Continuous Positive Airway Pressure Effect on Air Trapping in Chronic Obstructive Pulmonary Disease Patients (CPAP)
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Purpose
Chronic obstructive pulmonary disease is a disease characterized by small airways inflammation and obstruction. The small airways disease produces hyperinflation (air trapping), which increases with exercise. Continuous positive airways pressure may reduce small airways obstruction and therefore air trapping. Pulmonary function tests including lung volumes at rest and and after exercise will be measured. In addition, exercise endurance time before treatment and after treatment will be measured.
| Condition | Intervention |
|---|---|
|
Chronic Obstructive Pulmonary Disease |
Device: positive ventilation |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Continuous Positive Airway Pressure Effect on Air Trapping, Endurance Time in Chronic Obstructive Pulmonary Disease Patients |
- improved small airways obstruction [ Time Frame: 2-3 hrs ] [ Designated as safety issue: No ]Following CPAP ventilation measurement be repeated for 3 hrs
- improved respiratory symptoms [ Time Frame: 2-3 hrs ] [ Designated as safety issue: No ]CAT score
| Enrollment: | 24 |
| Study Start Date: | November 2009 |
| Study Completion Date: | June 2011 |
| Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Sham Comparator: ventilation |
Device: positive ventilation
10 minutes of increased 4,7,12 positive pressure ventilation
Other Name: CPAP
|
Detailed Description:
Continuous positive airways pressure which prevent small air ways collapse and may also clear secretions. At first stage the optimal pressure for reducing air trapping will be determined. In addition, all patients will undergo a maximal exercise test. A baseline complete pulmonary function test is performed followed by continuous positive air way pressure at the pre-determined pressure. This will be followed by exercise at 60% of maximal obtained previously.
Eligibility| Ages Eligible for Study: | 45 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- chronic obstructive lung disease stage 2-3 GOLD
- FRC > 120%
Exclusion Criteria:
- active ischemic heart disease
- heart failure
- peripheral vascular disease
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Assaf-Harofeh Medical Center |
| ClinicalTrials.gov Identifier: | NCT01507844 History of Changes |
| Other Study ID Numbers: | 86/09, 12 |
| Study First Received: | November 2, 2009 |
| Last Updated: | January 8, 2012 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Assaf-Harofeh Medical Center:
|
COPD CPAP Sham |
FEV1 IC RV/TLC |
Additional relevant MeSH terms:
|
Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Lung Diseases, Obstructive Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on June 18, 2013