Pulmonary Function in Clinical Trials

Biomedical Systems is a leader in the centralization of pulmonary function testing in international pharmaceutical and medical device clinical trials for the following modalities:

Spirometry | Peak Flow with eDiary | Challenge Testing | Pulse Oximetry | Nitric Oxide | Forced Oscillometry | DLco/Lung Volumes

Innovating Pulmonary Function Testing in Clinical Trials

In 1994, Biomedical Systems pioneered the first centralized spirometry study with standardized equipment used in a multi-site clinical trial. Our pulmonary function core lab has continually added new centralized services to assist our clients with their growing pipelines in asthma, chronic obstructive pulmonary disease, and cystic fibrosis among other respiratory diseases. Biomedical Systems is the only company in the world to perform a dual pulmonary review including a technical data review and a professional quality review performed by registered respiratory therapists. Biomedical Systems continues to innovate pulmonary data collection, analysis, quality review, site management, and training for international clinical trials.

Modalities

Spirometry

Spirometry is one of the most common pulmonary function tests available to help identify and diagnose lung disease...

Spirometry in Clinical Trials

Spirometry is one of the most common pulmonary function tests available to help identify and diagnose lung disease. As pharmaceutical and biopharmaceutical companies continue to develop new compounds for the treatment of diseases such as asthma, chronic obstructive pulmonary disease, and cystic fibrosis; simple spirometry is frequently used as a cost-effective, non-invasive method of documenting efficacy. It is an excellent test for the measurement of the volume and/or flow of air that can be inhaled and exhaled; however, pulmonary function testing is an effort-dependent test that requires patient cooperation and understanding of the proper testing technique to obtain high quality data.

Biomedical Systems has been centralizing spirometry data for international, multi-center clinical trials since 1994. We provide our clients with standardized equipment, consumable supplies, and accurately captured pulmonary test data via our protocol specific site training manuals and site certification process. The Biomedical Systems’ approach ensures efficiency and cost-effectiveness through a combination of experienced, service-oriented project management, the expertise of registered respiratory therapists on staff, and established non-invasive testing technology. Our services and technology are backed by our four offices spanning the globe and international time zones to offer Biomedical Systems’ clients assistance 24 hours a day, 7 days a week, 365 days a year.

Spirometry Clinical Trial Benefits

Expert Analysis & Training
  • Variety of training options
  • Protocol specific training manuals and quick guides
  • Standardized operating procedures
  • RRT review of flow loops per ATS/ERS guidelines
Equipment &Software Advantages
  • Customized software for protocol specific requirements
  • Programmable protocol specific screen alerts
  • Standardized equipment and software
  • Ensures uniform and quality data across sites
  • Manual and electronic quality control checks
  • 21CFR11 compliant equipment and software
Transmission & Access
  • Ensured data security
  • Automatically transmitted data
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Peak Flow

Peak flow is a simple, non-invasive, and inexpensive method to monitor airway function in clinical trials...

Centralized Peak Flow with eDiary in Clinical Trials

Lung diseases such as asthma, chronic obstructive pulmonary disease, and emphysema decrease patients’ air flow by narrowing or blocking the airways during exhalation. Peak flow is a simple, non-invasive, and inexpensive method to monitor airway function in clinical trials. An electronic peak flow meter with integrated text based diary is recommended to increase patient compliance in clinical trials with home peak flow data capture. According to Reddel et. al. in Analysis of Peak Flow Monitoring When Recording of Data is Electronic, there is an 89% compliance rate for patients using eDiary systems as compared to a 44% compliance rate for those using manual diaries.

Biomedical Systems’ electronic peak flow meters with eDiary are programmable and can be fully customized to protocol specifications. The capture and centralization of peak flow with simple symptom diary data may include 3 data collection periods per day, up to 10 diary questions, pin number protected devices, and patient alarms and exacerbation reports based upon medication usage or answers to diary questions. Peak flow monitoring with ePRO or Patient Reported Outcomes requiring more sophisticated question types is also available. Questionnaires may include single or multiple choice, open numeric and text, sliding scale, date, time, grid, ranking, photo and audio capture, image display, signature capture and barcode input. Additionally, there are virtually unlimited language options for displaying survey question and answer text in over 200 languages. Biomedical Systems is a centralized diagnostic core lab, not an equipment manufacturer. This allows us to source the best equipment that fits your protocol and budget.

For 15 years, Biomedical Systems has been centralizing peak flow data for pharmaceutical and biopharmaceutical companies and CROs. Our team of experienced project managers and respiratory therapists work with clients to ensure efficiency and precise in protocol execution. Biomedical Systems supports its service offerings with around the clock customer service and technical support via any one of our four international offices.

Peak Flow with eDiary Clinical Trial Benefits

Expert Analysis & Training
  • Variety of training options
  • Protocol specific training manuals and quick guides
  • Standardized operating procedures
  • RRT review of data per ATS/ERS guidelines
Equipment &Software Advantages
  • Customized software for protocol specific requirements
  • Programmable protocol specific screen alerts
  • Standardized equipment and software
  • Ensures uniform and quality data across sites
  • Manual and electronic quality control checks
  • Complex programming and branching
Transmission & Access
  • Ensured data security with lock-down options
  • Automatically transmitted data
  • Date/time stamps
  • ASCII and XML data downloads
  • Web-based sponsor access to data and reports
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Nitric Oxide

Nitric Oxide (NO) is a gaseous molecule produced by specific cells in response to particular types of inflammation...

Nitric Oxide in Clinical Trials

Nitric Oxide (NO) is a gaseous molecule produced by specific cells in response to particular types of inflammation. When quantifying the level of inflammation present and monitoring therapeutic efficacy the Fraction of Exhaled Nitric Oxide (FeNO) has been demonstrated as a useful biomarker. Nitric Oxide (FeNO) testing is widely used in clinical trials as a non-invasive, easy to perform pulmonary function test which offers quick and immediate results. As an effective biomarker of airway inflammation, FeNO testing is particularly useful in developing new compounds for the treatment of asthma. Nitric oxide is produced when airways become inflamed, causing increased levels in FeNO compared with patients without asthma. When used in conjunction with other pulmonary function tests, clients are able to measure both hyper-responsiveness as well as airway inflammation.

Biomedical Systems offers our clients the equipment, expertise, and support needed to successfully navigate multi-site, international centralization of nitric oxide testing in clinical trials. We produce accurately captured and reliable pulmonary testing data via Biomedical Systems’ standard operating procedures, protocol specific training manuals, standardized equipment and software, and comprehensive quality control. A combination of experienced, service-oriented project management, the expertise of registered respiratory therapists, and established non-invasive testing technology ensures efficiency and cost-effectiveness. Biomedical Systems receiving centers in the North American and Europe facilitate international collection and archiving of data in addition to providing unparalleled customer service and technical support 24 hours a day, 7 days a week, 365 days a year.

Spirometry Clinical Trial Benefits

Expert Analysis & Training
  • Variety of training options
  • Protocol specific training manuals and quick guides
  • Standardized operating procedures
  • RRT review of data per ATS/ERS guidelines
Equipment &Software Advantages
  • Standardized equipment and software
  • Ensures uniform and quality data across sites
  • Manual and electronic quality control checks
Transmission & Access
  • Ensured data security
  • Automatically transmitted data
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Challenge Testing

Challenge Testing is often used as the definitive method of separating asthmatics from non-asthmatics...

Challenge Testing and Diagnostics in Clinical Trials

PFT Challenge Testing is often used as the definitive method of separating asthmatics from non-asthmatics. During inhalation testing, patient volunteers are introduced to increasing amounts of histamine or methacholine inhaled through a nebulizer, a device that uses a face mask or mouthpiece to deliver the allergen in as an aerosol. Before and after inhaling the substance, spirometry readings are taken to evaluate changes in lung function.

Biomedical Systems offers clients centralized data acquisition, analysis, and management for challenge testing in pharmaceutical and medical device clinical trials. We supply clinical sites with standardized spirometry/challenge software (Methacholine Software or Mannitol Software), characterized nebulizers, a dosimeter, and in the United States, protocol specific customized provocholine kits. Biomedical Systems provides our clients with accurately captured pulmonary test data via our experienced project management teams, the expertise of our registered respiratory therapists on staff, and protocol specific site training manuals and site certification process. Our equipment and centralization services are supported by customer and technical support offered by any one of Biomedical Systems’ international offices in North America, Europe, or Asia.

Benefits of Choosing Biomedical Systems for Challenge Testing in your Clinical Trial

Expert Analysis Training
  • Variety of training options
  • Protocol specific training manuals and quick guides
  • Standardized operating procedures
  • RRT review of data per ATS/ERS guidelines
Equipment Software Advantages
  • Customized software for protocol specific requirements
  • Programmable protocol specific screen alerts
  • Standardized equipment and software
  • Ensures uniform and quality data across sites
  • Manual and electronic quality control checks
Transmission & Access
  • Ensured data security
  • Automatically transmitted data
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DLCO

As the measurement of lung volumes including Residual Volume (RV), Functional Residual Capacity (FRC), and Total ...

Centralized DLco/Lung Volumes in Clinical Trials

According to the American Thoracic Society’s Single-breath Carbon Monoxide Diffusing Capacity (Transfer Factor) Recommendation for a Standard Technique, “Measuring an ‘overall’ CO uptake by single-breath technique has proved useful in assessing a variety of lung abnormalities that impair alveolar capillary gas transport. Moreover, in many diseases, the magnitude of abnormalities in DLCO has been shown to correlate with disease severity and with direct measurements of arterial blood oxygenation, especially during exercise.” Centralized DLco testing in a clinical study offers clients the ability to diagnose and treat lung disorders not found by either spirometry or chest x-ray. In clinical screening of patients with some types of lung disease, DLco testing can demonstrate a significantly impaired gas exchange where no significant defect in the mechanics of breathing is found. Such patients may also have a normal chest x-ray, so that only reduced DLco offers evidence of lung disease.

As the measurement of lung volumes including Residual Volume (RV), Functional Residual Capacity (FRC), and Total Lung Capacity (TLC) are sophisticated tests, they require qualified and experienced staff to accurately coach patients in obtaining the most repeatable results. Lung volume data measurements may be of significant importance in tracking air trapping and the effectiveness of therapies targeting the COPD population.

Relying upon site-owned equipment, Biomedical Systems utilizes standardized software, standard operating procedures, and intensive quality reviews monitor pulmonary lab quality control measures and help ensure clients receive accurate, reliable data in DLco and Lung Volume clinical trials. We believe the support offered by our pulmonary data technicians, registered respiratory therapists, and technology experts makes our service offerings unequaled in the industry. Biomedical Systems provides services and support for our clients around the clock via our four centrally located global offices in North America, Europe, and Asia.

DLco/Lung Volumes Clinical Trial Benefits

Expert Analysis & Training
  • Variety of training options
  • Protocol specific training manuals and quick guides
  • Standardized operating procedures
  • RRT review of data per ATS/ERS guidelines
Equipment &Software Advantages
  • Customized software for protocol specific requirements
  • Programmable protocol specific screen alerts
  • Standardized equipment and software
  • Ensures uniform and quality data across sites
  • Manual and electronic quality control checks
Transmission & Access
  • Ensured data security
  • Automatically transmitted data
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Pulse Oximetry

Pulse Oximetry is a non-invasive technology measuring the oxygen saturation of a...

Pulse Oximetry
in Clinical Trials

Pulse Oximetry is a non-invasive technology measuring the oxygen saturation of a patients’ blood on a continuous basis. Respiratory therapists may monitor patients at rest or while exercising to discover evidence of pulmonary vascular disease, determine if limitations are pulmonary or cardiovascular, and assess clinical trial treatment response. Overnight studies may be useful in screening patients who desaturate during sleep. Pulse Oximetry technology can be helpful in satisfying a protocol’s safety requirement and is an essential component in the 6 minute walk test.

In 1998, Biomedical Systems pioneered the centralization of pulse oximetry using standardized equipment and software designed to meet the protocol specifications, ensure data security, and transmit data automatically. Programmable screen alerts support uniform testing by site personnel and the acceptance of only data that meets pre-set quality standards. Biomedical Systems’ approach to centralized pulse oximetry data includes providing our clients with standardized equipment and software, disposable supplies, protocol specific training manuals, and extensive quality control reviews both manual and electronic. In support of these services, Biomedical Systems offers experienced project management teams and unmatched customer service and technical support through any of our offices in North America, Europe, or Asia.

Expert Analysis & Training
  • Variety of training options
  • Protocol specific training manuals and quick guides
  • Standardized operating procedures
Equipment & Software Advantages
  • Customized software for protocol specific requirements
  • Programmable protocol specific screen alerts
  • Standardized equipment and software
  • Ensures uniform and quality data across sites
  • Manual and electronic quality control checks
Transmission & Access
  • Ensured data security
  • Automatically transmitted data
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