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Trial registered on ANZCTR
Registration number
ACTRN12624000436572
Ethics application status
Approved
Date submitted
18/03/2024
Date registered
10/04/2024
Date last updated
10/04/2024
Date data sharing statement initially provided
10/04/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessment of the effect of airway clearance techniques in adults with bronchiectasis.
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Scientific title
Feasibility of Electrical Impedance Tomography in assessing short-term effects of airway clearance techniques in adults with bronchiectasis.
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Secondary ID [1]
311759
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bronchiectasis
333262
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Condition category
Condition code
Respiratory
329953
329953
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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
Electrical impedance tomography (EIT) monitoring during airway clearance techniques for those participants included in the study.
An electrode belt connected to EIT machine will be placed on the participant’s chest, the belt is worn at nipple level for males and below the breast tissues for females (between 4th and 6th intercostal space). EIT belt positioning is marked on the skin with a marker to ensure its fixed displacement during the measurement period.
Baseline measures of oxygen saturation will be recorded via pulse oximeter. EIT measurements will commence 5 minutes before ACTs and continue for the duration of the session.
Participants will then perform their routine ACTs for up to 20mins (participants either complete their routine ACTs within 20mins or are requested to stop at 20mins). The ACTs performed were previously prescribed by their treating physiotherapist and are individualised. Airway clearance may involve breathing exercises, positive expiratory pressure (PEP) or oscillatory PEP devices, or a combination of inhaled therapy with devices.
Details of ACTs performed by each participant will be collected.
Sputum expectorated during and immediately after the ACTs are collected and measured. Oxygen saturation will be recorded again immediately after the ACTs.
EIT measurements will cease 5 minutes after ACTs.
After the measurements, participants complete a questionnaire regarding their ACTs experiences and rate whether the EIT measurements affected their ACTs.
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Intervention code [1]
328214
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Early detection / Screening
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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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centre of ventilation (COV),
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Assessment method [1]
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Electrical Impedance Tomography
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Timepoint [1]
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From 5 minutes prior to intervention until 20 minutes post intervention
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Primary outcome [2]
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Global Inhomogeneity index
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Assessment method [2]
337795
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Electrical Impedance Tomography
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Timepoint [2]
337795
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From 5 mins prior to intervention until 20 minutes post intervention
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Primary outcome [3]
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end-expiratory lung impedance (EELI)
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Assessment method [3]
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Electrical Impedance Tomography
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Timepoint [3]
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From 5 min prior until 20 minutes post intervention
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Secondary outcome [1]
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Oxygen saturation
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Assessment method [1]
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Pulse oximetry
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Timepoint [1]
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Immediately Pre up to 20 min post intervention
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Secondary outcome [2]
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To document the sputum volume produced as a result of the airway clearance techniques (ACTs).
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Assessment method [2]
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Sputum produced during and immediately after ACTs will be collected in 15ml specimen jars. Reading of the scale mark will be recorded as sputum volume.
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Timepoint [2]
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Up to 20 min post intervention
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Secondary outcome [3]
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Dyspnoea scale.
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Assessment method [3]
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Dyspnoea scale
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Timepoint [3]
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Up to 20 min post intervention
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Eligibility
Key inclusion criteria
Study participants will be recruited from patients attending the Adult Bronchiectasis Clinic at Mater Hospital Brisbane.
Has a diagnosis of bronchiectasis
• Productive of secretions that require routine airway clearance
• Performs ACTs regularly at home
• Willing and able to provide informed consent
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Minimum age
18
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
• Contraindicated for ACTs, including chest trauma, facial trauma or facial burns, bleeding disorder, uncontrolled bronchospasm, and current haemoptysis.
• Contraindicated for EIT measurements, including pacemaker, automatic implantable cardioverter defibrillator, and implantable pumps.
• Inability to follow instructions.
• Patients less than 18 years of age.
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Study design
Purpose of the study
Educational / counselling / training
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
Safety/efficacy
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Statistical methods / analysis
Statistical analysis of the EIT raw data will be repeated measures ANOVA analysis using SPSS (IBM® SPSS® software). The primary endpoints are changes of the EIT data on EELI, GI index, COV, IR, and regional impedance amplitudes pre- and post-AC.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/05/2024
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Actual
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Date of last participant enrolment
Anticipated
1/09/2024
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Actual
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Date of last data collection
Anticipated
1/09/2024
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
26285
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Mater Hospital Brisbane - South Brisbane
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Recruitment postcode(s) [1]
42256
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4101 - South Brisbane
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Funding & Sponsors
Funding source category [1]
316094
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Hospital
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Name [1]
316094
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Mater Health
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Address [1]
316094
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Country [1]
316094
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Australia
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Primary sponsor type
Hospital
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Name
Mater Health Brisbane
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Address
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Australian Catholic University
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Address [1]
318261
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Country [1]
318261
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314916
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Mater Misericordiae Ltd Human Research Ethics Committee
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Ethics committee address [1]
314916
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http://www.materresearch.org.au/about-us/human-research-ethics-and-governance/human-research-ethics
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Ethics committee country [1]
314916
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Australia
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Date submitted for ethics approval [1]
314916
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09/11/2023
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Approval date [1]
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06/03/2024
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Ethics approval number [1]
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HREC/MML/103953 (V2)
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Ethics committee name [2]
314917
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Australian Catholic University
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Ethics committee address [2]
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https://staff.acu.edu.au/our_university/research/research-services/research-ethics
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Ethics committee country [2]
314917
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Australia
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Date submitted for ethics approval [2]
314917
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11/03/2024
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Approval date [2]
314917
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Ethics approval number [2]
314917
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2024-3335R
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Summary
Brief summary
The specific aims of this prospective observational study are: To investigate the short-term effects of ACTs on ventilation distribution and end-expiratory lung volume in adults with bronchiectasis. To examine the feasibility of EIT to assess the short-term effects of ACTs in adults with bronchiectasis in hospital outpatient clinic settings. To examine the feasibility of EIT to provide clinically meaningful outcomes of ACTs in adults with bronchiectasis. The objectives of this quantitative study are: To document and analyse the changes in ventilation distribution during ACTs in adults with bronchiectasis using EIT. To document the participant’s feedback on the experience of performing airway clearance with continuous EIT measurement. To document the clinician’s experience of using EIT as an outcome measure for ACTs in clinical settings. Study design: prospective observational cohort study using quantitative approaches.
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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 Judith Hough
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Address
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Australian Catholic University, Brisbane Campus, 1100 Nudgee Rd, Banyo Queensland 4014
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Country
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Australia
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Phone
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+61422404369
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Fax
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Email
133134
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[email protected]
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Contact person for public queries
Name
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Judith Hough
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Address
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Australian Catholic University, Brisbane Campus, 1100 Nudgee Rd, Banyo Queensland 4014
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Country
133135
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Australia
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Phone
133135
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+61422404369
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Fax
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Email
133135
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[email protected]
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Contact person for scientific queries
Name
133136
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Judith Hough
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Address
133136
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Australian Catholic University, Brisbane Campus, 1100 Nudgee Rd, Banyo Queensland 4014
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Country
133136
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Australia
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Phone
133136
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+61422404369
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Fax
133136
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Email
133136
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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)?
Yes
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What data in particular will be shared?
Statistical analysis
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When will data be available (start and end dates)?
From project completion with no end date
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Available to whom?
anyone who wishes to access it
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Available for what types of analyses?
Meta-analysis
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How or where can data be obtained?
https://acuresearchbank.acu.edu.au/
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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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