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Ambulatory oxygen for treatment of exertional hypoxaemia in pulmonary fibrosis (PFOX): a multicentre, randomised, sham-controlled trial - PubMed

4 hours ago
  • #clinical trial
  • #ambulatory oxygen
  • #pulmonary fibrosis
  • Ambulatory oxygen therapy was tested for treating exertional hypoxaemia in fibrotic interstitial lung disease (ILD).
  • The study was a multicentre, randomised, sham-controlled trial conducted in Australia and Sweden.
  • Participants were aged ≥18 with fibrotic ILD and isolated exertional hypoxaemia (SpO2 ≤88% on 6-min walk test).
  • 116 participants were randomly assigned to ambulatory oxygen or ambulatory air (sham) groups.
  • No significant difference was found in physical activity (mean steps per day) between the two groups at 3 months.
  • There were no serious adverse events related to the study treatments.
  • Ambulatory oxygen did not provide benefits over ambulatory air for physical activity in daily life.
  • Routine prescription of ambulatory oxygen for fibrotic ILD with exertional hypoxaemia might not be indicated.
  • The study highlights the need for innovation in portable oxygen devices.
  • Funding was provided by the National Health and Medical Research Council (Australia) and Swedish Society of Medicine.