About this trial
Parallel-group, prospective, randomized, controlled phase III trial of home High flow Nasal Therapy (HFNT) via myAirvo 3 plus usual COPD medical care vs. usual COPD medical care, for at least 1 year and up to two years in 642 GOLD Grade D, Stages II-IV patients with moderate to very severe COPD at risk for moderate and severe exacerbations with a prior history of severe exacerbation requiring hospitalization within the past 6 weeks.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Provision of signed and dated informed consent form
Stated willingness to comply with all study procedures and availability for the duration of the study
Male or female, aged 30 years or greater
FEV1/FVC of < 70% and an FEV1 of < 80% (GOLD stages II - IV, Grade E)
Disqualifiers
Current self-reported chronic use of positive airway pressure (PAP) therapy; continuous positive airway pressure (CPAP), or non-invasive positive pressure ventilation (NPPV)
A STOPBang Questionnaire score > 5*
Pregnancy or lactation
Treatment with another investigational drug or other intervention within the previous 30 days
Trial design
Parallel
Treatments tested in this trial
myAirvo3
DeviceFor patients assigned to the HFNT intervention group, a myAirvo 3 device will be provided. The myAirvo 3 is for the treatment of spontaneously breathing patients, infant to adult, who would benefit from receiving high flow warmed and humidified respiratory gases. This includes patients who have had upper airways bypassed. The flow may be from 2 - 60 L/min depending on the patient interface. The myAirvo 3 is for patients in homes and long-term care facilities.
Pulse oximeter
DeviceA pulse oximeter will be provided to measure heart rate and pulse oximetry; subjects will enter and transmit the data on the smartphone once daily before 11AM. Heart rate and pulse oximetry measures will be taken after wearing the device for approximately 2 minutes.
Treatment groups
Trial outcomes
Primary outcomes
To determine if myAirvo 3 use increases the time to first moderate exacerbation/severe exacerbation (hospitalization)/all-cause mortality in patients with moderate to very severe COPD.
Time to first moderate or severe COPD exacerbation
Secondary outcomes
Time to first severe exacerbation
To determine if HFNT delivered by myAirvo 3 increases the time to first severe exacerbation
Time to moderate or severe exacerbation
To determine if HFNT delivered by myAirvo 3 increases the time to first exacerbation (moderate or severe)
Severe exacerbation frequency
To determine if HFNT delivered by myAirvo 3 reduces severe exacerbation frequency
Moderate/severe exacerbation frequency
To determine if HFNT delivered by myAirvo reduces moderate and severe exacerbation frequency
Sponsors and contacts
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Temple University
Lead sponsor
Fisher and Paykel Healthcare
Collaborator