COPD
Conditions
Brief summary
To investigate whether high frequency airflow oscillation (HFAO), delivered using Aerosure, increases six minute walk distance (6MWD) and reduces exertional breathlessness in patients with severe chronic obstructive pulmonary disease (COPD).
Interventions
Active Aerosure device
Device designed to appear identical to active device but with HFAO mechanism disabled
Sponsors
Study design
Eligibility
Inclusion criteria
* Stable severe COPD (FEV1 \< 50% predicted) * Modified MRC dyspnoea score 2 or greater * At least 10 pack year smoking history * Able to mobilise independently
Exclusion criteria
* Contraindications to spirometry \[1\] * Contraindications to clinical exercise testing \[2\] * Contraindications to HFAO (see section A.6.3b)) * Resting SpO2\>88% on air or on patient's usual oxygen prescription * Systolic arterial blood pressure (ABP) \>200mmHg, diastolic ABP \>100 mmHg 1. Cooper, B.G., An update on contraindications for lung function testing. Thorax, 2010. 2. ATS/ACCP Statement on Cardiopulmonary Exercise Testing. Am. J. Respir. Crit. Care Med., 2003. 167(2): p. 211-277.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Six minute walk distance (6MWD) | up to 6 minutes |
Secondary
| Measure | Time frame |
|---|---|
| end-6MWD Borg breathlessness | after 6 minute walk test |
| Arterial oxygen saturation (SpO2) | At start of 6 minute walk test and after every 1 minute |
Other
| Measure | Time frame |
|---|---|
| Inspiratory capacity (IC) | At end of 6 minute walk test |
Countries
United Kingdom