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Trial registered on ANZCTR
Registration number
ACTRN12607000624482
Ethics application status
Approved
Date submitted
26/11/2007
Date registered
5/12/2007
Date last updated
25/10/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Measuring airway stiffness using optical imaging – a new tool to help understand lung diseases.
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Scientific title
Measurements of regional airway compliance using anatomical optical coherence tomography (aOCT) in normal and diseased airways (obstructive lung conditions)
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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:
Chonic obstructive pulmonary disease
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Asthma
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Bronchiectasis
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Condition category
Condition code
Respiratory
2687
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0
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Chronic obstructive pulmonary disease
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Respiratory
2688
2688
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0
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Asthma
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Respiratory
2689
2689
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Patients are anaesthetised and a laryngeal mask airway (LMA) postitioned in the upper airway. A bronchoscope is passed through the LMA into the tracheobronchial tree. A catheter containing a fibre-optic probe is passed through the working channel of the bronchoscope until it is visible beyond the tip of the bronchoscope in a selected airway. Rotation of the probe within the catheter produces a cross sectional image of the airway in much the same as a radar display. Airway cross sectional area measurements are made while simultaneously increasing airway pressures via the anaesthetic circuit. The slope of the pressure vs cross sectional area plot is a measure of the compliance of the airway at that particular site. This process is repeated a number of times in small and large airways of the tracheo-bronchial tree.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Compliance measurements of airway sizes ranging from small (3-4mm) to large (trachea). Comparisons between diseased and normal airways.
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Assessment method [1]
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Timepoint [1]
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24 months
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Secondary outcome [1]
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Comparisons of large airway compliance in healthy and abnormal lungs and their relationship to bronchomalacia and sputum retention. Compliance curves will be constructed by plotting the relationship between cross sectional area (as measured using OCT) and pressure (which will be applied via the anaesthetic circuit). The curves will be described in terms of absolute compliance (slope of the curve) and by applying the data to a mathematical exponential equation to derive the shape factor (Colebatch shape factor K).
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Assessment method [1]
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Timepoint [1]
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24 months
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Eligibility
Key inclusion criteria
Age >18yrs
Fit for bronchoscopy
Asthma or chronic obstructive pulmonary disease or bronchiectasis or healthy non-smoker
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Minimum age
18
Years
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Maximum age
Not stated
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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
Age <18yrs
Unfit for bronchoscopy
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/12/2007
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Actual
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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
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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6009
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council Project Grant No. 513854
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Address [1]
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Canberra, Australia
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Sir Charles Gairdner Hospital
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Address
Hospital Avenue
Nedlands, Perth 6009
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Country
Australia
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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]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sir Charles Gairdner Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Human Research Ethics Committee Level 1 E-Block Sir Charles Gairdner Hospital Hospital Avenue Nedlands, Perth 6009
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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28/06/2007
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Ethics approval number [1]
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2007-064
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Summary
Brief summary
The purpose of this study is to evaluate the clinical usefulness of a new diagnostic laser that has been developed at the University of Western Australia. The device is an imaging tool that can make various measurements of the inside of the lungs to help improve our understanding of the lungs in health and disease. Current lung function tests give us information about the lungs as a whole but do not tell us about specific regions within the lungs. Most lung disorders affect different parts of the lungs and to different degrees. Many of these changes are related to the varying degrees of “stiffness” within the air tubes, but at present doctors don’t have adequate tools to measure this airway property. We have developed an optical imaging technique that we think may provide a way to measure these properties. The system has been developed by two research groups, the West Australian Sleep Disorders Research Institute at Sir Charles Gairdner Hospital and the Optical and Biomedical Engineering Laboratory at the University of Western Australia. We have had encouraging results using this device in the upper airway (throat) of awake, sleeping and anaesthetised volunteers and have started using it in patients with windpipe cancers to improve their care. We would now like to use the system to make measurements of airway “stiffness” which we think will help understand lung diseases such as asthma, chronic obstructive pulmonary disease and bronchiectasis.
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Trial website
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Trial related presentations / publications
An abstract describing preliminary results has been submitted to the 2009 American Thoracic Society annual meeting in San Diego in May and to the Thoracic Society of Australia and NZ annual scientific meeting in April.
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Public notes
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Contacts
Principal investigator
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 public queries
Name
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Dr Jonathan Williamson
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Address
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Department of Pulmonary Physiology
Level 5 G-Block
Sir Charles Gairdner Hospital
Perth, WA
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Country
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Australia
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Phone
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08 9346 3154
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Jonathan Williamson
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Address
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Department of Pulmonary Physiology
Level 5 G-Block
Sir Charles Gairdner Hospital
Perth, WA
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Country
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Australia
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Phone
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08 9346 3154
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
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
No additional documents have been identified.
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