Trial Outcomes & Findings for Effect of Skin Pigmentation and Race/Ethnicity Factors on the Accuracy of Masimo Pulse Oximeters (NCT NCT04889222)

NCT ID: NCT04889222

Last Updated: 2022-12-01

Results Overview

Performance of the INVSENSOR00050 sensor will be determined by comparing the noninvasive oxygen saturation measurement (SpO2) of the pulse oximeter sensors to the arterial oxygen saturation (SaO2) value obtained from a reference blood sample and calculating the accuracy root mean square (ARMS) value. The ARMS value will be reported as % of oxygen saturated hemoglobin.

Recruitment status

TERMINATED

Target enrollment

54 participants

Primary outcome timeframe

1-5 hours

Results posted on

2022-12-01

Participant Flow

Participant milestones

Participant milestones
Measure
Pulse Oximeters
All subjects who are enrolled into the test group and participate in data collection receive the noninvasive pulse oximeter sensors. INVSENSOR00050: Noninvasive pulse oximeter sensor RD SET SpO2: Noninvasive pulse oximeter sensor
Overall Study
STARTED
54
Overall Study
COMPLETED
38
Overall Study
NOT COMPLETED
16

Reasons for withdrawal

Reasons for withdrawal
Measure
Pulse Oximeters
All subjects who are enrolled into the test group and participate in data collection receive the noninvasive pulse oximeter sensors. INVSENSOR00050: Noninvasive pulse oximeter sensor RD SET SpO2: Noninvasive pulse oximeter sensor
Overall Study
Did not meet eligibility criteria
8
Overall Study
Failure to place intravenous or arterial line
3
Overall Study
Did not proceed due to time constraints
5

Baseline Characteristics

Effect of Skin Pigmentation and Race/Ethnicity Factors on the Accuracy of Masimo Pulse Oximeters

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pulse Oximeters
n=38 Participants
All subjects who are enrolled into the test group and participate in data collection receive the noninvasive pulse oximeter sensors. INVSENSOR00050: Noninvasive pulse oximeter sensor RD SET SpO2: Noninvasive pulse oximeter sensor
Age, Customized
< 18 years of age
0 Participants
n=99 Participants
Age, Customized
18 to 50 years of age
38 Participants
n=99 Participants
Age, Customized
> 50 years of age
0 Participants
n=99 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
Sex: Female, Male
Male
31 Participants
n=99 Participants
Race/Ethnicity, Customized
Caucasian
17 Participants
n=99 Participants
Race/Ethnicity, Customized
Black or African American
18 Participants
n=99 Participants
Race/Ethnicity, Customized
Hispanic/Black or African American
1 Participants
n=99 Participants
Race/Ethnicity, Customized
Caucasian/Black or African American
1 Participants
n=99 Participants
Race/Ethnicity, Customized
Native American/Black or African American
1 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 1-5 hours

Performance of the INVSENSOR00050 sensor will be determined by comparing the noninvasive oxygen saturation measurement (SpO2) of the pulse oximeter sensors to the arterial oxygen saturation (SaO2) value obtained from a reference blood sample and calculating the accuracy root mean square (ARMS) value. The ARMS value will be reported as % of oxygen saturated hemoglobin.

Outcome measures

Outcome measures
Measure
Pulse Oximeters
n=38 Participants
All subjects who are enrolled into the test group and participate in data collection receive the noninvasive pulse oximeter sensors. INVSENSOR00050: Noninvasive pulse oximeter sensor RD SET SpO2: Noninvasive pulse oximeter sensor
Oxygen Saturation (SpO2) Accuracy of INVSENSOR00050
1.5 % of oxygen saturated hemoglobin

SECONDARY outcome

Timeframe: 1-5 hours

Population: Due to early termination of the study, the subgroups were not well balanced for secondary outcomes analysis due to lack for female subjects, especially dark skin pigmented females. Hence the analysis is not fully representative. However, the equivalence analysis was conducted for the two pigment subgroups with available data.

The secondary outcome is to perform equivalence tests between identified subgroups based on skin pigmentation and/or self-identified race/ethnicity. Since the pulse oximeter displays saturation in integer values, equivalence limits will be set to ± 1% SpO2. A TOST procedure using the Wilcoxon Rank Sum Test was used to test the hypothesis that the median biases of the INVSENSOR00050 sensor from two pigmentation subgroups (Light and Dark) were equivalent within ± 1% SpO2. The TOST procedure provides a p-value indicating whether the two measures are equivalent if the p-value is less than 0.05.

Outcome measures

Outcome measures
Measure
Pulse Oximeters
n=38 Participants
All subjects who are enrolled into the test group and participate in data collection receive the noninvasive pulse oximeter sensors. INVSENSOR00050: Noninvasive pulse oximeter sensor RD SET SpO2: Noninvasive pulse oximeter sensor
Comparison of the Median Bias Between Subgroups for the INVSENSOR00050 Sensor
Dark pigmented subgroup
-0.1 percentage of SpO2
Interval -0.2 to 0.0
Comparison of the Median Bias Between Subgroups for the INVSENSOR00050 Sensor
Light pigmented subgroup
-1.0 percentage of SpO2
Interval -1.0 to -0.9

SECONDARY outcome

Timeframe: 1-5 hours

Population: Due to early termination of the study, the subgroups were not well balanced for secondary outcomes analysis due to lack for female subjects, especially dark skin pigmented females. Hence the analysis is not fully representative. However, the equivalence analysis was conducted for the two pigment subgroups with available data.

The secondary outcome is to perform equivalence tests between identified subgroups based on skin pigmentation and/or self-identified race/ethnicity. Since the pulse oximeter displays saturation in integer values, equivalence limits will be set to ± 1% SpO2. A TOST procedure using the Wilcoxon Rank Sum Test was used to test the hypothesis that the median biases of the RD SET SpO2 sensor from two pigmentation subgroups (Light and Dark) were equivalent within ± 1 %SpO2. The TOST procedure provides a p-value indicating whether the two measures are equivalent if the p-value is less than 0.05.

Outcome measures

Outcome measures
Measure
Pulse Oximeters
n=38 Participants
All subjects who are enrolled into the test group and participate in data collection receive the noninvasive pulse oximeter sensors. INVSENSOR00050: Noninvasive pulse oximeter sensor RD SET SpO2: Noninvasive pulse oximeter sensor
Comparison of the Median Bias Between Subgroups for the RD SET SpO2 Sensors
Dark pigmented subgroup
-0.3 percentage of SpO2
Interval -0.4 to -0.2
Comparison of the Median Bias Between Subgroups for the RD SET SpO2 Sensors
Light pigmented subgroup
-0.9 percentage of SpO2
Interval -1.0 to -0.8

Adverse Events

Pulse Oximeters

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Pulse Oximeters
n=38 participants at risk
All subjects who are enrolled into the test group and participate in data collection receive the noninvasive pulse oximeter sensors. INVSENSOR00050: Noninvasive pulse oximeter sensor RD SET SpO2: Noninvasive pulse oximeter sensor
Injury, poisoning and procedural complications
Blood vessel was potentially damaged during venipuncture.
2.6%
1/38 • 1 to 5 hours

Additional Information

Ahmed Alghazi

Masimo Corporation

Phone: 949-297-7437

Results disclosure agreements

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