UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060795
Receipt number R000069015
Scientific Title Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study
Date of disclosure of the study information 2026/03/10
Last modified on 2026/03/02 11:13:51

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Basic information

Public title

Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study

Acronym

Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study

Scientific Title

Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study

Scientific Title:Acronym

Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study

Region

Japan


Condition

Condition

Healthy adults

Classification by specialty

Anesthesiology Intensive care medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Peripheral Perfusion Index (PPI) derived from pulse oximetry quantifies peripheral circulation noninvasively and conveniently based on the pulse waveform amplitude and has been increasingly used in clinical research. Microcirculation is an important factor related to prognosis, but continuous assessment in routine practice is difficult because dedicated devices are required. Nailfold Video Capillaroscopy (NVC) can quantify nailfold microcirculation, yet it is not widely used in general clinical practice. If PPI correlates with NVC metrics, PPI may serve not only as a peripheral perfusion indicator but also as a surrogate marker of microcirculation. Primary objective is to evaluate the association between pulse oximetry-derived PPI (PAI and PI) and nailfold microcirculation metrics assessed by NVC (capillary blood flow velocity and capillary diameter).

Basic objectives2

Others

Basic objectives -Others

PPI values differ by manufacturer (e.g., pulse-amplitude index [PAI] and perfusion index [PI]), and clarifying the relationship between PAI and PI is important for cross-device comparison and consistent evaluation. Secondary objective is to clarify the relationship between PAI and PI and to develop conversion equations.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Correlation (Pearson r with 95% CI) between PAI/PI and simultaneously measured nailfold capillary blood flow velocity and capillary diameter under each temperature condition (16 C, 22 C, 28 C).

Key secondary outcomes

Regression-based conversion equations between PAI and PI


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

1. Healthy adults (staff of Department of Anesthesiology, operating room nurses, and clinical engineers at Nagasaki University Hospital).
2. Able to provide written informed consent.

Key exclusion criteria

1. Nail polish or other decorations on fingers.
2. Current smoker.
3. Underlying disease under active treatment.
4. People without cuticles

Target sample size

30


Research contact person

Name of lead principal investigator

1st name TAKAYUKI
Middle name
Last name MORIMOTO

Organization

Nagasaki University Hospital

Division name

Department of Anesthesiology

Zip code

852-8102

Address

1-7-1 Sakamoto, Nagasaki, JAPAN

TEL

095-819-7370

Email

tmorimoto@nagasaki-u.ac.jp


Public contact

Name of contact person

1st name TAKAYUKI
Middle name
Last name MORIMOTO

Organization

Nagasaki University Hospital

Division name

Department of Anesthesiology

Zip code

852-8102

Address

1-7-1 Sakamoto, Nagasaki, JAPAN

TEL

095-819-7370

Homepage URL


Email

tmorimoto@nagasaki-u.ac.jp


Sponsor or person

Institute

Nagasaki University Hospital

Institute

Department

Personal name



Funding Source

Organization

Nagasaki University Hospital

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

Ethics Committee for Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences

Address

1-12-4 Sakamoto, Nagasaki

Tel

095-819-7198

Email

gakujutu_gakuji@ml.nagasaki-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

2026 Year 03 Month 10 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

2026 Year 01 Month 30 Day

Date of IRB


Anticipated trial start date

2026 Year 03 Month 01 Day

Last follow-up date

2026 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a single-center prospective observational study.
Measurements are performed under three ambient temperature conditions (16 C, 22 C, and 28 C). At each condition, data are collected 5 minutes after entering the room. PAI and PI are measured simultaneously using pulse oximeter probes attached to the dominant index and ring fingers. Nailfold microcirculation is assessed on the dominant middle finger using nailfold video capillaroscopy (NVC), and capillary blood flow velocity and capillary diameter (and related metrics) are evaluated. SpO2, noninvasive blood pressure, heart rate, body temperature, and a 10-point comfort VAS are recorded simultaneously. The order of temperature conditions is not fixed. All procedures are noninvasive and do not involve therapeutic intervention.


Management information

Registered date

2026 Year 03 Month 02 Day

Last modified on

2026 Year 03 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069015