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Vasodilator
Inhaled Nitric Oxide for Idiopathic Pulmonary Fibrosis
Phase < 1
Recruiting
Led By Denis E O'Donnell, MD
Research Sponsored by Dr. Denis O'Donnell
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
A key IPF inclusion criterion includes, in addition to the above, a clinical diagnosis of idiopathic pulmonary fibrosis
Clinical diagnosis of idiopathic pulmonary fibrosis (for key IPF inclusion criterion)
Must not have
Important contraindications to clinical exercise testing, including inability to exercise because of neuromuscular or musculoskeletal disease(s)
Women of childbearing potential who are pregnant or trying to become pregnant
Timeline
Screening 3 weeks
Treatment Varies
Follow Up during exercise test on visit 4 and 5, every 1 minute, through end-exercise (average time 6-10minutes).
Summary
This trial is examining whether inhaled nitric oxide can help with symptoms of idiopathic pulmonary fibrosis, a progressive lung disease.
Who is the study for?
Adults over 40 with a clinical diagnosis of mild Idiopathic Pulmonary Fibrosis (IPF) and no recent hospital admissions can join this trial. They must have minimal lung restriction, be clinically stable, able to perform study tasks, and not pregnant. Exclusions include significant emphysema, active heart/lung diseases other than IPF, severe obesity or underweight conditions, certain medication use, and exercise limitations due to neuromuscular issues.
What is being tested?
The trial is testing the effects of inhaled nitric oxide (iNO) versus medical air placebo on breathing efficiency during rest and exercise in IPF patients compared to healthy controls. Participants will undergo several visits including pulmonary function tests, CT scans, chemoreceptor sensitivity assessments, familiarization exercises sessions followed by two blinded test sessions with either iNO or placebo.
What are the potential side effects?
Inhaled Nitric Oxide may cause side effects such as headache, dizziness or fainting spells due to changes in blood pressure; it might also lead to respiratory tract irritation if used frequently at high doses.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have been diagnosed with idiopathic pulmonary fibrosis.
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I have been diagnosed with idiopathic pulmonary fibrosis.
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My lung function is mostly normal.
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My health condition has been stable, with no hospital visits or medication changes in the last 6 weeks.
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I am over 40 years old and not pregnant.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I cannot exercise due to nerve or muscle diseases.
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I am a woman who could become pregnant and am either pregnant or trying to conceive.
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I have heart or lung conditions that make it hard for me to breathe or exercise.
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I am currently taking medication for erectile dysfunction.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ during exercise test on visit 4 and 5, every 1 minute, through end-exercise (average time 6-10minutes).
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~during exercise test on visit 4 and 5, every 1 minute, through end-exercise (average time 6-10minutes).
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Inspiratory Neural Drive (IND) as measured by Diaphragmatic electromyography (EMGdi)
Ventilatory efficiency (VE/VCO2)
Secondary study objectives
Dyspnea Intensity
Trial Design
2Treatment groups
Active Control
Placebo Group
Group I: Nitric OxideActive Control1 Intervention
Inhaled 40 ppm nitric oxide from a KINOX gas cylinder system (Air Liquid Healthcare, Montreal, Quebec, Canada; DIN 02451328).
Group II: PlaceboPlacebo Group1 Intervention
Inhaled medical grade normoxic gas (FiO2 = 0.21; DIN 02238755 Air Liquide Healthcare, Montreal, Quebec, Canada).
Find a Location
Who is running the clinical trial?
Dr. Denis O'DonnellLead Sponsor
6 Previous Clinical Trials
197 Total Patients Enrolled
Queen's UniversityLead Sponsor
375 Previous Clinical Trials
124,952 Total Patients Enrolled
Boehringer IngelheimIndustry Sponsor
2,552 Previous Clinical Trials
15,897,071 Total Patients Enrolled
52 Trials studying Idiopathic Pulmonary Fibrosis
47,901 Patients Enrolled for Idiopathic Pulmonary Fibrosis
Denis E O'Donnell, MDPrincipal InvestigatorPrincipal Investigator, Professor
6 Previous Clinical Trials
105 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have been diagnosed with idiopathic pulmonary fibrosis.You have a history of asthma, allergies, or nasal polyps.Your body mass index (BMI) is either too low (less than 18.5) or too high (35.0 or more).You have trouble breathing out air quickly.I am a woman who could become pregnant and am either pregnant or trying to conceive.My lung function is mostly normal.You need to use oxygen during the day, or your oxygen levels drop during exercise.My health condition has been stable, with no hospital visits or medication changes in the last 6 weeks.I have been diagnosed with idiopathic pulmonary fibrosis.I am over 40 years old and not pregnant.I cannot exercise due to nerve or muscle diseases.You have signs of significant emphysema on a CT scan.I am currently taking medication for erectile dysfunction.I have heart or lung conditions that make it hard for me to breathe or exercise.I can follow the study's procedures and agree to participate.
Research Study Groups:
This trial has the following groups:- Group 1: Placebo
- Group 2: Nitric Oxide
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.