Tolerability, Safety and Efficacy of Sigh Breaths During NIMV in Motor Neuron Disease

NCT ID: NCT04240925

Last Updated: 2022-03-16

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

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-25

Study Completion Date

2022-12-31

Brief Summary

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Non-invasive mechanical ventilation (NIMV) is the recommended standard of care as initial therapy for patients with motor neuron disease (MND) with deterioration of the respiratory function.

SIGH\_01 study is aimed at investigating the tolerability, safety profile and efficacy of sigh breaths during non-invasive mechanical ventilation in patients with MND in comparison to the standard ventilation support protocol.

Detailed Description

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Conditions

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Motor Neuron Disease Respiratory Failure Amyotrophic Lateral Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Standard NIMV protocol with sigh breaths

Group Type EXPERIMENTAL

NIMV with sigh breaths

Intervention Type DEVICE

Sigh breaths: Maximal Inspiratory pressure (IPAPmax) increased of at least 25% ( ≥ 125%) with a frequency of at least 1/200 breaths. The sigh breaths will be delivered as part of the standard NIMV protocol

Standard NIMV protocol without sigh breaths

Group Type ACTIVE_COMPARATOR

Standard NIMV

Intervention Type DEVICE

Will be treated by standard NIMV with no sigh

Interventions

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NIMV with sigh breaths

Sigh breaths: Maximal Inspiratory pressure (IPAPmax) increased of at least 25% ( ≥ 125%) with a frequency of at least 1/200 breaths. The sigh breaths will be delivered as part of the standard NIMV protocol

Intervention Type DEVICE

Standard NIMV

Will be treated by standard NIMV with no sigh

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Willing and able to give informed consent
* MND diagnosis according to El-Escorial criteria
* Non-invasive ventilation indications in accordance with the international guidelines

Exclusion Criteria

* Inability to adhere to study visit schedule or lack of reliable caretaker
* Presence of dementia
* History of arrhythmia, heart failure or pneumothorax
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ospedale San Raffaele

OTHER

Sponsor Role lead

Responsible Party

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Nilo Riva

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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nilo riva, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Ospedale San Raffaele

Locations

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Ospedale San Raffaele

Milan, , Italy

Site Status

Countries

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Italy

Other Identifiers

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SIGH_01

Identifier Type: -

Identifier Source: org_study_id

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