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Face-masksNCT05193422

Protective Face Masks and Cardiopulmonary Parameters at Rest and During Exercise in Children

A study testing Spirometry - baseline, Spirometry - post CPET and Nasal peak inspiratory flow - baseline in people with Face-masks and Exercise, run by University of Patras.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

This study will examine the possible effects of protective surgical masks on the cardiorespiratory function of children aged 8-14 years at rest and during exercise. The study will consist of two phases: Phase I: No face mask. 1. Measurement of peak nasal inspiratory flow 2. Read more about this study

Who is it for?
Ages 8 to 14 yearsHealthy volunteers can take part
Conditions the study is for
Face-masks, Exercise
What is being tested?
Spirometry - baseline, Spirometry - post CPET and Nasal peak inspiratory flow - baseline
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
No sites listed yet
Study dates
20 Jan 2022to 20 Mar 2022
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 8 to 14 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Children should not suffer from conditions that are likely to affect CPET outcomes, such as respiratory (asthma and chronic lung disease), cardiac (congenital heart disease, heart failure), neurologic and musculoskeletal disorders.
  • Height >135 cm
  • Parental written informed consent

Who cannot join

  • Points #1 or #2 not fulfilled
  • Child not willing to participate (e.g. not willing to wear the sensors)

Trial locations and contacts

No sites are listed yet.

Sotirios Fouzas, Prof. contact

+30 6944510047

sfouzas@upatras.gr

Michael Anthracopoulos, Prof. contact

+30 2610 999716

manthra@otenet.gr

About this study

Official title: Effects of Protective Face Masks on Cardiopulmonary Parameters at Rest and During Exercise in Children

This study will examine the possible effects of protective surgical masks on the cardiorespiratory function of children aged 8-14 years at rest and during exercise.

The study will consist of two phases:

Read more
  • Phase I: No face mask.
  1. Measurement of peak nasal inspiratory flow
  2. CPET with an ergometric bike at 30% of their predicted maximum workload (Wmax) for 4 minutes, 50% of Wmax for 2 minutes and 70% of Wmax for 1 minute, with continuous oxygen saturation (SpΟ2), heart rate (HR), end-tidal CO2 (EtCO2) and respiratory rate (RR) monitoring.
  3. Spirometry and measurement of nPIF immediately after CPET.
  4. Discomfort assessment using a special scale
  • Phase II: Face mask. Following nPIF measurement, participants will be asked to wear a standard surgical face mask. A temperature and humidity sensor will also be placed inside the mask. Will follow:
  1. Resting phase, 6 minutes. SpO2, HR, EtCO2 and RR will be monitored.
  2. CPET at 30% of Wmax for 4 minutes, 50% Wmax for 2 minutes and 70% Wmax for 1 minute. SpO2, HR, EtCO2 and RR will be continuously monitored.
  3. Spirometry and measurement of nPIF immediately after CPET.
  4. Discomfort assessment.

Both phases will be performed on the same day with a recovery phase of 30 minutes between them. Participants will be randomized to begin with Phase I followed by Phase II or Phase II followed by Phase I.

At both phases, SpO2, HR, EtCO2 and RR (10 s average values) will be recorder at each 1 minute during CPET, and at minutes 0, 3 and 6 during the resting phase of Phase II. During Phase II, temperature and humidity will also be recorded at each 1 minute during CPET and at minutes 0, 3 and 6 during the resting phase.

The total duration of the protocol is estimated at 90 minutes per participant. The study sample will consist of 40 children stratified by age.

Read the detailed description

PURPOSE

The purpose of this study is to investigate the possible effects of protective surgical masks on the cardiorespiratory function of children aged 8-14 years at rest and during exercise.

METHODS

  1. Population

Children aged 8-14 years (minimum height 135 cm) will be invited to participate. They will be recruited from the outpatient clinics of the Pediatric Allergy and Pediatric Endocrinology Departments of the University Hospital of Patras, Greece. Children should not suffer from conditions that are likely to affect cardiopulmonary exercise testing (CPET) outcomes, such as respiratory (asthma and chronic lung disease), cardiac (congenital heart disease, heart failure), neurologic and musculoskeletal disorders.

The parents of the children will be informed about the aims of the study and they will be asked to give written consent. The study has been approved by the local Research and Ethics Committee (Act no. 407/9.10.2020).

  1. Protocol

The study will be performed at the Respiratory Functions and CPET Laboratory of the Pediatric Pulmonary Unit. Children will present to the laboratory with one of their parents.

After history taking and measurement of weight and height, baseline spirometry will follow using a Micro5000 device (Medisoft, Sorinnes, Belgium) to determine FEV1, FVC, FEV1/FVC, FEF25-75 and PEF. The study will consist of two phases:

  • Phase I: No face mask. Participants will perform
  1. Measurement of peak nasal inspiratory flow (nPIF) using the Micro5000 device and a specially modified nasal mask.
  2. CPET using an ULTIMA CPX device (MGC Diagnostics, Saint Paul, MI, USA) with an ergometric bike (eBike, GE Healthcare, Wauwatosa, WI, USA). Participants will be asked to exercise (steady pedaling at 60 rpm) at 30% of their predicted maximum workload (Wmax) for 4 minutes, at 50% of Wmax for 2 minutes and at 70% of Wmax for 1 minute. Wmax will be calculated as 3 Watts/kg. During CPET, oxygen saturation (SpΟ2) and heart rate (HR) will be continuously monitored using a Nonin 7500 pulse oximeter with a special ear sensor (Nonin Medical Inc, Plymouth, MN, USA). End-tidal CO2 (EtCO2) and respiratory rate (RR) will also be monitored using a Microstream device with special sampling (nasal) lines (Medtronic, Minneapolis, MN, USA).
  3. Spirometry and measurement of nPIF immediately after CPET.
  4. Discomfort assessment using a special scale graded from 1 to 10.
  • Phase II: Face mask. Following nPIF measurement, participants will be asked to wear a standard surgical face mask. A temperature and humidity sensor (RHT03, MaxDetect Technologies, Shenzhen, China) will also be placed inside the mask on the right cheek, at nose level. Subsequently will follow:
  1. Resting phase, with the participants on the ergometric bike without pedaling and breathing normally for 6 minutes. SpO2, HR, EtCO2 and RR will be monitored during the resting phase.
  2. CPET at 30% of Wmax for 4 minutes, 50% of Wmax for 2 minutes and 70% of Wmax for 1 minute. SpO2, HR, EtCO2 and RR will be continuously monitored.
  3. Spirometry and measurement of nPIF immediately after CPET.
  4. Discomfort assessment.

Both phases will be performed on the same day with a recovery phase of 30 minutes between them. Participants will be randomized to begin with Phase I followed by Phase II or Phase II followed by Phase I.

At both phases, SpO2, HR, EtCO2 and RR (10 s average values) will be recorder at each 1 minute during CPET, and at minutes 0, 3 and 6 during the resting phase of Phase II. During Phase II, temperature and humidity will also be recorded at each 1 minute during CPET and at minutes 0, 3 and 6 during the resting phase.

The total duration of the protocol is estimated at 90 minutes per participant. The study sample will consist of 40 children stratified by age.

Conditions
Face-masks, Exercise
Being tested
Spirometry - baseline, Spirometry - post CPET, Nasal peak inspiratory flow - baseline, Nasal peak inspiratory flow - post CPET, Oxygen saturation
Keywords
face-masks, exercise, children
Medical subject headings
Motor Activity

What participants receive

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

  • Spirometry - baselineDiagnostic test

    Standard spirometry using a Micro5000 spirometer to determine baseline FEV1, FVC, FEV1/FVC, FEF25-75 and PEF.

    Baseline spirometry will be performed before CPET in both study arms

  • Spirometry - post CPETDiagnostic test

    Standard spirometry using a Micro5000 spirometer to determine baseline % change in FEV1 after CPET and assess exercise-induced bronchoconstriction (defined as FEV1 decrease >10% at 5 minutes after CPET) Post spirometry will be performed after CPET in both study arms

  • Nasal peak inspiratory flow - baselineDiagnostic test

    Measurement of peak nasal inspiratory flow (nPIF) using a Micro5000 spirometer and a specially modified nasal mask.

    nPIF will be measured before CPET in both study arms

  • Nasal peak inspiratory flow - post CPETDiagnostic test

    Measurement of peak nasal inspiratory flow (nPIF) using a Micro5000 spirometer and a specially modified nasal mask.

    nPIF will be measured after CPET in both study arms

  • Oxygen saturationDiagnostic test

    Also called SpO2

    Continuous monitoring of SpO2 using a Nonin 7500 pulse oximeter, in both study arms

  • Heart RateDiagnostic test

    Also called HR

    Continuous monitoring of HR using a Nonin 7500 pulse oximeter, in both study arms

  • End-tidal CO2Diagnostic test

    Also called EtCO2

    Continuous monitoring of EtCO2 using a Microstream capnograph, in both study arms

  • Respiratory rateDiagnostic test

    Also called RR

    Continuous monitoring of RR using a Microstream capnograph, in both study arms

  • TemperatureDiagnostic test

    Also called Temp

    Continuous monitoring of Temp in the face mask using a RHT03 sensor, only in the experimental study arm

  • HumidityDiagnostic test

    Also called Hum

    Continuous monitoring of Hum in the face mask using a RHT03 sensor, only in the experimental study arm

  • Cardiopulmonary exercise testingDiagnostic test

    Also called CPET

    CPET using an ULTIMA CPX device (MGC Diagnostics, Saint Paul, MI, USA) with an ergometric bike (eBike, GE Healthcare, Wauwatosa, WI, USA). Participants will be asked to exercise (steady pedaling at 60 rpm) at 30% of their predicted maximum workload (Wmax) for 4 minutes, at 50% of Wmax for 2 minutes and at 70% of Wmax for 1 minute. Wmax will be calculated as 3 Watts/kg.

    CPET will be performed in both study arms

  • Discomfort levelDiagnostic test

    Discomfort assessment using a special scale graded from 1 to 10 (Fikenzer, 2020).

    Both study arms, after CPET.

Study groups in NCT05193422
Study groupRoleWhat they receive
Phase I: No maskActive comparatorParticipants, without wearing a face mask, will undergo the following: 1. Measurement of peak nasal inspiratory flow 2. Cardiopulmonary exercise testing (CPET) with an ergometric bike at 30% of their predicted maximum workload (Wmax) for 4 minutes, 50% of Wmax for 2 minutes and 70% of Wmax for 1 minute, with continuous oxygen saturation (SpΟ2), heart rate (HR), end-tidal CO2 (EtCO2) and respiratory rate (RR) monitoring. 3. Spirometry and measurement of nPIF immediately after CPET. 4. Discomfort assessment using a special scale
Receives: Diagnostic Test: Spirometry - baseline; Diagnostic Test: Spirometry - post CPET; Diagnostic Test: Nasal peak inspiratory flow - baseline; Diagnostic Test: Nasal peak inspiratory flow - post CPET; Diagnostic Test: Oxygen saturation; Diagnostic Test: Heart Rate; Diagnostic Test: End-tidal CO2; Diagnostic Test: Respiratory rate; Diagnostic Test: Cardiopulmonary exercise testing; Diagnostic Test: Discomfort level
Phase II: Face maskExperimentalFollowing nPIF measurement, participants will be asked to wear a standard surgical face mask. A temperature and humidity sensor will also be placed inside the mask. Will follow: 1. Resting phase, 6 minutes. SpO2, HR, EtCO2 and RR will be monitored. 2. CPET at 30% of Wmax for 4 minutes, 50% Wmax for 2 minutes and 70% Wmax for 1 minute. SpO2, HR, EtCO2 and RR will be continuously monitored. 3. Spirometry and measurement of nPIF immediately after CPET. 4. Discomfort assessment.
Receives: Diagnostic Test: Spirometry - post CPET; Diagnostic Test: Nasal peak inspiratory flow - baseline; Diagnostic Test: Nasal peak inspiratory flow - post CPET; Diagnostic Test: Oxygen saturation; Diagnostic Test: Heart Rate; Diagnostic Test: End-tidal CO2; Diagnostic Test: Respiratory rate; Diagnostic Test: Temperature; Diagnostic Test: Humidity; Diagnostic Test: Cardiopulmonary exercise testing; Diagnostic Test: Discomfort level

What is being measured

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

  1. SpO2

    Oxygen saturation

    Measured: Minute 1

  2. SpO2

    Oxygen saturation

    Measured: Minute 2

  3. SpO2

    Oxygen saturation

    Measured: Minute 3

  4. SpO2

    Oxygen saturation

    Measured: Minute 4

  5. SpO2

    Oxygen saturation

    Measured: Minute 5

  6. SpO2

    Oxygen saturation

    Measured: Minute 6

  7. SpO2

    Oxygen saturation

    Measured: Minute 7

  8. HR

    Heart rate

    Measured: Minute 1

  9. HR

    Heart rate

    Measured: Minute 2

  10. HR

    Heart rate

    Measured: Minute 3

  11. HR

    Heart rate

    Measured: Minute 4

  12. HR

    Heart rate

    Measured: Minute 5

  13. HR

    Heart rate

    Measured: Minute 6

  14. HR

    Heart rate

    Measured: Minute 7

  15. EtCO2

    End-tidal CO2

    Measured: Minute 1

  16. EtCO2

    End-tidal CO2

    Measured: Minute 2

  17. EtCO2

    End-tidal CO2

    Measured: Minute 3

  18. EtCO2

    End-tidal CO2

    Measured: Minute 4

  19. EtCO2

    End-tidal CO2

    Measured: Minute 5

  20. EtCO2

    End-tidal CO2

    Measured: Minute 6

  21. EtCO2

    End-tidal CO2

    Measured: Minute 7

  22. RR

    Respiratory rate

    Measured: Minute 1

  23. RR

    Respiratory rate

    Measured: Minute 2

  24. RR

    Respiratory rate

    Measured: Minute 3

  25. RR

    Respiratory rate

    Measured: Minute 4

  26. RR

    Respiratory rate

    Measured: Minute 5

  27. RR

    Respiratory rate

    Measured: Minute 6

  28. RR

    Respiratory rate

    Measured: Minute 7

  29. Temperature

    Air temperature (in degrees Celsius) within the face mask

    Measured: Minute 1

  30. Temperature

    Air temperature (in degrees Celsius) within the face mask

    Measured: Minute 2

  31. Temperature

    Air temperature (in degrees Celsius) within the face mask

    Measured: Minute 3

  32. Temperature

    Air temperature (in degrees Celsius) within the face mask

    Measured: Minutε 4

  33. Temperature

    Air temperature (in degrees Celsius) within the face mask

    Measured: Minute 5

  34. Temperature

    Air temperature (in degrees Celsius) within the face mask

    Measured: Minute 6

  35. Temperature

    Air temperature (in degrees Celsius) within the face mask

    Measured: Minute 7

  36. Humidity

    Relative air humidity (%) within the face mask

    Measured: Minute 1

  37. Humidity

    Relative air humidity (%) within the face mask

    Measured: Minute 2

  38. Humidity

    Relative air humidity (%) within the face mask

    Measured: Minute 3

  39. Humidity

    Relative air humidity (%) within the face mask

    Measured: Minute 4

  40. Humidity

    Relative air humidity (%) within the face mask

    Measured: Minute 5

  41. Humidity

    Relative air humidity (%) within the face mask

    Measured: Minute 6

  42. Humidity

    Relative air humidity (%) within the face mask

    Measured: Minute 7

  43. Discomfort level

    Level of discomfort (specific questionnaire (5 items), scale 1 to 10) after CPET

    Measured: Minute 7

  44. Exercise-induced bronchoconstriction

    % change in FEV1 value before-after CPET

    Measured: Minute 7

  45. % change in nPIF

    % change in nPIF value before-after CPET

    Measured: Minute 7

Timeline

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

  1. First posted14 Jan 2022
  2. Study start20 Jan 2022 (estimated)
  3. Primary completion20 Feb 2022 (estimated)
  4. Study completion20 Mar 2022 (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
Other
Allocation
Randomised
Intervention model
Crossover
Model description
Participants will be randomized to begin with Phase I followed by Phase II or Phase II followed by Phase I.
Masking
None (open label)
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05193422
Sponsor's protocol ID
10092020
Status last verified
Jan 2022
First submitted
3 Nov 2021
Last updated
14 Jan 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Spirometry - baseline, Spirometry - post CPET and Nasal peak inspiratory flow - baseline in people with Face-masks and Exercise, run by University of Patras.

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 3 inclusion and 2 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 14 Jan 2022. 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?

Contact Sotirios Fouzas, Prof. (+30 6944510047, sfouzas@upatras.gr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

SpO2 (time frame: Minute 1). The study lists 45 primary outcomes in all. 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 14 Jan 2022.

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