Trial Outcomes & Findings for Effectiveness of the Aeroneb in Acute Severe Asthma (NCT NCT03029156)

NCT ID: NCT03029156

Last Updated: 2023-05-19

Results Overview

Peak expiratory flow rate is the maximum flow rate generated during a forceful exhalation, starting from full inspiration.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

31 participants

Primary outcome timeframe

30 minutes

Results posted on

2023-05-19

Participant Flow

Participant milestones

Participant milestones
Measure
Small Volume Jet Nebulizer
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Overall Study
STARTED
15
16
Overall Study
COMPLETED
15
16
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effectiveness of the Aeroneb in Acute Severe Asthma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Total
n=31 Participants
Total of all reporting groups
Age, Continuous
32.4 years
STANDARD_DEVIATION 8.46 • n=99 Participants
39.9 years
STANDARD_DEVIATION 9.05 • n=107 Participants
36 years
STANDARD_DEVIATION 8.75 • n=206 Participants
Sex: Female, Male
Female
8 Participants
n=99 Participants
10 Participants
n=107 Participants
18 Participants
n=206 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
6 Participants
n=107 Participants
13 Participants
n=206 Participants
Race/Ethnicity, Customized
Race/Ethnicity · African American
4 Participants
n=99 Participants
7 Participants
n=107 Participants
11 Participants
n=206 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Asian
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Hispanic
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Race/Ethnicity, Customized
Race/Ethnicity · White
7 Participants
n=99 Participants
7 Participants
n=107 Participants
14 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 30 minutes

Peak expiratory flow rate is the maximum flow rate generated during a forceful exhalation, starting from full inspiration.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Percentage Change in Mean of Peak Expiratory Flow Rate (PEFR) Percentage of Predicted Baseline at 30 Minutes After the Initial Bronchodilator Treatment
18.1 percent change
Standard Deviation 18.01
12.9 percent change
Standard Deviation 13.36

SECONDARY outcome

Timeframe: Initial bronchodilator treatment to disposition, an average of 4 hours

Change in the PEFR percent predicted from the initial bronchodilator treatment in the Aeroneb group compared to the small volume jet nebulizer group.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Percentage Change in the PEFR Percentage of Predicted Baseline to Disposition
23.3 percent change
Standard Deviation 15.15
14.4 percent change
Standard Deviation 14.04

SECONDARY outcome

Timeframe: initial bronchodilator treatment to disposition, an average of 4 hours

Forced expiratory volume refers to the volume of air that an individual can exhale during a forced breath in 1 second.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Percentage Change in the Forced Expiratory Volume (FEV1) Percentage of Predicted Baseline to Disposition
17.1 percent change
Standard Deviation 13.05
8.0 percent change
Standard Deviation 8.08

SECONDARY outcome

Timeframe: initial bronchodilator treatment to disposition, an average of 4 hours

The Borg-Dyspnea score measures an individual's effort, exertion, breathlessness and fatigue during physical work. This scale ranges from 6-20 with 6 representing no exertion at all and 20 representing maximal exertion.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Change in the Borg-Dyspnea Score From Baseline to Disposition
2.44 score on a scale
Standard Deviation 0.12
3.15 score on a scale
Standard Deviation 1.01

SECONDARY outcome

Timeframe: The initial bronchodilator treatment to to disposition, an average of 4 hours

Change in the heart rate at baseline after the initial bronchodilator treatment in the Aeroneb group compared to the small volume jet nebulizer group.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Change in Heart Rate Baseline to Disposition
1 Change in heart rate (beats/min)
Standard Deviation 3
1 Change in heart rate (beats/min)
Standard Deviation 5

SECONDARY outcome

Timeframe: Length of stay in the ER - up to one day

Total length from admission to discharge.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Length of Stay in the ER
272.3 minutes
Standard Deviation 123.74
245.3 minutes
Standard Deviation 139.36

SECONDARY outcome

Timeframe: Length of stay in the ER - up to one day

Total amount of patients requiring hospitalization after ER admission.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
Percentage of Patients Requiring Hospitalization
4 Participants
6 Participants

SECONDARY outcome

Timeframe: Length of stay in the ER - up to one day

Albuterol is used to prevent and treat difficulty breathing, wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
The Total Dose of Albuterol Used in Each Group During ED Stay
6.3 dosage (mg)
Standard Deviation 2.97
7.2 dosage (mg)
Standard Deviation 4.07

OTHER_PRE_SPECIFIED outcome

Timeframe: Length of stay in the ER - up to one day

Ipratropium is used to prevent wheezing, shortness of breath, coughing and chest tightness in people with chronic obstructive pulmonary disease, chronic bronchitis, and emphysema. It is a bronchodilator which relaxes and opens the air passages to the lungs to make breathing easier.

Outcome measures

Outcome measures
Measure
Small Volume Jet Nebulizer
n=15 Participants
Administration of bronchodilator through small volume jet nebulizer. The nebulized solution contains ipratropium / albuterol. The bronchodilators will be administered via small volume jet nebulizer
Aeroneb Nebulizer
n=16 Participants
Administration of bronchodilator via Aeroneb nebulizer. The nebulized solution contains ipratropium / albuterol. The Aeroneb Nebulizer System is a portable medical device for single patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation. The Aeroneb Adapter is an accessory specific to the Aeroneb Nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to adult patients in hospital use environments via a mouthpiece or aerosol mask. The Aeroneb Nebulizer System and Adapter are FDA approved devices for nebulizing solutions including bronchodilators (albuterol and ipratropium).
The Total Dose of Ipratropium Used in Each Group During ED Stay
1 dosage (mg)
Standard Deviation 0.44
1.1 dosage (mg)
Standard Deviation 0.56

Adverse Events

Small Volume Jet Nebulizer

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Aeroneb Nebulizer

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Nicholas S. Hill

Tufts Medical Center

Phone: 617-636-0688

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place