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Trial registered on ANZCTR
Registration number
ACTRN12622000388718
Ethics application status
Approved
Date submitted
1/02/2022
Date registered
7/03/2022
Date last updated
7/03/2022
Date data sharing statement initially provided
7/03/2022
Type of registration
Retrospectively registered
Titles & IDs
Public title
Investigating the effect of 3D printed facial guards on leak from P2/N95 respirators
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Scientific title
Investigating the effect of 3D printed facial guards on quantitative fit of P2/N95 respirators for health care workers
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Secondary ID [1]
306311
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Nil known
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Universal Trial Number (UTN)
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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:
Face mask fit in health care workers
325066
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Condition category
Condition code
Respiratory
322501
322501
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The project will involve the evaluation of 3D-printed facial guards on N95 face mask leak. Participants in the study will have a face scan with a mobile phone app, that acquires a 3D topographic geometry of the face. Using this scan, a customised face guard is 3D-printed by our engineering team. Following fitting, each participant will have Portacount quantitative fit testing performed by a resarch fellow or nurse, with an N95 worn in the standard fashion, and with the 3D-printed face guard in combination with an N95. Purposeful randomised sampling of the SALHN WHS database will be performed to select n=85 participants who have previously failed quantitative N95 fit testing (who will become the interventional group receiving a 3D-printed facial guard plus P2/N95). Each participant will have approximately 15 minute taken with a scanning visit, and then a 30-45 minute second visit for testing.
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Intervention code [1]
322736
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Treatment: Devices
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Comparator / control treatment
Standard N95 masks alone. Each participant is their own control for the primary endpoint of the study.
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Control group
Active
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Outcomes
Primary outcome [1]
330291
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Quantitative fit factor on Portacount testing on 3D Face guard +N95 vs standard N95 alone
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Assessment method [1]
330291
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Timepoint [1]
330291
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At time of fit test
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Secondary outcome [1]
405597
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Proportion of health care workers passing quantitative fit test with 3D face guard vs control group
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Assessment method [1]
405597
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Timepoint [1]
405597
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At time of fit test
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Eligibility
Key inclusion criteria
Any health care worker or SA Health employee who has undergone quantitative fit testing. Purposeful randomised sampling of the SALHN WHS database will be performed to select n=85 participants who have previously failed quantitative N95 fit testing (who will become the interventional group receiving a 3D-printed facial guard plus P2/N95). A second group of n=85 participants who have previously passed quantitative fit tests will be selected for re-testing with P2/N95 masks as a control group, to ensure that a contemporaneous control group is analysed under the same conditions as the interventional group.
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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
Are based on current exclusions from SA Health fit testing guidelines: (i) Active asthma or respiratory condition requiring treatment may be a relative contraindication to fit testing; (ii) Pregnancy; (iii) Active upper respiratory tract infection, fever, or other suspected infection.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
Parallel
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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
Statistical Analysis and Health Economic Evaluation
Mixed effect linear regression model will be applied to fit linear mixed models to examine the primary and secondary outcomes. To allow for the non-independence of study participants with repeated time points, a two-level random intercept regression model will be used to explore outcome variation. Mixed effect models will capture both fixed and random effects within the hierarchical data structure (follow-up time nested with participants). Fixed effects including group effect, time effect and group x time interaction will be determined. Univariate models will be first used, then a multivariate modelling undertaken by adding variables considered clinically important or statistically significant to adjust for confounding effects. Interaction of variables will be further examined to see any significant differences of outcome measures between variables. Two-sided tests will be performed for all analyses and the level of significance set at p <0.05.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/06/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
170
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Accrual to date
65
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment postcode(s) [1]
36528
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5042 - Bedford Park
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Funding & Sponsors
Funding source category [1]
310655
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Government body
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Name [1]
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Medical Research Future Fund
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Address [1]
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Department of Health (Medical Research Future Fund)
GPO Box 9848
Canberra ACT 2601
Australia
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Country [1]
310655
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
1 Flinders Drive Bedford Park
South Australia 5042
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Country
Australia
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Secondary sponsor category [1]
312145
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None
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Name [1]
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None
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Address [1]
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None
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Country [1]
312145
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
310249
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Southern Adelaide Local Health Network Human Research Ethics Committee
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Ethics committee address [1]
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1 Flinders Drive Bedford Park SA 5042
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Ethics committee country [1]
310249
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Australia
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Date submitted for ethics approval [1]
310249
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01/05/2021
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Approval date [1]
310249
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12/05/2021
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Ethics approval number [1]
310249
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21.21
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Summary
Brief summary
COVID-19 is a major global pandemic. A current major issue in countries dealing with COVID-19 is the availability of safe and effective masks for health care workers. The current recommended gold standard mask is the P2/N95 mask for health care workers in high exposure environments. Unfortunately, for many health care workers, there continues to be residual peri-mask leak with existing off-the-shelf standard mask designs. In this project, we develop customized 3D-printed facial shields that could be worn by health care workers as a supplementary barrier to prevent peri-mask leak.
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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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A/Prof Anand Ganesan
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Address
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Flinders Medical Centre
1 Flinders Drive
Bedford Park SA 5042
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Country
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Australia
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Phone
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+61 8 82045619
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
117003
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Anand Ganesan
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Address
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Flinders Medical Centre
1 Flinders Drive
Bedford Park SA 5042
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Country
117003
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Australia
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Phone
117003
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+61 8 82045619
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Fax
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Email
117003
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[email protected]
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Contact person for scientific queries
Name
117004
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Anand Ganesan
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Address
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Flinders Medical Centre
1 Flinders Drive
Bedford Park SA 5042
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Country
117004
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Australia
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Phone
117004
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+61 8 82045619
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Fax
117004
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Email
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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)?
No
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No/undecided IPD sharing reason/comment
The study is a pilot study, involving participant data. No permission has been obtained from participants to allow data sharing.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Personalized 3D-printed frames to reduce leak from N95 filtering facepiece respirators: A prospective crossover trial in health care workers.
2023
https://dx.doi.org/10.1080/15459624.2023.2205471
N.B. These documents automatically identified may not have been verified by the study sponsor.
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