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临床试验/NCT04010253
NCT04010253已完成不适用

Impact of Bronchial Drainage by the Medical Device Simeox® on Function and Respiratory Symptoms Compared to Manual Autogenous Drainage Physiotherapy in Adult Cystic Fibrosis Patients

Association Nationale pour les Traitements A Domicile, les Innovations et la Recherche8 个研究点 分布在 1 个国家目标入组 31 人开始时间: 2019年9月30日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
31
试验地点
8
主要终点
Low frequency resistance R5

研究概览

简要总结

The main objective of the study is to evaluate the short-term effects of the airway clearance technique by the medical device Simeox (Physio Assist, France) versus Autogenic Drainage, on the pulmonary function of adult patients with stable cystic fibrosis. To analyse these effects, the investigators used forced oscillation technique measured by TremoFlo™ C-100 Airwave Oscillometry System™ (THORASYS Thoracic Medical Systems Inc. Montreal, Quebec, Canada) with an evaluation of the perceived clinical benefits.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Treatment
盲法
None

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

  • Diagnosis of cystic fibrosis confirmed
  • Age ≥18 years
  • 30% <FEV1 <70% predicted
  • Presence of bronchial congestion reported by the patient or the investigator

排除标准

  • Uncontrolled asthma
  • Pneumothorax <6 weeks
  • Recent severe hemoptysis <6 weeks
  • Patient registered on the transplant list
  • Exacerbation within 4 weeks (3 months if hospitalization) before screening
  • Cardiovascular disorders, electrocardiogram (ECG) parameters or clinically significant respiratory (non-cystic fibrosis) conditions
  • Patients unable to perform measurements of ROF, spirometry, plethysmography.
  • Any contraindication to manual or instrumental physiotherapy.
  • Pregnancy, breastfeeding.
  • Patient under tutorship or curatorship
  • No affiliation to the French social security
  • Patient using Simeox at home
  • Patient under Trikafta for less than 6 weeks.
  • Patient using Simeox more than twice a week during physiotherapy sessions, not wanting a washout period of 7 days before inclusion

研究组 & 干预措施

SIMEOX

Experimental

干预措施: Autogenic drainage (Other)

Autogenic Drainage

Active Comparator

干预措施: SIMEOX (Device)

结局指标

主要结局

Low frequency resistance R5

时间窗: 1 month

Comparison of variations V4 and V8 sessions (pre and post airway clearance session)

次要结局

  • Evaluation of the distal and / or proximal decluttering by the two techniques, according to the improvement profile of the forced oscillations(1 month)
  • Evaluation of correlations between clinical benefit and changes in functional respiratory investigations (forced oscillations, spirometry, plethysmography)(1 month)
  • Comparison of the impact of Simeox® bronchial drainage compared to autogenous drainage on respiratory symptoms: dyspnea, congestion and fatigue(1 month)
  • Evaluation of the impact of Simeox® bronchial drainage vs autogenous drainage by spirometry and plethysmography (distension and resistance)(1 month)

研究者

发起方
Association Nationale pour les Traitements A Domicile, les Innovations et la Recherche
申办方类型
Other
责任方
Sponsor

研究点 (8)

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