ILD: Health Outcomes in Remote Digital Monitoring Versus Usual Care

NCT ID: NCT05662124

Last Updated: 2024-11-21

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

139 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-07

Study Completion Date

2025-04-30

Brief Summary

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Interstitial lung disease (ILD) is a collective term for a group of diseases where the lungs become scarred causing breathlessness.

This research project will assess if remote digital monitoring of frequent spirometry and pulse oximetry can provide an additional way to monitor ILD and provide information to support virtual consultations. Outcomes in the remote monitoring group will be compared with usual care alone over 12 months.

Patients taking part will be randomly allocated to remote digital monitoring or to usual care (with an equal chance of either). Remote monitoring will be performed using an app provided by patientMpower Ltd which patients will be able to download onto a smartphone or tablet. The study team will provide a spirometer and oximeter for patients to measure their lung function (spirometry) and oxygen saturations. These devices link to the app via Bluetooth to record all measurements. Patients will be asked to do these measurements three times a week. Clinical teams will be asked to review all measurements at least once a fortnight.

Health outcomes will be described and compared between the two groups.

Detailed Description

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This study hopes to understand more about how remote digital monitoring of spirometry and pulse oximetry fits within the clinical care of patients with interstitial lung disease. This study will randomise patients to either remote monitoring or usual care and then collect information about the trajectory of their interstitial lung disease treatment and monitoring for the next 12 months to understand the impact of remote monitoring.

Conditions

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Interstitial Lung Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Remote Monitoring

Patients in this arm will be asked to record their spirometry and oximetry three times weekly. This will be performed using a spirometer and oximeter which upload the results via bluetooth to the patientMpower app on their smartphones/tablets. These results are immediately available for review by their clinical teams who will be asked to review them at least once a fortnight.

All patients will be asked to complete surveys at baseline, 3, 6, and 12 months and for clinical outcome data during the observation period to be collected.

Group Type EXPERIMENTAL

Remote monitoring

Intervention Type OTHER

Patients will download the patientMpower app and be provided with a spirometer (Spirobank Smart, MIR) and oximeter (Nonin) to record their spirometry and pulse oximetry which will upload to the application via Bluetooth for clinical review.

Patients will be asked to upload measurements three times per week.

Usual Care

Patients in this arm will undergo usual clinical care as planned by their medical team. They will be asked to complete surveys at baseline, 3,6 and 12 months and for clinical outcome data during the observation period to be collected.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Remote monitoring

Patients will download the patientMpower app and be provided with a spirometer (Spirobank Smart, MIR) and oximeter (Nonin) to record their spirometry and pulse oximetry which will upload to the application via Bluetooth for clinical review.

Patients will be asked to upload measurements three times per week.

Intervention Type OTHER

Other Intervention Names

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patientMpower app

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of fibrotic interstitial lung disease
* Aged at least 18 years
* Owns a smartphone or tablet device
* Has a mobile telephone number, email address and access to the internet at home
* In clinic lung function assessment within 6 months prior to study entry including spirometry and gas transfer measurement
* Intention to have at least two outpatient clinical reviews (either in person or virtual) within the study observation period of 12 months
* Willing to allow home monitoring of their health including spirometry and pulse oximetry data
* Understands how to use mobile technology (eg. has downloaded and used other "apps" on their mobile device; uses email)
* Demonstrates willingness to measure spirometry and pulse oximetry three times weekly for the duration of the observation period
* Fluent in English language
* Written or electronic informed consent

* Cognitive impairment
* History of difficulties performing spirometry at previous clinic testing
* Contraindications to spirometry (for example previous pneumothorax, unstable cardiac status, known aortic or cerebral aneurysm)
* Serious concomitant conditions which place the patient at high risk of respiratory distress making them unsuitable to be managed at home.
* Current or recent (within the last 6 weeks before baseline) participation in another research project
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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patientMpower Ltd.

INDUSTRY

Sponsor Role collaborator

Imperial College London

OTHER

Sponsor Role collaborator

University College, London

OTHER

Sponsor Role collaborator

Action for Pulmonary Fibrosis

UNKNOWN

Sponsor Role collaborator

Imperial College Healthcare NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Melissa Wickremasinghe

Role: PRINCIPAL_INVESTIGATOR

Imperial College Healthcare NHS Trust

Locations

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Basingstoke and North Hampshire Hospital

Basingstoke, , United Kingdom

Site Status

Royal Papworth Hospital

Cambridge, , United Kingdom

Site Status

Royal Devon University Healthcare NHS Trust

Exeter, , United Kingdom

Site Status

Leeds Teaching Hospital NHS Trust

Leeds, , United Kingdom

Site Status

University Hospital of Leicester NHS Trust

Leicester, , United Kingdom

Site Status

Liverpool University Hospitals NHS Foundation Trust

Liverpool, , United Kingdom

Site Status

Imperial College Healthcare NHS Trust

London, , United Kingdom

Site Status

Royal Brompton Hospital

London, , United Kingdom

Site Status

St George's University Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

Sheffield Teaching Hospitals NHS Trust

Sheffield, , United Kingdom

Site Status

Royal Hampshire County Hospital

Winchester, , United Kingdom

Site Status

New Cross Hospital, Royal Wolverhampton NHS Trust

Wolverhampton, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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21SM6951

Identifier Type: -

Identifier Source: org_study_id

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