A Single Visit, Cross-sectional, Observational Study of EBC H2O2 Levels and Other Exhaled Breath Condensate Parameters as Measured by Inflammacheck, in People With a Variety of Respiratory Conditions and Volunteers With no Known Lung Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 425
- 试验地点
- 1
- 主要终点
- To measure the levels of H2O2 in EBC in patients with a range of commonly occurring respiratory conditions
研究概览
简要总结
People with lung conditions can suffer significantly with their symptoms and often require multiple trips to their GP or secondary care before a diagnosis is made. It can be difficult to diagnose lung disease and to differentiate between different lung conditions, so many people may be misdiagnosed or incorrectly not given a diagnosis. The tests currently used to diagnose lung diseases can be difficult or uncomfortable to do, especially if the person is experiencing lots of symptoms, and therefore can give poor or unreliable results.A new quick and easy to perform test is needed that can differentiate between various lung conditions and people with no lung disease, that can be performed in primary and secondary care with immediate results.
详细描述
Lung disease is one of the largest contributors to morbidity and mortality in the UK, with 20% of the population diagnosed with, or receiving treatment for a respiratory condition.
Methods of diagnosis are still convoluted and can be difficult to perform, or very costly in patient and clinician time. Some diagnostic tests only look for a specific type of inflammation (e.g. Fractional exhaled Nitric Oxide) and so can overlook other causes. It can be hard to differentiate between different conditions, and as a result there are thousands of people in the UK who have undiagnosed or misdiagnosed respiratory disease.
Measurement of Exhaled Breath Condensate Hydrogen Peroxide (EBC H2O2) is performed during normal tidal breathing, and is well tolerated even in patients with severe airways obstruction and those unable to perform a consistent controlled exhalation. It is also not limited to inflammatory cell specific inflammation.
In studies using the previous version of the Inflammacheck™ device, significant differences have been demonstrated between levels of H2O2 in people with COPD, asthma, ILD and lung cancer compared to healthy controls. These studies have been instrumental in the continued improvement of the device, to ensure that the participant has the best experience, and simplify the procedure, so that the H2O2 result can be obtained with a single test in under 3 minutes.
Although the primary result of the Inflammacheck™ device is EBC H2O2, it is now also able to measure clinically important parameters including breath temperature, humidity, Carbon Dioxide waveforms, and intra-thoracic pressure changes. These parameters, in combination with the EBC H2O2 may be able to be used together to identify differences between people with various respiratory diseases and healthy volunteers. The device has also been improved based on the participant feedback, to ensure that it is user friendly and comfortable.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Prospective
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or Female, aged ≥16 years
- •A confirmed, clinician made diagnosis of the following (supported by standard accepted diagnostic criteria):
- •Asthma with a ≤10 pack year smoking history (confirmed by spirometry and/or airway inflammation and function tests)
- •COPD (confirmed by spirometry)
- •Bronchiectasis (confirmed by CT scan)
- •Interstitial Lung Disease (confirmed by CT scan and MDT/specialist consensus)
- •has or is eventually proven to have a histological OR radiological and MDT confirmed diagnosis of primary lung cancer, and not yet started treatment for this
- •current pneumonia (confirmed by chest imaging)
- •Breathing Pattern Disorder, with no other significant respiratory co-morbidity (specialist confirmed)
- •Healthy controls (defined as no current clinical diagnosis of, or be receiving treatment for, a lung or other significant medical disorder).
- •Willing and able to give informed consent for participation in the study.
- •In a stable state (at least 4 weeks after treatment of an exacerbation of their respiratory disease)
排除标准
- •Existing co-morbidities that may prevent them from performing spirometry, for those with asthma, COPD, or healthy controls, with no spirometry in the previous 12 months (at the discretion of the clinical investigator).
- •Unable to comprehend the study, provide informed consent, and unable to perform any of the study procedures.
- •Requirement of supplemental oxygen (pneumonia participants only)
结局指标
主要结局
To measure the levels of H2O2 in EBC in patients with a range of commonly occurring respiratory conditions
时间窗: immediately after the procedure (breathing into device)
levels of H2O2 in Exhaled Breath Condensate
To measure intrathoracic pressure in patients with a range of commonly occurring respiratory conditions
时间窗: immediately after the procedure (breathing into device)
intrathoracic pressure
To measure humidity levels in EBC in patients with a range of commonly occurring respiratory conditions
时间窗: immediately after the procedure (breathing into device)
level of humidity in breath in Exhaled Breath Condensate
To measure CO2 waveform in patients with a range of commonly occurring respiratory conditions
时间窗: immediately after the procedure (breathing into device)
exhaled CO2 waveform
To measure the breath temperature in EBC in patients with a range of commonly occurring respiratory conditions
时间窗: immediately after the procedure (breathing into device)
temperature of breath in Exhaled Breath Condensate
次要结局
未报告次要终点