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AsthmaNCT04868500

Managing Asthma Patients With AMAZE™: A Novel Disease Management Platform

A study testing AMAZE™ Application and AMAZE™ Dashboard in people with Asthma, run by AstraZeneca at 1 site in United States.

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

The primary study objective is to generate evidence as to the feasibility, usability, perceived value, and potential benefits of implementing the AMAZE™ platform into clinical practice. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Asthma
What is being tested?
AMAZE™ Application and AMAZE™ Dashboard
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
49 participants
Where
1 siteUnited States
Study dates
27 Apr 2021to 30 Nov 2021
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Who may be able to join

  • >18 years of age at the time of enrollment
  • Clinically confirmed diagnosis of asthma
  • Access to a smartphone with internet access with the following requirements: iOS (Operating System iOS 13 or newer and Devices iPhone 8 or newer) or Android (Operating System 8.0 or newer)
  • Able to understand and speak English sufficiently to be able to use the AMAZE™ patient app
  • Willingness to participate in a telephone interview and be audio-recorded
  • Consenting to participate in the study

Who cannot join

  • Current diagnosis of active chronic obstructive pulmonary disease (COPD) or any pulmonary diagnosis other than asthma
  • Has a cognitive impairment, hearing difficulty, acute psychopathology, medical condition, or insufficient knowledge of the English language that, in the opinion of the investigator, would interfere with his or her ability to agree to participate and/or complete the ACT™.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Research Site

    Boston, Massachusetts, 02114

Other trials in United States

About this study

Official title: Managing Asthma Patients With AMAZE™: A Novel Disease Management Platform, A Clinical Pilot Study

The primary study objective is to generate evidence as to the feasibility, usability, perceived value, and potential benefits of implementing the AMAZE™ platform into clinical practice.

Read the detailed description

AstraZeneca has developed the AMAZE™ disease management platform to be used across multiple disease indications to provide a unified experience for the management of participants throughout their participant care journey. AMAZE™ integrates multiple systems, including a patient mobile application where patients can enter daily symptoms and impact to communicate this information to their healthcare provider, as well as access disease educational materials. Implementation of AMAZE™ within clinical practice has not yet been evaluated. The results from this study will be used to inform any changes or modifications that need to be made to the technology platform, its implementation process, and explore impact on clinical outcomes.

Conditions
Asthma
Being tested
AMAZE™ Application, AMAZE™ Dashboard
Medical subject headings
Asthma

What participants receive

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

  • AMAZE™ ApplicationDevice

    Participants will use the AMAZE™ application to enter daily asthma symptoms and impact to communicate this information to their healthcare provider, as well as access disease educational materials up to six months.

  • AMAZE™ DashboardDevice

    Clinical site staff will use the AMAZE™ dashboard for six months to identify usability and barriers, benefits, challenges, ease of implementation, and areas for improvement of the AMAZE™ dashboard in a clinical setting.

Study groups in NCT04868500
Study groupRoleWhat they receive
Massachusetts General Hospital (MGH) ParticipantsExperimentalParticipants will use the AMAZE™ application to enter daily asthma symptoms and impact to communicate this information to their healthcare provider, as well as access disease educational materials up to six months.
Receives: Device: AMAZE™ Application
Massachusetts General Hospital (MGH) Clinical Site StaffExperimentalClinical site staff will use the AMAZE™ dashboard for six months to identify usability and barriers, benefits, challenges, ease of implementation, and areas for improvement of the AMAZE™ dashboard in a clinical setting.
Receives: Device: AMAZE™ Dashboard

What is being measured

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

  1. Number of Days Participants Accessed the AMAZE™ App (Weeks 1 to 4)

    Participant App usage was measured as the number of days the participant engaged (ie., participants accessed 'Home, Daily asthma log, Air quality, My plan, Trends, Appointments, Educational material, Messages, and Notifications') with the App during Weeks 1 to 4.

    Measured: Weeks 1 to 4

  2. Number of Days Participants Accessed the AMAZE™ App (Weeks 5 to 8)

    Participant App usage was measured as the number of days the participant engaged (ie., participants accessed 'Home, Daily asthma log, Air quality, My plan, Trends, Appointments, Educational material, Messages, and Notifications') with the App during Weeks 5 to 8.

    Measured: Weeks 5 to 8

  3. Number of Days Participants Accessed the AMAZE™ App (Weeks 9 to 12)

    Participant App usage was measured as the number of days the participant engaged (ie., participants accessed 'Home, Daily asthma log, Air quality, My plan, Trends, Appointments, Educational material, Messages, and Notifications') with the App during Weeks 9 to 12.

    Measured: Weeks 9 to 12

  4. Number of Days Participants Accessed the AMAZE™ App (Weeks 13 to 16)

    Participant App usage was measured as the number of days the participant engaged (ie., participants accessed 'Home, Daily asthma log, Air quality, My plan, Trends, Appointments, Educational material, Messages, and Notifications') with the App during Weeks 13 to 16.

    Measured: Weeks 13 to 16

  5. Number of Days Participants Accessed the AMAZE™ App (Weeks 17 to 20)

    Participant App usage was measured as the number of days the participant engaged (ie., participants accessed 'Home, Daily asthma log, Air quality, My plan, Trends, Appointments, Educational material, Messages, and Notifications') with the App during Weeks 17 to 20.

    Measured: Weeks 17 to 20

  6. Number of Days Participants Accessed the AMAZE™ App (Weeks 21 to 24)

    Participant App usage was measured as the number of days the participant engaged (ie., participants accessed 'Home, Daily asthma log, Air quality, My plan, Trends, Appointments, Educational material, Messages, and Notifications') with the App during Weeks 21 to 24.

    Measured: Weeks 21 to 24

  7. Number of Days Clinical Site Staff Accessed the AMAZE™ Dashboard (Weeks 1 to 4)

    Clinician dashboard usage was measured as the mean number of days that the clinical site staff accessed the AMAZE™ dashboard during Weeks 1 to 4.

    Measured: Weeks 1 to 4

  8. Number of Days Clinical Site Staff Accessed the AMAZE™ Dashboard (Weeks 5 to 8)

    Clinician dashboard usage was measured as the mean number of days that the clinical site staff accessed the AMAZE™ dashboard during Weeks 5 to 8.

    Measured: Weeks 5 to 8

  9. Number of Days Clinical Site Staff Accessed the AMAZE™ Dashboard (Weeks 9 to 12)

    Clinician dashboard usage was measured as the mean number of days that the clinical site staff accessed the AMAZE™ dashboard during Weeks 9 to 12.

    Measured: Weeks 9 to 12

  10. Number of Days Clinical Site Staff Accessed the AMAZE™ Dashboard (Weeks 13 to 16)

    Clinician dashboard usage was measured as the mean number of days that the clinical site staff accessed the AMAZE™ dashboard during Weeks 13 to 16.

    Measured: Weeks 13 to 16

  11. Number of Days Clinical Site Staff Accessed the AMAZE™ Dashboard (Weeks 17 to 20)

    Clinician dashboard usage was measured as the mean number of days that the clinical site staff accessed the AMAZE™ dashboard during Weeks 17 to 20.

    Measured: Weeks 17 to 20

  12. Number of Days Clinical Site Staff Accessed the AMAZE™ Dashboard (Weeks 21 to 24)

    Clinician dashboard usage was measured as the mean number of days that the clinical site staff accessed the AMAZE™ dashboard during Weeks 21 to 24.

    Measured: Weeks 21 to 24

  13. Number of Participants Engaged in Agreement of Visit Survey Item 9 (Weeks 1 to 4)

    Visit Survey Item 9 was 'The visit helped avoid an emergency room (ER) or urgent care center visit or hospitalization.' Visit surveys were completed throughout the study whenever a participant completed an asthma-related clinic visit. Number of participants engaged in agreement of Visit Survey Item 9 as 'High' (ie., 5-7 days per week per month) and 'Very low' (ie., less than one day per week per month) are reported.

    Measured: Weeks 1 to 4

  14. Number of Participants Engaged in Agreement of Visit Survey Item 9 (Weeks 5 to 8)

    Visit Survey Item 9 was 'The visit helped avoid an ER or urgent care center visit or hospitalization.' Visit surveys were completed throughout the study whenever a participant completed an asthma-related clinic visit. Number of participants engaged in agreement of Visit Survey Item 9 as 'High' (ie., 5-7 days per week per month) and 'Very low' (ie., less than one day per week per month) are reported.

    Measured: Weeks 5 to 8

  15. Number of Participants Engaged in Agreement of Visit Survey Item 9 (Weeks 9 to 12)

    Visit Survey Item 9 was 'The visit helped avoid an ER or urgent care center visit or hospitalization.' Visit surveys were completed throughout the study whenever a participant completed an asthma-related clinic visit. Number of participants engaged in agreement of Visit Survey Item 9 as 'High' (ie., 5-7 days per week per month) and 'Very low' (ie., less than one day per week per month) are reported.

    Measured: Weeks 9 to 12

  16. Number of Participants Engaged in Agreement of Visit Survey Item 9 (Weeks 13 to 16)

    Visit Survey Item 9 was 'The visit helped avoid an ER or urgent care center visit or hospitalization.' Visit surveys were completed throughout the study whenever a participant completed an asthma-related clinic visit. Number of participants engaged in agreement of Visit Survey Item 9 as 'High' (ie., 5-7 days per week per month) and 'Very low' (ie., less than one day per week per month) are reported.

    Measured: Weeks 13 to 16

  17. Number of Participants Engaged in Agreement of Visit Survey Item 9 (Weeks 17 to 20)

    Visit Survey Item 9 was 'The visit helped avoid an ER or urgent care center visit or hospitalization.' Visit surveys were completed throughout the study whenever a participant completed an asthma-related clinic visit. Number of participants engaged in agreement of Visit Survey Item 9 as 'High' (ie., 5-7 days per week per month) and 'Very low' (ie., less than one day per week per month) are reported.

    Measured: Weeks 17 to 20

  18. Number of Participants Engaged in Agreement of Visit Survey Item 9 (Weeks 21 to 24)

    Visit Survey Item 9 was 'The visit helped avoid an ER or urgent care center visit or hospitalization.' Visit surveys were completed throughout the study whenever a participant completed an asthma-related clinic visit. Number of participants engaged in agreement of Visit Survey Item 9 as 'High' (ie., 5-7 days per week per month) and 'Very low' (ie., less than one day per week per month) are reported.

    Measured: Weeks 21 to 24

  19. Evaluate Participant Satisfaction With the AMAZE™ App (End of Study)

    Satisfaction with the AMAZE™ App features was measured by the number of participants who reported satisfaction on parameters of 'Very unsatisfied, Unsatisfied, Neutral, Satisfied, and Very satisfied'.

    Measured: End of Study (Month 6)

  20. Emergency Room Visits, Urgent Care Center Visits, or Hospitalization Avoidance (End of Study)

    The impact of AMAZE™ on ER, urgent care center visits, and hospitalizations was measured as the number of participants who reported "agree" or "strongly agree" with the question 'Since the start of the study, use of the AMAZE™ App helped me avoid ER or urgent care center visits or hospitalizations.' from the participant visit experience survey.

    Measured: End of Study (Month 6)

  21. Impact of AMAZE™ App on Participants Clinic Visits

    Visit Survey Item 9 was 'The visit helped avoid an ER or urgent care center visit or hospitalization.' The impact of AMAZE™ on participant visits was measured as the number of participants who selected "agree" or "strongly agree" in response to the 9-items in the participant visit experience survey.

    Measured: Day 1 through End of Study (Month 6)

  22. Participant Perception of Appointment Discussions and Taking Part in Asthma Decisions (End of Study)

    The impact of AMAZE™ on improved participant communication with their healthcare provider was measured as the number of participants who reported "agree" or "strongly agree" with the questions "The app helped me discuss my asthma with my healthcare providers during my most recent visit?", "App helped the appointment with my doctor go more smoothly?" and "I was included in making decisions about my asthma treatment during my most recent visit?" on the participant visit experience survey.

    Measured: End of Study (Month 6)

  23. Patient Satisfaction Questionnaire-18 Subscale Scores (End of Study)

    Participant satisfaction with their healthcare experience was evaluated using the PSQ-18 items with subscale scores of 'General satisfaction, Technical quality, Interpersonal manner, Communication, Financial aspects, Time spent with doctor, Accessibility and convenience' at End of Study (Month 6). The PSQ-18 scores ranges from 1 to 5 and a higher score indicates greater satisfaction.

    Measured: End of study (Month 6)

  24. Patient-Reported System Usability Scale (SUS) (Month 1)

    The usability of the AMAZE™ App was measured by the number of participants who rated the app as 'excellent, good, okay, poor, awful or skipped to report' at Month 1.

    Measured: Month 1

  25. Patient-Reported SUS (End of Study)

    The usability of the AMAZE™ App was measured by the number of participants who rated the app as 'excellent, good, okay, poor, awful or skipped to report' at End of Study (Month 6).

    Measured: End of Study (Month 6)

  26. Clinical Site Staff-Reported SUS (Month 1)

    The usability of the AMAZE™ dashboard was measured by the number of clinical staff who rated the App as 'excellent, good, okay, poor, awful or skipped to report' at Month 1.

    Measured: Month 1

  27. Clinical Site Staff-Reported SUS (End of Study)

    The usability of the AMAZE™ dashboard was measured by the number of clinical staff who rated the App as 'excellent, good, okay, poor, awful or skipped to report' at End of Study (Month 6).

    Measured: End of Study (Month 6)

  28. Evaluate Ease of Implementation of AMAZE™ App in Clinical Setting (End of Study)

    The ease of implementation of AMAZE™ was measured by the number of clinical staff who reported "very easy" or "somewhat easy" to the question "How would you rate the overall ease of implementing AMAZE™ on a platform into your clinical practice?" in the post-study survey at End of Study (Month 6).

    Measured: End of Study (Month 6)

  29. Evaluate Impact of AMAZE™ App on Managing Participants (End of Study)

    The impact of AMAZE™ on managing participants was measured by the number of clinical staff who reported "moderately" or "very well" to the question "Did the AMAZE™ help you manage your participants?" in the post-study survey at End of Study (Month 6).

    Measured: End of Study (Month 6)

  30. Evaluate Perceived Benefit of AMAZE™ App in Clinical Setting (End of Study)

    The perceived benefit of AMAZE™ was evaluated by the number of clinical staff who endorsed different perceived benefits as "Ability to track symptoms, Ability to track asthma triggers, Ability to track reliever medication use, Ability track ER visits/ hospitalizations, and Integration of AMAZE™ platform with electronic health records" based on the item "What did you find the most useful about the AMAZE™ platform?" in the post-study survey at End of Study (Month 6).

    Measured: End of Study (Month 6)

  31. Evaluate Perceived Disadvantages of AMAZE™ in Clinical Setting (End of Study)

    The perceived disadvantages of AMAZE™ were evaluated by the number of clinical site staff who endorsed different perceived disadvantages as "Ability to track air flow measurements, Participant-health care provides (HCP) messaging feature, Ability to assign another healthcare provider to a participant, Ability to track level of impairment through Asthma Control Test (ACT™) scores" based on the question "What did you find the least useful or cumbersome about the AMAZE™ platform?" in the post-study survey at End of Study (Month 6).

    Measured: End of Study (Month 6).

Timeline

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

  1. First posted3 May 2021
  2. Study start27 Apr 2021
  3. Primary completion30 Nov 2021
  4. Study completion30 Nov 2021

Resources

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
Health services research
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
49 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04868500
Sponsor's protocol ID
N4280000000
Status last verified
Jan 2023
First submitted
17 Mar 2021
Last updated
8 Feb 2023
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Publications

  • Alladina J, Moschovis PP, Gandhi HN, Carstens D, Bacci ED, Cutts K, Coyne KS, Goldsborough K, Jiang D, O'Brien C, Bernard Kinane T. Observational study of the Amaze asthma disease management platform. Digit Health. 2024 Oct 22;10:20552076241282380. doi: 10.1177/20552076241282380. eCollection 2024 Jan-Dec.

    PubMed 39479373

Questions about this trial

What is this clinical trial studying?

A study testing AMAZE™ Application and AMAZE™ Dashboard in people with Asthma, run by AstraZeneca at 1 site in United States.

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 6 inclusion and 2 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 8 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

Yes. Results are posted in the registry (first posted 8 Feb 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Days Participants Accessed the AMAZE™ App (Weeks 1 to 4) (time frame: Weeks 1 to 4). The study lists 31 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 NCT04868500, 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 8 Feb 2023.

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