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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04943731
Registration number
NCT04943731
Ethics application status
Date submitted
7/06/2021
Date registered
29/06/2021
Titles & IDs
Public title
Day/Night Regimen With Provox Life Heat and Moisture Exchangers
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Scientific title
Changes in Pulmonary Outcomes as a Result of Implementing a Day and Night Regimen With Heat and Moisture Exchangers (HMEs) and Their Attachments
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Secondary ID [1]
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HREC/2021/QMS/74792
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Laryngectomy
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Provox Life
Other: Provox Life™ - Phase 1: Provox Life™. Like-for-like transition from Provox (or other brand) to Provox Life™ under guidance from Speech Pathologist who will assess when the participant is ready to commence the 6 week study observation period.
Phase 2: Provox Life™ with Day/Night regimen. Establishment of optimal day/night routine under guidance of Speech Pathologist who will assess when the participant is ready to commence the 6 week observation period.
Treatment: Devices: Provox Life
Phase 1: Like for like transition, Phase 2: Provox Life day/night regimen
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in COUS score of CASA-Q
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Assessment method [1]
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Cough Symptoms (COUS) assessed with validated Coughing and Sputum Assessment Questionnaire (CASA-Q). Score between 0 and 100, with higher scores meaning less symptoms and less impact.
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Timepoint [1]
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Change from End of Phase 1 (week 6) to End of Phase 2 (week 12)
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Primary outcome [2]
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Change COUI scores of CASA-Q
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Assessment method [2]
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Cough Impact (COUI) assessed with validated Coughing and Sputum Assessment Questionnaire (CASA-Q). Score between 0 and 100, with higher scores meaning less symptoms and less impact.
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Timepoint [2]
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Change from End of Phase 1 (week 6) to End of Phase 2 (week 12)
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Secondary outcome [1]
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Change in SPUS score of CASA-Q
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Assessment method [1]
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Sputum Symptoms (SPUS) domains of the CASA-Q. Score between 0 and 100, with higher scores meaning less symptoms and less impact.
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Timepoint [1]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [2]
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Change in SPUI score of CASA-Q
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Assessment method [2]
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Sputum Impact (SPUI) domains of the CASA-Q. Score between 0 and 100, with higher scores meaning less symptoms and less impact.
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Timepoint [2]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [3]
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Change in COUS scores of CASA-Q
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Assessment method [3]
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Cough Symptoms (COUS) assessed with validated Coughing and Sputum Assessment Questionnaire (CASA-Q). Score between 0 and 100, with higher scores meaning less symptoms and less impact.
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Timepoint [3]
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Baseline, Phase 1 (2 weeks), and Phase 2 (2 weeks)
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Secondary outcome [4]
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Change in COUI scores of CASA-Q
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Assessment method [4]
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CCough Impact (COUI) assessed with validated Coughing and Sputum Assessment Questionnaire (CASA-Q). Score between 0 and 100, with higher scores meaning less symptoms and less impact.
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Timepoint [4]
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Baseline, Phase 1 (2 weeks), and Phase 2 (2 weeks)
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Secondary outcome [5]
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Number of forced mucus expectorations per 24 hours
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Assessment method [5]
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Patient reported, recorded by tally sheeting
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Timepoint [5]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [6]
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Number of involuntary coughs per 24 hours
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Assessment method [6]
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Patient reported, recorded by tally sheeting
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Timepoint [6]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [7]
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Quality of Life by EQ-5D-5L
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Assessment method [7]
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patient reported, the descriptive system assesses health in five dimensions, from which a health state index score is calculated, range from 0 to 1, with higher scores indicatinghigher health utility
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Timepoint [7]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [8]
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Questionnaire for Skin Integrity
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Assessment method [8]
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Patient reported
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Timepoint [8]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [9]
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Jenkins sleep evaluation questionnaire
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Assessment method [9]
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Patient reported to assess sleep quality. Score between 0 and 20, with higher score the more sleep disturbances
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Timepoint [9]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [10]
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Questionnaire to assess Shortness of Breath
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Assessment method [10]
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from Ackerstaff et al., 1993
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Timepoint [10]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [11]
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Questionnaire to adjustment to Day/Night regimen
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Assessment method [11]
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Study specific questionnaire to describe patients adjustment to Day/Night regimen
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Timepoint [11]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [12]
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Consumption of medical devices (Number of devices used)
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Assessment method [12]
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Number of devices used, by use of patient diary recoding number of devices used
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Timepoint [12]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [13]
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Study-specific questionnaire to assess number of complications and medical treatments
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Assessment method [13]
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Study specific questionnaire to record complications and consumption of medications, diagnostics, treatment, medical care, medical transportation, sick leave
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Timepoint [13]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Secondary outcome [14]
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Study-specific questionnaire to assess patients satisfaction
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Assessment method [14]
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patient satisfaction with devices and regimen
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Timepoint [14]
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Baseline, Phase 1 (2 weeks, 6 weeks), Phase 2 (2 weeks, 6 weeks)
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Eligibility
Key inclusion criteria
* Total laryngectomy, irrespective of pharynx reconstruction method
* 18 years or older
* HME user
* Longer than 3 months after total laryngectomy
* Longer than 6 weeks after postoperative radiotherapy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Current day/night routine with Provox Luna
* Daily use of Provox Micron HMEF
* Medical problems prohibiting the use of HME
* Active recurrent or metastatic disease (medical deterioration)
* Recent pulmonary infections/unstable pulmonary condition
* Reduced mobility of arms and/or hands, unable to insert or remove an HME
* Unable to understand the Participant Information and/or unable to give Informed Consent
* Insufficient cognitive ability to manage HME or adhesive use
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Study design
Purpose of the study
Other
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
26/07/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
4/04/2022
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Sample size
Target
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Accrual to date
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Final
48
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
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Prince of Wales Hospital, NSW - Sydney
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Recruitment hospital [2]
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Royal Brisbane and Women's Hospital - Herston
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Recruitment hospital [3]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment postcode(s) [1]
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2031 - Sydney
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Recruitment postcode(s) [2]
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4029 - Herston
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Recruitment postcode(s) [3]
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4102 - Woolloongabba
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Atos Medical AB
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Princess Alexandra Hospital, Brisbane, Australia
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Address [1]
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Country [1]
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Other collaborator category [2]
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Government body
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Name [2]
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Royal Brisbane and Women's Hospital
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Address [2]
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Country [2]
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Other collaborator category [3]
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Government body
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Name [3]
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Prince of Wales Hospital, Sydney
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Address [3]
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Country [3]
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Ethics approval
Ethics application status
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Summary
Brief summary
Purpose and Aim: This research is about patients who have had a total laryngectomy, trialing a new range of Heat and Moisture Exchangers (HMEs) - referred to as the "Provox Life™ range of HMEs". The main purpose of this study is to find out if participants experience any differences in the amount of coughing and mucus problems when using the new range of Provox Life™ HMEs (and attachment devices) following an optimal Day/Night regimen. The study is sponsored by Atos Medical. Study Design: Participants will use the new Provox Life™ HME range and their attachments during two (2) observation phases (Phase 1, Phase 2). In Phase 1 (6 week study phase), participants will use the new Provox Life™ HMEs in a similar way as they currently use their existing HME devices. In the Phase 2 (6 week study phase), they will use the Provox Life™ HME devices following an optimal Day/Night regimen - with the aim to achieve the best possible humidification at all times. Prior to each study phase, participants will meet with their speech pathologist to learn about the new devices and how to use them. Once comfortable using them they will commence each observation phase. Data Collection: Experiences using their existing HMEs (prior to study) and then using the new HMEs in Phase 1 and Phase 2 will be collected via a series of questionnaires. These will be completed 5 times in total - at baseline before Phase 1 starts, and then at both week 2 and week 6 of Phase 1 and 2. Questionnaires relate to their use of the HMEs, coughing and mucus problems, skin integrity, overall experiences of using the new devices and any impacts on sleep and quality of life. Participants will complete some of the questionnaires at home (approx. 30mins) and the others during an interview session with one of the study team (approx. 30mins). The interview session can be conducted via telephone, videoconferencing or in person - depending on the patients preferences and any COVID restrictions.
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Trial website
https://clinicaltrials.gov/study/NCT04943731
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Trial related presentations / publications
Ward EC, Hancock K, Boxall J, Burns CL, Spurgin AL, Lehn B, Hoey J, Robinson R, Coleman A. Post-laryngectomy pulmonary and related symptom changes following adoption of an optimal day-and-night heat and moisture exchanger (HME) regimen. Head Neck. 2023 Apr;45(4):939-951. doi: 10.1002/hed.27323. Epub 2023 Feb 20.
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Public notes
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Contacts
Principal investigator
Name
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Elizabeth C Ward, PhD
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Address
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Centre for functioning and Health Research, Metro South Hospital and Health Service
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Fax
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Ward EC, Hancock K, Boxall J, Burns CL, Spurgin AL...
[
More Details
]
Results not provided in
https://clinicaltrials.gov/study/NCT04943731