Assessing Exercise Capacity After PulseHaler™ Treatment in GOLD II-IV COPD Patients

NCT ID: NCT04236076

Last Updated: 2020-04-17

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-31

Study Completion Date

2021-06-30

Brief Summary

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Prospective, sham controlled, interventional study to evaluate the extent to which PulseHaler improves the functional status of Chronic Obstructive Lung Disease (GOLD) II-IV Chronic obstructive pulmonary disease (COPD) patients.

Detailed Description

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PulseHaler™ is a pulsating positive expiratory pressure ventilation device for treatment of COPD . PulseHaler™ is pre-programmed to deliver airflow at pre-defined frequencies and for pre-defined lengths of time.

The study is intended to evaluate the extent to which PulseHaler improves the functional status of GOLD II-IV COPD patients after 4 weeks of treatment 3x / day.

And To evaluate the extent to which improvements are maintained over a subsequent 2 weeks when treatments are tapered to 1x daily.

Conditions

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COPD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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PulseHaler™

Patients will receive PulseHaler for home treatment

Group Type EXPERIMENTAL

PulseHaler

Intervention Type DEVICE

PulseHaler™ is a pulsating positive expiratory pressure ventilation device for treatment of COPD. PulseHaler™ is pre-programmed to deliver airflow at pre-defined frequencies, ranging from 3.5 Hertz (Hz) to 55Hz, and for pre-defined lengths of time.

Sham PulseHaler - CONTROL group

Patients will receive Sham device for home treatment

Group Type SHAM_COMPARATOR

Sham - control

Intervention Type DEVICE

Sham device has the same look as PulseHaler and is set to deliver nominal pressure but it does not contain the active pulsating components.

Interventions

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PulseHaler

PulseHaler™ is a pulsating positive expiratory pressure ventilation device for treatment of COPD. PulseHaler™ is pre-programmed to deliver airflow at pre-defined frequencies, ranging from 3.5 Hertz (Hz) to 55Hz, and for pre-defined lengths of time.

Intervention Type DEVICE

Sham - control

Sham device has the same look as PulseHaler and is set to deliver nominal pressure but it does not contain the active pulsating components.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Investigator confirmation of GOLD II-IV COPD
* Successful completion of Incremental Exercise Test (IET)
* FEV1 \< 60% predicted
* Post-bronchodilator FEV1/FVC ≤ 0.7
* 55-75 years old
* Signed informed consent by subject (required cognitive capacity)

Exclusion Criteria

* SpO2\<80% at IET
* Unable to achieve a CWR test duration at visit 2 between 3 and 8 minutes
* Exercise limitation unrelated to diagnosis of COPD
* Systemic (oral, IV, IM) steroid use for acute exacerbation in the 30 days prior to screening
* Baseline CAT Score \<10
* Women at the age of fertility, who are pregnant, or plan pregnancy, or do not use contraceptives
* Severe cardiac disease, e.g., Congestive Heart Failure grade , hemodynamic instability,
* Acute myocardial infarction within last 3 months
* Coronary artery bypass graft within last 3 months
* Epilepsy, raised intracranial pressure, acute sinusitis or nosebleed
* Pulmonary embolism, untreated air leaks, tension pneumothorax, bronchopleural fistula, active hemoptysis, pulmonary haemorrhage, Large pulmonary bullae, intrathoracic obstruction from tumor or foreign body
* Unhealed dental, head, neck, ear, nose \& throat, thoracic or upper gastro-intestinal tract surgery or trauma
* Unhealed broken ribs
* Esophageal varices
* Anxiety, Depression, history of Mental illness
* Dependence on positive pressure ventilation (i.e. 24/7 non-invasive ventilation).
* Cannot perform spirometry
* Enrollment in another interventional study
* Any medical condition for which the investigator deems the subject unable to participate in the study
Minimum Eligible Age

55 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Respinova LTD

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexander Yarmolovsky, MD

Role: PRINCIPAL_INVESTIGATOR

Kaplan Medical Center, Israel

Central Contacts

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Dalia Givony, MSC

Role: CONTACT

+972-54-5449235

Cliff Annsel

Role: CONTACT

Other Identifiers

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PH-03

Identifier Type: -

Identifier Source: org_study_id

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