- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05712863
Study to Determine the Impact of BreatheSmart on Asthma Control in Adult Asthmatics
A Prospective, Observational Study to Assess Changes in Asthma Control in Adults With Asthma Managed on BreatheSmart
Study Overview
Detailed Description
This is a prospective, observational study of adults with persistent asthma who are managed on inhaled corticosteroids (ICS). The study consists of one interventional group and all 104 subjects will be included in this group. All subjects will be provided with the HeroTracker package, which includes:
- HeroTracker sensor that counts dosage and monitors real-time medication adherence
- Mobile Spirometer that offers remote clinical-grade lung function monitoring
- BreatheSmart mobile application that sends subjects real-time alerts and allow patients to enter quality of life data.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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New York
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Mount Kisco, New York, United States, 10549
- North Westchester Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male and/or female adults (aged ≥ 18 years)
- Ability to provide written informed consent
- Owns a compatible smartphone (iOS 8.0 or higher, or Android 4.3 or higher) and is familiar with the download and management of software applications
Diagnosis of persistent asthma for at least 6 months duration with evidence of poorly controlled disease defined as having at least one of the following within 12 months prior to consent:
- exacerbation of asthma symptoms requiring pulse of corticosteroids
- acute asthma event that resulted in an emergency department or urgent care visit
- hospitalization for asthma related care
- Managed on inhaled corticosteroid (ICS) medication for at least 3 months prior to enrollment. Stable dose of oral corticosteroids and/or biologic therapy is also permissable
- Use of a pressurized metered dose inhaler (pMDI) compatible with the HeroTracker
- Non-smoker, or ≤ 10 pack/year history of tobacco use and abstinence for at least 1 year
Exclusion Criteria:
- Presence of other significant chronic lung disease or condition such as chronic obstructive pulmonary disease, cystic fibrosis, interstitial lung disease, chronic lung disease of prematurity, recurrent aspiration, primary pulmonary hypertension, or presence of tracheostomy
- Presence of other chronic medical conditions such as congenital heart disease or immunodeficiency,
- Presence of other comorbidities that, in the opinion of the investigator, will interfere with the collection of study procedures, or limit life expectancy to < 1 year
- Currently pregnant/breast feeding or planning to become pregnant during the study period
- Primary language other than English or Spanish
Study Plan
How is the study designed?
Design Details
- Primary Purpose: HEALTH_SERVICES_RESEARCH
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
EXPERIMENTAL: BreatheSmart Intervention
104 subjects will be provided with the BreatheSmart Platform, which consists of:
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BreatheSmart is a comprehensive asthma monitoring system combining medical devices and a mobile application designed for use with iOS and Android operating systems.
Using Bluetooth to connect, the devices sync with the mobile application to facilitate the collection of medication adherence and lung function data.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in asthma control
Time Frame: 3 months
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Determine change in the asthma control test (ACT), a validated asthma test, in subjects using the BreatheSmart system from baseline to 3 months.
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3 months
|
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Change in rescue medication usage
Time Frame: 3 months
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Determine change in rescue medication usage in subjects using the BreatheSmart system from baseline to 3 months.
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3 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in controller medication adherence
Time Frame: 3 months
|
We plan to obtain the medication adherence percentage (that ranges from 0-100%) to asthma inhaled corticosteroids (ICS) at baseline, 1 month post-baseline, 2-months post-baseline, and 3-months post-baseline.
We will then display the monthly averaged medication treatment adherence and calculate the difference in medication adherence between baseline and 3-months post-baseline, which will be expressed as a percentage increase or decrease.
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3 months
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Collaborators and Investigators
Publications and helpful links
General Publications
- Lasmar L, Camargos P, Champs NS, Fonseca MT, Fontes MJ, Ibiapina C, Alvim C, Moura JA. Adherence rate to inhaled corticosteroids and their impact on asthma control. Allergy. 2009 May;64(5):784-9. doi: 10.1111/j.1398-9995.2008.01877.x. Epub 2009 Jan 21.
- Chan AH, Harrison J, Black PN, Mitchell EA, Foster JM. Using electronic monitoring devices to measure inhaler adherence: a practical guide for clinicians. J Allergy Clin Immunol Pract. 2015 May-Jun;3(3):335-49.e1-5. doi: 10.1016/j.jaip.2015.01.024. Epub 2015 Apr 1.
- Schatz M, Kosinski M, Yarlas AS, Hanlon J, Watson ME, Jhingran P. The minimally important difference of the Asthma Control Test. J Allergy Clin Immunol. 2009 Oct;124(4):719-23.e1. doi: 10.1016/j.jaci.2009.06.053. Epub 2009 Sep 19.
- Jia CE, Zhang HP, Lv Y, Liang R, Jiang YQ, Powell H, Fu JJ, Wang L, Gibson PG, Wang G. The Asthma Control Test and Asthma Control Questionnaire for assessing asthma control: Systematic review and meta-analysis. J Allergy Clin Immunol. 2013 Mar;131(3):695-703. doi: 10.1016/j.jaci.2012.08.023. Epub 2012 Oct 8.
- Melosini L, Dente FL, Bacci E, Bartoli ML, Cianchetti S, Costa F, Di Franco A, Malagrino L, Novelli F, Vagaggini B, Paggiaro P. Asthma control test (ACT): comparison with clinical, functional, and biological markers of asthma control. J Asthma. 2012 Apr;49(3):317-23. doi: 10.3109/02770903.2012.661008. Epub 2012 Mar 9.
- Korn S, Both J, Jung M, Hubner M, Taube C, Buhl R. Prospective evaluation of current asthma control using ACQ and ACT compared with GINA criteria. Ann Allergy Asthma Immunol. 2011 Dec;107(6):474-9. doi: 10.1016/j.anai.2011.09.001. Epub 2011 Oct 5.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CH-001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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