide measurements.
* In the opinion of the clinical investigator, the participant would have difficulty completing the study procedures consistently over the course of 6 months.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Innovate UK

OTHER_GOV

Sponsor Role collaborator

TidalSense

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anoop J Chauhan, PhD

Role: PRINCIPAL_INVESTIGATOR

Portsmouth Hospitals NHS Trust

Locations

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Portsmouth Hospitals NHS Trust

Portsmouth, Hampshire, United Kingdom

Site Status

Countries

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United Kingdom

References

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Talker L, Neville D, Wiffen L, Selim AB, Haines M, Carter JC, Broomfield H, Lim RH, Lambert G; BRS Study Team; Weiss ST, Hayward G, Brown T, Chauhan A, Patel AX. Machine diagnosis of chronic obstructive pulmonary disease using a novel fast-response capnometer. Respir Res. 2023 Jun 2;24(1):150. doi: 10.1186/s12931-023-02460-z.

Reference Type DERIVED
PMID: 37268935 (View on PubMed)

Other Identifiers

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G002-17_GBRS

Identifier Type: -

Identifier Source: org_study_id

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