ClinicalTrials.gg
CompletedNCT03312361Updated Aug 19, 2021

Assessing Air Travel Safety in Neuromuscular Dystrophy: Standard Versus Prolonged High Altitude Simulation Tests

An interventional study of 15% oxygen in Neuromuscular Diseases and High Altitude Hypoxia, sponsored by The Hospital for Sick Children. Completed at 1 site in Canada. Open to participants aged 5 Years and older. Per ClinicalTrials.gov, last updated 2021-08-19.

Sponsored by The Hospital for Sick Children · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Apr 2016, registered Oct 2017).

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Phase
Not applicable
Study type
Interventional
Enrollment
23
Allocation
Not applicable
Ages
5 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 34 studies in Neuromuscular Diseases with a site in Canada — 9 open to participants now, 12 under way, 1 of them phase 3. Neuromuscular Diseases · Canada.

Enrollment
26th of 28
23 · median 75
Started
2016
with 1 other
No phase
7 of 34
1 open now
Registered
11th of 34
by date
Lead sponsor
3 of 34
The Hospital for Sick Children

Among the 34 studies in Neuromuscular Diseases with a site in Canada, this one is the 26th largest by enrollment of the 28 interventional ones that give a count, is one of 2 that started in 2016, is one of 7 with no phase, and was the 11th registered.

Neuromuscular Diseases

361 studies on the registry are indexed under Neuromuscular Diseases; 97 are open to participants now.

Browse Neuromuscular Diseases studies →

Open to participants now

9 of the 34 studies in Neuromuscular Diseases with a site in Canada are open now. Recruiting first, the newest first:

4 more — sign in →

All 9 open studies →

A study can be open while its sites in Canada have not opened yet or have stopped. Only those recruiting at a site in Canada →

Who these studies take

Of the 70 Neuromuscular Diseases studies recruiting now, 39 (56%) set no upper age limit and 23 (33%) stop at 75 or younger; 36 take children under 18; 16 take healthy volunteers.

This study: 5 Years and older · all sexes · no healthy volunteers.

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02

Study summary

To determine if a prolonged high altitude simulation test (HAST) lasting two hours, identifies more patients at risk of respiratory failure than the standard HAST lasting 20 minutes, in patients with neuromuscular disease (NMD) and severe pulmonary restriction. To evaluate the safety of supplemental oxygen administered in those with a positive HAST in the NMD population.

Read the detailed description

Study Procedures

Patients were screened for eligibility during a regularly scheduled clinic visit in which spirometry was performed in accordance with the American Thoracic Society recommendations.4 If eligible, they were approached by a Research Coordinator and invited to participate in the study. The study visit was organized within 4 weeks of screening and included both diagnostic and (if applicable) therapeutic HCT trials. After enrolment, patients' local medical records were reviewed for baseline data.

Baseline Assessment:

On the day of the HCT, a brief focused history including current respiratory symptoms was performed. Study participants sat for a minimum of 5 minutes before baseline measurements were taken. Vital signs (heart rate, respiratory rate, blood pressure), capillary blood gas, transcutaneous capnography and pulse oximetry were performed immediately prior to the start of testing. The transcutaneous CO2 and SpO2 values obtained just prior to provision of the gas mixture were considered the baseline values.

Testing Procedures: Study participants underwent a standard 20 minute HCT and if eligible (i.e. not positive or test not terminated) then immediately continued on to complete the 120 minute extended HCT. A gas mixture of 15% oxygen in nitrogen from a specially prepared cylinder was administered via a non-rebreather mask sealed to the face. Flow was adjusted for patient comfort, and to match inspiratory flow by maintaining non-rebreather bag inflation thus ensuring no entrainment of room air (between 6-15 L/minute). The patient would breathe this mixture for up to 120 minutes, or until they met stopping criteria. Continuous pulse oximetry, transcutaneous capnography and respiratory rate were recorded throughout the HCT. Patients were asked to indicate the severity of dyspnea every 10 minutes using the modified Borg scale. Capillary blood gases were drawn at the end of the standard and prolonged HCTs (i.e. immediately after 20 and 120 minutes, respectively). The patient was observed for 20 minutes after completion of the HCT, or until oxygen saturation and transcutaneous pCO2 returned to baseline levels. The HCT was considered positive and the test was stopped if any of the following occurred: i) oxygen saturation \<88% for two consecutive minutes (as per institutional cutoff for prescription of oxygen); ii) ≥ 10mmHg rise from baseline in transcutaneous CO2 sustained for 2 minutes and confirmed by capillary blood gas; iii) severe symptoms such as dyspnea or confusion; iv) or participant request to stop testing. Repeat complete vital signs were performed prior to the end of the study visit.

03

Conditions studied

  • Neuromuscular Diseases
  • High Altitude Hypoxia
04

Who can participate

Ages eligible
5 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • individuals with a confirmed diagnosis of NMD
  • age ≥ 5 years of age
  • absence of hypoxia at rest, defined as oxygen saturation ≥ 92% for two consecutive minutes while at rest and breathing room air
  • absence of daytime hypercapnea at rest, defined by partial pressure of carbon dioxide (pCO2) less than 45 mmHg on capillary or arterial blood gas at rest
  • patient or authorized substitute decision maker provides consent to study participation.

Exclusion criteria

Exclusion Criteria:

  • current respiratory tract infection
  • inability to comply with the study procedures
  • severe heart failure as defined by uncontrolled symptoms of heart failure, or \< 30%
  • presence of a tracheostomy
  • use of domiciliary bilevel positive airway pressure (BPAP) for more than 12 hours daily
  • recent hospital admission within the past 4 weeks.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    15% Oxygen

    All participants will breath in 15% oxygen for 2 hours

    Drug: 15% oxygen

Interventions

  • Participants will inhale 15% oxygen for 2 hours to see how it affects them.

06

What researchers measure

Primary outcomes

  1. Prolonged high altitude simulation test

    To determine if a prolonged high altitude simulation test (HAST) lasting two hours, identifies more patients at risk of respiratory failure than the standard HAST lasting 20 minutes, in patients with NMD and severe pulmonary restriction

    Time frame: 3 years

Secondary outcomes

  1. Interventional high altitude simulation test

    In patients with a positive standard or prolonged HAST, we will evaluate the safety of supplemental oxygen administered during a HAST for this population

    Time frame: 3 years

07

Study locations

1 site
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2016 to primary completion in Apr 2018, 24 months.

Of 75 non-industry interventional studies with no phase under Neuromuscular Diseases, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 47. This study's 24 months is below that.

Counting every sponsor, half of 84 studies reached it within 25 months; a quarter within 12 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 12, 2017
First posted
Oct 17, 2017
StartActual
Apr 1, 2016
Primary completionActual
Apr 1, 2018
CompletionActual
Apr 1, 2018
Last update
Aug 19, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 19, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03312361
Responsible party
Reshma Amin (Respirologist, The Hospital for Sick Children) — Principal investigator
First posted
Oct 17, 2017
Start date
Apr 1, 2016
Primary completion
Apr 1, 2018
Completion
Apr 1, 2018
Last update
Aug 19, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Oxygen

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