Status:

TERMINATED

High-Flow in Hypercapnic Stable COPD Patients

Lead Sponsor:

University Hospital, Grenoble

Collaborating Sponsors:

Icadom

Fisher and Paykel Healthcare

Conditions:

Adherence, Treatment

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

Monocentric, prospective, open, randomized 1:1, controlled study to evaluate the impact of nasal high-flow (NHF) on nocturnal transcutaneous PCO2 (PtCO2) compared to non-invasive ventilation ± Long-Te...

Detailed Description

Chronic obstructive pulmonary disease (COPD) is a growing global health concern, causing considerable health-related costs and increased mortality. COPD is nowadays considered a complex, heterogeneous...

Eligibility Criteria

Inclusion

  • Diagnosed with COPD (FEV1/FVC \< 70%) and long term indication for home NIV for initiated at least 3 months prior the inclusion.
  • Compliance with NIV (less than 5 hours and more than 1 hour) per night on average during the last 3 months prior to inclusion.
  • Naïve to Nasal High Flow (NHF) therapy, i.e. having not used NHF in the last 6 months prior to inclusion.
  • Able to understand, follow objectives and methods of protocol in French language.
  • Patient affiliated to social security insurance or beneficiary of social health insurance.
  • Willing and able to give written Informed Consent and to comply with the requirements of the study protocol.

Exclusion

  • Significant uncontrolled cardiac disease (investigator judgment), and/or Left Ventricular Ejection Fraction (LVEF) \< 45%.
  • Known co-existing obstructive sleep apnea requiring expiratory pressure above 6 cmH20.
  • Severe nasal obstruction, previous upper airway surgery preventing the usage of NHF, or, at the discretion of investigator, any other contraindication for using the NHF.
  • Patients who are unable or unwilling to give informed consent.
  • Participating in another research study.
  • Patient protected by the Law, under guardianship or curators.
  • Pregnancy and nursing mothers
  • Patient not covered by a health insurance.

Key Trial Info

Start Date :

September 23 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 16 2021

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT04281316

Start Date

September 23 2020

End Date

December 16 2021

Last Update

May 24 2022

Active Locations (1)

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Grenoble Alpes University Hospital

Grenoble, France