Evaluating the Potential of Large Language Models for Respiratory Disease Consultations

NCT ID: NCT06457269

Last Updated: 2024-11-27

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

Clinical Phase

NA

Total Enrollment

703 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-01

Study Completion Date

2024-10-12

Brief Summary

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The clinical trial aimes to evaluate multiple large language models in respiratory disease consultations by comparing their performance to that of human doctors across three major medical consultation scenarios.

The main question aims to answer are:

* How do large language models perform in comparison to human doctors in diagnosing and consulting on respiratory diseases across various clinical scenarios?

In three clinical scenarios including the online query section, the disease diagnosis section and the medical explanation section, research assistants or volunteers will be asked to cross-question all LLMs or real doctors using predefined online questions and their own issues. After each questioning session, a short washout period is implemented to eliminate potential biases.

Detailed Description

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Conditions

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Hay Fever Asthma Acute Upper Respiratory Infection Pulmonary Embolism Pneumonia Tuberculosis Acute Bronchitis Pulmonary Fibrosis Lung Cancer Bronchiectasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Cross-comparison group(the disease diagnosis section)

Cross-comparison group (including human doctor controls and all LLMs)

Group Type OTHER

Diagnosis by three human doctors

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by different human doctors. Each patient is randomly assigned by the system to three doctors from different provinces in China selected from the database of doctors. The doctors all come from multiple online consultation platforms in China, and their diagnostic qualifications and medical licenses have undergone strict verification.

Diagnosis by ChatGPT-3.5 (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by ChatGPT-3.5 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by ChatGPT-3.5 (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by ChatGPT-3.5 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by ChatGPT-4.0 (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by ChatGPT-4.0 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by ChatGPT-4.0 (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by ChatGPT-4.0 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Claude instant (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Claude instant with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Claude instant (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Claude instant without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Claude 2 (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Claude 2 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Claude 2 (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Claude 2 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Gemini Pro (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Gemini Pro with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Gemini Pro (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Gemini Pro without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Cross-comparison group(the medical explanation section)

Cross-comparison group (including human doctor controls and all LLMs)

Group Type OTHER

Diagnosis by three human doctors

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by different human doctors. Each patient is randomly assigned by the system to three doctors from different provinces in China selected from the database of doctors. The doctors all come from multiple online consultation platforms in China, and their diagnostic qualifications and medical licenses have undergone strict verification.

Diagnosis by ChatGPT-3.5 (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by ChatGPT-3.5 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by ChatGPT-3.5 (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by ChatGPT-3.5 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by ChatGPT-4.0 (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by ChatGPT-4.0 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by ChatGPT-4.0 (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by ChatGPT-4.0 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Claude instant (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Claude instant with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Claude instant (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Claude instant without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Claude 2 (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Claude 2 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Claude 2 (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Claude 2 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Gemini Pro (with search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Gemini Pro with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Diagnosis by Gemini Pro (without search capabilities)

Intervention Type DIAGNOSTIC_TEST

This intervention involves answering patient inquiries by Gemini Pro without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Interventions

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Diagnosis by three human doctors

This intervention involves answering patient inquiries by different human doctors. Each patient is randomly assigned by the system to three doctors from different provinces in China selected from the database of doctors. The doctors all come from multiple online consultation platforms in China, and their diagnostic qualifications and medical licenses have undergone strict verification.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by ChatGPT-3.5 (with search capabilities)

This intervention involves answering patient inquiries by ChatGPT-3.5 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by ChatGPT-3.5 (without search capabilities)

This intervention involves answering patient inquiries by ChatGPT-3.5 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by ChatGPT-4.0 (with search capabilities)

This intervention involves answering patient inquiries by ChatGPT-4.0 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by ChatGPT-4.0 (without search capabilities)

This intervention involves answering patient inquiries by ChatGPT-4.0 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by Claude instant (with search capabilities)

This intervention involves answering patient inquiries by Claude instant with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by Claude instant (without search capabilities)

This intervention involves answering patient inquiries by Claude instant without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by Claude 2 (with search capabilities)

This intervention involves answering patient inquiries by Claude 2 with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by Claude 2 (without search capabilities)

This intervention involves answering patient inquiries by Claude 2 without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by Gemini Pro (with search capabilities)

This intervention involves answering patient inquiries by Gemini Pro with search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Diagnosis by Gemini Pro (without search capabilities)

This intervention involves answering patient inquiries by Gemini Pro without search capabilities, before answering any questions, clear the chat history from the previous patient and input the predetermined initialization statement.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Self-reported symptoms of common respiratory diseases, such as cough, chest tightness, fever, and wheezing
2. Ability to engage in LLM dialog operations independently or with minimal peer training
3. A health status deemed suitable for study participation by the pulmonology experts

Exclusion Criteria

1\) Excessively poor health status
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Glasgow

OTHER

Sponsor Role collaborator

Nanchong Central Hospital

OTHER_GOV

Sponsor Role collaborator

Affiliated Hospital of North Sichuan Medical College

OTHER

Sponsor Role collaborator

North Sichuan Medical College

OTHER

Sponsor Role lead

Responsible Party

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Zining Luo

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jiebin Xie, Doctor

Role: PRINCIPAL_INVESTIGATOR

North Sichuan Medical College

Locations

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The Affiliated Hospital of North Sichuan Medical College

Nanchong, Sichuan, China

Site Status

Countries

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China

References

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Mercer SW, Maxwell M, Heaney D, Watt GC. The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Fam Pract. 2004 Dec;21(6):699-705. doi: 10.1093/fampra/cmh621. Epub 2004 Nov 4.

Reference Type BACKGROUND
PMID: 15528286 (View on PubMed)

Other Identifiers

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22XQT0309

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

CBY22-QDA15

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2022LC005

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

23JCYJPT0014

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

1426887-2024-1

Identifier Type: -

Identifier Source: org_study_id