An interventional study of Usual Care of IPF and Telenursing in Idiopathic Pulmonary Fibrosis, sponsored by Vanderbilt University Medical Center. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-01-16.
Sponsored by Vanderbilt University Medical Center · Not applicable, Interventional, and Supportive care
Numerous studies show that remote monitoring and/or telenursing improves outcomes for patients especially those with chronic diseases. It is proposed that structured telenursing with non-invasive home monitoring of forced vital capacity and oxygen saturation in newly diagnosed patients with IPF will decrease hospitalizations for respiratory illness, increase compliance with therapies, and ultimately increase quality of life.
Patients undergoing evaluation for and who are diagnosed with Idiopathic Pulmonary Fibrosis at Vanderbilt Medical Center from August 1, 2018, will be asked to participate. If agrees, and after signing the consent form, patients will be randomized into one of three arms: Usual Care, Usual Care with Telenursing, or Usual Care with Telenursing and Remote Monitoring. Patients will be asked to remain in the study for a minimum of three years.
680 studies on the registry are indexed under Pulmonary Fibrosis; 119 are open to participants now.
This study's enrollment of 31 is below the median of 50 across 419 interventional studies indexed under Pulmonary Fibrosis.
Browse Pulmonary Fibrosis studies →Vanderbilt University Medical Center is the lead sponsor of 824 studies on the registry; 164 are open to participants now.
Of its 122 completed or terminated interventional studies of FDA-regulated products, 91 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Newly diagnosed patients will continue to receive excellent healthcare as currently given in management of the lung disease
Other: Usual Care of IPF
Patients will receive usual care with structured phone calls from the nurse practitioner and/or case manager occuring more frequently earlier in the diagnosis to help the patient and care giver understand all aspects of the disease and it time will evolve to managing symptoms outside of out-patient clinic visits.
Other: Usual Care of IPF · Other: Telenursing
Patients will receive usual care with telenursing and will be given a hand held spirometer and puse oximeter and be asked to take daily measurements and report these via an electronic HIPAA approved secured platform for evaluation by the telenursing team.
Other: Usual Care of IPF · Other: Telenursing · Other: Telenursing and Remote Monitoring
standard of care given to patients with IPF
scheduled phone calls with the patient and care giver
scheduled phone calls and home monitoring of physiologic parameters
The Number Hospitalization Events Resulting From a Respiratory Illness
The number hospitalization events resulting from a respiratory illness
Time frame: Baseline to 21 months
The Number of Respiratory Events That Indicate a Worsening of Idiopathic Pulmonary Fibrosis (IPF)
The number of respiratory events that indicate a worsening of Idiopathic Pulmonary Fibrosis (IPF)
Time frame: Baseline to 21 months
The Number of Acute Exacerbations of Idiopathic Pulmonary Fibrosis (IPF)
The Number of Acute Exacerbations of IPF
Time frame: Baseline to 21 months
The Number of Days From Idiopathic Pulmonary Fibrosis (IPF) Diagnosis to First Hospitalization for Respiratory Illness
The total combined number of days for all participants in each arm from the date of IPF diagnosis to the date of first hospitalization for respiratory illness.
Time frame: Baseline to 21 months
The Severity of Dyspnea as Measured by the Modified Medical Research Council (mMRC) Dyspnea Scale
Dyspnea (shortness of breath) was assessed using the mMRC, a single item (0-4) scale assessing current level of dyspnea. The mMRC comprised of five statements that describe almost the entire range of respiratory disability from none (Grade 0) to almost complete incapacity (Grade 4). The mMRC categorized participants into low dyspnea (Grades 0-1) and high dyspnea (Grades 2-4).
Time frame: Baseline to 21 months
The Severity of Depression as Measured by the Adapted Mental Health America Depression Screening Tool
The adapted Mental Health America Depression Screening Tool is an 8 question self-administered questionnaire that scores patient-reported symptoms of depression. The possible score for each question ranges from 0-3. The total questionnaire score range is 0-24. Total scores of 0-6 indicate 'none to mild depression' and scores of 16-24 indicate 'severe depression'. Data from participant visits at baseline, 3 months, 9 months, 15 months and 21 months were combined and averaged to calculate a single value.
Time frame: Up to 21 months
The Severity of Anxiety as Measured by the Adapted New Zealand Health Promotion Agency Anxiety Self-Test
The adapted New Zealand Health Promotion Agency Anxiety Self-Test is an 8 question self-administered questionnaire that scores patient-reported symptoms of anxiety. The possible score for each question ranges from 0-3. The total questionnaire score range is 0-24. Total scores of 0-8 indicate 'none to mild anxiety' and scores of 16-24 indicate 'severe anxiety'. Data from participant visits at baseline, 3 months, 9 months, 15 months and 21 months were combined and averaged to calculate a single value.
Time frame: Baseline to 21 months
The Percentage of Change in Forced Vital Capacity (FVC) Measured by Spirometry
The percentage of change in home-measured forced vital capacity (FVC) compared to clinic-measured FVC via spirometry
Time frame: Baseline to 21 months
| Milestone | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| Started | 10 | 11 | 10 |
| Completed | 7 | 10 | 9 |
| Not completed | 3 | 1 | 1 |
| Withdrew: Lost to follow-up | 3 | 1 | 1 |
The number hospitalization events resulting from a respiratory illness
| Events | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| The Number Hospitalization Events Resulting From a Respiratory Illness | 1 | 0 | 0 |
The number of respiratory events that indicate a worsening of Idiopathic Pulmonary Fibrosis (IPF)
| Events | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| 5% decline in home FVC | 0 | 0 | 0 |
| 4 percentage points decline in home saturation | 0 | 0 | 0 |
| respiratory infection | 0 | 0 | 1 |
| pneumonia | 0 | 0 | 0 |
| pneumothorax | 0 | 0 | 0 |
| pleural effusion | 0 | 0 | 0 |
| pulmonary embolus | 1 | 0 | 0 |
| >= 5% decline in clinic FVC (from last visit) | 3 | 0 | 1 |
| >= 10% decline in clinic FVC (from last visit) | 2 | 0 | 1 |
| >= 5% decline in clinic FVC (from one year ago) | 1 | 0 | 0 |
| >= 10% decline in clinic FVC (from one year ago) | 4 | 1 | 0 |
The Number of Acute Exacerbations of IPF
| number of events | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| The Number of Acute Exacerbations of Idiopathic Pulmonary Fibrosis (IPF) | 0 | 0 | 0 |
The total combined number of days for all participants in each arm from the date of IPF diagnosis to the date of first hospitalization for respiratory illness.
| days | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| The Number of Days From Idiopathic Pulmonary Fibrosis (IPF) Diagnosis to First Hospitalization for Respiratory Illness | 367 | NA | NA |
Dyspnea (shortness of breath) was assessed using the mMRC, a single item (0-4) scale assessing current level of dyspnea. The mMRC comprised of five statements that describe almost the entire range of respiratory disability from none (Grade 0) to almost complete incapacity (Grade 4). The mMRC categorized participants into low dyspnea (Grades 0-1) and high dyspnea (Grades 2-4).
| score on a scale | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| Baseline | 1.5 ± 0.57 | 1 ± 1.09 | — |
| Visit 2 (3 months) | 1.5 ± 0.70 | 0.66 ± 0.57 | 1.5 ± 1.29 |
| Visit 3 (9 months) | 3 ± 1.41 | 2 ± 0 | 0.33 ± 0.57 |
| Visit 5 (21 months) | — | — | 0 ± 0 |
The adapted Mental Health America Depression Screening Tool is an 8 question self-administered questionnaire that scores patient-reported symptoms of depression. The possible score for each question ranges from 0-3. The total questionnaire score range is 0-24. Total scores of 0-6 indicate 'none to mild depression' and scores of 16-24 indicate 'severe depression'. Data from participant visits at baseline, 3 months, 9 months, 15 months and 21 months were combined and averaged to calculate a single value.
| score on a scale | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| The Severity of Depression as Measured by the Adapted Mental Health America Depression Screening Tool | 4.75 ± 4.98 | 5.7 ± 4.62 | 4.38 ± 5.12 |
The adapted New Zealand Health Promotion Agency Anxiety Self-Test is an 8 question self-administered questionnaire that scores patient-reported symptoms of anxiety. The possible score for each question ranges from 0-3. The total questionnaire score range is 0-24. Total scores of 0-8 indicate 'none to mild anxiety' and scores of 16-24 indicate 'severe anxiety'. Data from participant visits at baseline, 3 months, 9 months, 15 months and 21 months were combined and averaged to calculate a single value.
| score on a scale | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| The Severity of Anxiety as Measured by the Adapted New Zealand Health Promotion Agency Anxiety Self-Test | 5.0 ± 6.88 | 3.55 ± 3.32 | 5.61 ± 7.25 |
The percentage of change in home-measured forced vital capacity (FVC) compared to clinic-measured FVC via spirometry
No measurements were reported for this outcome.
Collected over Baseline to 21 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | 0/7 (0%) | 1/7 (14.3%) | 0/7 (0%) |
| Telenursing | 0/10 (0%) | 0/10 (0%) | 0/10 (0%) |
| Telenursing and Remote Monitoring | 0/9 (0%) | 0/9 (0%) | 0/9 (0%) |
| Event | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring |
|---|---|---|---|
| Pulmonary embolusRespiratory, thoracic and mediastinal disorders | 1/7 | 0/10 | 0/9 |
| Age, Categorical(Participants) | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring | Total |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 3 | 1 | 3 | 7 |
| >=65 years | 3 | 6 | 5 | 14 |
| Sex: Female, Male(Participants) | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring | Total |
|---|---|---|---|---|
| Female | 3 | 3 | 3 | 9 |
| Male | 4 | 4 | 5 | 13 |
| Ethnicity (NIH/OMB)(Participants) | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring | Total |
|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 7 | 7 | 8 | 22 |
| Unknown or Not Reported | 0 | 3 | 1 | 4 |
| Race (NIH/OMB)(Participants) | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 1 | 0 | 1 |
| White | 7 | 6 | 8 | 21 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 3 | 1 | 4 |
| Region of Enrollment(Participants) | Usual Care of Idiopathic Pulmonary Fibrosis (IPF) | Telenursing | Telenursing and Remote Monitoring | Total |
|---|---|---|---|---|
| United States | 10 | 11 | 10 | 31 |
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Vanderbilt University Medical Center