ClinicalTrials.gg
TerminatedNCT03379233ADVICEUpdated Jan 5, 2021Results posted

A Randomized Study to Evaluate the Effect of Reminder Notifications and Motivational/Adaptive Messaging on Treatment Adherence

A Phase 3 interventional study of Concept2 inhaler and Concept2 inhaler with patient application in Chronic Obstructive Pulmonary Disease, sponsored by Novartis Pharmaceuticals. Terminated at 9 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-05.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Device feasibility

Why this study was terminated
devices malfunctioned

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Phase
Phase 3
Study type
Interventional
Enrollment
7
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 117 studies in Pulmonary Disease, Chronic Obstructive by Novartis — none open to participants now, none under way, none of them phase 3. Pulmonary Disease, Chronic Obstructive · Novartis.

Enrollment
108th of 116
7 · median 203
Started
2018
the only one that year
Phase 3
59 of 117
none open now
Registered
113th of 117
by date

Among the 117 studies in Pulmonary Disease, Chronic Obstructive by Novartis, this one is the 108th largest by enrollment of the 116 interventional ones that give a count, is the only one that started in 2018, is one of 59 in phase 3, and was the 113th registered.

Pulmonary Disease, Chronic Obstructive

5,521 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 857 are open to participants now.

Browse Pulmonary Disease, Chronic Obstructive studies →

Open to participants now

None of the 117 studies in Pulmonary Disease, Chronic Obstructive by Novartis is open now. The open studies under Pulmonary Disease, Chronic Obstructive, anywhere →

Who these studies take

Of the 557 Pulmonary Disease, Chronic Obstructive studies recruiting now, 306 (55%) set no upper age limit and 82 (15%) stop at 75 or younger; 29 take children under 18; 89 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Download CSVNarrow it in search →With an account: the 117 studies in Pulmonary Disease, Chronic Obstructive by Novartis as a file.
02

Study summary

This study was evaluating the effect of reminder notifications and motivational/adaptive messages on treatment adherence behavior in subjects with COPD. The effect will be measured over 24 weeks on the subject's on time treatment adherence and total treatment adherence. The delivery of the medication and tracking of inhaler use is done by the Concept2 inhaler. The reminder notification, feedback on inhaler use and motivational messages are provided by the patient application, who is receiving the inhaler use information from the Concept2 inhaler.

Read the detailed description

This study was evaluating whether subjects with COPD on Ultibro® Breezhaler® clinical trial formulation once daily dosing regimen using the Concept2 inhaler in conjunction with a patient application collecting data and sending reminder notifications and motivational/adaptive messages aimed at encouraging treatment adherence, have improved treatment adherence compared to subjects using the Concept2 inhaler alone (usual care). The delivery of the medication and tracking of inhaler use is done by the Concept2 inhaler. The reminder notifications, feedback on inhaler use and motivational messages for the subject are sent by the patient application based on the received subjects inhaler use information from the Concept2 inhaler.

The effect will be measured over 24 weeks on the subject's on time treatment adherence (days when the subjects inhaled within +/- 2 hours of the subjects preferred inhalation time) and total treatment adherence (days when patient inhaled at least one dose).

The study population consisted male and female adult patients, 18 years or older with a clinical diagnosis of COPD, a smoking history of 10 pack years, receiving Ultibro Breezhaler treatment for at least 3 months prior to screening and documented poor treatment adherence.

After 6 weeks of screening patients will be randomized to either the Usual Care group in which they will continue to receive Ultibro Breezhaler treatment via the Concept2, or the Telehealth group in which they will additionally receive a tablet device pre-installed with a patient app.

In addition to on time treatment adherence and total treatment adherence, illness and treatment beliefs will be collected via a questionnaire and patient's health status from the EQ5D-5L and SGRQ-C Questionnaire. Key safety assessments are COPD exacerbation and AE/SAE, device deficiencies and device events, drug administration errors, physical exam, vital signs and urine or serum pregnancy test.

03

Conditions studied

  • Chronic Obstructive Pulmonary Disease

Keywords

  • Chronic Obstructive Pulmonary Disease
  • Adherence
  • Dose Tracking
  • Concept2
  • Digital Adherence System
  • Ultibro Breezhaler
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Signed
  • Have a total adherence of more than 10% but less than or equal to 70% during Screening period
  • Current or ex-smokers who have a smoking history of at least 10 pack years.
  • A diagnosed
  • Taking Ultibro® Breezhaler® for at least 3 month prior to Visit 1
  • Have been in the Screening period ≥ 35 days.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating women
  • Women of
  • Subjects having a history of reactions/ to inhaled drugs or drugs of a similar class
  • Subjects having a history of reactions/hypersensitivity to lactose or any of the other ingredients of trial medication.
  • Subjects with relevant concomitant diseases
  • Subjects who have had a exacerbation 6 weeks prior to Visit 1 or between V1 and randomization
  • Subjects who have had a respiratory tract infection within 3 weeks prior to Visit 1 or between V1 and randomization
  • Use of drugs or other investigational devices at the time of enrollment
  • Subjects with a preferred inhalation time between 10.00 pm and 2.00 am.
  • Subjects taken off Ultibro® Breezhaler® treatment/inhaler use by the investigator during the Screening period for more than 7 days.
  • Subjects not returning all Concept2 inhalers received during the Screening period
  • Subjects who have demonstrated inability or unwillingness to use the digital system or to fill in questionnaires.

Other protocol-defined inclusion/exclusion criteria may apply

Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Device feasibility
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
7 participants (actual)

Study arms

  • Active comparator
    Usual Care

    Concept2 inhaler

    Combination Product: Concept2 inhaler

  • Experimental
    Telehealth

    Concept2 inhaler with patient application

    Combination Product: Concept2 inhaler with patient application

Interventions

  • Combination productConcept2 inhaler

    Fixed combination of Indacaterol maleate (QAB149) and glycopyrronium bromide (NVA237), 110/50 μg, capsule added to Concept2 inhaler

  • Combination productConcept2 inhaler with patient application

    Fixed combination of Indacaterol maleate (QAB149) and glycopyrronium bromide (NVA237), 110/50 μg, capsule added to Concept2 inhaler with application used for monitoring

06

What researchers measure

Primary outcomes

  1. Change in Participant's On-time Adherence Over 24 Weeks of Intervention Compared to Baseline

    On-time treatment adherence was defined as percentage of days on which the participant inhaled at least one dose on-time. Dose inhaled on-time was a dose inhaled within (+ or -) 2 hours of the agreed predefined preferred daily inhalation time (PIT). PIT was defined by the participant at study start.

    Time frame: Baseline 6 weeks, intervention 24 weeks

  2. Change in Participant's Total Adherence Over 24 Weeks of Intervention Compared to Baseline

    Total adherence was defined as percentage of days on which the participant inhaled at least one dose and represented the sum of on-time adherence and off-time adherence. Off-time adherence was defined as percentage of days on which the participant did not inhale the daily dose within the (+ or -) 2 hours of the predefined PIT, but outside. The number of doses not inhaled on-time was recorded by the Concept2 inhaler.

    Time frame: Baseline 6 weeks, intervention 24 weeks

Secondary outcomes

  1. Change From Participant's 6 Weeks Baseline On-time Adherence to the Participant's On-time Adherence Over the Last Four Weeks of Intervention

    On-time treatment adherence was defined as percentage of days on which the participant inhaled at least one dose on-time. Dose inhaled on-time was a dose inhaled within (+ or -) 2 hours of the agreed predefined preferred daily inhalation time (PIT). PIT was defined by the participant at study start.

    Time frame: Baseline, Week 21 - 24

  2. Change From Participant's 6 Weeks Baseline Total Adherence to the Participant's Total Adherence Over the Last Four Weeks of Intervention

    Total adherence was defined as percentage of days on which the participant inhaled at least one dose and represented the sum of on-time adherence and off-time adherence. Off-time adherence was defined as percentage of days on which the participant did not inhale the daily dose within the (+ or -) 2 hours of the predefined PIT, but outside. The number of doses not inhaled on-time was recorded by the Concept2 inhaler.

    Time frame: Baseline, Week 21 - 24

07

Results

Posted Jan 27, 2020
Limitations and caveats
The study was prematurely terminated due to technical issues with the investigational Concept2 inhalers. Due to limited and inaccurate data, efficacy endpoints with respect to change in on-time and total treatment adherence were not evaluated.

Participant flow

This study was conducted at Netherlands and Germany between 11 July 2018 (first participant first visit) and 22 January 2019 (last participant last visit).

Participant flow — Overall Study
MilestoneTelehealth GroupUsual Care Group
Started16
Completed00
Not completed16
Withdrew: Technical issues with concept 2 inhalers16

Outcome measures

PrimaryChange in Participant's On-time Adherence Over 24 Weeks of Intervention Compared to Baseline

On-time treatment adherence was defined as percentage of days on which the participant inhaled at least one dose on-time. Dose inhaled on-time was a dose inhaled within (+ or -) 2 hours of the agreed predefined preferred daily inhalation time (PIT). PIT was defined by the participant at study start.

Time frame:
Baseline 6 weeks, intervention 24 weeks

No measurements were reported for this outcome.

PrimaryChange in Participant's Total Adherence Over 24 Weeks of Intervention Compared to Baseline

Total adherence was defined as percentage of days on which the participant inhaled at least one dose and represented the sum of on-time adherence and off-time adherence. Off-time adherence was defined as percentage of days on which the participant did not inhale the daily dose within the (+ or -) 2 hours of the predefined PIT, but outside. The number of doses not inhaled on-time was recorded by the Concept2 inhaler.

Time frame:
Baseline 6 weeks, intervention 24 weeks

No measurements were reported for this outcome.

SecondaryChange From Participant's 6 Weeks Baseline On-time Adherence to the Participant's On-time Adherence Over the Last Four Weeks of Intervention

On-time treatment adherence was defined as percentage of days on which the participant inhaled at least one dose on-time. Dose inhaled on-time was a dose inhaled within (+ or -) 2 hours of the agreed predefined preferred daily inhalation time (PIT). PIT was defined by the participant at study start.

Time frame:
Baseline, Week 21 - 24

No measurements were reported for this outcome.

SecondaryChange From Participant's 6 Weeks Baseline Total Adherence to the Participant's Total Adherence Over the Last Four Weeks of Intervention

Total adherence was defined as percentage of days on which the participant inhaled at least one dose and represented the sum of on-time adherence and off-time adherence. Off-time adherence was defined as percentage of days on which the participant did not inhale the daily dose within the (+ or -) 2 hours of the predefined PIT, but outside. The number of doses not inhaled on-time was recorded by the Concept2 inhaler.

Time frame:
Baseline, Week 21 - 24

No measurements were reported for this outcome.

Adverse events

Collected over Treatment emergent adverse events were reported from start of treatment up to follow up (34 weeks). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Telehealth Group0/1 (0%)0/1 (0%)0/1 (0%)
Usual Care Group0/6 (0%)0/6 (0%)2/6 (33.3%)
Most frequent other events
Most frequent other events
EventTelehealth GroupUsual Care Group
CoughRespiratory, thoracic and mediastinal disorders0/12/6
Respiratory tract infectionInfections and infestations0/11/6

Baseline characteristics

Randomized set consisted of all participants who were randomized to one of the interventions (Telehealth group or Usual Care group).

Age, Categorical
Age, Categorical(Participants)Telehealth GroupUsual Care GroupTotal
<=18 years000
Between 18 and 65 years123
>=65 years044
Sex: Female, Male
Sex: Female, Male(Participants)Telehealth GroupUsual Care GroupTotal
Female123
Male044
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Telehealth GroupUsual Care GroupTotal
Hispanic or Latino000
Not Hispanic or Latino167
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Telehealth GroupUsual Care GroupTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White167
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Telehealth GroupUsual Care GroupTotal
Netherlands123
Germany044
08

Study locations

9 sites
  • Novartis Investigative Site
    Berlin, 12203, Germany
  • Novartis Investigative Site
    Hamburg, 20354, Germany
  • Novartis Investigative Site
    Hannover, 30625, Germany
  • Novartis Investigative Site
    Leipzig, 04103, Germany
  • Novartis Investigative Site
    Lubeck, 23552, Germany
  • Novartis Investigative Site
    Heerlen, 6419 PC, Netherlands
  • Novartis Investigative Site
    Helmond, 5707 HA, Netherlands
  • Novartis Investigative Site
    Leeuwarden, 8934 AD, Netherlands
  • Novartis Investigative Site
    Zutphen, 7207 AE, Netherlands
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2018 to primary completion in Jan 2019, 6 months.

Results were first posted in Jan 2020, 1 year after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 15, 2017
First posted
Dec 20, 2017
StartActual
Jul 11, 2018
Primary completionActual
Jan 22, 2019
CompletionActual
Jan 22, 2019
Results first posted
Jan 27, 2020
Last update
Jan 5, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03379233
Responsible party
Sponsor
First posted
Dec 20, 2017
Start date
Jul 11, 2018
Primary completion
Jan 22, 2019
Completion
Jan 22, 2019
Results posted
Jan 27, 2020
Last update
Jan 5, 2021

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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