UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045278
Receipt number R000051666
Scientific Title Effects of expiratory muscle use on lung volume and diaphragmatic contraction in patients under mechanical ventilation
Date of disclosure of the study information 2021/11/01
Last modified on 2021/08/26 20:22:20

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Basic information

Public title

Effects of expiratory effort on lung collupse and diaphragmatic contraction during mechanical ventilation

Acronym

Effect of expiratory effort on respiratory codition

Scientific Title

Effects of expiratory muscle use on lung volume and diaphragmatic contraction in patients under mechanical ventilation

Scientific Title:Acronym

Effects of expiratory muscle use on respiratory mechanics

Region

Japan


Condition

Condition

Acute respiratory failure

Classification by specialty

Emergency medicine Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate if expiratory muscle use during mechanical ventilation effects on end-expiratory lung volume and diaphragm contraction in patients with acute respiratory failure and expiratory flow limitation

Basic objectives2

Others

Basic objectives -Others

To investigate the effect of opioid on expiratory muscle use

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Thickening fraction of expiratory muscles, expiratory gastric pressure and expiratory transpulmonary pressure

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with acute hypoxemic failure (PaO2/FIO2 ratio less than 300 mmHg) and expiratory flow limitation supposed to be on mechanical ventilator for more than 48 hours

Key exclusion criteria

Diaphragmatic dysfunction, history of neuromuscular disease, continuous infusion of neuromuscular blocker, pneumothorax/pneumomediastinum, esophageal varix, hystory of gastric or esophageal surgery, pregnancy, ready for extubation within 48 hours, disagree with th e study

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Taiga
Middle name
Last name Itagaki

Organization

Tokushima University Hospital

Division name

Department of emergency and disaster medicine

Zip code

7708503

Address

2-50-1 Kuramoto, Tokushima, 7708503, Japan

TEL

+81-88-633-9347

Email

taiga@tokushima-u.ac.jp


Public contact

Name of contact person

1st name Taiga
Middle name
Last name Itagaki

Organization

Tokushima University Hospital

Division name

Department of emergency and disaster medicine

Zip code

7708503

Address

2-50-1 Kuramoto, Tokushima, 7708503, Japan

TEL

+81-88-633-9347

Homepage URL


Email

taiga@tokushima-u.ac.jp


Sponsor or person

Institute

Tokushima University Hospital

Institute

Department

Personal name



Funding Source

Organization

Japan society for the promotion of science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Ethics Committee of Tokushima University Hospital

Address

2-50-1 Kuramoto, Tokushima, 7708503, Japan

Tel

+81-88-633-7958

Email

brinshoshienk@tokushima-u.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



Other administrative information

Date of disclosure of the study information

2021 Year 11 Month 01 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


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

Preinitiation

Date of protocol fixation

2021 Year 11 Month 01 Day

Date of IRB


Anticipated trial start date

2021 Year 11 Month 01 Day

Last follow-up date

2023 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

First, we assess the presence or absence of expiratory flow limitation in patients under mechanical ventilation. Next, for patients with expiratory flow limitation, we conduct (a) simultaneous measurement of gastric, esophageal and airway pressure, and (b) ultrasonographical measurement of thickness of expiratory muscles, before and after the administration of fentanyl.


Management information

Registered date

2021 Year 08 Month 26 Day

Last modified on

2021 Year 08 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051666