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Neurocognitive and health-related quality of life outcomes of nocturnal oxygen supply in chronic obstructive pulmonary disease patients with sleep-related oxygen desaturation
ISRCTN ISRCTN95689523
ClinicalTrials.gov identifier
Public title Neurocognitive and health-related quality of life outcomes of nocturnal oxygen supply in chronic obstructive pulmonary disease patients with sleep-related oxygen desaturation
Scientific title
Acronym GIRON
Serial number at source IAS-PnN1-2006
Study hypothesis Nocturnal oxygen supply will prevent the consequences of sleep-related hypoxemia (i.e. neurocognitive and health-related quality of life decline) in severe to very severe chronic obstructive pulmonary disease (COPD) patients presenting sleep-related oxygen desaturation. This decline will become similar to that seen in those severe to very severe COPD patients without nocturnal desaturation.
Lay summary
Ethics approval Approved by the Institute of Health Assistance (Institut d'Assistència Sanitària) (IAS), Institutional Review Board (IRB) reviewed the protocol and reported its approval on 27/04/2004, reference number: CEIC-IAS 06/2004
Study design Prospective, randomised clinical trial and prospective case-control study
Countries of recruitment Spain
Disease/condition/study domain COPD with and without nocturnal desaturation
Participants - inclusion criteria 1. Severe to very severe stable COPD
2. Age 60 to 80 years
3. With a resting awake pO2 between 60 and 80 mmHg, with (cases) or without (controls) sleep-related oxygen desaturation
Participants - exclusion criteria 1. Clinically significant obstructive sleep apnea-hypopnea syndrome2. Alcoholism
3. Anemia
4. Dementia
5. Cirrhosis
6. Obesity
7. Active psychiatric disease
8. Abnormal thyroid function
9. Stroke10. Chronic systemic steroid therapy
11. Malignancy
Anticipated start date 08/03/2006
Anticipated end date 07/03/2009
Status of trial Completed
Patient information material
Target number of participants 216 (144 nocturnal desaturators)
Interventions All patients will receive standard care, but nocturnal desaturators will be randomized to receive oxygen during sleep or standard care only. Neurocognitive function, blood/urine analysis and electrocardiogram will be assessed at baseline and at 18 months. Health-related quality of life, lung function, six-minute walking test, nocturnal oxymetry and respiratory and sleep-related symptoms will be assessed at baseline and at six-month intervals.
Primary outcome measure(s) Neurocognitive function by means of a battery of tests:
1. Trail making test
2. Wechsler adult intelligence scale (WAIS)
3. Wechsler memory scale-revised (WMSR) test
4. Verbal fluency test
5. Rey complex figure test (RCFT)
6. Rey auditory verbal learning test (RAVLT)
7. National adult reading test (NART)
8. Repeatable battery for the assessment of neuropsychological status (RBANS)
9. Luria's premotor test performance
Secondary outcome measure(s) 1. Health-related quality of life (St. George’s respiratory questionnaire)
2. Anxiety (state-trait anxiety inventory [STAI])
3. Depression (Beck depression inventory [BDI])
4. Exercise capacity (walking test)
5. Sleepiness (Epworth scale)
6. Dyspnea (Medical Research Council [MRC] scale)
7. Diurnal oxygen and carbonic anhydride blood pressures
8. Nocturnal urinary norepinephrine
9. Exacerbation rate
10. Hospitalization days
11. Mortality
Sources of funding 1. IAS
Grants from:
2. Catalan Society of Pneumology 2005 (Societat Catalana de Pneumologia [SOCAP] 2005)
3. Spanish Society of the Pathology of the Respiratory System 2005 (Sociedad Española de Patología del Aparato Respiratorio [SEPAR] 2005)
4. Spanish Company of Air Products and Chemicals Inc. (Sociedad Española de Carburos Metálicos S.A.)
Trial website
Publications
Contact name Dr  Susana  Mota
  Address Hospital Santa Caterina
Hospital de Dia
Dr. Castany, s/n
  City/town Salt
  Zip/Postcode 17019
  Country Spain
  Tel +34 (0)97 218 26 00
  Email susana.mota@ias.scs.es
Sponsor Institute of Health Assistance (Institut d'Assistència Sanitària [IAS]) (Spain)
  Address Parc Hospitalari Marti i Julia
Dr. Castany, s/n
  City/town Salt
  Zip/Postcode 17019
  Country Spain
  Tel +34 (0)97 218 26 00
  Email recerca@ias.scs.es
  Sponsor website: http://www.ias.scs.es
Date applied 07/03/2006
Last edited 11/04/2006
Date ISRCTN assigned 11/04/2006
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