Cystic Fibrosis
Conditions
Brief summary
It is the goal of the proposed study to compare the efficacy, as assessed primarily by sputum weight, of these two different devices (the Electroflo 500 and the G5 Flimm-Fighter) for airway clearance (AC) in CF patients with mild to moderate lung disease, who have stable lung health and perform AC at home as part of their routine therapeutic regimen.
Detailed description
The investigators hope to enroll 25 patients with cystic fibrosis (with daily sputum production) in this study. It is the goal of the proposed study to compare the efficacy, as assessed primarily by sputum weight, of these two different devices (the Electroflo 500 and the G5 Flimm-Fighter) for airway clearance (AC) in CF patients with mild to moderate lung disease, who have stable lung health and perform AC at home as part of their routine therapeutic regimen.
Interventions
An assigned respiratory therapist performed airway clearance on each participant with the Electro-Flo device following the 2012 CFF therapy guidelines
An assigned respiratory therapist performed airway clearance on each participant with the G5 device following the 2012 CFF therapy guidelines
Sponsors
Study design
Eligibility
Inclusion criteria
1. Diagnosis of CF established by standard criteria (sweat chloride \> 60 mmol/L and/or two alleles affected by gene mutations know to be associated with CF). 2. Age older than 8 years. 3. Known to consistently produce sputum. 4. Currently on a home therapeutic regimen that includes some form of AC performed at least 1 time daily. 5. FEV1 \> 30%-predicted, and with stable lung function
Exclusion criteria
1. Hospitalization for CF pulmonary complications in the 1 months preceding enrollment. 2. Hemoptysis \> 60 cc in a single episode in the 4 weeks preceding enrollment. 3. Chronic chest pain. 4. Participation in another interventional clinical trial in the previous 30 days.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wet Sputum Weight | End of study visit per intervention | To compare the wet to dry weight of study patients' sputum collected during their Day 1 & Day 2 therapy sessions. |
| Dry Sputum Weight | End of study visit per intervention | To compare the wet to dry weight of study patients' sputum collected during their Day 1 & Day 2 therapy sessions. |
| Pulmonary Function Measured as a Percent Predicted AFTER Therapy With Either ElectroFlo 5000 / G5. | End of study visit per intervention | Comparison of pulmonary function by doing spirometry testing on study patients during their Day 1 & Day 2 therapy sessions. Will also compare the results based on the therapies they receive. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pulmonary Function Measured as a Percent Predicted BEFORE Therapy With Either ElectroFlo 5000 / G5. | End of study visit per intervention | Comparison of pulmonary function by doing spirometry testing on study patients during their Day 1 & Day 2 therapy sessions. Will also compare the results based on the therapies they receive. |
| PRO (Patient-reported Outcome) | End of study visit per intervention | Investigators will question the study patients re: their tolerability and comfort after the intervention on Day 1 & Day 2 visits. |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| All Study Participants Electro-Flo Intervention: An assigned respiratory therapist performed airway clearance on each participant with the Electro-Flo device following the 2012 CFF therapy guidelines.
G5 Intervention: An assigned respiratory therapist performed airway clearance on each participant with the G5 device following the 2012 CFF therapy guidelines. | 25 |
| Total | 25 |
Baseline characteristics
| Characteristic | All Study Participants |
|---|---|
| Age, Categorical <=18 years | 5 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 20 Participants |
| Basline Pulmonary Function (FEV1) | 2.42 Liters STANDARD_DEVIATION 20.28 |
| Sex: Female, Male Female | 19 Participants |
| Sex: Female, Male Male | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 25 | 0 / 25 |
| serious Total, serious adverse events | 0 / 25 | 0 / 25 |
Outcome results
Dry Sputum Weight
To compare the wet to dry weight of study patients' sputum collected during their Day 1 & Day 2 therapy sessions.
Time frame: End of study visit per intervention
| Arm | Measure | Value (MEAN) |
|---|---|---|
| ElectroFlo Arm | Dry Sputum Weight | 0.21 gram |
| G5 Flimm Fighter Arm | Dry Sputum Weight | 0.15 gram |
Pulmonary Function Measured as a Percent Predicted AFTER Therapy With Either ElectroFlo 5000 / G5.
Comparison of pulmonary function by doing spirometry testing on study patients during their Day 1 & Day 2 therapy sessions. Will also compare the results based on the therapies they receive.
Time frame: End of study visit per intervention
| Arm | Measure | Value (MEAN) |
|---|---|---|
| ElectroFlo Arm | Pulmonary Function Measured as a Percent Predicted AFTER Therapy With Either ElectroFlo 5000 / G5. | 71.36 percentage of predicted value |
| G5 Flimm Fighter Arm | Pulmonary Function Measured as a Percent Predicted AFTER Therapy With Either ElectroFlo 5000 / G5. | 71.52 percentage of predicted value |
Wet Sputum Weight
To compare the wet to dry weight of study patients' sputum collected during their Day 1 & Day 2 therapy sessions.
Time frame: End of study visit per intervention
| Arm | Measure | Value (MEAN) |
|---|---|---|
| ElectroFlo Arm | Wet Sputum Weight | 5.22 gram |
| G5 Flimm Fighter Arm | Wet Sputum Weight | 4.19 gram |
PRO (Patient-reported Outcome)
Investigators will question the study patients re: their tolerability and comfort after the intervention on Day 1 & Day 2 visits.
Time frame: End of study visit per intervention
Population: Patients rated comfort on a scale of 1 (most comfortable) to 10 (most un-comfortable)
| Arm | Measure | Value (MEAN) |
|---|---|---|
| ElectroFlo Arm | PRO (Patient-reported Outcome) | 3.24 units on a scale |
| G5 Flimm Fighter Arm | PRO (Patient-reported Outcome) | 3.2 units on a scale |
Pulmonary Function Measured as a Percent Predicted BEFORE Therapy With Either ElectroFlo 5000 / G5.
Comparison of pulmonary function by doing spirometry testing on study patients during their Day 1 & Day 2 therapy sessions. Will also compare the results based on the therapies they receive.
Time frame: End of study visit per intervention
| Arm | Measure | Value (MEAN) |
|---|---|---|
| ElectroFlo Arm | Pulmonary Function Measured as a Percent Predicted BEFORE Therapy With Either ElectroFlo 5000 / G5. | 69.16 percentage of predicted value |
| G5 Flimm Fighter Arm | Pulmonary Function Measured as a Percent Predicted BEFORE Therapy With Either ElectroFlo 5000 / G5. | 69.84 percentage of predicted value |