Efficacy of Telemetry-assisted Care in Home Home Vented COPD (TeleInterVENT)
Randomisiert-kontrollierte Klinische Studie an häuslich Beatmeten COPD-Patienten Zur Überprüfung Der Wirksamkeit Einer Telemetrisch unterstützten Fernbetreuung Durch Das Beatmungszentrum im Vergleich Zur stationären, halbjährlichen Beatmungskontrolle gemäß Leitlinie [Randomized-controlled Clinical Trial in Home Ventilated COPD Patients to Test the Efficacy of Telemetry-assisted Care Compared to Biannual Inpatient Ventilation Control Visits According to the Guideline]
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
54 NIV naive COPD patients will be randomized to either telemonitoring care with a data-based intervention scheme or standard care according to the guideline of the German Society of Pneumology.
Primary objective:
Adherence to ventilation in the intervention group versus control group.
Secondary objective:
Comparisons between the control and intervention groups, over time and against each other, in terms of:
- Health-related quality of life assessed by SGRQ
- Symptomatology based on blood gas analyses, CAT score, mMRC score and S3-NIV score
- Therapy quality according to therapy parameters from device data
- Number of hospitalizations and physician visits
- Evaluation of the impact of feedback and interventions on therapy adherence, symptomatology and therapy data.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Maik Schroeder
- Phone Number: 22057 0049 201 174
- Email: M.Schroeder@kem-med.com
Study Locations
-
-
North Rhine-Westphalia
-
Essen, North Rhine-Westphalia, Germany, 45276
- Evang. Kliniken Essen-Mitte gGmbh
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- NIV-naive / Continuation after 3 Months Interruption
- Indication for initiation of NIV according to S2k guideline of the German Society of Pneumology
- Presence of the signed informed consent
Exclusion Criteria:
- Absence of signed written informed consent for data protection and study participation.
- contraindication to PAP therapy
- Participation in another study that influences the setting of NIV therapy through specifications regarding device settings or titration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Control
Home non-invasive mask ventilation with prisma VENT device. Modem for the daily transmission of specific therapy parameters. Standard care according to clinical standard (technical support by the provider and three hospital follow-up appointments after 2, 6 and after 12 months) with assessment of health status and NIV therapy settings. Study specific: During visits, recording of HRQOL by SGRQ and S3NIV questionnaires, hospitalizaion and physician visits. Therapy data from NIV device. |
NIV, Supplies as needed, especially masks, tubes, humidifiers, and modems
|
|
Experimental: Telemonitoring
Home non-invasive mask ventilation with prisma VENT device. Modem for the daily transmission of specific therapy parameters. An electronic feedback system provides patients with feedback and recommendations on their therapy based on the data submitted. The study center regularly reviews and reacts to all therapy data and other information according to the remote care scheme of intervention. Telemonitoring care patients also receive an SpO2 sensor for monitoring of oxygen saturation. Ambulantory implementation of three blood gas analyses to check the health status after 2, 6 and 12 months. There are no regular routine inpatient stays. Study specific: During visits, recording of HRQOL by SGRQ and S3NIV questionnaires, hospitalizaion and physician visits. |
NIV, Supplies as needed, especially masks, tubes, humidifiers, SpO2 sensor and modems.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adherence [hours/day]
Time Frame: 12 Months
|
Usage of Ventilator in hours per day
|
12 Months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
QOL [unit]
Time Frame: Survey at 3 dates: 2, 6 und 12 Months
|
Health related Quality of Life by SGRQ-Score [higher units represent worse outcome]
|
Survey at 3 dates: 2, 6 und 12 Months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hospitalizations [Nr]
Time Frame: 12 Months
|
Number of hospitalizations/physician visits
|
12 Months
|
|
CAT [score]
Time Frame: Survey at 3 dates: 2, 6 und 12 Months
|
COPD Assessment Test, Score 0 to 40, higher units represent worse outcome
|
Survey at 3 dates: 2, 6 und 12 Months
|
|
mMRC [score]
Time Frame: Survey at 3 dates: 2, 6 und 12 Months
|
Modified Medical Research Council, Score 0 to 4, higher units represent worse outcome
|
Survey at 3 dates: 2, 6 und 12 Months
|
|
S3-NIV [score]
Time Frame: Survey at 3 dates: 2, 6 und 12 Months
|
S3-NIV questionnaire for the assessment of home NIV, Score 0 to10, lower units represent worse outcome
|
Survey at 3 dates: 2, 6 und 12 Months
|
|
PCO2 [mmHg]
Time Frame: Survey at 3 dates: 2, 6 und 12 Months
|
Carbon dioxide partial pressure from Blood Gas Analysis
|
Survey at 3 dates: 2, 6 und 12 Months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Gearg Nilius, MD, KEM | Evang. Kliniken Essen-Mitte gGmbH
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Chronic Disease
- Disease Attributes
- Respiratory Tract Diseases
- Lung Diseases
- Lung Diseases, Obstructive
- Pathological Conditions, Signs and Symptoms
- Pulmonary Disease, Chronic Obstructive
- Health Services Administration
- Health Care Quality, Access, and Evaluation
- Quality of Health Care
- Quality Indicators, Health Care
- Standard of Care
Other Study ID Numbers
Other Study ID Numbers
- TIV2022
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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