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Cystic FibrosisHFCWONCT03645473

Evaluation of Device Settings for Airway Clearance Using The Monarch Airway Clearance System

A study testing Monarch Airway Clearance System in people with Cystic Fibrosis, run by Hill-Rom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The study will be an open label laboratory study with all subjects receiving HFCWO with The Monarch® System Objective: Assess device settings and to identify frequency/pressure (intensity) combinations that produce high airflow and oscillating volume Methodology: Subjects will receive HFCWO using The Monarch® System… Read more about this study

Who is it for?
Ages 15 years and older
Conditions the study is for
Cystic Fibrosis
What is being tested?
Monarch Airway Clearance System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
No sites listed yet
Study dates
24 Jan 2019to 12 Apr 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Documented diagnosis of CF (by sweat test and/or genetics
  • Age > 15 years
  • Require regular home airway clearance therapy
  • Current user of The Monarch® System with a minimum of 4 weeks experience with the device
  • Signed informed consent. If patient is a minor, parents/guardians must give written informed consent and patient must give written assent
  • Patient must be on a stable regimen of CF medication

Who cannot join

  • History of pneumothorax within the past 6 months prior to study visit
  • History of hemoptysis requiring embolization within the past 12 months prior to study visit or hemoptysis of > 100 ml within a 24-hour period within the past 30 days
  • History of lobectomy
  • Recent chest surgery or chest trauma
  • Inability to perform The Monarch® System therapy as directed
  • Pregnant or lactating female
  • Have a pacemaker or implantable cardioverter defibrillator (ICD)
  • Requirement for oral or IV antibiotics that are not part of the subject's usual course of treatment within the past 14 days prior to screening

About this study

The study will be an open label laboratory study with all subjects receiving HFCWO with The Monarch® System

Objective:

Assess device settings and to identify frequency/pressure (intensity) combinations that produce high airflow and oscillating volume

Methodology:

Subjects will receive HFCWO using The Monarch® System at multiple frequency / intensity combinations on a single visit day. Frequency / intensity combinations will be evaluated to determine which settings produce highest airflow and highest oscillating volume.

Read the detailed description

The study will be an open-label, laboratory study. All enrolled subjects will receive HFCWO therapy with the Monarch® system. The study will be conducted at one (1) site in the US.

The study will evaluate oscillating airflow and oscillating volume induced during therapy with the Monarch® system. Subjects will also rate the comfort of the therapy. Patients with cystic fibrosis (CF) who meet all of the inclusion criteria and none of the exclusion criteria will be enrolled in the study.

Therapy with the Monarch® system will be delivered using multiple frequency/intensity combination settings. The order of settings will be randomized for each study subject. During therapy oscillating flow and volume measurements will be obtained for each frequency/intensity combination. Following each frequency/intensity combination, subjects will respond to a subjective assessment of the comfort of the therapy by rating the comfort on a visual analogue scale (VAS).

Conditions
Cystic Fibrosis
Being tested
Monarch Airway Clearance System
Medical subject headings
Cystic Fibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Monarch Airway Clearance SystemDevice

    HFCWO Airway Clearance Device

Study groups in NCT03645473
Study groupRoleWhat they receive
Monarch device settings assessment groupExperimentalPatients with cystic fibrosis who have experience with the Monarch Airway Clearance System will be enrolled in the study. The duration of subject participation is approximately 4 - 6 hours during 1 study visit. Each subject will receive therapy with The Monarch® System at multiple frequency and intensity combinations as defined in the Study procedures.
Receives: Device: Monarch Airway Clearance System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Peak oscillating expiratory airflow measurements

    Subjects will be treated with the Monarch® system using multiple frequency/intensity combination settings. After adjusting the therapy to the desired setting, subjects will be instructed breath through the mouthpiece for the flow measurement system, to breathe normally and continue relaxed breathing. Oscillating flow and volume measurement will be captured by the system over a period of 30 to 60 seconds of relaxed breathing.

    Data from the measurement of oscillating flow for each frequency/intensity combination setting will be processed following the completion of the testing

    Measured: 4-6 hours

Secondary outcomes (2)
  1. Oscillating volume

    Oscillating volume measurement will be conducted concurrently with the measurement of flow. Subjects will be treated with the Monarch® system using multiple frequency/intensity combination settings as described above.

    Data from the measurement of oscillating volume for each frequency/intensity combination setting will be processed following the completion of the testing

    Measured: 4-6 hours

  2. Patient comfort/discomfort evaluated by 100 mm visual analogue scale (VAS)

    Following the completion of testing for each frequency/intensity combination setting, subjects will rate the level of comfort/discomfort of the setting on a VAS.

    A Visual Analogue Scale is a psychometric response scale which will be used as a measuring instrument for subjective comfort or discomfort. It is a measurement instrument that ranges across a continuum of values and used to measure the intensity or frequency of various symptoms.

    • The Visual Analogue Scale ranges from (0 to 100 mm).
    • Zero means very uncomfortable/intolerable and 100 means very comfortable.

    The subject will mark the line for each setting combination to indicate the level of comfort or discomfort.

    After the Study visit, the research staff will measure the mark on the line and document the value.

    Measured: 4-6 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Aug 2018
  2. Study start24 Jan 2019 (estimated)
  3. Primary completion12 Mar 2019 (estimated)
  4. Study completion12 Apr 2019 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03645473
Sponsor's protocol ID
CR-RR-2018-002
Acronym
HFCWO
Status last verified
Dec 2018
First submitted
22 Aug 2018
Last updated
31 Dec 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Monarch Airway Clearance System in people with Cystic Fibrosis, run by Hill-Rom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 31 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Peak oscillating expiratory airflow measurements (time frame: 4-6 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Dec 2018.

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