Trial Outcomes & Findings for Respiration Validation for CPM Device (NCT NCT05445492)

NCT ID: NCT05445492

Last Updated: 2024-06-12

Results Overview

Percentage of respiration rate error within ± 2bpm. Acceptance criteria for clinical utility is \>= 85%. The percentage of respiration rate within ± 2brpm was calculated by data points, regardless of its rate and breathing condition, which the CPM System did not screen, therefore reporting the numeric values. Each data point will produce binary result (True or False) if the error is within ± 2 brpm. Assuming this binary result follows a binominal distribution, its confidence interval is also calculated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

41 participants

Primary outcome timeframe

90 minutes

Results posted on

2024-06-12

Participant Flow

Participant milestones

Participant milestones
Measure
Healthy Cohort
The target population for this cohort is healthy adult volunteers who do not have preexisting heart or lung conditions or illness. The goal is to recruit a participant population with a range of body types and BMIs and an approximately even split of genders and compare the reference device measurements to the test device. CPM Device: The CPM device and reference device are used simultaneous to validate the CPM device.
Overall Study
STARTED
41
Overall Study
COMPLETED
40
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Healthy Cohort
The target population for this cohort is healthy adult volunteers who do not have preexisting heart or lung conditions or illness. The goal is to recruit a participant population with a range of body types and BMIs and an approximately even split of genders and compare the reference device measurements to the test device. CPM Device: The CPM device and reference device are used simultaneous to validate the CPM device.
Overall Study
Physician Decision
1

Baseline Characteristics

Respiration Validation for CPM Device

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Cohort
n=40 Participants
The target population for this cohort is healthy adult volunteers who do not have preexisting heart or lung conditions or illness. The goal is to recruit a participant population with a range of body types and BMIs and an approximately even split of genders and compare the reference device measurements to the test device. CPM Device: The CPM device and reference device are used simultaneous to validate the CPM device.
Age, Continuous
33.7 years
STANDARD_DEVIATION 13.56 • n=5 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
39 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
BMI
171.8 kg/m^2
STANDARD_DEVIATION 11.5 • n=5 Participants
Height
171.8 centimeters
STANDARD_DEVIATION 11.5 • n=5 Participants
Weight
82.7 kilograms
STANDARD_DEVIATION 23.2 • n=5 Participants

PRIMARY outcome

Timeframe: 90 minutes

Percentage of respiration rate error within ± 2bpm. Acceptance criteria for clinical utility is \>= 85%. The percentage of respiration rate within ± 2brpm was calculated by data points, regardless of its rate and breathing condition, which the CPM System did not screen, therefore reporting the numeric values. Each data point will produce binary result (True or False) if the error is within ± 2 brpm. Assuming this binary result follows a binominal distribution, its confidence interval is also calculated.

Outcome measures

Outcome measures
Measure
Supine Position
n=40 Participants
This arm includes measurement data from position 1 of a CPM System reading (supine position).
Upright Position
n=360 device measurements
This arm includes measurement data from position 2 of a CPM System reading (upright position).
Accuracy of CPM System Calculated RR Versus Reference Device Via Percent of Error Accuracy of Respiration Rate
99.1 Percent
Interval 97.4 to 99.8
98.5 Percent
Interval 96.5 to 99.5

PRIMARY outcome

Timeframe: 90 minutes

First, the subject-specific linear fitting is performed after taking the natural log of both CPM's rTV and reference TV. Then, the residual errors in rTV after the fitting were calculated. Finally, all subject's residual errors are pooled together to calculate the root mean squared (RMS) residual relative errors. The confidence interval was calculated assuming the square of this error follows Chi-square distribution. This error characterized in a log-log domain is converted back to characterize a relative accuracy by taking an exponential of natural constant followed by subtraction of one. The RMS of residual error in % is characterized in this way because the linear fitting in the log-log domain and its residual errors represents faithful relative residual error regardless of an absolute value of TV.

Outcome measures

Outcome measures
Measure
Supine Position
n=360 Device measurements
This arm includes measurement data from position 1 of a CPM System reading (supine position).
Upright Position
n=360 Device measurements
This arm includes measurement data from position 2 of a CPM System reading (upright position).
Root Mean Squared Error (RMSE) of Respiration Rates From the CPM System vs Reference Device for Metronome Guided Breathing and Non-metronome Guided Breathing.
Root mean squared error for metronome guided breathing
0.83 breath rates per minute (BRPM)
1.41 breath rates per minute (BRPM)
Root Mean Squared Error (RMSE) of Respiration Rates From the CPM System vs Reference Device for Metronome Guided Breathing and Non-metronome Guided Breathing.
Root mean squared error for non-metronome guided breathing
1.03 breath rates per minute (BRPM)
0.97 breath rates per minute (BRPM)

SECONDARY outcome

Timeframe: device measurement (3 minutes)

Population: For 29 participants, a CPM lead strip and a Lead II ECG strip was generated.

Performance of CPM System's ECG is measurement by comparing CPM System ECG metrics to the reference device Lead II ECG strip. Clinicians reviewed the criteria below and decided if the CPM strip had equivalence to the Lead II strip.

Outcome measures

Outcome measures
Measure
Supine Position
n=58 ECG Strips
This arm includes measurement data from position 1 of a CPM System reading (supine position).
Upright Position
This arm includes measurement data from position 2 of a CPM System reading (upright position).
Performance of CPM System's ECG by % of CPM ECG Strip Equivalent to Lead II Strip
Quality QRS Presentation
100 % of CPM Strips Equivalent to Lead II
Performance of CPM System's ECG by % of CPM ECG Strip Equivalent to Lead II Strip
QRS width measurability
100 % of CPM Strips Equivalent to Lead II
Performance of CPM System's ECG by % of CPM ECG Strip Equivalent to Lead II Strip
Accurate Determination of QRS widening
94 % of CPM Strips Equivalent to Lead II
Performance of CPM System's ECG by % of CPM ECG Strip Equivalent to Lead II Strip
QT interval measurability
100 % of CPM Strips Equivalent to Lead II
Performance of CPM System's ECG by % of CPM ECG Strip Equivalent to Lead II Strip
A-Fib Rhythm Readability
100 % of CPM Strips Equivalent to Lead II

SECONDARY outcome

Timeframe: device measurement (3 minutes)

Population: For 29 participants, one ECG strip for CPM and one ECG strop for Lead II reference device were generated and compared.

Determine the accuracy of CPM System's ECG metrics to the reference device. Results are displayed as mean error with standard deviation of error.

Outcome measures

Outcome measures
Measure
Supine Position
n=58 ECG Strips
This arm includes measurement data from position 1 of a CPM System reading (supine position).
Upright Position
This arm includes measurement data from position 2 of a CPM System reading (upright position).
ECG Accuracy Confirmation Comparing CPM Systems Generated ECG Metrics and Reference Lead II Generated ECG Metrics
Heart Rate (Beats per minute)
-0.2 milliseconds (ms)
Standard Error 2.0
ECG Accuracy Confirmation Comparing CPM Systems Generated ECG Metrics and Reference Lead II Generated ECG Metrics
QRS witdh
18.9 milliseconds (ms)
Standard Error 10.8
ECG Accuracy Confirmation Comparing CPM Systems Generated ECG Metrics and Reference Lead II Generated ECG Metrics
QRS width (ms) excluding 8% of outliers
17.4 milliseconds (ms)
Standard Error 9.6
ECG Accuracy Confirmation Comparing CPM Systems Generated ECG Metrics and Reference Lead II Generated ECG Metrics
QT interval (ms)
27.5 milliseconds (ms)
Standard Error 40.9
ECG Accuracy Confirmation Comparing CPM Systems Generated ECG Metrics and Reference Lead II Generated ECG Metrics
QT interval (ms) excluding 8% of outliers
20.3 milliseconds (ms)
Standard Error 33.1
ECG Accuracy Confirmation Comparing CPM Systems Generated ECG Metrics and Reference Lead II Generated ECG Metrics
QTc interval
27 milliseconds (ms)
Standard Error 37.6
ECG Accuracy Confirmation Comparing CPM Systems Generated ECG Metrics and Reference Lead II Generated ECG Metrics
QTc interval excluding 8% f outliers
20.4 milliseconds (ms)
Standard Error 30.7

Adverse Events

Healthy Cohort

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Emily Wycallis

Analog Devices, Inc.

Phone: 9784351644

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place