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TerminatedNCT03562247Updated Jan 16, 2024Results posted

Telenursing and Remote Monitoring in Idiopathic Pulmonary Fibrosis (IPF)

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

Why this study was terminated
Principal Investigator left the institution and the study was closed with the IRB
Phase
Not applicable
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • Idiopathic Pulmonary Fibrosis
03

In context

Pulmonary Fibrosis

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 →

Lead sponsor

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.

04

Who can participate

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

Inclusion criteria

  1. Patient must be newly diagnosed with IPF by a Vanderbilt pulmonologist according to the 2011 American Thoracic Society Guidelines. If the patient has been diagnosed by local pulmonologist and started on FDA-approved treatment, then must have been started on treatment within 6 months of Vanderbilt University Medical Center-based diagnosis.
  2. Willingness to complete Quality of Life and Compliance Questionnaires at 6-month intervals either via an on-line process (RED Cap survey) or paper-based.
  3. Willingness to participate in phone calls/video calls with the nurse practitioner or nurse case manager, if assigned to Arm 2 or Arm 3.
  4. Willingness to complete and monitor daily health assessments, if assigned to Arm 3.
  5. Willingness to share objective data via a provided electronic web-based portal, electronically via email, fax, or regular mail.
  6. Willingness to notify, or allow notification, of study involvement with local pulmonary practices.

Exclusion criteria

Exclusion Criteria:

  1. Diagnosed with any other interstitial lung disease.
  2. Diagnosed and began treatment > 6 months before the VUMC-based diagnosis date.
05

Study design

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

Study arms

  • Active comparator
    Usual Care of IPF

    Newly diagnosed patients will continue to receive excellent healthcare as currently given in management of the lung disease

    Other: Usual Care of IPF

  • Experimental
    Telenursing

    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

  • Experimental
    Telenursing and Remote Monitoring

    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

Interventions

  • OtherUsual Care of IPF

    standard of care given to patients with IPF

  • OtherTelenursing

    scheduled phone calls with the patient and care giver

  • OtherTelenursing and Remote Monitoring

    scheduled phone calls and home monitoring of physiologic parameters

06

What researchers measure

Primary outcomes

  1. The Number Hospitalization Events Resulting From a Respiratory Illness

    The number hospitalization events resulting from a respiratory illness

    Time frame: Baseline to 21 months

Secondary outcomes

  1. 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

  2. The Number of Acute Exacerbations of Idiopathic Pulmonary Fibrosis (IPF)

    The Number of Acute Exacerbations of IPF

    Time frame: Baseline to 21 months

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

07

Results

Posted Jan 16, 2024
Limitations and caveats
This study was terminated early due to the original PI leaving the institution. The new PI never enrolled any participants and the study was closed.

Participant flow

Participant flow — Overall Study
MilestoneUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
Started101110
Completed7109
Not completed311
Withdrew: Lost to follow-up311

Outcome measures

PrimaryThe Number Hospitalization Events Resulting From a Respiratory Illness

The number hospitalization events resulting from a respiratory illness

Time frame:
Baseline to 21 months
Reported as:
Number · Events
The Number Hospitalization Events Resulting From a Respiratory Illness
EventsUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
The Number Hospitalization Events Resulting From a Respiratory Illness100
SecondaryThe 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
Reported as:
Number · Events
The Number of Respiratory Events That Indicate a Worsening of Idiopathic Pulmonary Fibrosis (IPF)
EventsUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
5% decline in home FVC000
4 percentage points decline in home saturation000
respiratory infection001
pneumonia000
pneumothorax000
pleural effusion000
pulmonary embolus100
>= 5% decline in clinic FVC (from last visit)301
>= 10% decline in clinic FVC (from last visit)201
>= 5% decline in clinic FVC (from one year ago)100
>= 10% decline in clinic FVC (from one year ago)410
SecondaryThe Number of Acute Exacerbations of Idiopathic Pulmonary Fibrosis (IPF)

The Number of Acute Exacerbations of IPF

Time frame:
Baseline to 21 months
Reported as:
Number · number of events
The Number of Acute Exacerbations of Idiopathic Pulmonary Fibrosis (IPF)
number of eventsUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
The Number of Acute Exacerbations of Idiopathic Pulmonary Fibrosis (IPF)000
SecondaryThe 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
Reported as:
Number · days
The Number of Days From Idiopathic Pulmonary Fibrosis (IPF) Diagnosis to First Hospitalization for Respiratory Illness
daysUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
The Number of Days From Idiopathic Pulmonary Fibrosis (IPF) Diagnosis to First Hospitalization for Respiratory Illness367NANA
SecondaryThe 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
Reported as:
Mean · score on a scale
The Severity of Dyspnea as Measured by the Modified Medical Research Council (mMRC) Dyspnea Scale
score on a scaleUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
Baseline1.5 ± 0.571 ± 1.09—
Visit 2 (3 months)1.5 ± 0.700.66 ± 0.571.5 ± 1.29
Visit 3 (9 months)3 ± 1.412 ± 00.33 ± 0.57
Visit 5 (21 months)——0 ± 0
SecondaryThe 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
Reported as:
Mean · score on a scale
The Severity of Depression as Measured by the Adapted Mental Health America Depression Screening Tool
score on a scaleUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
The Severity of Depression as Measured by the Adapted Mental Health America Depression Screening Tool4.75 ± 4.985.7 ± 4.624.38 ± 5.12
SecondaryThe 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
Reported as:
Mean · score on a scale
The Severity of Anxiety as Measured by the Adapted New Zealand Health Promotion Agency Anxiety Self-Test
score on a scaleUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
The Severity of Anxiety as Measured by the Adapted New Zealand Health Promotion Agency Anxiety Self-Test5.0 ± 6.883.55 ± 3.325.61 ± 7.25
SecondaryThe 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

No measurements were reported for this outcome.

Adverse events

Collected over Baseline to 21 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Usual Care of Idiopathic Pulmonary Fibrosis (IPF)0/7 (0%)1/7 (14.3%)0/7 (0%)
Telenursing0/10 (0%)0/10 (0%)0/10 (0%)
Telenursing and Remote Monitoring0/9 (0%)0/9 (0%)0/9 (0%)
Most frequent serious events
Most frequent serious events
EventUsual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote Monitoring
Pulmonary embolusRespiratory, thoracic and mediastinal disorders1/70/100/9

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Usual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote MonitoringTotal
<=18 years0000
Between 18 and 65 years3137
>=65 years36514
Sex: Female, Male
Sex: Female, Male(Participants)Usual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote MonitoringTotal
Female3339
Male44513
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Usual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote MonitoringTotal
Hispanic or Latino0000
Not Hispanic or Latino77822
Unknown or Not Reported0314
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Usual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote MonitoringTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American0101
White76821
More than one race0000
Unknown or Not Reported0314
Region of Enrollment
Region of Enrollment(Participants)Usual Care of Idiopathic Pulmonary Fibrosis (IPF)TelenursingTelenursing and Remote MonitoringTotal
United States10111031
08

Study locations

1 site
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Oct 26, 2018
  • Informed consent form · Aug 31, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03562247
Lead sponsor
Vanderbilt University Medical Center
Responsible party
Lisa Lancaster (Professor of Medicine, Vanderbilt University Medical Center) — Principal investigator
First posted
Jun 19, 2018
Start date
Aug 1, 2018
Primary completion
May 26, 2020
Completion
May 26, 2020
Results posted
Jan 16, 2024
Last update
Jan 16, 2024

Study contacts

Lisa Lancaster, MD
principal investigator · Vanderbilt University Medical Center

Oversight

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

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