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CompletedNCT03676582AspiRATEUpdated Mar 21, 2025Results posted

AspiRATE: Novel Intervention to Acoustically Detect Silent Aspiration in Acquired Dysphagia.

An observational study in Dysphagia, Oropharyngeal, sponsored by Sheffield Teaching Hospitals NHS Foundation Trust. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-21.

Sponsored by Sheffield Teaching Hospitals NHS Foundation Trust · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
25
Ages
18 Years and older
Sex
All
01

Study summary

This study will investigate whether silent aspiration during swallowing can reliably be detected using acoustic signal processing plus pulse oximetry.

Read the detailed description

This proof of concept trial, involving original research from a multicentre, multidisciplinary team, aims to establish whether silent aspiration can be detected in patients with dysphagia (swallowing difficulties), using a microphone array attached to the neck (to capture acoustic respiratory changes), pulse oximetry (to detect reduction in blood oxygen levels) and respiratory rate analysis, with data combined and analysed via post-capture signal processing techniques.

The project aims to develop equipment and signal processing algorithms to a point where a novel intervention has been established that allows semi-automated detection of safe versus unsafe (aspiration) swallows. The intervention will be trialled in patients with dysphagia within standard videofluoroscopy clinics under clinical supervision. There will be on-going development of the intervention and signal processing algorithms during this process. Public and patient involvement work will feed back into the design process.

If the intervention performs successfully in this proof-of-concept study, the investigators aim to proceed to a larger clinical trial to determine its sensitivity and specificity as a screening tool for aspiration, before final development into a commercial product.

02

Conditions studied

  • Dysphagia, Oropharyngeal

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Keywords

  • swallowing disorders
  • instrumental swallow assessment
  • acoustic analysis
  • respiratory changes
03

In context

Deglutition Disorders

710 studies on the registry are indexed under Deglutition Disorders; 219 are open to participants now.

This study's enrollment of 25 is below the median of 97 across 207 observational studies indexed under Deglutition Disorders.

Browse Deglutition Disorders studies →

Lead sponsor

Sheffield Teaching Hospitals NHS Foundation Trust is the lead sponsor of 207 studies on the registry; 26 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Adults over the age of 18 years with acquired dysphagia

Inclusion criteria

  • Dysphagia ± aspiration,
  • age 18 and above

Exclusion criteria

Exclusion Criteria:

  • Not competent for consent,
  • previous neck surgery (not including thyroid surgery)
  • cervical skin infection or defect
  • pregnant (or unknown pregnancy status).
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
25 participants (actual)
Patient registry
No

Interventions

  • Diagnostic testAcoustic analysis plus pulse oximetry

    Acoustic analysis plus pulse oximetry

06

What researchers measure

Primary outcomes

  1. Presence or Absence of Aspiration

    Presence or absence of matter passing between or below the vocal cords during swallowing, particularly in the absence of cough reflex stimulation - novel intervention to acoustically detect silent aspiration in patients

    Time frame: 1 hour

07

Results

Posted Mar 21, 2025
Limitations and caveats
Some swallowing events had to be excluded because of background noise in the recording.

Participant flow

Participant flow — Overall Study
MilestoneStroke Patients
Started25
Completed25
Not completed0

Outcome measures

PrimaryPresence or Absence of Aspiration

Presence or absence of matter passing between or below the vocal cords during swallowing, particularly in the absence of cough reflex stimulation - novel intervention to acoustically detect silent aspiration in patients

Time frame:
1 hour
Reported as:
Number · swallowing events with aspiration
Presence or Absence of Aspiration
swallowing events with aspirationSwallowing Events
Presence or Absence of Aspiration42

Adverse events

Collected over From informed consent to study completion (Time frame per participant: up to 1 day). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Stroke Patients0/25 (0%)0/25 (0%)0/25 (0%)

Baseline characteristics

Patients with acquired dysphagia

Age, Categorical
Age, Categorical(Participants)Stroke Patients
<=18 years0
Between 18 and 65 years5
>=65 years20
Sex: Female, Male
Sex: Female, Male(Participants)Stroke Patients
Female10
Male15
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Stroke Patients
Region of Enrollment
Region of Enrollment(participants)Stroke Patients
United Kingdom25
08

Study locations

1 site
  • Sheffield Teaching Hospitals NHS FT
    Sheffield, Yorkshire S10 2JF, United Kingdom
09

References and documents

Study documents

  • Study protocol · Feb 19, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided — As this is a proof of concept study, ethical approval has been secured for sharing of anonymised patient data with research study named collaborators for input advice on advanced data analysis. This is included on patient information and recruitment processes.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03676582
Lead sponsor
Sheffield Teaching Hospitals NHS Foundation Trust
Collaborators
University of Cambridge
Responsible party
Sponsor
First posted
Sep 18, 2018
Start date
May 24, 2018
Primary completion
Jun 1, 2021
Completion
Jun 1, 2021
Results posted
Mar 21, 2025
Last update
Mar 21, 2025

Study contacts

Sue Pownall, Ph.D
principal investigator · Sheffield Teaching Hospitals NHS FT

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 Mar 2025. You cannot join it, but the record below documents what was studied.

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