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CompletedNCT01744028PREMIEREUpdated Dec 10, 2020

Compare the Effect of a Remote Monitoring System Using the EXACT Tool to Reduce Hospitalizations Due to Chronic Obstructive Pulmonary Disease (COPD) Exacerbations. EXACT = Exacerbations of Chronic Pulmonary Disease Tool.

A Phase 1 interventional study of Remote Patient Monitoring and Usual care in Remote Patient Monitoring in COPD Patients, sponsored by Novartis Pharmaceuticals. Completed at 20 sites in 2 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2020-12-10.

Sponsored by Novartis Pharmaceuticals · Phase 1, Interventional, and Supportive care

Phase
Phase 1
Study type
Interventional
Enrollment
118
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The purpose of this pilot study is to evaluate a remote patient monitoring (RPM) system using a daily PRO tool (EXACT = Exacerbations of Chronic Pulmonary Disease Tool), in preventing hospitalization from Chronic Obstructive Pulmonary Disease (COPD) exacerbations in a COPD population at high risk of exacerbation, compared to those managed by usual care.

Read the detailed description

This study uses two parallel groups of approximately 100 patients in each arm. After a screening period to confirm eligibility, patients will be randomized to either the RPM system group, or the usual care group. Both groups will be followed for 52 weeks until the end of study. There are only 4 planned study visits and patients will continue on their usual treatment.

The remote patient monitoring system will issue an alert to the clinical site once the established threshold change has been reached. The alert notification will require the clinical site to contact the patient and treat the patient based on clinical judgment and clinical practice. Patients in the usual care arm will be managed through their normally nurse/physician contact.

02

Conditions studied

  • Remote Patient Monitoring in COPD Patients

Keywords

  • COPD, remote patient monitoring, Hub, exacerbations, EXACT
03

In context

Lung Diseases

3,303 studies on the registry are indexed under Lung Diseases; 355 are open to participants now.

This study's enrollment of 118 is above the median of 72 across 2,118 interventional studies indexed under Lung Diseases.

Browse Lung Diseases studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Outpatients with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD), GOLD grade 2 or higher as classified by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines, Updated 2011, including:
  • Current or ex-smokers with a smoking history of at least 10 pack years nt
  • Post-bronchodilator Forced Expiratory Volume in one second (FEV1) \< 80% of the predicted normal value within 12 months prior to screening or at screening
  • Post-bronchodilator FEV1/FVC (Forced Vital Capacity) \< 70% within 12 months prior to screening or at screening
  • A documented history of at least 2 COPD exacerbations requiring treatment with systemic corticosteroids and/or antibiotics in the previous 12 months prior to the screening visit, at least one of which required hospitalization.

Exclusion criteria

Exclusion criteria:

  • Use of investigational drugs at the time of enrollment, or within 30 days or 5 half-lives of enrollment, whichever is longer.
  • Patients who have a COPD exacerbation not clinically resolved within 30 days prior to screening.
  • Patients with a history of asthma, indicated by (but not limited to) the onset of respiratory symptoms suggestive of asthma (such as cough, wheezing, shortness of breath) prior to age 40 years.
05

Study design

Phase
Phase 1
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
118 participants (actual)

Study arms

  • Experimental
    Remote patient monitoring

    Remote patient monitoring system including the Exacerbations of Chronic Pulmonary Disease Tool (EXACT) tool can use changes in daily scores over a certain threshold level to alert notification to the clinical site. The site will contact the patient in order to determine the clinical significance associated with the change in score, and to treat the patient based on clinical judgment and clinical practice.

    Device: Remote Patient Monitoring

  • Experimental
    Usual care

    This group of patient will continue on their usual standard care as close to real life situation as possible.

    Other: Usual care

Interventions

  • DeviceRemote Patient Monitoring

    Remote patient monitoring system including exacerbations of chronic pulmonary disease Tool - Patient Reported Outcome (EXACT PRO), Lung Monitor, and Pulse Oximeter

  • OtherUsual care

    Patients in the usual care arm will continue their normally established procedures of nurse/physician contact and evaluation, as is considered standard for each individual practitioner in the study.

06

What researchers measure

Primary outcomes

  1. The number of hospitalizations and emergency room visits for management of COPD exacerbation(s)

    Comparison of the total number of hospitalizations and emergency room visits (combined) for management of Chronic Obstructive Pulmonary Disease (COPD) exacerbation(s) between the two arms

    Time frame: 52 weeks

Secondary outcomes

  1. Lenght of hospitalization

    Comparison of the average length of hospital stay for management of COPD exacerbation(s) between the two arms.

    Time frame: 52 weeks

  2. Time to first hospitalization

    Comparison of the time to first occurrence of hospitalization for management of COPD exacerbation(s) between the two arms.

    Time frame: 52 weeks

  3. Use of health care resources

    Comparison of the combined health care resource utilization (hospitalizations, unscheduled, scheduled office visits, telephone call contacts) for management of COPD between the two arms.

    Time frame: 52 weeks

  4. Number of medical visits

    Comparison of the number of medical visits combined (hospitalizations, emergency room visits, unscheduled and scheduled office visits) for management of COPD between the two arms.

    Time frame: 52 weeks

07

Study locations

20 sites
  • Novartis Investigative Site
    Barcelona, Catalunya 08036, Spain
  • Novartis Investigative Site
    Barcelona, Cataluña 08025, Spain
  • Novartis Investigative Site
    Barcelona, Cataluña 08035, Spain
  • Novartis Investigative Site
    Girona, Cataluña 17007, Spain
  • Novartis Investigative Site
    L'Hospitalet de Llobregat, Cataluña 08907, Spain
  • Novartis Investigative Site
    Lerida, Cataluña 25198, Spain
  • Novartis Investigative Site
    Sant Boi de Llobregat, Cataluña 08830, Spain
  • Novartis Investigative Site
    Sant Cugat, Cataluña 08190, Spain
  • Novartis Investigative Site
    Sant Joan Despí, Cataluña 08970, Spain
  • Novartis Investigative Site
    Majadanonda, Madrid 28220, Spain
  • Novartis Investigative Site
    Madrid, 28034, Spain
  • Novartis Investigative Site
    Madrid, 28040, Spain
  • Novartis Investigative Site
    Torremolinos, 29620, Spain
  • Novartis Investigative Site
    Gagnef, 785 21, Sweden
  • Novartis Investigative Site
    Göteborg, Sweden
  • Novartis Investigative Site
    Kungshamn, 456 31, Sweden
  • Novartis Investigative Site
    Lund, 222 22, Sweden
  • Novartis Investigative Site
    Lund, SE-221 85, Sweden
  • Novartis Investigative Site
    Stockholm, 113 61, Sweden
  • Novartis Investigative Site
    Östersund, 831 83, Sweden
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 10, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01744028
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Dec 6, 2012
Start date
Jun 2012
Primary completion
Jan 2014
Completion
Jan 2014
Last update
Dec 10, 2020

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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