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Deglutition DisordersNCT06637774

The Aspirometer: A Noninvasive Tool for Detecting Aspiration Aim 3

A study testing Aspirometer and Videofluoroscopic X-ray in people with Deglutition Disorders, run by University of Pittsburgh at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This investigation evaluates the effectiveness of a device called the Aspirometer, which uses high resolution cervical auscultation (HRCA), in detecting when food or liquids enter the airway (aspiration) of the person swallowing, whether the person swallowing shows signs of aspiration (coughing) or not. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Deglutition Disorders
What is being tested?
Aspirometer and Videofluoroscopic X-ray
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteUnited States
Study dates
30 Sep 2022to 31 May 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • referred by an attending physician as an inpatient, for a modified barium swallow examination due to suspected dysphagia and aspiration

Who cannot join

  • tracheostomy
  • pregnant
  • unable to follow verbal commands
  • anatomic disruption of head neck
  • radiation therapy to head or neck

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pittsburgh Medical Center Oakland campus

    Pittsburgh, Pennsylvania, 15260

Other trials in United States

About this study

Official title: The Aspirometer: A Noninvasive Tool for Detecting Aspiration

This investigation evaluates the effectiveness of a device called the Aspirometer, which uses high resolution cervical auscultation (HRCA), in detecting when food or liquids enter the airway (aspiration) of the person swallowing, whether the person swallowing shows signs of aspiration (coughing) or not.

Read the detailed description

This aim of the project seeks to discriminate normal from abnormal airway protection and kinematic functions noninvasively via machine-learning analysis of Aspirometer/HRCA (high resolution cervical auscultation) signals, with similar accuracy as human judgment of VF. Hypothesis: Advanced data analytics can detect pathological airway protection in HRCA signal signatures with 90% accuracy when compared to a human expert's airway protection ratings from VF images. Analytical algorithms that can learn from data (e.g., Bayes' learning) will be used to infer about the continuum of abnormal airway protection during swallowing.

Being tested
Aspirometer, Videofluoroscopic X-ray
Keywords
dysphagia, artificial intelligence, machine learning
Medical subject headings
Deglutition Disorders

What participants receive

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

  • AspirometerDevice

    Also called high resolution cervical auscultation

    a triaxial accelerometer and a contact microphone affixed with tape to patient neck, a data accrual infrastructure, algorithms that decode swallow physiology noninvasively

  • Videofluoroscopic X-rayDevice

    Also called Modified barium swallow study (MBS)

    MBS is a fluoroscopic diagnostic test to evaluate swallowing physiology. Its images are judged by humans trained to do so.

Study groups in NCT06637774
Study groupRoleWhat they receive
Videofluoroscopic Swallow Study + AspirometerExperimentalConsecutively referred patients for modified barium swallow due to suspicion of dysphagia with aspiration, undergo the modified barium swallow test with Aspirometer sensors taped to the anterior neck. Signals are time-linked to images.
Receives: Device: Aspirometer; Device: Videofluoroscopic X-ray

What is being measured

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

  1. Numbers of Participants for Which the Aspirometer/HRCA Predicted the Passed Versus Failed Swallow Test Result

    Patients will undergo the Yale Swallow Protocol Screening Test and videofluoroscopic swallow study (VFS) while being concurrently monitored by the Aspirometer. Blinded trained human judges will score the screening test per its protocol indicating pass or fail based on the test's manual. Participants then immediately undergo a videofluoroscopic swallowing study during the same visit. Judgments of their penetration-aspiration scale (PAS) scores on the will serve as the gold standard for whether abnormal airway protection occurs during a swallow.

    The Yale swallow protocol involves a patient suspected of dysphagia with aspiration, drinking an aliquot of water (90mL) from a cup. Patient PASSES the screen if they drink the aliquot continuously without pausing, and if they do not cough or clear their throat after the swallow (one minute observation). Patients who PASS are assumed to NOT aspirate, patients who FAIL are assumed to aspirate.

    Measured: day 1

  2. Percentage of PAS Scores That Were Accurately Predicted by the Aspirometer/HRCA, in Comparison to Modified Barium Swallow Test.

    The Penetration Aspiration Scale is an 8-point ordinal scale validated in 1996. Scale range 1(best)-8(worst).

    Normal:

    1. no contrast entered the airway
    2. shallow laryngeal vestibule penetration of contrast above the vocal folds, NO airway residue observed Moderate:
    3. shallow laryngeal vestibule penetration above the vocal folds, airway residue IS observed
    4. deep laryngeal penetration to the inferior larynx, NO airway residue is observed
    5. deep laryngeal penetration to the inferior larynx, airway residue IS observed
    6. transient aspiration-contrast enters trachea and is ejected from trachea Severe:
    7. aspiration with observable tracheal residue, spontaneous airway clearance response ineffective
    8. silent aspiration-aspiration-no observed effort or reflexive reaction to clear airway

    Measured: day 1

Timeline

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

  1. First posted15 Oct 2024
  2. Study start30 Sep 2022
  3. Primary completion31 May 2023
  4. Study completion31 May 2023

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
Screening
Allocation
Not applicable
Intervention model
Single group
Model description
Prospective study of patients referred for videofluoroscopic swallow study, consenting to parallel data collection of signals. No control group.
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06637774
Sponsor's protocol ID
STUDY22040175 (Aim 3)
Other IDs
R01HD074819
Status last verified
Feb 2025
First submitted
30 Jul 2024
Last updated
19 Feb 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: algorithms, not individual participant data, will be made available to other researchers through an FTP (file transfer protocol) site

Publications

  • Khalifa Y, Mahoney AS, Lucatorto E, Coyle JL, Sejdic E. Non-Invasive Sensor-Based Estimation of Anterior-Posterior Upper Esophageal Sphincter Opening Maximal Distension. IEEE J Transl Eng Health Med. 2023 Feb 20;11:182-190. doi: 10.1109/JTEHM.2023.3246919. eCollection 2023.

    PubMed 36873304
  • Mahoney AS, Khalifa Y, Lucatorto E, Sejdic E, Coyle JL. Cervical Vertebral Height Approximates Hyoid Displacement in Videofluoroscopic Images of Healthy Adults. Dysphagia. 2022 Dec;37(6):1689-1696. doi: 10.1007/s00455-022-10414-8. Epub 2022 Mar 1.

    PubMed 35230537
  • Schwartz R, Khalifa Y, Lucatorto E, Perera S, Coyle J, Sejdic E. A Preliminary Investigation of Similarities of High Resolution Cervical Auscultation Signals Between Thin Liquid Barium and Water Swallows. IEEE J Transl Eng Health Med. 2021 Dec 10;10:4900109. doi: 10.1109/JTEHM.2021.3134926. eCollection 2022.

    PubMed 34963825
  • Shu K, Coyle JL, Perera S, Khalifa Y, Sabry A, Sejdic E. Anterior-posterior distension of maximal upper esophageal sphincter opening is correlated with high-resolution cervical auscultation signal features. Physiol Meas. 2021 Apr 6;42(3). doi: 10.1088/1361-6579/abe7cb.

    PubMed 33601360
  • Donohue C, Khalifa Y, Perera S, Sejdic E, Coyle JL. A Preliminary Investigation of Whether HRCA Signals Can Differentiate Between Swallows from Healthy People and Swallows from People with Neurodegenerative Diseases. Dysphagia. 2021 Aug;36(4):635-643. doi: 10.1007/s00455-020-10177-0. Epub 2020 Sep 5.

    PubMed 32889627
  • Sejdic E, Malandraki GA, Coyle JL. Computational deglutition: Signal and image processing methods to understand swallowing and associated disorders. IEEE Signal Process Mag. 2019 Jan;36(1):138-146. doi: 10.1109/MSP.2018.2875863. Epub 2018 Dec 25. No abstract available.

    PubMed 31631954
  • Khalifa Y, Donohue C, Coyle JL, Sejdic E. Autonomous Swallow Segment Extraction Using Deep Learning in Neck-Sensor Vibratory Signals From Patients With Dysphagia. IEEE J Biomed Health Inform. 2023 Feb;27(2):956-967. doi: 10.1109/JBHI.2022.3224323. Epub 2023 Feb 3.

    PubMed 36417738
  • Donohue C, Khalifa Y, Mao S, Perera S, Sejdic E, Coyle JL. Characterizing Swallows From People With Neurodegenerative Diseases Using High-Resolution Cervical Auscultation Signals and Temporal and Spatial Swallow Kinematic Measurements. J Speech Lang Hear Res. 2021 Sep 14;64(9):3416-3431. doi: 10.1044/2021_JSLHR-21-00134. Epub 2021 Aug 24.

    PubMed 34428093
  • Donohue C, Khalifa Y, Mao S, Perera S, Sejdic E, Coyle JL. Establishing Reference Values for Temporal Kinematic Swallow Events Across the Lifespan in Healthy Community Dwelling Adults Using High-Resolution Cervical Auscultation. Dysphagia. 2022 Jun;37(3):664-675. doi: 10.1007/s00455-021-10317-0. Epub 2021 May 20.

    PubMed 34018024
  • Sabry A, Mahoney AS, Mao S, Khalifa Y, Sejdic E, Coyle JL. Automatic Estimation of Laryngeal Vestibule Closure Duration Using High- Resolution Cervical Auscultation Signals. Perspect ASHA Spec Interest Groups. 2020 Dec;5(6):1647-1656. doi: 10.1044/2020_persp-20-00073. Epub 2020 Dec 14.

    PubMed 35937555
  • Mao S, Sabry A, Khalifa Y, Coyle JL, Sejdic E. Estimation of laryngeal closure duration during swallowing without invasive X-rays. Future Gener Comput Syst. 2021 Feb;115:610-618. doi: 10.1016/j.future.2020.09.040. Epub 2020 Sep 30.

    PubMed 33100445
  • Coyle JL, Sejdic E. High-Resolution Cervical Auscultation and Data Science: New Tools to Address an Old Problem. Am J Speech Lang Pathol. 2020 Jul 10;29(2S):992-1000. doi: 10.1044/2020_AJSLP-19-00155. Epub 2020 Jul 10.

    PubMed 32650655
  • Khalifa Y, Coyle JL, Sejdic E. Non-invasive identification of swallows via deep learning in high resolution cervical auscultation recordings. Sci Rep. 2020 May 26;10(1):8704. doi: 10.1038/s41598-020-65492-1.

    PubMed 32457331
  • Donohue C, Mao S, Sejdic E, Coyle JL. Tracking Hyoid Bone Displacement During Swallowing Without Videofluoroscopy Using Machine Learning of Vibratory Signals. Dysphagia. 2021 Apr;36(2):259-269. doi: 10.1007/s00455-020-10124-z. Epub 2020 May 17.

    PubMed 32419103
  • Zhang Z, Perera S, Donohue C, Kurosu A, Mahoney AS, Coyle JL, Sejdic E. The Prediction of Risk of Penetration-Aspiration Via Hyoid Bone Displacement Features. Dysphagia. 2020 Feb;35(1):66-72. doi: 10.1007/s00455-019-10000-5. Epub 2019 Mar 27.

    PubMed 30919104

Questions about this trial

What is this clinical trial studying?

A study testing Aspirometer and Videofluoroscopic X-ray in people with Deglutition Disorders, run by University of Pittsburgh at 1 site in United States.

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 1 inclusion and 5 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: finished, as of the sponsor's last update on 19 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

Yes. Results are posted in the registry (first posted 19 Feb 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Numbers of Participants for Which the Aspirometer/HRCA Predicted the Passed Versus Failed Swallow Test Result (time frame: day 1). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06637774, which also lists 15 linked publications.

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 19 Feb 2025.

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