UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043290
Receipt number R000049302
Scientific Title Research on effect of preceding inspiration method and cough timing on coughing power
Date of disclosure of the study information 2021/02/15
Last modified on 2022/02/11 19:03:47

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Basic information

Public title

Effect of preceding inspiration method and cough timing on coughing power

Acronym

Effect of preceding inspiration method and cough timing on coughing power

Scientific Title

Research on effect of preceding inspiration method and cough timing on coughing power

Scientific Title:Acronym

Research on effect of preceding inspiration method and cough timing on coughing power

Region

Japan


Condition

Condition

Obstructive ventilatory disturbance, Restrictive ventilatory disturbance

Classification by specialty

Pneumology Rehabilitation medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

1.To examine the differences in cough force depending on the inspiration method and cough timing, and to establish an appropriate measurement method for coughing power.
2.To examine the differences in measurement results between normal subjects and patients with respiratory diseases, and to contribute not only to measurement but also to coughing practice and patient guidance in respiratory physiotherapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Peak cough flow

Key secondary outcomes

Forced Vital Capacity
Percent predicted Forced Vital Capacity
Forced Expiratory Volume in 1 second
Percent predicted Forced Expiratory Volume in one second
Forced Expiratory Volume in 1 second as percent of FVC
Percent predicted Forced Expiratory Volume in 1 second as percent of FVC
Maximal Voluntary Ventilation
Percent predicted Maximal Voluntary Ventilation
Peak Expiratory Flow
Percent predicted Peak Expiratory Flow
V75-25
Percent predicted V75-25
Peak inspiratory Flow


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Maneuver

Interventions/Control_1

Coughing power test
For this measurement, the spirometer will be attached to a mask for expiratory gas analysis. The coughing power(peak cough flow:PCF) is measured under the following four conditions.

Method 1: Cough without an end-inspiratory pause after fast inspiration
Method 2: Cough with an end-inspiratory pause after fast inspiration
Method 3: Cough without an end-inspiratory pause after slow inspiration
Method 4: Cough with an end-inspiratory pause after slow inspiration

For an end-inspiratory pause, the subject watch a timer and coughing after 4 to 6 seconds of respiratory arrest. The measurement position should be sitting, or wheelchair or chair sitting if the sitting position is unstable. The measurement consists of two or three practice sessions, followed by three measurements, and the one with the maximum PCF value is adopted.

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

Healthy subject
1) Healthy subjects over 20 years old
2) Subjects who can give consent in writing for participation in this study
3) Non-smokers or light smokers with a Brinkman index of less than 100

Respiratory disease patients
1) Patients aged over 20 years old
2)Patients who can give consent in writing for participation in this study
3) Patients who are outpatients at Gunma University Hospital
4) Patient with restrictive ventilation disorder or obstructive ventilation disorder

Key exclusion criteria

1)Patients with unexplained blood sputum
2) Patients diagnosed with angina pectoris
3) Patients suffering from unstable cardiovascular disease
4) Patients diagnosed with myocardial infarction or pulmonary embolism
5) Patients with aortic aneurysm
6) Patients immediately after eye surgery (cataract or glaucoma)
7) Patients who have undergone thoracic or abdominal surgery
8) Patients who are unable to give explanation and consent due to cognitive function or psychiatric symptoms

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Takeshi
Middle name
Last name Hisada

Organization

Gunma University

Division name

Graduate School of Health Sciences / Department of Respiratory Medicine and Allergy

Zip code

371-8514

Address

3-39-22, Showa-machi, Maebashi, Gunma

TEL

027-220-8944

Email

hisadat@gunma-u.ac.jp


Public contact

Name of contact person

1st name Takeshi
Middle name
Last name Hisada

Organization

Gunma University

Division name

Graduate School of Health Sciences / Department of Respiratory Medicine and Allergy

Zip code

371-8511

Address

3-39-22, Showa-machi, Maebashi, Gunma

TEL

027-220-8944

Homepage URL


Email

hisadat@gunma-u.ac.jp


Sponsor or person

Institute

Gunma University

Institute

Department

Personal name



Funding Source

Organization

Gunma University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Gunma University Hospital Clinical Research Review Board

Address

3-39-15, Showa-machi, Maebashi, Gunma

Tel

027-220-8740

Email

gunmaciru-office@umin.ac.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

群馬大学医学部附属病院(群馬県)


Other administrative information

Date of disclosure of the study information

2021 Year 02 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

30

Results

Compared to cough with an end-inspiratory pause after slow inspiration (method 4) significantly higher PCF was measured in cough without an end-inspiratory pause after rapid inspiration (method1), and in cough without an end-inspiratory pause after slow inspiration (method 3), in healthy subjects and patients with restrictive ventilation disorder. In addition, PCF was significantly higher in method 1 coughing compared to method 4 coughing in patients with obstructive ventilatory impairment.

Results date posted

2022 Year 02 Month 11 Day

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

2021 Year 02 Month 01 Day

Date of IRB

2021 Year 01 Month 28 Day

Anticipated trial start date

2021 Year 02 Month 01 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 02 Month 09 Day

Last modified on

2022 Year 02 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049302


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name