Remote Monitoring of Interstitial Lung Disease

NCT ID: NCT04850521

Last Updated: 2022-07-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-08-03

Study Completion Date

2022-07-07

Brief Summary

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As in-clinic pulmonary function testing is greatly restricted due to Coronavirus Disease 2019 (COVID19), alternative approaches to monitoring patients with long-term respiratory conditions need to be developed and assessed. This project will evaluate the feasibility of a remote monitoring programme designed for interstitial lung disease (ILD) \[including idiopathic pulmonary fibrosis (IPF)\] patients which includes patient-reported spirometry \& pulse oximetry (to estimate lung airflow and oxygen levels in the blood).

Patients with a confirmed diagnosis of ILD will be asked to measure spirometry \& pulse oximetry once/day for approximately three months. Each patient will be supplied with a spirometer \& pulse oximeter for home use. There will be no other changes to patients' care. The clinical teams responsible for care of the patients will be able to view all patient-recorded data immediately after data are recorded by the patient. Feasibility of remote monitoring will be assessed by determining the proportion of patients who provide measurements at least 3 times/week and on at least 70% of days in the observation period. Patient engagement (Patient Activation Measure), changes in spirometry measurements over time and healthcare resource utilisation (e.g. number of in-clinic visits) will also be assessed. Other outcomes assessed will include estimation of the proportion of patients with significant decreases in lung function, number of occasions where critical alert values of physiological parameters are reported and number of interventions by healthcare professionals in response to observations or alerts from remote monitoring. Feedback from patients and healthcare providers on user experience will also be sought.

Learnings from this project will be used to assess the wider application of delivery of digitally-based remote monitoring in management of long-term respiratory conditions.

Detailed Description

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Conditions

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Interstitial Lung Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Remote monitoring

Remote monitoring software + connected devices

Remote monitoring

Intervention Type OTHER

patient-facing app + connected spirometer + connected pulse oximeter + clinician view portal

Interventions

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Remote monitoring

patient-facing app + connected spirometer + connected pulse oximeter + clinician view portal

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* diagnosis of interstitial lung disease
* Forced Vital Capacity ≥50% predicted (at most recent in-clinic spirometry test)
* owns a smartphone or tablet device
* has a mobile telephone number, email address and access to internet at home
* willing to allow home monitoring of their health including spirometry and pulse oximetry data
* understands how to use mobile technology (e.g. has downloaded and used other "apps" on their mobile device; uses email)
* demonstrates willingness to measure spirometry and pulse oximetry daily for the duration of the study
* fluent in English language
* Written informed consent.

Exclusion Criteria

* serious concomitant conditions which place the patient at high risk of respiratory distress, making them unsuitable to be managed at home
* confusion which would limit the patient's understanding of the project or the measurement procedures
* current or recent (within last 6 weeks before baseline) participation in another clinical research project.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Quiddity Health Ltd.

UNKNOWN

Sponsor Role collaborator

Innovate UK

OTHER_GOV

Sponsor Role collaborator

patientMpower Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hampshire Hospitals NHS Foundation Trust

Basingstoke, , United Kingdom

Site Status

Imperial College NHS Healthcare Trust

London, , United Kingdom

Site Status

Nottingham University Hospitals NHS Trust

Nottingham, , United Kingdom

Site Status

Lancashire Teaching Hospitals NHS Foundation Trust

Preston, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Barth S, Edwards C, Saini G, Haider Y, Williams NP, Storrar W, Jenkins G, Stewart I, Wickremasinghe M. Feasibility and acceptability of remotely monitoring spirometry and pulse oximetry as part of interstitial lung disease clinical care: a single arm observational study. Respir Res. 2024 Apr 15;25(1):162. doi: 10.1186/s12931-024-02787-1.

Reference Type DERIVED
PMID: 38622608 (View on PubMed)

Other Identifiers

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ILD patientMpower 01

Identifier Type: -

Identifier Source: org_study_id

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