This is a prospective, multicentric, non-treatment study to build and validate a portable, non-invasive smart breath analyzer that can screen underlying health issues using exhaled breath. The study will be conducted with healthy participants and participants with known cases of diabetes, kidney related issues, liver related issues, and lung related issues as confirmed by pathology reports. In phase 1, 500 apparently healthy individuals with normal levels of fasting and postprandial blood sugar, renal function test, liver function test, and lung function test will be recruited. In phase 2, 500 patients of type 2 diabetes, liver function, renal function, and lung function derangements each diagnosed by 10% increment above normal values will be enrolled. In phase 3, validation of the breath analyzer as a screening tool for early identification of type 2 diabetes, liver, renal, lung and other metabolic function derangements will be done by randomly assigning healthy and diseased participants for exhaled breath sample analysis. The study is based on the principle of exhaled breath analysis where parts per million and parts per billion level of volatile organic compounds and gases in human breath will be measured. AI based algorithms will be generated to effectively screen unhealthy biomarker levels, enabling timely preventive action.
The smart breath analyzer, Respyr is an IoT and deep-tech enabled portable device developed by Humors Tech Pvt Ltd, Bangalore, India. The device measures volatile organic compounds (VOCs) and gases at parts-per-million and parts-per-billion levels in exhaled breath using AI and ML-based algorithms to identify metabolic derangements non-invasively. Registration Details: The study is registered with CTRI (CTRI/2022/09/045983) and ethics approval has been obtained from the Institutional Ethics Committee of JSS Medical College, Mysore (Ref: JSSMC/IEC/260822/07/CT Final Approval/2022-23, dated 19.12.2022). Protocol number: HTB-PROTOCOL-01, Version 1, dated 07 March 2022. Testing Procedure: Participants will provide an exhaled breath sample under fasting conditions, or with a minimum gap of 1 hour after consuming water and 3-4 hours after consuming food. The breath analyzer readings will be compared against standard laboratory diagnostic values including FBS/RBS, RFT, LFT, spirometry, and lipid profile, all tested within 15 days of participation. Regulatory Compliance: The study follows ICH-GCP guidelines, CDSCO-DCGI and New Drugs and Clinical Trial Rules 2019, and ICMR Ethical Guidelines for Biomedical Research on Human Participants.
Study Type
OBSERVATIONAL
Enrollment
3,000
Dept. of Community Medicine, JSS Medical College
Mysore, Karnataka, India
Validation of Smart Breath Analyzer for Screening of Metabolic Disorders
Development and validation of an IoT and deep-tech enabled smart breath analyzer for accurate and early screening of metabolic derangements including diabetes, kidney disease, liver disease, lung disease, AI and ML-based algorithms will be generated to provide an affordable, non-invasive screening option enabling timely preventive healthcare action
Time frame: Baseline
Triglycerides
Measured in mg/dl. Normal range: \<150 mg/dl. Compared with smart breath analyzer readings.
Time frame: baseline
HDL
Measured in mg/dl. Normal range: 40-60 mg/dl. Compared with smart breath analyzer readings.
Time frame: baseline
VLDL
Measured in mg/dl. Normal range: 2-30 mg/dl. Compared with smart breath analyzer readings.
Time frame: Baseline
LDL
Measured in mg/dl. Normal range: 100-129 mg/dl. Compared with smart breath analyzer readings.
Time frame: Baseline
Cholesterol/ HDL Ratio
Ratio with no unit. Normal range: \<4.5. Compared with smart breath analyzer readings.
Time frame: Baseline
LDL/HDL Ratio
Ratio with no unit. Normal range: \<3. Compared with smart breath analyzer readings.
Time frame: Baseline
Serum Protein Level (Total Protein, Albumin, Globulin) assessed by Liver Function Test (LFT)
Measured in g/dl. Normal ranges: Total Protein 6.4-8.3 g/dl, Albumin 3.4-4.8 g/dl, Globulin 2-3.5 g/dl. Compared with smart breath analyzer readings.
Time frame: Baseline
Serum Creatinine Level assessed by Renal Function Test (RFT)
Measured in mg/dl. Normal range: 0.7-1.3 mg/dl. Compared with smart breath analyzer readings.
Time frame: Baseline
Fasting Blood Glucose Level assessed by Fasting Blood Sugar Test (FBS)
Measured in mg/dl. Normal range: 75-110 mg/dl. Compared with smart breath analyzer readings.
Time frame: Baseline
HBA1C (4.0-5.6)
HbA1c Level assessed by Glycated Hemoglobin Test
Time frame: Baseline
Post Prandial (<140)
Postprandial Blood Glucose Level assessed by Post Prandial Blood Sugar Test (PPBS)
Time frame: Baseline
Total/Direct/Indirect Bilirubin
Serum Bilirubin Level (Total, Direct, Indirect) assessed by Liver Function Test (LFT)
Time frame: Baseline
SGOT/AST (<37 U/L)
SGOT/AST Level assessed by Liver Function Test (LFT
Time frame: Baseline
ALP (30-90 U/L)
Alkaline Phosphatase (ALP) Level assessed by Liver Function Test (LFT)
Time frame: Baseline
Total Protein, Albumin, Globulin, A/G ratio
Serum Protein Level (Total Protein, Albumin, Globulin, A/G Ratio) assessed by Liver Function Test (LFT)
Time frame: Baseline
Serum urea (13-43 mg/dl)
Serum Urea Level assessed by Renal Function Test (RFT)
Time frame: Baseline
Uric acid (3.5-7.2 mg/dl)
Serum Uric Acid Level assessed by Renal Function Test (RFT)
Time frame: Baseline
Calcium, Phosphorus
Serum Calcium and Phosphorus Level assessed by Renal Function Test (RFT)
Time frame: Baseline
Sodium, Potassium, Chloride
Serum Electrolytes (Sodium, Potassium, Chloride) assessed by Renal Function Test (RFT)
Time frame: Baseline
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