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Pulmonary FibrosisSUITSNCT06883448

Implementation of Home Monitoring in Patients With Pulmonary Fibrosis

A study testing Home monitoring care in people with Pulmonary Fibrosis and Interstitial Lung Disease (ILD), run by Erasmus Medical Center at 11 sites in Netherlands.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The objective of this study is to evaluate the impact of structurally replacing half of the outpatient clinic visits for patients with pulmonary fibrosis by home monitoring and video consultations on patient self-management and health(care) outcomes. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Home monitoring care
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
220 participants
Where
11 sitesNetherlands
Study dates
2 Oct 2024to 1 Sep 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • A multidisciplinary ILD team diagnosis of pulmonary fibrosis according to ATS/ERS/JRS/ALAT guidelines;
  • Adults (=/>18 years).

Who cannot join

  • Patients who are not able to speak, read and/or write in Dutch;
  • Patients with no access to the internet;
  • Patients with a life expectancy of less than 1 year as determined by the treating healthcare provider;
  • Patients who are or have been using a home monitoring program for PF.

Trial locations and contacts

11 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Delian E. Hofman contact

+31650162675

d.hofman@erasmusmc.nl

Catharina C. Moor contact

c.moor@erasmusmc.nl

11 sites in 1 country

Netherlands11 sites, 11 recruiting
  • Department of Pulmonology, Onze Lieve Vrouwe Gasthuis

    Amsterdam

    Paul Bresser

    Recruiting
  • Department of Pulmonary Diseases, Rijnstate Hospital

    Arnhem

    Linda Moonen

    Recruiting
  • Department of Respiratory Medicine, Amphia Hospital

    Breda

    Daan W. Loth

    Recruiting
  • Department of Respiratory Medicine, Catharina Hospital

    Eindhoven

    Eveline Schakenraad

    Recruiting
  • Department of Pulmonary Medicine, Zuyderland Medical Centre

    Heerlen

    Rémy L.M. Mostard

    Recruiting
  • Department of Pulmonology, Medical Center Leeuwarden

    Leeuwarden

    Jan van der Maten

    Recruiting
  • Department of Pulmonology, Leiden University Medical Center

    Leiden

    Kelly M.C. van Doorn-Hogervorst

    Recruiting
  • Interstitial Lung Diseases Center of Excellence, Department of Pulmonology, St Antonius Hospital

    Nieuwegein

    Frouke van Beek

    Recruiting
  • Department of Respiratory Medicine, Center of Excellence for Interstitial Lung Disease, Erasmus University Medical Center

    Rotterdam

    Delian E. Hofman, d.hofman@erasmusmc.nl

    Recruiting
  • Department of Pulmonology, Haaglanden Medisch Centrum

    The Hague

    Maria J. Overbeek

    Recruiting
  • Division of Heart and Lungs, University Medical Center Utrecht and Utrecht University

    Utrecht

    Adriane D.M. Vorselaars

    Recruiting

Other trials in Netherlands

About this study

Official title: The SUITS Study: Implementation of Home Monitoring in Patients With Pulmonary Fibrosis

The objective of this study is to evaluate the impact of structurally replacing half of the outpatient clinic visits for patients with pulmonary fibrosis by home monitoring and video consultations on patient self-management and health(care) outcomes.

Read the detailed description

Patients will be randomly assigned to receive either hospital-based care or a home monitoring program integrated into hospital-based care. Hospital-based care involves outpatient clinic visits every three months including lung function testing. Home monitoring involves weekly measurements of both physiological- and patient reported outcomes (PROs) in a mobile health care application with half of the outpatient clinic visits alternately being replaced by remote video consultations. The home monitoring program includes home spirometry, pulse-oximetry, PROs, video consultations, a medication coach, and an infotheque showing disease-specific information. Questionnaires will be filled out by both study groups at set time points. The total study duration for individual patients will be 12 months.

Trial Registration and Ethics Statement In the Netherlands, clinical trial registration is not mandatory for studies exempt from ethics review. As this study was exempt from ethics review, as approved by the IRB of Erasmus Medical Center in Rotterdam, the Netherlands, the study was not prospectively registered. During the enrollment phase, the study protocol was retrospectively registered on ClinicalTrials.gov to ensure public access to the study protocol and study outcomes. IRB approval was obtained prior to enrollment of the first participant. No changes were made to the IRB-approved study protocol (version 1, 11-01-2024) prior to registration on ClinicalTrials.gov.

Being tested
Home monitoring care
Keywords
eHealth, Hybrid care, Self-management
Medical subject headings
Pulmonary Fibrosis, Lung Diseases, Interstitial

What participants receive

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

  • Home monitoring careCombination product

    Patients in the home monitoring group will receive a home spirometer, pulse oximetry meter, and access to a smartphone or tablet app, where they can perform home based measurements weekly and complete PROMs. Furthermore, this app includes disease specific information and allows for direct communication with the hospital via eConsultation. In the home monitoring group, half of the outpatient clinic visits will alternately be replaced by remote visits via video consultation.

Study groups in NCT06883448
Study groupRoleWhat they receive
Hospital-based careNo interventionHospital-based care involves outpatient clinic visits every three months including in-hospital lung function testing.
Home monitoring careExperimentalPatients in the home monitoring group will receive a home spirometer, pulse oximetry meter, and access to a smartphone or tablet app, where they can perform home based measurements weekly and complete PROMs. Furthermore, this app includes disease specific information and allows for direct communication with the hospital via eConsultation. In the home monitoring group, half of the outpatient clinic visits will alternately be replaced by remote visits via video consultation.
Receives: Combination Product: Home monitoring care

What is being measured

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

  1. Patient self-management

    Delta score of the Patient Activation Measure (PAM) questionnaire. The PAM is a 13-item survey assessing levels of patient activation in terms of managing their own health and healthcare. Total score ranges are 0-100, with higher scores indicating greater patient activation.

    Measured: Baseline to 12 months

Secondary outcomes (28)
  1. Patient self-management

    The Patient Activation Measure (PAM) questionnaire is a 13-item survey assessing levels of patient activation in terms of managing their own health and healthcare. Total score ranges are 0-100, with higher scores indicating greater patient activation.

    Measured: Baseline

  2. Patient self-management

    Delta score of the Patient Activation Measure (PAM) questionnaire. The PAM is a 13-item survey assessing levels of patient activation in terms of managing their own health and healthcare. Total score ranges are 0-100, with higher scores indicating greater patient activation.

    Measured: Baseline to 6 months

  3. Living with Pulmonary Fibrosis (L-PF) questionnaire

    The Living with Pulmonary Fibrosis (L-PF) questionnaire is developed to assess symptoms and HRQOL in patients with Pulmonary Fibrosis. It consists of 44 items divided into two modules: symptoms (23 items) and impacts (21 items). The symptom module assesses shortness of breath, cough and fatigue. The impacts module assesses multiple aspects of HRQOL on a five-option numeric rating score. Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Measured: Baseline

  4. Living with Pulmonary Fibrosis (L-PF) questionnaire

    Delta scores of all domains of the Living with Pulmonary Fibrosis (L-PF) questionnaire will be assessed. The L-PF questionnaire is developed to assess symptoms and HRQOL in patients with Pulmonary Fibrosis. It consists of 44 items divided into two modules: symptoms (23 items) and impacts (21 items). The symptom module assesses shortness of breath, cough and fatigue. The impacts module assesses multiple aspects of HRQOL on a five-option numeric rating score. Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Measured: Baseline to 6 months

  5. Living with Pulmonary Fibrosis (L-PF) questionnaire

    Delta scores of all domains of the Living with Pulmonary Fibrosis (L-PF) questionnaire will be assessed. The L-PF questionnaire is developed to assess symptoms and HRQOL in patients with Pulmonary Fibrosis. It consists of 44 items divided into two modules: symptoms (23 items) and impacts (21 items). The symptom module assesses shortness of breath, cough and fatigue. The impacts module assesses multiple aspects of HRQOL on a five-option numeric rating score. Overall scores range from 0 to 100, with higher numbers indicating a greater impairment.

    Measured: Baseline to 12 months

  6. King's brief Interstitial Lung Disease Health Status (K-BILD)

    The K-BILD health status questionnaire is a 15-item validated, self-completed heath status questionnaire. It contains three domains: breathlessness and activities, psychological and chest symptoms. The total score ranges are 0-100, with higher scores corresponding with better HRQOL.

    Measured: Baseline

  7. King's brief Interstitial Lung Disease Health Status (K-BILD)

    Delta scores of all domains of the King's brief Interstitial Lung Disease Health Status (K-BILD) questionnaire will be assessed. The K-BILD health status questionnaire is a 15-item validated, self-completed heath status questionnaire. It contains three domains: breathlessness and activities, psychological and chest symptoms. The total score ranges are 0-100, with higher scores corresponding with better HRQOL.

    Measured: Baseline to 6 months

  8. King's brief Interstitial Lung Disease Health Status (K-BILD)

    Delta scores of all domains of the King's brief Interstitial Lung Disease Health Status (K-BILD) questionnaire will be assessed. The K-BILD health status questionnaire is a 15-item validated, self-completed heath status questionnaire. It contains three domains: breathlessness and activities, psychological and chest symptoms. The total score ranges are 0-100, with higher scores corresponding with better HRQOL.

    Measured: Baseline to 12 months

  9. The EuroQol five dimensions 5-level plus respiratory bolt-on (EQ-5D-5L+R) questionnaire

    The EQ-5D-5L+R questionnaire is a standardized instrument to measure health outcomes in two components: health description and valuation. It comprises six dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression, and respiratory complaints on a 5-point scale. From these 6 answers an index value is derived between 0 and 1, with a higher value corresponding with a better QoL. In the valuation part the patients' general health status is evaluated using a VAS-score from 0 to 100, with a higher score representing a better quality of life.

    Measured: Baseline

  10. The EuroQol five dimensions 5-level plus respiratory bolt-on (EQ-5D-5L+R) questionnaire

    Delta scores of the EuroQol five dimensions 5-level plus respiratory bolt-on (EQ-5D-5L+R) questionnaire will be assessed. The EQ-5D-5L+R questionnaire is a standardized instrument to measure health outcomes in two components: health description and valuation. It comprises six dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression, and respiratory complaints on a 5-point scale. From these 6 answers an index value is derived between 0 and 1, with a higher value corresponding with a better QoL. In the valuation part the patients' general health status is evaluated using a VAS-score from 0 to 100, with a higher score representing a better quality of life.

    Measured: Baseline to 6 months

  11. The EuroQol five dimensions 5-level plus respiratory bolt-on (EQ-5D-5L+R) questionnaire

    Delta scores of all dimensions of the The EuroQol five dimensions 5-level plus respiratory bolt-on (EQ-5D-5L+R) questionnaire will be assessed. The EQ-5D-5L+R questionnaire is a standardized instrument to measure health outcomes in two components: health description and valuation. It comprises six dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression, and respiratory complaints on a 5-point scale. From these 6 answers an index value is derived between 0 and 1, with a higher value corresponding with a better QoL. In the valuation part the patients' general health status is evaluated using a VAS-score from 0 to 100, with a higher score representing a better quality of life.

    Measured: Baseline to 12 months

  12. Scheduled respiratory related outpatient clinic visits

    Measured: Baseline to 12 months

  13. Unscheduled respiratory related outpatient clinic visits

    Measured: Baseline to 12 months

  14. Respiratory related remote consultations

    Compare the number of remote consultations performed.

    Measured: Baseline to 12 months

  15. Respiratory related emergency visits

    Measured: Baseline to 12 months

  16. Respiratory related hospitalisations

    Measured: From baseline to 12 months

  17. Mortality or lung transplantation

    Measured: Baseline to 12 months

  18. Forced vital capacity (FVC)

    Forced vital capacity (FVC) measured with pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline

  19. Forced vital capacity (FVC)

    Delta forced vital capacity (FVC) measured with pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline to 6 months

  20. Forced vital capacity (FVC)

    Delta forced vital capacity (FVC) measured with pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline to 12 months

  21. Diffusing capacity of the lung for carbon monoxide (DLCO)

    Diffusing capacity of the lungs for carbon monoxide (DLCO) measured with pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline

  22. Diffusing capacity of the lung for carbon monoxide (DLCO)

    Delta diffusing capacity of the lungs for carbon monoxide (DLCO) measured with pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline to 6 months

  23. Diffusing capacity of the lung for carbon monoxide (DLCO)

    Delta diffusing capacity of the lungs for carbon monoxide (DLCO) measured with pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline to 12 months

  24. Forced vital capacity (FVC)

    Forced vital capacity (FVC) measured with home measured pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline

  25. Forced vital capacity (FVC)

    Delta forced vital capacity (FVC) measured with home measured pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline to 6 months

  26. Forced vital capacity (FVC)

    Delta forced vital capacity (FVC) measured with home measured pulmonary function study (PFT) as ml and as percentage predicted of healthy standards (in %).

    Measured: Baseline to 12 months

  27. Correlation and agreement of home measured Forced vital capacity (FVC)

    Correlations between home measured Forced vital capacity (FVC) and in-hospital FVC in ml in the home monitoring group.

    Measured: From baseline to 12 months

  28. Patient adherence to home monitoring protocol

    Patients' adherence to home monitoring for home measured spirometry, pulse-oximetry, and patient-reported outcome measures (PROMs).

    Measured: Baseline to 12 months

Timeline

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

  1. First posted19 Mar 2025
  2. Study start2 Oct 2024
  3. Primary completion1 Sep 2027 (estimated)
  4. Study completion1 Sep 2027 (estimated)

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
Randomised
Intervention model
Parallel groups
Model description
Patients will be randomly assigned in a 1:1 ratio to receive either hospital-based care or the home monitoring program integrated into hospital-based care. Randomisation will be done with a computer-generated schedule (ALEA Screening and Enrolment Application Software), using block-randomisation, stratified for study site and use of anti-fibrotic treatment (yes or no).
Masking
None (open label)
Enrolment
220 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06883448
Sponsor's protocol ID
MEC-2024-0045
Other IDs
10140292110006
Acronym
SUITS
Status last verified
Dec 2025
First submitted
13 Mar 2025
Last updated
27 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Hofman DE, Moor CC, van Beek FF, Vorselaars ADM, Overbeek MJ, van Doorn-Hogervorst K, Moonen LAA, van der Maten J, Bresser P, Loth DW, Schakenraad E, Kerstens R, van der Wal P, de Mul M, Mostard RLM, Wijsenbeek MS. Design of a randomized controlled trial comparing hybrid care with standard care for people with pulmonary fibrosis. Respir Res. 2026 Jun 17. doi: 10.1186/s12931-026-03716-0. Online ahead of print.

    PubMed 42310732

Questions about this trial

What is this clinical trial studying?

A study testing Home monitoring care in people with Pulmonary Fibrosis and Interstitial Lung Disease (ILD), run by Erasmus Medical Center at 11 sites in Netherlands.

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 2 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 27 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Netherlands. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Delian E. Hofman (+31650162675, d.hofman@erasmusmc.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient self-management (time frame: Baseline to 12 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 NCT06883448, 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 27 May 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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