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Respiration DisordersNIM-LVNCT06681467

Non-invasive Methods of Measuring Lung Volume

A study testing Respiratory monitoring band in people with Respiration Disorders, run by University Hospital Southampton NHS Foundation Trust at 1 site in United Kingdom.

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

Each breath humans take can be split into different measurements that clinicians can use to see how well a patient's lungs are working. Clinicians take these measurements to see how the lungs of patients with conditions such as asthma, chronic obstructive pulmonary disease or other muscle problems are affected. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Respiration Disorders
What is being tested?
Respiratory monitoring band
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteUnited Kingdom
Study dates
20 Nov 2024to 19 May 2025
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subject: Human participants
  • Gender: Any
  • Aged 18 years and over.
  • Able to give informed consent in English.
  • Physically able to take part including a simple walking exercise
  • Either in a asymptomatic participant group or planned for spirometry testing

Who cannot join

  • Significant chest deformity or having a medical device fitted in (e.g. Implantable cardioverter defibrillator (ICD), Spinal cord stimulator, Pacemaker, etc)
  • Pregnant
  • Unable/uncomfortable to use a chest belt device for any reason.
  • Patients <18 years old
  • Unable to read and speak in English to an understandable level
  • Unable to walk (aided or unaided) for 1 minute

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • PFT

    Southampton

Other trials in United Kingdom

About this study

Official title: An Investigation Into the Measurement of Lung Volume by Analysis of Breathing Parameters Using Non-invasive Wearable Devices

Each breath humans take can be split into different measurements that clinicians can use to see how well a patient's lungs are working. Clinicians take these measurements to see how the lungs of patients with conditions such as asthma, chronic obstructive pulmonary disease or other muscle problems are affected. This also allows us to monitor how a patient's disease changes over time. At present, to measure lung volumes patients need to attend a clinic appointment and complete a test called spirometry. This takes both time and effort for patients and not all will be able to attend. There are simple devices available that can be attached to patients which measure breathing parameters such as breathing rate. Many different devices are available to do this; a common version is a chest band. These comprise of a tight-fitting band that is placed around the centre of the chest and as patients breathe in and out, the band stretches and contracts. The force of this stretching and contraction can be measured and turned in to a continuous breathing rate. Although this is useful, there is no device that can currently measure lung volumes as well as spirometry can. Therefore, the investigators will use software analysis to change data collected from two different chest bands to make the measurements comparable to spirometry testing. Doing this could mean that patients could test their breathing at home and any problems be picked up sooner. It would also help patients be more involved in the care of their breathing and may lead to earlier treatments. Our study is the first stage in developing this device, but the investigators hope that it will help with other research later.

Read the detailed description

The study design was chosen so that the investigators can directly compare results produced from wearable respiratory devices to spirometry. In order to do this in a protocolised manner, pulmonary function testing (PFT) clinic was chosen as the location of the study. Prior to the protocol being agreed, this was discussed and approved by the medical and nursing team in charge of the pulmonary function clinic. The investigators also approached patients in PFT clinic to discuss the proposed protocol and if they felt it was suitable for someone attending the clinic. The investigators received positive responses form this and any comments were considered in the final protocol.

Potential participants will be identified when they are booking into their clinic appointment. All patients will be attending PFT clinic as part of their clinical care; none will be attending as part of the study only. Patients will be asked if they would like to participate in the study after receiving the patient information leaflet and given time to ask any questions. The investigators aim to recruit 50 patients. This was deemed a suitable number to be able to undertake machine learning analysis with sufficient data. The investigators aim to recruit these 50 patients by attending PFT clinic weekly for approximately 3 months. They will vary the days of the week/clinic times they attend to gain a range of different patient groups as PFT clinics vary across the week.

After participants are fully consented, baseline data will be collected. This will involve a medical questionnaire that they will be asked to complete. The following data will be collected using the questionnaire:

Patient demographics: Age, sex, height, weight Comorbidities including past medical and surgical history Smoking status Alcohol status Current medications used Allergy status Reason for spirometry testing

Once the questionnaire is completed the participants will start the measurement section of the study. They will have two respiratory measurement devices attached. The Go Direct Respiration Sensor and a biosignal respiratory belts will both be fitted over light clothing so that participants will wear both sensors at once. They work in different ways but both use chest movement during breathing to determine respiratory effort and respiratory rate. They fit as bands around the chest. The investigators will aim to place the devices in similar positions in all participants (around the centre of the chest at the breast bone). Before confirming their placement, participants will be asked if the devices are comfortable and allow for normal breathing. These devices will track chest movement for the duration of the spirometry test and during timed activities of sitting, speaking, and walking. Once fitted, participants will continue with their spirometry appointment as planned. Some results from their spirometry testing will be noted in a secure database. This will include their inspiratory reserve volume, expiratory reserve volume, tidal volume and forced expiratory volume. The values alone will be recorded with no other patient data from the clinic appointment. At the end of the appointment, once they are back at baseline breathing, participants will be asked to read a short standardised script (in the form of a simple poem) over the course of 1-2 minutes that will allow us to analyse breathing patterns during speech. This will be coordinated with audio recordings of the speech which will be used in later data analysis of speech breathing. This may occur in the clinic room or another quiet room opposite the clinic depending on clinic timings. The final task before removal of the devices will be a short walk down the corridor outside of the clinical room to assess breathing during light exercise. This will be a set distance of 75 meters and should take around 1 minute to complete. Variability in timing of the walk will be accepted due to different patient walking speeds. The total data collection will take approximately 30 minutes. There should not be any additional clinic time required as the speech assessment and walking assessment can be undertaken outside of the clinic room. When the devices are removed, participants will be asked if they wish to comment on anything they felt during the study including discomfort from wearing the devices. The spirometry data will be collected by the PFT team as part of their routine testing and as such should not be influenced by the study. The researcher will not be involved in the spirometry testing portion of the study and therefore should not bias any results obtained.

Once the bands are removed the data will be downloaded onto a secure laptop with all patient identifying information removed. Following the collection of data for all 50 patients, the investigators aim to spend a further 1-2 months analysing the data and comparing it to the spirometry results. The final report will be available within 24 months of the study start date.

There will not be any planned interim analysis.

Being tested
Respiratory monitoring band
Keywords
chest band, wearable monitoring device, pulmonary function test, tidal volume, machine learning
Medical subject headings
Respiration Disorders

What participants receive

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

  • Respiratory monitoring bandOther

    Also called Go Direct Respiration Sensor, biosignal respiratory belt

    The only intervention in this study is the application of two CE marked study approved chest bands- the Go direct respiratory sensor and a biosignal respiration belt

Study groups in NCT06681467
Study groupRoleWhat they receive
Patients undergoing planned pulmonary function testingExperimentalParticipants will be recruited from patients attending a planned pulmonary function clinic appointment. They will be invited to participate when they are booking into clinic. Should they agree to participate the will have the following interventions: 1. Basic medical questionnaire 2. 2x chest band devices fitted over clothing They will then undertake their planned clinic appointment. No additional resources will be required for this. Once they have finished their clinic appointment, the investigators will ask them to read a short script whilst recording their speech. Following this the investigators will ask them to walk 75m down the hall. The devices will then be removed and the study time is over.
Receives: Other: Respiratory monitoring band

What is being measured

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

  1. Data extraction from respiratory band devices using machine learning modelling

    Data will be extracted using machine learning modelling to form respiratory parameters

    Measured: From enrollment to one year post data collection to allow for data extraction and analysis time

  2. Measurement of Tidal volume (in mL) using machine learning techniques

    Tidal volume will be extracted from respiratory band devices using machine learning techniques

    Measured: From enrollment to one year post data collection to allow for data extraction and analysis time

  3. Measurement of Inspiratory Reserve Volume (in L) using machine learning techniques

    Inspiratory reserve volume will be extracted from respiratory band devices using machine learning techniques

    Measured: From enrollment to one year post data collection to allow for data extraction and analysis time

  4. Measurement of Expiratory reserve volume (in L) using machine learning techniques

    Expiratory reserve volume will be extracted from respiratory band devices using machine learning techniques

    Measured: From enrollment to one year post data collection to allow for data extraction and analysis time

  5. Measurement of Forced vital capacity (in L) using machine learning techniques

    Forced vital capacity will be extracted from respiratory band devices using machine learning techniques

    Measured: From enrollment to one year post data collection to allow for data extraction and analysis time

Secondary outcomes (4)
  1. Accuracy and reliability of the respiratory parameters formed using machine learning techniques in comparison to spirometry

    By wearing the devices at the same time as pulmonary function testing, it will allow for a direct comparison of respiratory rates and respiratory parameters (as described in primary outcomes).

    Measured: From enrolment to one year post data collection to allow for data extraction and analysis time

  2. Direct comparison of machine learning results formed from the two devices against spirometry

    As the two devices will be worn at the same time, the investigators will be able to compare each device individually to determine if there are differences between the devices and their data.

    Measured: From enrollment to one year post data collection to allow for data extraction and analysis time

  3. Analysis of how breathing patterns and respiratory volumes change with speech using data collected from two wearable respiratory devices

    Whilst wearing the devices we will record a short speech and then analyse the breathing patterns with auditory analysis and transcription.

    Measured: From enrollment to one year post data collection to allow for data extraction and analysis time

  4. Analysis of different disease severities and patient demographics and their impact on non-invasive breathing measurement

    Measured: From enrollment to one year post data collection to allow for data extraction and analysis time

Timeline

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

  1. First posted8 Nov 2024
  2. Study start20 Nov 2024
  3. Primary completion19 May 2025
  4. Study completion19 May 2025

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
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06681467
Sponsor's protocol ID
RHM CRI0461
Other IDs
349993
Acronym
NIM-LV
Status last verified
Nov 2024
First submitted
4 Nov 2024
Last updated
22 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The data will be collected and collated as part of a PhD project. The final data will aim to be published but this will be a summary of the participants. There is no plan to share data before the study is complete.

Publications

  • Mateu-Mateus, M., et al., Camera-Based Method for Respiratory Rhythm Extraction From a Lateral Perspective. IEEE Access, 2020. 8: p. 154924-154939.

  • Lin, Y.-A., et al., Respiration Monitoring using a Motion Tape Chest Band and Portable Wireless Sensing Node. Journal of Commercial Biotechnology, 2022. 27.

  • Ross R, Mongan WM, O'Neill P, Rasheed I, Fontecchio A, Dion G, Dandekar KR. An Adaptively Parameterized Algorithm Estimating Respiratory Rate from a Passive Wearable RFID Smart Garment. Proc COMPSAC. 2021 Jul;2021:774-784. doi: 10.1109/COMPSAC51774.2021.00110. Epub 2021 Sep 9.

    PubMed 34568878
  • Vitazkova D, Foltan E, Kosnacova H, Micjan M, Donoval M, Kuzma A, Kopani M, Vavrinsky E. Advances in Respiratory Monitoring: A Comprehensive Review of Wearable and Remote Technologies. Biosensors (Basel). 2024 Feb 6;14(2):90. doi: 10.3390/bios14020090.

    PubMed 38392009
  • Brochard L, Martin GS, Blanch L, Pelosi P, Belda FJ, Jubran A, Gattinoni L, Mancebo J, Ranieri VM, Richard JC, Gommers D, Vieillard-Baron A, Pesenti A, Jaber S, Stenqvist O, Vincent JL. Clinical review: Respiratory monitoring in the ICU - a consensus of 16. Crit Care. 2012 Dec 12;16(2):219. doi: 10.1186/cc11146.

    PubMed 22546221
  • Pierce R. Spirometry: an essential clinical measurement. Aust Fam Physician. 2005 Jul;34(7):535-9.

    PubMed 15999163
  • Flesch JD, Dine CJ. Lung volumes: measurement, clinical use, and coding. Chest. 2012 Aug;142(2):506-510. doi: 10.1378/chest.11-2964.

    PubMed 22871760
  • Bhakta NR, McGowan A, Ramsey KA, Borg B, Kivastik J, Knight SL, Sylvester K, Burgos F, Swenson ER, McCarthy K, Cooper BG, Garcia-Rio F, Skloot G, McCormack M, Mottram C, Irvin CG, Steenbruggen I, Coates AL, Kaminsky DA. European Respiratory Society/American Thoracic Society technical statement: standardisation of the measurement of lung volumes, 2023 update. Eur Respir J. 2023 Oct 12;62(4):2201519. doi: 10.1183/13993003.01519-2022. Print 2023 Oct.

    PubMed 37500112

Questions about this trial

What is this clinical trial studying?

A study testing Respiratory monitoring band in people with Respiration Disorders, run by University Hospital Southampton NHS Foundation Trust at 1 site in United Kingdom.

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 6 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 22 May 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 Kingdom. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Data extraction from respiratory band devices using machine learning modelling (time frame: From enrollment to one year post data collection to allow for data extraction and analysis time). The study lists 5 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 NCT06681467, which also lists 8 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 22 May 2025.

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