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Trial registered on ANZCTR
Registration number
ACTRN12620000378921p
Ethics application status
Not yet submitted
Date submitted
16/01/2020
Date registered
19/03/2020
Date last updated
19/03/2020
Date data sharing statement initially provided
19/03/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Patient responses to nasal high flow therapy (PRNHFT): a pilot study
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Scientific title
Patient responses to nasal high flow therapy (PRNHFT): a pilot study
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Secondary ID [1]
300281
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None
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Universal Trial Number (UTN)
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Trial acronym
PRNHFT study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Respiratory distress
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Condition category
Condition code
Respiratory
314140
314140
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
To create a database of physiological therapeutic responses to changes in FiO2 as captured by an inline data collecting box, for patients whilst on AIRVO2
MATERIALS
AIRVO2 flow source and Nasal High Flow cannula. An inline monitor will be installed in the circuit
PROCEDURES
All normal cares will prevail. One exception is the patient must wear a second independent SpO2 monitoring device on one of their fingers (Massimo SpO2 monitor a fully released and marketed device). The second device shall be worn continuously whilst on ARIVO therapy for a maximum of 10 days average expected to be less then 48hrs (based on historical data))
WHO
Consented Adult ICU patients with a requirement for respiratory support (delivered by AIRVO using nasal high flow cannula) as determined by the clinician in charge of their care. No other individual will be involved in the care of these patients
DELIVERY
All usual care shall prevail. The NHF shall be delivered by the ICU staff ( nurses and Drs)
DURATION
The therapy duration shall prevail as per standard care and by clinical need as determined by the clinician in charge of their care
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Intervention code [1]
316553
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Treatment: Devices
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Intervention code [2]
316554
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change in patients physiology (respiratory)
SpO2 as assessed by pulse oximetry
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Assessment method [1]
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Timepoint [1]
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For each % FiO2 therapy change - maximum duration of ten days (whilst on AIRVO therapy but expected to be 48Hours based on historical data))
FiO2 therapy change frequency as determined by clinical need and cannot be predicted
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Primary outcome [2]
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Change in patients physiology (respiratory)
Respiratory rate as assessed by monitoring clinician
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Assessment method [2]
323068
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Timepoint [2]
323068
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For each % FiO2 therapy change - maximum duration of ten days (whilst on AIRVO therapy but expected to be 48Hours based on historical data))
FiO2 therapy change frequency as determined by clinical need and cannot be predicted
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Secondary outcome [1]
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Change in patients physiology (cardiac):
Blood pressure as assessed by bench-top sphygmomanometer and or in line arterial monitor if available
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Assessment method [1]
378843
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Timepoint [1]
378843
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For each % FiO2 therapy change - maximum duration of ten days (whilst on AIRVO therapy but expected to be 48Hours based on historical data))
FiO2 therapy change frequency as determined by clinical need and cannot be predicted
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Secondary outcome [2]
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Change in patients physiology (cardiac):
Heart rate as assessed by infrared pulse oximeter
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Assessment method [2]
380686
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Timepoint [2]
380686
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For each % FiO2 therapy change - maximum duration of ten days (whilst on AIRVO therapy but expected to be 48Hours based on historical data))
FiO2 therapy change frequency as determined by clinical need and cannot be predicted
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Eligibility
Key inclusion criteria
In order to be eligible to participate in this study, an individual must meet all of the following criteria:
1. Provision of signed and dated informed consent form
2. Stated willingness to comply with all study procedures and availability for the duration of the study
3. Male or female, aged > 16 years
4. Ability to tolerate the therapy and be willing to adhere to the study intervention regimen
5. Agreement to adhere to therapy considerations throughout study duration
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
An individual who meets any of the following criteria will be excluded from participation in this study:
1. Pregnancy or lactation
2. Known allergic reactions to, or contraindications to components of the study intervention
3. Involvement in another investigational study at the same time i.e. simultaneously
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2020
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Actual
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Date of last participant enrolment
Anticipated
1/10/2020
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Actual
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Date of last data collection
Anticipated
30/10/2020
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Bay of Plenty
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Funding & Sponsors
Funding source category [1]
304704
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Commercial sector/Industry
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Name [1]
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Fisher & Paykel Healthcare
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Address [1]
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Fisher & Paykel Healthcare
15 Maurice Paykel Place East Tamaki , Auckland
PO BX 2015 Auckland
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Country [1]
304704
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
Fisher & Paykel Healthcare
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Address
Fisher & Paykel Healthcare
15 Maurice Paykel Place East Tamaki , Auckland
PO BX 2015 Auckland
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
305018
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Country [1]
305018
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
305122
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NZ HDEC
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Ethics committee address [1]
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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01/05/2020
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Approval date [1]
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Ethics approval number [1]
305122
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Summary
Brief summary
The intensive monitoring of a patients’ physiological response to therapies such as Nasal High Flow is mandated and is a component of standard care. This physiological response data is used to inform clinical decision making and subsequent titration of a therapy to meet the dynamic and individual needs of a patient. Currently data on patient condition and oxygen delivery, if they are recorded, are recorded on discrete devices, making it difficult to relate them. It is proposed that a single device may record these data to allow analysis of patients’ physiologic response to changing NHF therapy. No such devices are currently available.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Troy Browne
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Address
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C/- ICU ,
Bay of Plenty District Area Health Board
829 Cameron Road,
Tauranga South,
Tauranga 3112
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Country
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New Zealand
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Phone
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+64 21 473 419
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Jane ODonnell
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Address
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Fisher & Paykel Healthcare
15 Maurice Paykel PL
East Tamaki
Auckland
PO Bx 2015 Auckland
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Country
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New Zealand
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Phone
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+64 21563836
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jane ODonnell
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Address
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Fisher & Paykel Healthcare
15 Maurice Paykel PL
East Tamaki
Auckland
PO Bx 2015 Auckland
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Country
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New Zealand
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Phone
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+64 21563 836
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Vulnerable population
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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