Air Versus Oxygen for Intermediate-Risk Pulmonary Embolism (AIRE)

NCT ID: NCT04003116

Last Updated: 2022-08-18

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

PHASE3

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-11

Study Completion Date

2022-07-25

Brief Summary

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The primary objective is to evaluate the efficacy of the treatment with supplementary oxygen added to conventional anticoagulant treatment in patients with Intermediate-risk pulmonary embolism.

The secondary objective is to evaluate the safety of the treatment with supplementary oxygen added to conventional anticoagulant treatment in patients with Intermediate-risk pulmonary embolism.

Detailed Description

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Conditions

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Pulmonary Embolism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Supplementary oxygen

Supplementary oxygen added to conventional anticoagulant treatment.

Group Type EXPERIMENTAL

Oxygen gas

Intervention Type DRUG

Supplementary oxygen during the first 48 hours added to conventional anticoagulant treatment. Patients will receive anticoagulant treatment according to updated guidelines.

Standard medical therapy

Standard management.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Oxygen gas

Supplementary oxygen during the first 48 hours added to conventional anticoagulant treatment. Patients will receive anticoagulant treatment according to updated guidelines.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Confirmed PE by multidetector computed tomographic pulmonary angiography (MDCT).
* Disfunction of right ventricle (RV to left ventricle \[LV\] diameter ratio \>1.0 in the apical 4-chamber view) in the echocardiogram performed in the first 12 hours after PE diagnosis.
* Signed and dated informed consent of the subject.

Exclusion Criteria

* \<18 years old.
* Allergy to iodinated contrast.
* Renal failure defined as a creatinine clearance less than 30 mL/min, according to the Cockcroft-Gault formula.
* Use of chronic oxygen therapy.
* Hypercapnia (pCO2 \>50 mmHg at the time of diagnosis).
* Technically inadequate basal echocardiography.
* Contraindication to anticoagulant therapy.
* Symptoms duration \>10 days.
* Haemodynamic instability.
* Participation in other clinical trial for PE treatment during the present clinical trial.
* Inability to use mask or nasal prongs.
* Life expectancy less than 90 days.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sociedad Española de Neumología y Cirugía Torácica

OTHER

Sponsor Role collaborator

Ministry of Health, Spain

OTHER_GOV

Sponsor Role lead

Responsible Party

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David Jimenez

Pulmonary physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Jiménez

Role: STUDY_CHAIR

IRYCIS, Alcala de Henares University

Locations

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Hospital Universitario Araba

Vitoria-Gasteiz, Alava, Spain

Site Status

Hospital Galdakao-Usansolo

Galdakao, Vizcaya, Spain

Site Status

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status

Clínica Universidad de Navarra

Madrid, , Spain

Site Status

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Universitario Virgen del Rocío

Seville, , Spain

Site Status

Hospital Universitario y Politécnico La Fe

Valencia, , Spain

Site Status

Countries

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Spain

References

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Barrios D, Duran D, Rodriguez C, Moises J, Retegui A, Lobo JL, Lopez R, Chasco L, Jara-Palomares L, Muriel A, Otero-Candelera R, Ruiz-Artacho P, Monreal M, Bikdeli B, Jimenez D; Air vs Oxygen for Intermediate-Risk Pulmonary Embolism Investigators. Oxygen Therapy in Patients With Intermediate-Risk Acute Pulmonary Embolism: A Randomized Trial. Chest. 2024 Mar;165(3):673-681. doi: 10.1016/j.chest.2023.09.007. Epub 2023 Sep 16.

Reference Type DERIVED
PMID: 37717936 (View on PubMed)

Other Identifiers

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2019-000266-37

Identifier Type: -

Identifier Source: org_study_id

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