Respiratory rehabilitation in patients with ILD

2024-519541-30-00 Protocol IIBSP-OXI-2017-18 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 27 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 5 sites · Protocol IIBSP-OXI-2017-18

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 60
Countries 1
Sites 5

ILD

To compare the level of oxygenation achieved during muscle training with conventional oxygen therapy systems (nasal cannula) and high-flow systems.

Key facts

Sponsor
Fundacio Institut De Recerca De L'Hospital De La Santa Creu I Sant Pau
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Equipment and Supplies [E07], Diseases [C] - Respiratory Tract Diseases [C08]
Trial duration
27 Nov 2024 → ongoing
Decision date (initial)
2024-11-27
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-519541-30-00
EudraCT number
2017-000895-27

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To compare the level of oxygenation achieved during muscle training with conventional oxygen therapy systems (nasal cannula) and high-flow systems.

Secondary objectives 4

  1. Compare the benefits achieved with the two oxygen therapy systems in terms of: Level of effort achieved during training
  2. Effort tolerance with the 6MWT after training
  3. Improvement in dyspnea
  4. Improvement in Health-Related Quality of Life

Conditions and MedDRA coding

ILD

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Age > 30 years
  2. Diagnosis of Interstitial Lung Disease (ILD) according to national and international guidelines
  3. Signed informed consent form (Annex 1)

Exclusion criteria 8

  1. Participation in a Respiratory Rehabilitation (RR) program (including training) in the last 6 months
  2. Intolerance to the high-flow oxygen administration system; while no cases have been reported to date (Frat et al, New Engl J of Med 2015; 372: 2185-96; Stephan et al, JAMA 2015; 313: 2331-39)
  3. Respiratory diseases other than ILD
  4. Severe cardiac, neuromuscular, anemia, vascular diseases, or other serious comorbidities (primarily severe pulmonary hypertension per SEPAR Guidelines 2017)
  5. Osteoarticular diseases that hinder exercise performance
  6. Terminal illness (inability to perform exercises or treatment with opioids)
  7. Life expectancy < 6 months
  8. Cognitive disorders that prevent active participation

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary endpoint will be the average SpO₂ achieved throughout the entire training period, comparing both groups.

Secondary endpoints 8

  1. Dyspnea during daily life activities (mMRC scale, dyspnea domain of the CRQ)
  2. Dyspnea during exertion before and after the 6-minute walk test (6MWT) (Borg scale)
  3. Exercise capacity measured by the 6MWT without oxygen support
  4. Health-Related Quality of Life (HRQoL) assessed using the KBILD and SF36 questionnaires
  5. Full pulmonary function test (spirometry, lung volumes, diffusion, and blood gases)
  6. Adverse effects of the program
  7. Adverse events
  8. Program adherence

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Conoxia 100% medicinal gas, cryogenic

PRD5085190 · Product

Active substance
Oxygen
Pharmaceutical form
MEDICINAL GAS, COMPRESSED
Route of administration
INHALATION GAS
Max daily dose
200 Other
Max total dose
200 Other
Max treatment duration
8 Week(s)
Authorisation status
Authorised
ATC code
V03AN01 — -
Marketing authorisation
20170216
MA holder
LINDE GAS BULGARIA EOOD
MA country
Bulgaria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

CONOXIA, gas medicinal comprimido

PRD11384718 · Product

Active substance
Oxygen
Substance synonyms
OXYGENIUM
Pharmaceutical form
MEDICINAL GAS, COMPRESSED
Route of administration
INHALATION GAS
Max daily dose
200 Other
Max total dose
200 Other
Max treatment duration
8 Week(s)
Authorisation status
Authorised
ATC code
V03AN01 — -
Marketing authorisation
67166
MA holder
LINDE GAS ESPANA S.A.U.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacio Institut De Recerca De L'Hospital De La Santa Creu I Sant Pau

Sponsor organisation
Fundacio Institut De Recerca De L'Hospital De La Santa Creu I Sant Pau
Address
Calle Sant Quinti 77-79
City
Barcelona
Postcode
08041
Country
Spain

Scientific contact point

Organisation
Fundacio Institut De Recerca De L'Hospital De La Santa Creu I Sant Pau
Contact name
Alejandra Espinosa

Public contact point

Organisation
Fundacio Institut De Recerca De L'Hospital De La Santa Creu I Sant Pau
Contact name
Alejandra Espinosa

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 60 5
Rest of world 0

Investigational sites

Spain

5 sites · Ongoing, recruiting
Hospital De La Santa Creu I Sant Pau
Neumología, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Neumología, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Bellvitge University Hospital
Neumología, Carrer De La Feixa Llarga S/N, 08907, L'Hospitalet De Llobregat
Hospital Del Mar
Neumología, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
University Hospital Virgen Del Rocio S.L.
Neumología, Avenida De Manuel Siurot S/n, 41013, Sevilla

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2024-11-27 2024-11-27

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol for publication 7
Recruitment arrangements (for publication) L1_SIS and ICF for publication 4
Subject information and informed consent form (for publication) L1_SIS and ICF for publication 4
Summary of Product Characteristics (SmPC) (for publication) SPC_Conoxia_comp 1
Summary of Product Characteristics (SmPC) (for publication) SPC_Conoxia_comp 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-25 Spain Acceptable
2024-11-27
2024-11-27