UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055470
Receipt number R000058870
Scientific Title The Effect of High-Flow Nasal Cannula Oxygen Therapy on Respiratory Muscle
Date of disclosure of the study information 2024/09/11
Last modified on 2025/03/13 12:21:50

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Basic information

Public title

The Effect of High-Flow Nasal Cannula Oxygen Therapy on Respiratory Muscle

Acronym

The Effect of High-Flow Nasal Cannula Oxygen Therapy on Respiratory Muscle

Scientific Title

The Effect of High-Flow Nasal Cannula Oxygen Therapy on Respiratory Muscle

Scientific Title:Acronym

The Effect of High-Flow Nasal Cannula Oxygen Therapy on Respiratory Muscle

Region

Japan


Condition

Condition

Patients 18 years of age or older for whom HFNC is considered appropriate at the time of consent. Patients with acute respiratory failure (PaO2/FIO2<300, SpO2<92%, etc. requiring oxygenation). High risk post extubation (age > 65 years, chronic heart failure, APACHE II score > 12, BMI > 30, airway problems, difficult weaning, duration of ventilator management > 7 days). Post thoracic surgery (ARISTAT score > 26 points, obesity, high risk of cardiac and pulmonary disease).

Classification by specialty

Emergency medicine Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate respiratory muscle thickness changes in patients using HFNC before and after its use.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The results of this study will evaluate the changes in DTei, DTee, ETei, ETee, DTF, ETF, DTF/respiratory rate, and ETF/respiratory rate before and after wearing HFNC as changes in respiratory effort. In addition, the relationship between inspiratory and expiratory muscles will be evaluated.

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

100 years-old >

Gender

Male and Female

Key inclusion criteria

Acute respiratory failure (PaO2/FIO2<300, SpO2<92%, etc., requiring oxygenation)
Post-extubation high risk (age > 65 years, chronic heart failure, APACHE II score > 12, BMI > 30, airway problems, difficult weaning, duration of ventilator management > 7 days, one or more of the following)
and post thoracic surgery (ARISTAT score > 26 points, obesity, high risk of cardiac and pulmonary disease)

Key exclusion criteria

Highly obese (BMI>40), pregnant women, history of neuromuscular disease, cervical cord injury or post-surgical spinal cord injury, abdominal obstruction, post-tracheostomy, severe COPD, overactive delirium, agitation

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 Intensive Care Medicine

Zip code

770-8503

Address

Tokushima ,Tokushima city, Kuramoto town, 2-50-1

TEL

0886313111

Email

tigerusan@gmail.com


Public contact

Name of contact person

1st name Takuya
Middle name
Last name Takashima

Organization

Tokushima University Hospital

Division name

Department of Emergency and Intensive Care Medicine

Zip code

7708503

Address

Tokushima ,Tokushima city, Kuramoto town, 2-50-1

TEL

0886313111

Homepage URL


Email

t.takashima0405@gmail.com


Sponsor or person

Institute

Tokushima University

Institute

Department

Personal name



Funding Source

Organization

none

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

Tokushima University Hospital

Address

Tokushima ,Tokushima city, Kuramoto town, 2-50-1

Tel

0886313111

Email

t.takashima0405@gmail.com


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

2024 Year 09 Month 11 Day


Related information

URL releasing protocol

none

Publication of results

Unpublished


Result

URL related to results and publications

none

Number of participants that the trial has enrolled

30

Results

We're analyzing all of the data

Results date posted

2024 Year 09 Month 10 Day

Results Delayed


Results Delay Reason

We're analyzing all of the data

Date of the first journal publication of results


Baseline Characteristics

Admitted to ICU and required HFNC

Participant flow

Subjects wear HFNC and are evaluated by diaphragmatic echocardiography.

Adverse events

none

Outcome measures

Diaphragm function and its changes

Plan to share IPD

none

IPD sharing Plan description

none


Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2022 Year 07 Month 01 Day

Date of IRB

2021 Year 10 Month 25 Day

Anticipated trial start date

2022 Year 10 Month 11 Day

Last follow-up date

2024 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2024 Year 09 Month 10 Day

Last modified on

2025 Year 03 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058870