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临床试验/NCT04447196
NCT04447196Unknown不适用

Prevalence of Rest Dyspnea and Impact of Non Invasive Ventilation on Breathing Sensations in Patients With Congenital Central Hypoventilation Syndrome

Association pour le Développement et l'Organisation de la Recherche en Pneumologie et sur le Sommeil1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2021年12月15日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
20
试验地点
1
主要终点
"Immediate unpleasantness" corresponding to A.1 item of the multidimensional dyspnea profile

研究概览

简要总结

Congenital central hypoventilation syndrome (CCHS) is a neuro-respiratory disease characterized by lifethreatening sleep-related hypoventilation involving an alteration of CO2/H+ chemosensitivity. This suggests cortical activity during awakening to maintain breathing. Cortical activity to keep breathing is usually associated with breathing discomfort ; this is the case in healthy subjects under non invasive ventilation (NIV) or with expiratory charge as well as in patients with amyotrophic lateral sclerosis. This can suggest that CCHS may be breathless at rest and this discomfort could be reduced by NIV.

The objective is to evaluate dyspnea with a multi dimensional score, MDP, in CCHS patient at rest in every day life and during 1H session of NIV.

The investigators will perform a prospective, including 20 CCHS patients. MDP scores will be measure before and after 1H-non invasive ventilation as well as a visual scale of 100mm in order to evaluate variation of breathing discomfort before/after NIV.

The investigators expect that CCHS patients don't have rest dyspnea but NIV would improve breathing discomfort that would mean they have latent rest dyspnea.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • patients with CCHS confirmed by genetic test
  • patients with long term non invasive ventilation
  • no recent condition that could impact breathing sensations such as infection, pulmonary embolism, heart failure

排除标准

  • pregnancy
  • phrenic nerve stimulation

结局指标

主要结局

"Immediate unpleasantness" corresponding to A.1 item of the multidimensional dyspnea profile

时间窗: Change in MDP score between baseline and after 1 hour of NIV

Measure MDP scores before and after NIV

次要结局

未报告次要终点

研究者

发起方
Association pour le Développement et l'Organisation de la Recherche en Pneumologie et sur le Sommeil
申办方类型
Other
责任方
Sponsor

研究点 (1)

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