Cystic Fibrosis in ChildrenCOMPANION-CFNCT04705636
Use of a Connected Companion in Children With Cystic Fibrosis
A study testing Connected device named "Leo" from Ludocare society in people with Cystic Fibrosis in Children and Chronic Disease, run by Centre Hospitalier de Saint-Brieuc at 2 sites in France.
Trial summary
The study will be conducted over a 6 months period. For the first three months, the child will be accompagned with a connected companion. After this period, the companion will be removed for three months in oder to prove this companion could improve treatment adherence for children suffering from cytolisis fibrosis. Read more about this study
- Who is it for?
- Ages 3 to 11 years
- Conditions the study is for
- Cystic Fibrosis in Children, Chronic Disease
- What is being tested?
- Connected device named "Leo" from Ludocare society
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 2 sitesFrance
- Study dates
- 20 Jan 2021to Jun 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 3 to 11 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Child volunteer from 3 to 11 years old
- Affected by cystic fibrosis
- With a prescription containing at least two medications twice a day
- Affiliation to the national health insurance
- Child and holder of the exercise of parental authority understands and speaks French
- The person exercising parental authority must have reached the age of majority.
- Collection of the written consent of one of the holders of the exercise of parental authority
Who cannot join
- Non-voluntary child, under 3 years of age or over 12 years of age
- Family reluctant to technology
- Family without smartphone and/or wifi connection
- Failure to obtain the written consent of one of the holders of the exercise of parental authority
- Child involved in research involving the human person
Trial locations and contacts
2 sites in 1 country.
France2 sites, 2 recruiting
- Not yet recruiting
Chu Rennes
Rennes, 35000
Eric DENEUVILLE
- Recruiting
Centre Hospitalier de Saint-Brieuc
Saint-Brieuc, 22000
Marie JAMIN
About this study
Official title: Use of a Connected Companion in Children With Cystic Fibrosis - COMPANION-CF
The study will be conducted over a 6 months period. For the first three months, the child will be accompagned with a connected companion. After this period, the companion will be removed for three months in oder to prove this companion could improve treatment adherence for children suffering from cytolisis fibrosis.
This study will be conducted at the University Hospital Center of Rennes and Hospital Center of Saint-Brieuc.
Read the detailed description
In developed countries, chronic diseases with long-term therapy adherence is about 50%, according to the WHO report, and the adherence rate for regular intake of preventive therapies decreases to 28%.
For cystic fibrosis, rates are not much higher. Optimistic articles report an average compliance rate of 60%. Other articles report a rate of 50% which varies according to the age of the patient, the intake treatment complexity and burdensome drug treatment (physiotherapy achieves the lowest adherence with 38%), the disease understanding and the interest of treatment persuasion. Low adherence can also be the result of incorrect use of administration devices, for example for inhaled treatments. Technical errors are very frequent and affect around 30% of patients.
Families with children suffering from cystic fibrosis need daily support. Health professionals need to relay their recommendations at home. This is why new and funny tools dedicated to children with chronic illnesses are needed.
This trial will study the impact of connected companion named LEO® created by Ludocare company.
Study will be conducted as :
- V0 : Companion given to the child
- V1 : Companion removed after 3 months of use
- V2 : Follow-up done between 1 and 3 months after the period without companion
- Conditions
- Cystic Fibrosis in Children, Chronic Disease
- Being tested
- Connected device named "Leo" from Ludocare society
- Keywords
- Connected device, Long-term therapy, Pneumology, Adherence therapy, Pediatric research, Pediatric device support
- Medical subject headings
- Chronic Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Connected device named "Leo" from Ludocare societyDevice
Connected device named "Leo" from Ludocare society will be allocated to each child for three-months period. During this time, child will be helped to take all of his medication and specific care by this connected device.
| Study group | Role | What they receive |
|---|---|---|
| Connected device | Experimental | Connected device for three months period to support children care Receives: Device: Connected device named "Leo" from Ludocare society |
What is being measured
The primary outcome is the main question the study is designed to answer.
Evaluate therapeutic adherence of children with cystic fibrosis aged 3 to 11 years with help of a connected medical companion
The main evaluation criterion will be the overall compliance of the cohort in percentage terms. These data from connected companion will be refined for each type of treatment: pancreatic extracts, inhaled treatments, CFTR modulator, antibiotics, vitamins, laxative treatment, antacids, bile acids, food supplements, physiotherapy. For each treatment, the data "take" or "not take" will be treated by device and provide for statistical analysis in percentage. Each percentage will be grouped in global percentage will be therapeutic adherence all over study.
Measured: Through study completion, up to 6 months
Secondary outcomes (16)
Study of the reasons of low compliance or difficulties in taking the treatments
Questionnaire for parents with up to 15 treatments which provide the major difficulties (to be indicated in order, from the most difficult to the simplest, with checked answers; no specific scale available)
Measured: At the inclusion
Assess the psycho-social impact of treatment and illness
Questionnaire for parents on child's behaviours in regard to taking treatment and illness (scale from 0 to 10, , highers scores mean better outcome)
Measured: At the inclusion
Assess child's autonomy regarding his treatments
Reporting in connected device
Measured: 3 months
Assess the intake treatments quality
Questionnaire for parents on difficulties frequency with checked answers (no specific scale available)
Measured: At the inclusion
Evaluate any negative impacts associated with the use of the robot
Questionnaire for parents on difficulties linked to the use of the robot with scale from 0 to 10, highers scores mean better outcome, and open ended questions (no specific scale is available)
Measured: 3 months
Evaluate any negative impacts associated with the use of the robot
Questionnaire for parents on difficulties linked to the use of the robot with scale from 0 to 10, highers scores mean better outcome, and open ended questions (no specific scale is available)
Measured: 4 to 6 months
Assess the psycho-social impact of treatment and illness
Questionnaire for children on his relation to his illness and his treatments (Color gradient scale with expressive smiley : red (sad), orange (a little bit sad), yellow (neutral), light green (good), dark green (very good)
Measured: at the inclusion
Assess the psycho-social impact of treatment and illness
Questionnaire for children on his relation to his illness and his treatments (Color gradient scale with expressive smiley : red (sad), orange (a little bit sad), yellow (neutral), light green (good), dark green(very good)
Measured: 3 months
Assess the psycho-social impact of treatment and illness
Questionnaire for children on his relation to his illness and his treatments (Color gradient scale with expressive smiley : red (sad), orange (a little bit sad), yellow (neutral), light green (good), dark green(very good)
Measured: 4 to 6 months
Study of the reasons of low compliance or difficulties in taking the treatments
Questionnaire for parents with up to 15 treatments which provide the major difficulties (to be indicated in order, from the most difficult to the simplest, with checked answers; no specific scale available)
Measured: 3 months
Assess the psycho-social impact of treatment and illness
Questionnaire for parents on child's behaviours in regard to taking treatment and illness (scale from 0 to 10, , highers scores mean better outcome)
Measured: 3 months
Assess the intake treatments quality
Questionnaire for parents on difficulties frequency with checked answers (no specific scale available)
Measured: 3 months
Study of the reasons of low compliance or difficulties in taking the treatments
Questionnaire for parents with up to 15 treatments which provide the major difficulties (to be indicated in order, from the most difficult to the simplest, with checked answers; no specific scale available)
Measured: 4 to 6 months
Assess the psycho-social impact of treatment and illness
Questionnaire for parents on child's behaviours in regard to taking treatment and illness (scale from 0 to 10, , highers scores mean better outcome)
Measured: 4 to 6 months
Assess child's autonomy regarding his treatments
Reporting in connected device
Measured: 4 to 6 months
Assess the intake treatments quality
Questionnaire for parents on difficulties frequency with checked answers (no specific scale available)
Measured: 4 to 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jan 2021
- Study start20 Jan 2021
- Primary completionJun 2021 (estimated)
- Study completionJun 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for Cystic Fibrosis in ChildrenStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier de Saint-Brieuc
- Sponsor type
- University, hospital or other
- Collaborators
- Rennes University Hospital
- Responsible party
- Sponsor
- Investigators
- Marie JAMIN, Principal investigator, Centre Hospitalier de Saint-Brieuc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04705636
- Sponsor's protocol ID
- CHSB_202010_P3_COMPANION-CF
- Other IDs
- ID-RCB
- Acronym
- COMPANION-CF
- Status last verified
- Jan 2021
- First submitted
- 14 Dec 2020
- Last updated
- 22 Jan 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
De Geest S, Sabate E. Adherence to long-term therapies: evidence for action. Eur J Cardiovasc Nurs. 2003 Dec;2(4):323. doi: 10.1016/S1474-5151(03)00091-4. No abstract available.
PubMed 14667488Jentzsch NS, Camargos PAM, Colosimo EA, Bousquet J. Monitoring adherence to beclomethasone in asthmatic children and adolescents through four different methods. Allergy. 2009 Oct;64(10):1458-1462. doi: 10.1111/j.1398-9995.2009.02037.x. Epub 2009 Mar 28.
PubMed 19416142Zindani GN, Streetman DD, Streetman DS, Nasr SZ. Adherence to treatment in children and adolescent patients with cystic fibrosis. J Adolesc Health. 2006 Jan;38(1):13-7. doi: 10.1016/j.jadohealth.2004.09.013.
PubMed 16387243Conway SP, Pond MN, Hamnett T, Watson A. Compliance with treatment in adult patients with cystic fibrosis. Thorax. 1996 Jan;51(1):29-33. doi: 10.1136/thx.51.1.29.
PubMed 8658364Arias Llorente RP, Bousono Garcia C, Diaz Martin JJ. Treatment compliance in children and adults with cystic fibrosis. J Cyst Fibros. 2008 Sep;7(5):359-67. doi: 10.1016/j.jcf.2008.01.003. Epub 2008 Mar 4.
PubMed 18304896Sanchis J, Gich I, Pedersen S; Aerosol Drug Management Improvement Team (ADMIT). Systematic Review of Errors in Inhaler Use: Has Patient Technique Improved Over Time? Chest. 2016 Aug;150(2):394-406. doi: 10.1016/j.chest.2016.03.041. Epub 2016 Apr 7.
PubMed 27060726O'Donohoe R, Fullen BM. Adherence of subjects with cystic fibrosis to their home program: a systematic review. Respir Care. 2014 Nov;59(11):1731-46. doi: 10.4187/respcare.02990. Epub 2014 Jul 15.
PubMed 25233386Britto MT, Rohan JM, Dodds CM, Byczkowski TL. A Randomized Trial of User-Controlled Text Messaging to Improve Asthma Outcomes: A Pilot Study. Clin Pediatr (Phila). 2017 Dec;56(14):1336-1344. doi: 10.1177/0009922816684857. Epub 2017 Jan 5.
PubMed 28056541
Study at a glance
From the registry record, last updated by the sponsor on 22 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Use of a Connected Companion in Children With Cystic Fibrosis - COMPANION-CF
- ClinicalTrials.gov ID
- NCT04705636
- Acronym / sponsor ID
- COMPANION-CF / CHSB_202010_P3_COMPANION-CF
- Conditions
- Cystic Fibrosis in Children, Chronic Disease
- Keywords
- Connected device, Long-term therapy, Pneumology, Adherence therapy, Pediatric research, Pediatric device support
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Centre Hospitalier de Saint-BrieucUniversity, hospital or other
- Collaborators
- Rennes University Hospital
- Study start
- 20 Jan 2021 (actual)
- Primary completion
- Jun 2021 (estimated)
- Study completion
- Jun 2021 (estimated)
- First posted
- 12 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study will be conducted over a 6 months period. For the first three months, the child will be accompagned with a connected companion. After this period, the companion will be removed for three months in oder to prove this companion could improve treatment adherence for children suffering from cytolisis fibrosis.
This study will be conducted at the University Hospital Center of Rennes and Hospital Center of Saint-Brieuc.
Detailed description
In developed countries, chronic diseases with long-term therapy adherence is about 50%, according to the WHO report, and the adherence rate for regular intake of preventive therapies decreases to 28%.
For cystic fibrosis, rates are not much higher. Optimistic articles report an average compliance rate of 60%. Other articles report a rate of 50% which varies according to the age of the patient, the intake treatment complexity and burdensome drug treatment (physiotherapy achieves the lowest adherence with 38%), the disease understanding and the interest of treatment persuasion. Low adherence can also be the result of incorrect use of administration devices, for example for inhaled treatments. Technical errors are very frequent and affect around 30% of patients.
Families with children suffering from cystic fibrosis need daily support. Health professionals need to relay their recommendations at home. This is why new and funny tools dedicated to children with chronic illnesses are needed.
This trial will study the impact of connected companion named LEO® created by Ludocare company.
Study will be conducted as :
- V0 : Companion given to the child
- V1 : Companion removed after 3 months of use
- V2 : Follow-up done between 1 and 3 months after the period without companion
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Connected device | Experimental | Device: Connected device named "Leo" from Ludocare societyConnected device for three months period to support children care |
Who may qualify
- Ages
- 3 to 11 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (7 listed)
- Child volunteer from 3 to 11 years old
- Affected by cystic fibrosis
- With a prescription containing at least two medications twice a day
- Affiliation to the national health insurance
- Child and holder of the exercise of parental authority understands and speaks French
Key exclusion criteria (5 listed)
- Non-voluntary child, under 3 years of age or over 12 years of age
- Family reluctant to technology
- Family without smartphone and/or wifi connection
- Failure to obtain the written consent of one of the holders of the exercise of parental authority
- Child involved in research involving the human person
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Connected device named "Leo" from Ludocare societyConnected device named "Leo" from Ludocare society will be allocated to each child for three-months period. During this time, child will be helped to take all of his medication and specific care by this connected device. | Device | Connected device |
Primary outcome
Evaluate therapeutic adherence of children with cystic fibrosis aged 3 to 11 years with help of a connected medical companion
Time frame: Through study completion, up to 6 months
The main evaluation criterion will be the overall compliance of the cohort in percentage terms. These data from connected companion will be refined for each type of treatment: pancreatic extracts, inhaled treatments, CFTR modulator, antibiotics, vitamins, laxative treatment, antacids, bile acids, food supplements, physiotherapy. For each treatment, the data "take" or "not take" will be treated by device and provide for statistical analysis in percentage. Each percentage will be grouped in global percentage will be therapeutic adherence all over study.
16 secondary outcomes
Study of the reasons of low compliance or difficulties in taking the treatments
Time frame: At the inclusion
Assess the psycho-social impact of treatment and illness
Time frame: At the inclusion
Assess child's autonomy regarding his treatments
Time frame: 3 months
Assess the intake treatments quality
Time frame: At the inclusion
Evaluate any negative impacts associated with the use of the robot
Time frame: 3 months
Evaluate any negative impacts associated with the use of the robot
Time frame: 4 to 6 months
Assess the psycho-social impact of treatment and illness
Time frame: at the inclusion
Assess the psycho-social impact of treatment and illness
Time frame: 3 months
Assess the psycho-social impact of treatment and illness
Time frame: 4 to 6 months
Study of the reasons of low compliance or difficulties in taking the treatments
Time frame: 3 months
Assess the psycho-social impact of treatment and illness
Time frame: 3 months
Assess the intake treatments quality
Time frame: 3 months
Study of the reasons of low compliance or difficulties in taking the treatments
Time frame: 4 to 6 months
Assess the psycho-social impact of treatment and illness
Time frame: 4 to 6 months
Assess child's autonomy regarding his treatments
Time frame: 4 to 6 months
Assess the intake treatments quality
Time frame: 4 to 6 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Jan 2021.
- Results publication: PubMed 14667488De Geest S, Sabate E. Adherence to long-term therapies: evidence for action. Eur J Cardiovasc Nurs. 2003 Dec;2(4):323. doi: 10.1016/S1474-5151(03)00091-4. No abstract available.
- Results publication: PubMed 19416142Jentzsch NS, Camargos PAM, Colosimo EA, Bousquet J. Monitoring adherence to beclomethasone in asthmatic children and adolescents through four different methods. Allergy. 2009 Oct;64(10):1458-1462. doi: 10.1111/j.1398-9995.2009.02037.x. Epub 2009 Mar 28.
- Results publication: PubMed 16387243Zindani GN, Streetman DD, Streetman DS, Nasr SZ. Adherence to treatment in children and adolescent patients with cystic fibrosis. J Adolesc Health. 2006 Jan;38(1):13-7. doi: 10.1016/j.jadohealth.2004.09.013.
- Results publication: PubMed 8658364Conway SP, Pond MN, Hamnett T, Watson A. Compliance with treatment in adult patients with cystic fibrosis. Thorax. 1996 Jan;51(1):29-33. doi: 10.1136/thx.51.1.29.
- Results publication: PubMed 18304896Arias Llorente RP, Bousono Garcia C, Diaz Martin JJ. Treatment compliance in children and adults with cystic fibrosis. J Cyst Fibros. 2008 Sep;7(5):359-67. doi: 10.1016/j.jcf.2008.01.003. Epub 2008 Mar 4.
- Results publication: PubMed 27060726Sanchis J, Gich I, Pedersen S; Aerosol Drug Management Improvement Team (ADMIT). Systematic Review of Errors in Inhaler Use: Has Patient Technique Improved Over Time? Chest. 2016 Aug;150(2):394-406. doi: 10.1016/j.chest.2016.03.041. Epub 2016 Apr 7.
- Results publication: PubMed 25233386O'Donohoe R, Fullen BM. Adherence of subjects with cystic fibrosis to their home program: a systematic review. Respir Care. 2014 Nov;59(11):1731-46. doi: 10.4187/respcare.02990. Epub 2014 Jul 15.
- Results publication: PubMed 28056541Britto MT, Rohan JM, Dodds CM, Byczkowski TL. A Randomized Trial of User-Controlled Text Messaging to Improve Asthma Outcomes: A Pilot Study. Clin Pediatr (Phila). 2017 Dec;56(14):1336-1344. doi: 10.1177/0009922816684857. Epub 2017 Jan 5.
- Maladies : Comment les applications et objets connectés peuvent aider les enfants à prendre leur traitement ?Link provided by the sponsor.
- Mon ami Léo - Votre compagnon de santé. Spécialiste des maladies rares!Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Marie JAMIN principal investigator
Centre Hospitalier de Saint-Brieuc
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Connected device named "Leo" from Ludocare society in people with Cystic Fibrosis in Children and Chronic Disease, run by Centre Hospitalier de Saint-Brieuc at 2 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 22 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Marie JAMIN (+33296017818, marie.jamin@ch-stbrieuc.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Evaluate therapeutic adherence of children with cystic fibrosis aged 3 to 11 years with help of a connected medical companion (time frame: Through study completion, up to 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04705636, which also lists 8 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jan 2021.