ClinicalTrials.gg
CompletedNCT03461887HOMEX-1Updated Dec 27, 2021

Home-based Exercise Training for COPD Patients

An interventional study of Exercise in Chronic Disease, Lung Diseases, Obstructive and Respiratory Disease, sponsored by University of Zurich. Completed at 5 sites in Switzerland. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2021-12-27.

Primary conditionPulmonary Disease, Chronic ObstructiveRegistry: Chronic DiseaseReclassifiedWhy we changed it
Registry
Chronic Disease — the first condition term the registry derived for this study.
ClinicalTrials.gg
Pulmonary Disease, Chronic Obstructive
Why
  1. Chronic Disease is a broad heading, used only when no more specific condition is named.
  2. The study's title name Pulmonary Disease, Chronic Obstructive, a narrower term within Chronic Disease.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of Zurich · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
123
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 39 studies in Pulmonary Disease, Chronic Obstructive by University of Zurich — 1 open to participants now, 3 under way, none of them phase 3. Pulmonary Disease, Chronic Obstructive · University of Zurich.

Enrollment
8th of 33
123 · median 69
Started
2018
with 2 others
No phase
17 of 39
1 open now
Registered
23rd of 39
by date

Among the 39 studies in Pulmonary Disease, Chronic Obstructive by University of Zurich, this one is the 8th largest by enrollment of the 33 interventional ones that give a count, is one of 3 that started in 2018, is one of 17 with no phase, and was the 23rd registered.

Pulmonary Disease, Chronic Obstructive

5,520 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 856 are open to participants now.

Browse Pulmonary Disease, Chronic Obstructive studies →

Open to participants now

1 of the 39 studies in Pulmonary Disease, Chronic Obstructive by University of Zurich is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Where they have run

Who these studies take

Of the 555 Pulmonary Disease, Chronic Obstructive studies recruiting now, 305 (55%) set no upper age limit and 82 (15%) stop at 75 or younger; 29 take children under 18; 87 take healthy volunteers.

This study: 40 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

The aim of this study is to assess the effectiveness of a home-based exercise training program in COPD patients who have completed a pulmonary rehabilitation.

Read the detailed description

Exercise training is an important component of the management of chronic obstructive pulmonary disease (COPD) and numerous trials have shown large improvements in health-related quality of life (HRQoL) and exercise capacity in persons with COPD. However, the great majority of patients who would benefit from pulmonary rehabilitation (PR) never follow such a program. Moreover, many COPD patients are either not instructed to exercise at all or fail to adhere to exercise training at home after completing pulmonary rehabilitation.

This study evaluates an exercise training program that requires minimal equipment (i.e., only a chair and elastic bands) and can be easily implemented long-term in the patient's home-setting.

03

Conditions studied

  • Chronic Disease
  • Lung Diseases, Obstructive
  • Respiratory Disease

Keywords

  • exercise
  • minimal equipment
  • home-based
  • COPD
04

In context

Pulmonary Disease, Chronic Obstructive Reclassified

5,520 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 856 are open to participants now.

This study's enrollment of 123 is above the median of 62 across 3,839 interventional studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

University of Zurich is the lead sponsor of 1,049 studies on the registry; 133 are open to participants now.

Compared within Pulmonary Disease, Chronic Obstructive, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Chronic Disease. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
40 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 after being informed
  • Diagnosis of , defined as forced expiratory volume in 1s/forced vital capacity (/FVC)\<70% predicted, FEV1\<80 % predicted after bronchodilation, with or without chronic symptoms (cough, sputum production) corresponding to a GOLD stage II-IV
  • Completion of an inpatient or outpatient pulmonary rehabilitation not longer than 1 months ago
  • Male and female patients ≥40 years of age
  • Knowledge of German language to understand study material and assessments

Exclusion criteria

Exclusion Criteria:

  • Patients not able to conduct the exercise training program due to physical, cognitive or safety reasons, as judged by investigator; e.g., lower limb joint surgery within preceding 3 months, unstable cardiac disease, predominant neurological limitations.
Terms in these criteria, in plain language(3)

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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

06

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
123 participants (actual)

Study arms

  • Experimental
    Exercise intervention

    Home-based, minimal equipment exercise training program.

    Behavioral: Exercise

  • No intervention
    Control

    Usual care (study participation does not have any impact on regular treatment or treatment decisions, including participation in other exercise training programs or rehabilitation programs)

Interventions

  • BehavioralExercise

    Home-based exercise training program that requires only minimal equipment, and is individually adaptable to the participant's exercise level (6 times per week; 15-20 min; 38 exercise cards and one interactive training agenda booklet). After randomization, a health care professional (HOMEX coach) will visit the intervention group participants at their home to set up the training location, to instruct the exercises and to establish individualized goals. Follow-up visits are planned after 3 and 8-9 weeks. Regular telephone calls will be conducted by the same HOMEX coach to motivate the patients, to discuss training progress and concrete benefits and barriers, and to adapt goals and the training program. Additional intervention elements are that a relative or friend is involved as a "sparring" partner to support the participant. The general practitioner is informed about the participation of his/her patient in the intervention.

07

What researchers measure

Primary outcomes

  1. Dyspnea

    Dyspnea domain of the Chronic Respiratory Questionnaire (CRQ); 5 questions; 7-point Likert-type scale ranging from 1 (most severe dyspnea) to 7 (no dyspnea)

    Time frame: Change from baseline to 12 months

Secondary outcomes

  1. Dyspnea

    Dyspnea domain of the Chronic Respiratory Questionnaire (CRQ); 5 questions; 7-point Likert-type scale ranging from 1 (most severe dyspnea) to 7 (no dyspnea)

    Time frame: Change from baseline to 3, 6 and 12 months

  2. Exercise capacity

    Six-Minute Walk Test (walk distance) and 1-min Sit-to-Stand Test (number of repetitions)

    Time frame: Change from baseline to 12 months

  3. Health-related quality of life

    Chronic Respiratory Questionnaires (CRQ): Fatigue, emotional function, mastery domain and EuroQoL (EQ-5D-5L): 5 Dimensions - Mobility, self-care, usual activities, pain/discomfort, anxiety/depression including 1 item each with 5 levels

    Time frame: Change from baseline to 12 months

  4. Health status

    Visual analogue scale "Feeling thermometer" (0-100 scale; 0= "worst health you can imagine"; 100="best health you can imagine")

    Time frame: Change from baseline to 12 months

  5. Exacerbations

    Event based, patient reported

    Time frame: During entire study, assessed at 12 months

  6. Symptoms

    Questionnaire, COPD Assessment Test

    Time frame: Change from baseline to 12 months

Other outcomes

  1. Compliance to the exercise training program

    Percentage of fulfilled training sessions based on training diaries

    Time frame: Assessed daily by intervention group participants during 12 months

  2. Satisfaction with the exercise training program

    Questionnaire (Likert-Type scales)

    Time frame: From baseline to 12 months

  3. Experience with the exercise training program

    Semi-structured interview

    Time frame: From baseline to 12 months (assessed at 12 months)

  4. Health professionals' feedback

    Semi-structured interview

    Time frame: Assessed at 12 months

  5. Cost effectiveness

    Questionnaire: cost per quality-adjusted life year

    Time frame: From baseline to 12 months (assessed at 3, 6, 12 months)

08

Study locations

5 sites
  • Klinik Barmelweid
    Barmelweid, 5017, Switzerland
  • Berner Reha Zentrum AG
    Heiligenschwendi, 3625, Switzerland
  • Zürcher RehaZentren Wald
    Wald, 8636, Switzerland
  • Kantonsspital Winterthur
    Winterthur, 8401, Switzerland
  • University of Zurich
    Zurich, 8001, Switzerland
09

References and documents

Publications

  • Frei A, Radtke T, Dalla Lana K, Brun P, Sigrist T, Spielmanns M, Beyer S, Riegler TF, Busching G, Spielmanns S, Kunz R, Cerini T, Braun J, Tomonaga Y, Serra-Burriel M, Polhemus A, Puhan MA. Effectiveness of a Long-term Home-Based Exercise Training Program in Patients With COPD After Pulmonary Rehabilitation: A Multicenter Randomized Controlled Trial. Chest. 2022 Dec;162(6):1277-1286. doi: 10.1016/j.chest.2022.07.026. Epub 2022 Aug 8. PubMed 35952766 ↗
  • Frei A, Radtke T, Dalla Lana K, Braun J, Muller RM, Puhan MA. Effects of a long-term home-based exercise training programme using minimal equipment vs. usual care in COPD patients: a study protocol for two multicentre randomised controlled trials (HOMEX-1 and HOMEX-2 trials). BMC Pulm Med. 2019 Mar 1;19(1):57. doi: 10.1186/s12890-019-0817-7. PubMed 30823913 ↗

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Mar 2020, 25 months.

Of 1,094 non-industry interventional studies with no phase under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's 25 months is above that.

Counting every sponsor, half of 1,181 studies reached it within 22 months; a quarter within 10 and three quarters within 39.

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

Registered
Feb 6, 2018
First posted
Mar 12, 2018
StartActual
Jan 24, 2018
Primary completionActual
Mar 20, 2020
CompletionActual
Sep 15, 2021
Last update
Dec 27, 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 Dec 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03461887
Responsible party
Sponsor
First posted
Mar 12, 2018
Start date
Jan 24, 2018
Primary completion
Mar 20, 2020
Completion
Sep 15, 2021
Last update
Dec 27, 2021

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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