- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03018717
Integral Clinical Plan Shared With or Without Telemonitoring of Constants in Patient With Chronic Diseases (ATLAN_TIC01)
June 18, 2019 updated by: Fundación Pública Andaluza Progreso y Salud
Randomized Multicenter Clinical Trial of a Integral Clinical Care Plan Shared With or Without Telemonitoring of Bio Constants in Patients With Chronic Diseases in Advanced Stages. ATLANTIC Project
Information and communications technologies (ICT) currently constitute a key element in the innovation and improvement of providing health-care to frail populations with advanced chronic diseases, but it´s efficacy, safety and cost-effectiveness has not yet been proven conclusively.
The investigators are going to carry out a multi-center, randomized, parallel groups, phase III clinical trial in adult patient with heart and/or lung advanced diseases,aiming to analyze the efficacy and cost-efficacy of tele-monitorization of bio-parameters added to optimal standard of clinical care (shared clinical care plan) compared to the shared clinical care plan exclusively.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
a total number of 510 patients will be divided in 3 centers: Hospital University Virgen del Rocío; Hospital University Virgen Macarena and Public Hospital Comarcal of Serranía de Ronda.
Patient will be randomized in Tele-monitoring Constant (TELEPAC) To analyze the efficacy and cost-efficacy of incorporating tele-monitoring of bio-parameters into the shared comprehensive clinical care plan or in Standard Clinical Care (PAC) based on a comprehensive clinical assistance shared between Primary Care and Hospital Care.
Study Type
Interventional
Enrollment (Actual)
510
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Jaén, Spain, 23007
- Complejo Hospitalario de Jaen
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Sevilla, Spain, 41014
- Hospital Universitario de Valme
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Málaga
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Ronda, Málaga, Spain, 29400
- Serranía de Ronda Hospital
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Seville
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Sevilla, Seville, Spain, 41009
- Universitary Hospital Virgen Macarena
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Sevilla, Seville, Spain, 41013
- Universitary Hospital Virgen del Rocío
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Majority legal age (18 years of age or older)
- Present any of the following shortcomings:
Heart failure with baseline dyspnea ≥III of New York Heart Association (NYHA) Chronic respiratory insufficiency with basal dyspnea ≥III of Medical Research Council (MRC) Scale and / or oxygen saturation <90% and / or home oxygen therapy.
- Present Heart Failure or Respiratory Insufficiency with basal dyspnea grade <III (according to NYHA and MRC respectively) but have presented 2 or more income in the last year.
- Score of Patients with terminal or palliative medical diseases (score PALIAR) index between 0 and 7 points.
- To present one of the following assistance situations: hospital admission, follow-up in Home Hospitalization or Palliative Care Teams, specialized outpatient follow-up.
- Speak, understand, read and write Spanish, either the patient or the primary caregiver.
- Have basic knowledge of the use of mobile phones and applications of computer tablets (such knowledge will be confirmed by personal interview, with test of the device).
- Informed consent to participate in the study
Exclusion Criteria:
- Presence of malignant neoplastic disease ACTIVE except localized adenocarcinoma of prostate in hormonal treatment, and / or cutaneous basocellular-squamous cell carcinoma.
- In the case of Chronic Renal Disease if there is the possibility of entry into Substitutive Therapies (hemodialysis or transplantation)
- In the case of chronic liver disease, if there is a possibility of liver transplantation.
- Chronic neurological disease with established cognitive impairment (E. Pfeiffer with 7 or more errors and / or Mild cognitive evaluated (ECM with ≤18 points).
- Clinical situation of agony.
- Surprise question ("Would you be surprised if your patient died in the next 6 months?") With the result "I would not be surprised" + PALIAR Score Score ≥7.5 points.
- Participate in another tele-health initiative.
- Go simultaneously to a private health service and / or be institutionalized
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Tele-monitoring Constant
To analyze the efficacy and cost-efficacy of incorporating tele-monitoring of bio-parameters into the shared comprehensive clinical care plan.
Patients will receive in their home a kit consisting of a briefcase containing all equipment (scale, pulse-oximeter ... etc) and a logo access to devices (Tablet) through mobile communications m2m between patient and platform Management for Chronic Patients.
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telemedicine of Constant
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Other: Standard clinical care
Standard clinical care plan shared between plan of attention to the patient with Pluri-pathological process and the care plan for patients with chronic diseases, based on a comprehensive clinical assistance shared between Primary Care and Hospital Care
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The patient will self-monitor heart rate, blood pressure, weight, diuresis, and capillary glycemia (in the case of diabetes)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reduce the number of hospital admissions and / or the number of hospital emergency visits and / or the number of primary care visits of the patients in the TELEPAC arm (patients with tele-monitoring) with respect to the PAC arm (patient without tele-Moni
Time Frame: Six month
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Monitoring number of hospitalizations and/or number of emergency visits in the period.
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Six month
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of hospital admissions
Time Frame: six month
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six month
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Safety by monitoring of adverse events and adverse clinical events related to the two arms of the clinical trial
Time Frame: six month
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analyze the safety of the two arms by monitoring the number of adverse events and adverse clinical events related to the two arms of the clinical trial.
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six month
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quality of life related to health, of follow-up in both arms of the clinical trial,
Time Frame: At the time of inclusion, at 45 days and after 6 months of follow-up.
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Using a standardized Using a standardized questionnaire of quality of live related to health in adults (EQ-5D) adapted to Spanish.
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At the time of inclusion, at 45 days and after 6 months of follow-up.
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quality of care and satisfaction perceived by the subjects in the two arms of the clinical trial.
Time Frame: at 45 days and after 6 months of follow-up
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Using the standardized questionnaire Service Performance (SERVPERF) adapted to health.
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at 45 days and after 6 months of follow-up
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perceived quality and satisfaction with the technological instruments by the subjects in the two arms of the clinical trial.
Time Frame: at 45 days and after 6 months of follow-up,
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Using the Perceived quality for technical support (TSUQ) standardized questionnaire adapted
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at 45 days and after 6 months of follow-up,
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primary cost-effectiveness of the arm TELEPAC with respect to the arm PAC, using the incremental cost method.
Time Frame: six month
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using each of the patients that did not require hospital admission and / or emergency visits, as a unit of cost Of each patient.
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six month
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To analyze the secondary incremental cost-effectiveness of the TELEPAC arm with respect to the PAC arm.
Time Frame: six month
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using each of the secondary efficacy variables as unit of cost and each patient's overall cost unit.
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six month
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Number of admissions-visits to Hospital Emergency
Time Frame: six month
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six month
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Number of visits to Primary Care Emergencies
Time Frame: six month
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six month
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mortality
Time Frame: six month
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six month
|
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Number of days of hospital stay
Time Frame: six month
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six month
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Overall cost for patients in euros
Time Frame: six month
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six month
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 13, 2016
Primary Completion (Actual)
September 26, 2018
Study Completion (Anticipated)
September 13, 2019
Study Registration Dates
First Submitted
December 12, 2016
First Submitted That Met QC Criteria
January 10, 2017
First Posted (Estimate)
January 12, 2017
Study Record Updates
Last Update Posted (Actual)
June 19, 2019
Last Update Submitted That Met QC Criteria
June 18, 2019
Last Verified
September 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ATLAN_TIC01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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