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Interstitial Lung DiseaseNCT04850521

Remote Monitoring of Interstitial Lung Disease

An observational study of Interstitial Lung Disease, run by patientMpower Ltd. at 4 sites in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Interstitial Lung Disease
What is being tested?
Remote monitoring
How many people
60 participants
Where
4 sitesUnited Kingdom
Study dates
3 Aug 2021to 7 Jul 2022
Phase
Observational
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with a confirmed diagnosis of interstitial lung disease (including idiopathic pulmonary fibrosis)

Who may be able to join

  • 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)
Show all 9Show fewer
  • demonstrates willingness to measure spirometry and pulse oximetry daily for the duration of the study
  • fluent in English language
  • Written informed consent.

Who cannot join

  • 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.

Trial locations and contacts

4 sites in 1 country.

United Kingdom4 sites
  • Hampshire Hospitals NHS Foundation Trust

    Basingstoke

  • Imperial College NHS Healthcare Trust

    London

  • Nottingham University Hospitals NHS Trust

    Nottingham

  • Lancashire Teaching Hospitals NHS Foundation Trust

    Preston

Other trials in United Kingdom

About this study

Official title: Remote Monitoring of Interstitial Lung Disease to Provide Continuity of Care and Shielding From Risks Associated With In-clinic Assessment

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.

Being tested
Remote monitoring
Medical subject headings
Lung Diseases, Interstitial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Remote monitoringOther

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

Study groups in NCT04850521
Study groupRoleWhat they receive
Remote monitoringRemote monitoring software + connected devices
Receives: Other: Remote monitoring

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of use ≥3 days/week

    Proportion of patients recording measurements ≥3 days/week

    Measured: 90 days

  2. Frequency of use on ≥70% of study days

    Proportion of patients recording measurements on ≥70% of study days

    Measured: 91 days

Secondary outcomes (8)
  1. Health-related quality of life

    EuroQol 5-dimension 5-level (EQ-E5-DL) health status

    Measured: 91 days

  2. Patient engagement

    Patient Activation Measure

    Measured: 91 days

  3. Change in Forced Vital Capacity (FVC)

    Proportion of patients with ≥10% decreased FVC vs. baseline

    Measured: 91 days

  4. Frequency of patients with alert values of pulse oximetry oxygen saturation (SpO2)

    Proportion of patients with pulse oximetry SpO2 <93% at any time

    Measured: 91 days

  5. Frequency of alert values of pulse oximetry SpO2 per patient

    Number of pulse oximetry SpO2 <93% values per patient

    Measured: 91 days

  6. Adherence to study measurements

    Number of days patients record spirometry/number of days in observation period

    Measured: 91 days

  7. Frequency of use ≥1 day/week

    Proportion of patients recording measurements ≥1 day/week

    Measured: 91 days

  8. Frequency of use ≥5 days/week

    Proportion of patients recording measurements ≥5 days/week

    Measured: 91 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Apr 2021
  2. Study start3 Aug 2021
  3. Primary completion7 Jul 2022
  4. Study completion7 Jul 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04850521
Sponsor's protocol ID
ILD patientMpower 01
Status last verified
Jul 2022
First submitted
14 Apr 2021
Last updated
12 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • 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.

    PubMed 38622608

Questions about this trial

What is this clinical trial studying?

An observational study of Interstitial Lung Disease, run by patientMpower Ltd. at 4 sites in United Kingdom.

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 9 inclusion and 3 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: finished, as of the sponsor's last update on 12 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United Kingdom. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of use ≥3 days/week (time frame: 90 days). The study lists 2 primary outcomes in all. 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 NCT04850521, which also lists 1 linked publication.

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 12 Jul 2022; AzTrials last refreshed its copy on 7 Nov 2026.

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