Oscillation and Lung Expansion Therapy in Patients With COVID-19

NCT ID: NCT04582214

Last Updated: 2022-05-10

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

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-28

Study Completion Date

2022-06-30

Brief Summary

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A Pilot Study of the Use of Oscillation and Lung Expansion (OLE) Therapy in Patients Hospitalized with COVID-19

Detailed Description

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This is a randomized prospective open-label cohort study in patients with COVID-19 to evaluate the impact of Oscillation and Lung Expansion (OLE) therapy using The MetaNeb® System on the hospital length of stay in patients hospitalized and receiving heated high-flow oxygen therapy for COVID-19 infection. The active treatment group will consist of patients who are treated OLE therapy while on heated high-flow oxygen therapy .

Results from subjects in the active treatment group will be compared to results from patients treated with standard care with no OLE therapy.

Conditions

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COVID-19 Oscillation and Lung Expansion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The active treatment group will consist of patients who are treated OLE therapy while on heated high-flow oxygen therapy. Results from subjects in the active treatment group will be compared to retrospectively collected results from patients treated with standard care with no OLE therapy.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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OLE Therapy with The MetaNeb® System

Subjects in the active treatment group will receive OLE therapy with The MetaNeb® System following the labeled instructions for the device.

Group Type EXPERIMENTAL

MetaNeb® System

Intervention Type DEVICE

The intervention device use in this study is The MetaNeb® System (Hill-Rom; St. Paul, MN). It is an FDA 510k cleared device (k124032), powered by compressed gas, that delivers oscillation and lung expansion (OLE) therapy using both continuous high-frequency oscillation (CHFO) and continuous positive expiratory pressure (CPEP). The device also provides supplemental oxygen when used with compressed oxygen and can deliver aerosol therapy during CPEP and/or CHFO. The therapy is indicated for mobilization of secretions, lung expansion therapy and the treatment and prevention of pulmonary atelectasis. The device also provides supplemental oxygen when used with compressed oxygen.

Control Group

The airway clearance regimen for subjects in the control group will be collected from the medical record.This information will be retrospectively collected from patients treated with standard care with no OLE therapy. Subjects in the control group will be identified from the population of patients previously admitted to the two study sites with COVID-19 infection who required invasive mechanical ventilation but were not treated with OLE therapy.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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MetaNeb® System

The intervention device use in this study is The MetaNeb® System (Hill-Rom; St. Paul, MN). It is an FDA 510k cleared device (k124032), powered by compressed gas, that delivers oscillation and lung expansion (OLE) therapy using both continuous high-frequency oscillation (CHFO) and continuous positive expiratory pressure (CPEP). The device also provides supplemental oxygen when used with compressed oxygen and can deliver aerosol therapy during CPEP and/or CHFO. The therapy is indicated for mobilization of secretions, lung expansion therapy and the treatment and prevention of pulmonary atelectasis. The device also provides supplemental oxygen when used with compressed oxygen.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Adult patient (\> 18 years of age)
* Tested positive or person under investigation (PUI) for COVID-19 infection
* Currently require heated high-flow oxygen therapy to maintain SaO2 \> 90 %
* Signed informed consent (phone consent)
* Heated high-flow oxygen initiated within the past 72 hours

Exclusion Criteria

* Serious medical condition that, in the investigator's judgment, precludes the patient's safe participation in the study
* Pressure related risk for pneumothorax
* Patient inability or unwillingness to tolerate OLE therapy
* Staff unavailable or unable to deliver therapy
* Current requirement for mechanical ventilation or expected requirement for mechanical ventilation within the next 12 hours
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Emory University

OTHER

Sponsor Role collaborator

Northwestern University

OTHER

Sponsor Role collaborator

Hill-Rom

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Emory University

Atlanta, Georgia, United States

Site Status RECRUITING

Northwestern University

Evanston, Illinois, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Brian Becker, RT

Role: CONTACT

612.600.1301

Lindsay Downing, MPH

Role: CONTACT

804.307.0924

Facility Contacts

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Elizabeth Cox

Role: primary

Phill Cooper

Role: primary

312-503-0406

Other Identifiers

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CR-RR-2020-002

Identifier Type: -

Identifier Source: org_study_id

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