RecruitingNot ApplicableNCT06247397

Effect of HIgh-flow Therapy in Long-term Oxygen Therapy

Effect of HIgh-flow Therapy in Long-term Oxygen Therapy (HILOT): A Multicenter, Registry-based, Randomized Clinical Trial


Sponsor

Skane University Hospital

Enrollment

310 participants

Start Date

Jun 10, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a registry-based, randomized, controlled clinical trial of the effect of added high-flow oxygen therapy (using the device Lumis HFT) during one year in people with long-term oxygen therapy (LTOT) for chronic obstructive pulmonary disease (COPD) or interstitial lung disease (ILD).


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Age 40 years or older
  • Ongoing LTOT: prescribed for at least 15 hours per day; and since at least 28 days as registered in Swedevox
  • COPD or ILD as main underlying reason for LTOT
  • Oxygen concentrator as stationary oxygen source in the home including night-time
  • Body mass index (BMI) \< 35 kg/m2

Exclusion Criteria11

  • Current or previous treatment with home HFOT
  • Current treatment with home mechanical ventilation
  • Current treatment with home CPAP
  • Hospitalized during the last 2 weeks
  • Current smoking or contact with flames
  • Self-reported average use of the LTOT \< 15h per day (24 hours)
  • PaCO2 (breathing air at rest) \> 8 kPa
  • Strong clinical suspicion of obstructive sleep apnea (OSA) or obesity-related hypoventilation syndrome (OHS) (as judged by the responsible staff)
  • Inability to participate in the study procedures (as judged by the staff)
  • Not eligible for continuing LTOT due to other reason (as judged by the staff)
  • Expected survival less than 3 months (as judged by the staff)

Interventions

DEVICEAdded high-flow oxygen therapy

Added high-flow oxygen therapy using the device Lumis HFT during nighttime and at the patient's discretion daytime, with the usual care (low-flow oxygen therapy) the rest of the time.

OTHERStandard care

Standard care with low-flow oxygen therapy in accordance with clinical routine.


Locations(2)

Research Unit, Blekinge University of Technology

Karlskrona, Blekinge County, Sweden

Department of Heart, Lung and Clinical Physiology, Örebro University Hospital

Örebro, Sweden

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NCT06247397


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