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Trial registered on ANZCTR
Registration number
ACTRN12622000357752
Ethics application status
Approved
Date submitted
9/02/2022
Date registered
28/02/2022
Date last updated
18/07/2024
Date data sharing statement initially provided
28/02/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
An investigation of particle production whilst using nasal high flow and a surgical mask in adult volunteers to inform the risk of infection to healthcare workers
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Scientific title
An investigation of particle production whilst using nasal high flow and a surgical mask in adult volunteers to inform the risk of infection to healthcare workers
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Secondary ID [1]
306234
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None
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Universal Trial Number (UTN)
U1111-1274-1690
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Respiratory illness
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Condition category
Condition code
Respiratory
322394
322394
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0
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Normal development and function of the respiratory system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A member of the research team will fit each participant with a commercially available non-invasive ventilation (NIV) hood attached to a particle counter. Flows of 0, 6, 60 L.min-1 will be administered through a nasal high flow interface i) with and ii) without a surgical mask while the patient is a) breathing, b) speaking and c) coughing.
Readings will be taken for 1 minute per intervention over a single one hour session.
The readings will be taken in a commercial laboratory where a particle counter is available.
A member of the research team will assist the participant throughout to ensure that the protocol is followed
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Intervention code [1]
322639
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Treatment: Devices
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Comparator / control treatment
This is a comparison of different flows of nasal high flow with and without a surgical mask. The control is NHF without a mask.
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary endpoint is:
Particle number per unit time in the size range 1-5 um in gas expired from the participant measured using an optical particle counter. We will analyse data from the following activities (order to be randomised): 1) Normal breathing, 2) Speaking 3) Coughing at 0, 6, 60L.min-1 with and without a surgical mask with mouth open and closed as composite outcomes.
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Assessment method [1]
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Timepoint [1]
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Each measurement will be taken for 1 minute.
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Secondary outcome [1]
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Particle sizes and distribution in gas expired from the participant measured with an optical particle counter.
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Assessment method [1]
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Timepoint [1]
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Each measurement will be taken for 1 minute.
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Secondary outcome [2]
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Total particle count per volume in gas expired from the participant measured with an optical particle counter.
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Assessment method [2]
405183
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Timepoint [2]
405183
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Each measurement will be taken for 1 minute.
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Secondary outcome [3]
405184
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Total particle count in gas expired from the participant measured with an optical particle counter.
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Assessment method [3]
405184
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Timepoint [3]
405184
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Each measurement will be taken for 1 minute.
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Secondary outcome [4]
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Particle density in gas expired from the participant measured with an optical particle counter.
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Assessment method [4]
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Timepoint [4]
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Each measurement will be taken for 1 minute.
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Secondary outcome [5]
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Tolerability as measured by the rate and reasons of withdrawal of participants. This will be recorded on the Case Report Form and the participant will be asked his/her reason for withdrawal.
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Assessment method [5]
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Timepoint [5]
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End of study
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Eligibility
Key inclusion criteria
• Participants 18 years and over
• Capable of informed consent
• Neck size of 34-52 cm (appropriate to NIV hoods available)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
• Diagnosis of COVID-19 within the last 4 weeks
• Current symptoms of respiratory illness or COVID-19
• Lung disease (e.g. > mild asthma, COPD, Bronchiectasis)
• Mask phobia / claustrophobia
• Conditions that are contraindicated by the manufacturer (Fisher & Paykel Healthcare) for using nasal high flow
• Direct reports of the principal investigator
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed envelope
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Independent statistician
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
We will use standard parametric and non-parametric techniques as appropriate to determine differences between groups. The exact statistical approach will be determined by the independent external statistician. The statistician will be blinded to the interventions.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
23/05/2025
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Actual
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Date of last participant enrolment
Anticipated
31/07/2025
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Actual
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Date of last data collection
Anticipated
31/07/2026
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Auckland
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Address [1]
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The University of Auckland, Private Bag 92019
Auckland 1142, New Zealand
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
University of Auckland
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Address
The University of Auckland, Private Bag 92019
Auckland 1142, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
311958
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Country [1]
311958
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health Health and Disability Ethics Committees 133 Molesworth Street Thorndon Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
310188
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01/11/2021
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Approval date [1]
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14/12/2021
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Ethics approval number [1]
310188
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2021 EXP 11244
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Summary
Brief summary
Nasal High Flow (NHF) is the administration of high flows (approximately 70 L.min-1) of gas through nasal prongs. NHF is used to enhance oxygenation patients in respiratory distress and during induction of anaesthesia to extend the safe apnoea time. There are concerns about NHF dislodging and spreading infected respiratory particles and increasing the risk of infection for healthcare workers when treating patients with respiratory illness. Given the reported benefits to patient care of NHF, it would be desirable to understand further the effect that NHF may have on the risk of infection for a healthcare worker. This study aims to: 1. Determine whether a surgical mask is effective in reducing particle emission into the environment with nasal high flow 2. Assess the tolerability of a novel experimental set up for measuring aerosol emissions in patients with COVID-19 or similar respiratory illnesses using healthy adult volunteers and inform sample size calculations for a future study in patients with acute respiratory illness.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Matthew Payton
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Address
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Department of Anaesthesiology,
The University of Auckland,
Private Bag 92019,
Auckland 1142
New Zealand
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Country
116802
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New Zealand
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Phone
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+64 21 774 887
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Fax
116802
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Email
116802
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[email protected]
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Contact person for public queries
Name
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Matthew Payton
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Address
116803
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Department of Anaesthesiology,
The University of Auckland,
Private Bag 92019,
Auckland 1142
New Zealand
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Country
116803
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New Zealand
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Phone
116803
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+64 21 774 887
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Fax
116803
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Email
116803
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[email protected]
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Contact person for scientific queries
Name
116804
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Matthew Payton
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Address
116804
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Department of Anaesthesiology,
The University of Auckland,
Private Bag 92019,
Auckland 1142
New Zealand
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Country
116804
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New Zealand
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Phone
116804
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+64 21 774 887
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Fax
116804
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Email
116804
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
According to the ethics approval for this study, de-identified data will be made available to other researchers on request for future research as specified below and / or will be added to data from other sources to form larger datasets:
1. unspecified purposes which are directly related to the study question(s)
2. unspecified purposes which are related to the item and/or condition under study
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When will data be available (start and end dates)?
From the publication of results to 10 years after the last participant is enrolled.
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Available to whom?
Researchers with appropriate ethical approval
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Available for what types of analyses?
1. purposes which are directly related to the study question(s)
2. purposes which are related to the item and/or condition under study
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How or where can data be obtained?
By request to the principal investigator:
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
14819
Ethical approval
[email protected]
14820
Informed consent form
[email protected]
14821
Study protocol
[email protected]
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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