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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02552732
Registration number
NCT02552732
Ethics application status
Date submitted
15/09/2015
Date registered
17/09/2015
Date last updated
17/08/2020
Titles & IDs
Public title
Nasal High Flow Therapy 30 Day Readmission Study
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Scientific title
Nasal High Flow (NHF) Therapy Use Following Hospitalization for an Exacerbation of COPD: A Feasibility Study
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Secondary ID [1]
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CIA138
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Universal Trial Number (UTN)
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Trial acronym
N3ADS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Obstructive Pulmonary Disease
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COPD
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Condition category
Condition code
Respiratory
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - NHF with or without Oxygen
Experimental: NHF with or without Oxygen - NHF with or without oxygen will be delivered to COPD patients using myAIRVOâ„¢ 2 for 30 days post hospital discharge
Treatment: Devices: NHF with or without Oxygen
NHF using myAIRVOâ„¢ 2 will be set at 25L/min at 37°C. However, all participants are able to lower the delivered temperature to 34°C.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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NHF Use for 30 Days Following Discharge After AECOPD
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Assessment method [1]
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Use will be expressed as hours of myAIRVO 2 use per day over 30 days, as obtained by myAIRVO 2 electronic monitoring
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Timepoint [1]
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30 days after hospital discharge
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Secondary outcome [1]
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Percentage of Days of Use, Adjusted for Number of Days With myAIRVO 2 at Home
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Assessment method [1]
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Timepoint [1]
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30 days after hospital discharge
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Secondary outcome [2]
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Average Use Per Day of the myAIRVO 2 During Week 1
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Assessment method [2]
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Timepoint [2]
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First week after hospital discharge
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Secondary outcome [3]
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Average Use Per Day of the myAIRVO 2 During Week 2
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Assessment method [3]
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Timepoint [3]
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Second week after hospital discharge
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Secondary outcome [4]
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Average Use Per Day of the myAIRVO 2 During Week 3
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Assessment method [4]
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Timepoint [4]
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Third week after hospital discharge
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Secondary outcome [5]
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Average Use Per Day of the myAIRVO 2 During Week 4
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Assessment method [5]
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Timepoint [5]
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Fourth week after hospital discharge
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Secondary outcome [6]
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Average Use Per Day on Days of myAIRVO 2 Use
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Assessment method [6]
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Timepoint [6]
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30 days after hospital discharge
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Secondary outcome [7]
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Number of Participants Using Home Oxygen
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Assessment method [7]
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Timepoint [7]
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At study entry
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Secondary outcome [8]
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Number of Participants Who Reported Having Changed the myAIRVO 2 Flow Settings From the Initial Flow and the Corresponding Reduction in Flow
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Assessment method [8]
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Timepoint [8]
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30 days after hospital discharge
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Secondary outcome [9]
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Number of Participants Who Where Screened But Were Excluded From Enrollment
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Assessment method [9]
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Timepoint [9]
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30 days after hospital discharge
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Secondary outcome [10]
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Number of Participants Who Reported Having Changed the myAIRVO 2 Temperature Setting From the Initial Setting
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Assessment method [10]
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Timepoint [10]
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30 days after hospital discharge
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Secondary outcome [11]
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Number of Participants Who Withdrew From Study After Enrollment, up to 30 Days
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Assessment method [11]
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Number of participants who withdrew from study after enrollment, up to 30 days
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Timepoint [11]
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At study completion
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Secondary outcome [12]
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Number of Participants With at Least One Hospital Readmission Within 30 Days of Discharge
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Assessment method [12]
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Timepoint [12]
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30 days after hospital discharge
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Secondary outcome [13]
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Reasons for Hospital Admissions
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Assessment method [13]
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AECOPD, other respiratory cause or other cause
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Timepoint [13]
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30 days after hospital discharge
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Secondary outcome [14]
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In Those That Had at Least One Hospital Readmission: Number of Readmissions
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Assessment method [14]
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Timepoint [14]
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30 days after hospital discharge
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Secondary outcome [15]
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In Those That Had at Least One Hospital Readmission: Time to First Hospital Readmission
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Assessment method [15]
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Timepoint [15]
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30 days after hospital discharge
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Secondary outcome [16]
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In Those That Had at Least One Hospital Readmission: Hospital Readmission Length
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Assessment method [16]
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Timepoint [16]
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30 days after hospital discharge
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Secondary outcome [17]
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Number of Participants With at Least One ED Visit Within 30 Days of Discharge
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Assessment method [17]
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Timepoint [17]
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30 days after hospital discharge
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Secondary outcome [18]
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Reason for ED Visits
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Assessment method [18]
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ED visit due to AECOPD
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Timepoint [18]
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30 days after hospital discharge
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Secondary outcome [19]
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Number of Participants With at Least One GP Visit Within 30 Days of Discharge
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Assessment method [19]
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Timepoint [19]
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30 days after hospital discharge
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Secondary outcome [20]
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LACE Index for Hospital Admissions
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Assessment method [20]
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The LACE Index is a scoring tool for assessing the likelihood of readmission or death within 30 days of discharge. It is based of 4 parameters: length of stay (L), acuity of the admission (A), co-morbidities (C), number of Emergency Department visits within the last 6 months (E). Sub scores for each parameter are summed to give a LACE score ranging from 1 to 19. A score of 0 to 4 = Low; 5 to 9 = Moderate; and a score of = 10 = High risk of readmission.
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Timepoint [20]
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30 days after hospital discharge
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Secondary outcome [21]
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FEV1 at Day 1 and 31
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Assessment method [21]
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FEV1 change from day 1 to day 31
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Timepoint [21]
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1st and 31st day after hospital discharge
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Secondary outcome [22]
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SVC(in) at Day 1 and 31
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Assessment method [22]
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Slow Vital Capacity (inspiratory) change from day 1 to day 31
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Timepoint [22]
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1st and 31st day after hospital discharge
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Secondary outcome [23]
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FVC Change From Day 1 to Day 31
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Assessment method [23]
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Timepoint [23]
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1st and 31st day after hospital discharge
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Eligibility
Key inclusion criteria
* 18 years of age or older
* Male and female
* Admitted to the respiratory ward(s) of either recruiting hospitals with AECOPD as the primary diagnostic reason for admission.
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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?
No
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Key exclusion criteria
* Given a new home oxygen therapy prescription during the current hospital admission
* The investigator believes the participant or their care giver will be unable to safely use the myAIRVO 2 device following discharge
* They have any other condition which, at the investigator's discretion, is believed may present a safety risk or impact the feasibility of the study or the study results
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Study design
Purpose of the study
Other
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Allocation to intervention
NA
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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
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2015
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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
3/05/2017
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Sample size
Target
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Accrual to date
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Final
29
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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New York
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Country [2]
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New Zealand
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State/province [2]
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Wellington
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Fisher and Paykel Healthcare
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Medical Research Institute of New Zealand
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Alana Healthcare
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of this feasibility study is to provide data for a subsequent randomized controlled trial to investigate if patient outcomes will be improved after an acute COPD exacerbation using domiciliary nasal high flow therapy (NHF) compared to standard care. This feasibility study will investigate the following: process, resources, management and scientific aspects of delivering NHF as an adjunct therapy in COPD patients.
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Trial website
https://clinicaltrials.gov/study/NCT02552732
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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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James Fingleton, MBChB
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Address
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Medical Research Institute of New Zealand
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/32/NCT02552732/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/32/NCT02552732/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02552732
Download to PDF