UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037317
Receipt number R000042306
Scientific Title Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study
Date of disclosure of the study information 2019/07/16
Last modified on 2022/08/08 11:47:02

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Basic information

Public title

Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study

Acronym

Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study

Scientific Title

Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study

Scientific Title:Acronym

Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study

Region

Japan


Condition

Condition

Adult critically ill patients receiving mechanical ventilation

Classification by specialty

Intensive care medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether end-tidal carbon dioxide (EtCO2) measurement on the ventilator side of the heat and moisture exchanger filter (HME) is non-inferior to EtCO2 measurement on the patient side of the HME in adult critically ill patients receiving mechanical ventilation.

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Absolute differences between arterial partial pressure of carbon dioxide (PaCO2) and EtCO2.
Delta EtCO2 of ventilator side= absolute differences between PaCO2 and EtCO2 measured on the ventilator side of the HME filter.
Delta EtCO2 of patient side= absolute differences between PaCO2 and EtCO2 measured on the patient side of the HME filter.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Adult patients (20 years or older) admitted to the intensive care unit and received mechanical ventilation through orotracheal or tracheostomy tube.
2. The respiratory circuit was humidified with heat and moisture exchanger filter.
3. Patients with arterial line.

Key exclusion criteria

1.Pregnancy
2.Patients previously enrolled in this study
3.Refusal of study participation
4.Patients do not meet the safety criteria.
If patients have any of the following physiological signs, the patients are judged not meeting the safety criteria.
Ventilator settings
-PEEP 10 cmH2O or more
-Fraction of inspired oxygen 0.6 or more
Heart rate
-below 40 bpm, 130 bpm or more
Mean arterial pressure
-below 60 mm Hg, 110 mm Hg or more
Oxygen saturation
-below 90%
Respiratory rate
-40 breaths per minute or more
Body temperature
-below 36 degrees Celsius, 38.5 degrees Celsius or more
5. Treating physicians judged that study participation of the patient is inappropriate.

Target sample size

35


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Tamashiro

Organization

Okinawa Chubu Hospital

Division name

Department of Clinical engineering

Zip code

904-2293

Address

281 Miyazato, Uruma, Okinawa 904-2293, Japan

TEL

098-973-4111

Email

tamashiro_satoshi@hosp.pref.okinawa.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Tamashiro

Organization

Okinawa Chubu Hospital

Division name

Department of Clinical engineering

Zip code

904-2293

Address

281 Miyazato, Uruma, Okinawa 904-2293, Japan

TEL

098-973-4111

Homepage URL


Email

tamashiro_satoshi@hosp.pref.okinawa.jp


Sponsor or person

Institute

Okinawa Chubu Hospital, Department of Clinical engineering

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Okinawa Chubu Hospital Research ethics committees

Address

281 Miyazato, Uruma, Okinawa, Japan

Tel

098-973-4111

Email

tamashiro_satoshi@hosp.pref.okinawa.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

沖縄県立中部病院(沖縄県)


Other administrative information

Date of disclosure of the study information

2019 Year 07 Month 16 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s10877-022-00901-6

Number of participants that the trial has enrolled

37

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 06 Month 19 Day

Date of IRB

2019 Year 06 Month 19 Day

Anticipated trial start date

2019 Year 07 Month 16 Day

Last follow-up date

2022 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete

2019 Year 12 Month 25 Day

Date analysis concluded

2022 Year 04 Month 01 Day


Other

Other related information

Sample size calculation: The calculated sample size is 35 patients based on a non-inferiority margin of +1mm Hg for a difference in delta EtCO2 of ventilator side minus delta EtCO2 of patient side, with a 1-sided alpha of 5%, and 90% power, assuming standard deviation of the difference as 1.5 mmHg. A non-inferiority margin of +1mm Hg was set based on minimum clinically meaningful difference. The standard deviation of 1.5 mm Hg was set based on the results of pilot sampling.

Statistical analysis: We will declare non-inferiority if the upper limit of the 1-sided 95% interval of the difference in delta EtCO2 of ventilator side minus delta EtCO2 of patient side is less than the non-inferiority margin of + 1mm Hg.


Management information

Registered date

2019 Year 07 Month 09 Day

Last modified on

2022 Year 08 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042306