ClinicalTrials.gg
RecruitingNCT07915882INSPIREUpdated Nov 4, 2026

Rehabilitation Program for People With Methamphetamine-Associated Cardiopulmonary Conditions

An interventional study of Increasing control over stimulant use and physical health through incentivized rehabilitation and Usual Care in Methamphetamine-Associated Heart Failure and Methamphetamine-Associated Pulmonary Arterial Hypertension, sponsored by Michael Incze. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Michael Incze · Not applicable, Interventional, and Treatment

Updated Nov 4, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 1,589 studies in Substance-Related Disorders with a site in United States — 250 open to participants now, 314 under way, 4 of them phase 3. Substance-Related Disorders · United States.

Planned enrollment
1,043rd of 1,447
45 · median 104
Started
2026
with 93 others
No phase
958 of 1,589
193 open now
Primary completion
2028-10
later than 225 of 313 live
Registered
1,583rd of 1,589
by date

Among the 1,589 studies in Substance-Related Disorders with a site in United States, this one is the 1,043rd largest by planned enrollment of the 1,447 interventional ones that give a count, is one of 94 that started in 2026, is one of 958 with no phase, reaches primary completion later than 225 of the 313 other live ones, and was the 1,583rd registered.

Substance-Related Disorders

2,241 studies on the registry are indexed under Substance-Related Disorders; 410 are open to participants now.

Browse Substance-Related Disorders studies →

Open to participants now

250 of the 1,589 studies in Substance-Related Disorders with a site in United States are open now. Recruiting first, the newest first:

244 more — sign in →

All 250 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 265 Substance-Related Disorders studies recruiting now, 130 (49%) set no upper age limit and 117 (44%) stop at 75 or younger; 55 take children under 18; 89 take healthy volunteers.

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

The full table on the hub →

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02

Study summary

The purpose of this study is to evaluate the feasibility and preliminary effectiveness of increasing control over stimulant use and physical health through incentivized rehabilitation (INSPIRE). INSPIRE is a 12-week remotely-delivered collaborative care intervention for rural patients with Methamphetamine-Associated Heart Failure (Me-HF) or Methamphetamine-Associated Pulmonary Arterial Hypertension (Me-PAH) featuring smartphone-based contingency management incentivizing participation in remote synchronous rehabilitation.

03

Conditions studied

  • Methamphetamine-Associated Heart Failure
  • Methamphetamine-Associated Pulmonary Arterial Hypertension

Keywords

  • Methamphetamine
  • Stimulant Use Disorder
  • Collaborative Care
  • Contingency Management
  • Substance Use Disorders
  • Cardiac Rehabilitation
  • Telehealth
  • Mobile App
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

  • Active methamphetamine use determined by positive urine drug testing within the past 3 months and/or self-reported current use
  • Current diagnosis of chronic heart failure or pulmonary hypertension documented in the electronic health record
  • Possession of a smartphone
  • Able to participate in virtual exercise rehabilitation

Exclusion criteria

Exclusion Criteria:

  • Currently incarcerated
  • Unable to interact with smartphone app and/or virtual health coaching sessions in English
  • Unstable arrhythmia, defined as any known arrhythmia that is associated with hemodynamic effects like syncope, hypotension, or decompensated heart failure
  • Decompensated chronic heart failure or pulmonary hypertension
  • class IV symptoms
  • Myocardial infarction within the past 3 months, percutaneous coronary intervention within the past 2 weeks, coronary artery bypass graft within the past 3 months, or implantable cardiac defibrillator/cardiac resynchronization therapy/pacemaker implantation within the last 6 weeks
  • Unstable angina, uncontrolled hypertension, acute myocarditis/pericarditis, intracardiac thrombus
  • Severe symptomatic aortic stenosis
Terms in these criteria, in plain language(1)

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
45 participants (estimated)

Study arms

  • Experimental
    INSPIRE

    Participants randomized to INSPIRE will receive usual medical care plus a 12-week program featuring collaborative care and app-based contingency management incentivizing participation in remotely-delivered synchronous exercise rehabilitation sessions

    Behavioral: Increasing control over stimulant use and physical health through incentivized rehabilitation

  • Active comparator
    Usual Care

    Participants randomized to Usual Care will receive standard of care services routinely available at the University of Utah, including specialty cardiology, pulmonology and addiction care and in-person cardiac and pulmonary rehabilitation services

    Other: Usual Care

Interventions

  • BehavioralIncreasing control over stimulant use and physical health through incentivized rehabilitation

    Standard medical care plus a 12-week program featuring collaborative care and app-based contingency management incentivizing participation in remotely-delivered synchronous exercise rehabilitation sessions

  • OtherUsual Care

    Standard care services routinely available at the University of Utah Health, including specialty cardiology, pulmonology and addiction care and in-person cardiac and pulmonary rehabilitation services

06

What researchers measure

Primary outcomes

  1. Change in metabolic equivalents (METs)

    Change in METs before and after the intervention measured via Duke Activity Status Indicator (DASI)

    Time frame: Baseline, 1, 3, and 6 months

  2. Change in self-reported substance use

    Change in self-reported substance use amount and frequency via Timeline Follow Back (TLFB)

    Time frame: Baseline, 1, 3, and 6 months

Secondary outcomes

  1. Quality of Life - Short Form 20

    Measure of participants' quality of life using the Short Form 20 (SF-20) questionnaire. The score range of this survey is 0-100, with higher scores indicating better overall quality of life.

    Time frame: Baseline, 1, 3, and 6 months

  2. Quality of Life - Kansas City Cardiomyopathy Questionnaire-12

    Measure of participant's quality of life using the Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12). The score range of this survey is 0-100, with higher scores indicating better functioning and less limitation from heart failure symptoms.

    Time frame: Baseline, 1, 3, and 6 months

  3. Self-Efficacy Related to Avoiding Substance Use with the Drug Avoidance Self-Efficacy Scale (DASES). The score range of this survey is 0-96, with higher scores indicating better self-efficacy to avoid substance use.

    Measure of self-efficacy to avoid substance use with the Drug Avoidance Self-Efficacy Scale (DASES).

    Time frame: Baseline, 1, 3, and 6 months

  4. Recovery Capital using the Brief Assessment of Recovery Capital (BARC-10) questionnaire

    Measure of the internal and external resources (recovery capital) that help initiate and sustain recovery from substance use disorder, using the Brief Assessment of Recovery Capital (BARC-10) questionnaire. The score range of this survey is 10-60, with higher scores indicating a greater amount of recovery capital.

    Time frame: Baseline, 1, 3, and 6 months

  5. Contingency Management App Engagement

    Number of weekly App Log-Ins, Contingency Management Draws and Earnings

    Time frame: 3 months and 6 months

  6. Hospital Readmissions in the Past 30 Days

    Self-Reported Hospital admissions in the past 30 days using Timeline Follow Back

    Time frame: Baseline, 1, 3, and 6 months

  7. Emergency Department Visits in the Past 30 days

    Self-Reported number of ED visits in the past 30 days using Timeline Follow Back

    Time frame: Baseline, 1, 3, and 6 months

  8. Urgent Care Visits in the Past 30 Days

    Self-Reported number of urgent care visits in the past 30 days using Timeline Follow Back

    Time frame: Baseline, 1, 3, and 6 months

Other outcomes

  1. INSPIRE Acceptability assessed via 4-item Intervention Acceptability Measure (IAM)

    Measure of INSPIRE acceptability through the IAM survey collected one time from all patient participants one time at the end of the intervention

    Time frame: immediately after the intervention (12 weeks from randomization)

  2. INSPIRE Appropriateness assessed via 4-item Appropriateness of Intervention Measure (AIM)

    Measure of INSPIRE appropriateness through Appropriateness of Intervention Measure (AIM) collected one time from all patient participants one time at the end of the intervention

    Time frame: immediately after the intervention (12 weeks from randomization)

  3. Reach of the Intervention Over the Entire Study Period

    Number of different counties and states represented by enrolled participants measured from the first randomization to the final randomization.

    Time frame: Measured starting from the first randomization and ending after the final participant is randomized (up to 100 weeks after first randomization)

  4. Sustainment of intervention

    Number of intervention participants who continue to log into the contingency management/peer support app in the three months after the intervention ends as assessed through app utilization data

    Time frame: Measured between 12 weeks (end of intervention) and 24 weeks after randomization

  5. Feasibility

    Average number of enrollments per month and percentage of enrolled participants who complete the intervention

    Time frame: Measured starting from the first randomization and ending after the final participant has completed the intervention, discontinued the study, or was lost to follow-up (up to 112 weeks after first randomization)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Individual de-identified responses to the following surveys will be preserved and shared: 1) SF-20, 2) Kansas City Cardiomyopathy Questionnaire-12, 3) DASI, 4) TLFB data, 5) Drug Avoidance Self-Efficacy Scale, 6) BARC-10, 7) Appropriateness of Intervention Measure, 8) Intervention Acceptability Measure, and 9) App engagement and CM earnings data, 10) Self-reported data on substance use and acute care utilization, 11) demographic and substance use history enrollment surveys. De-identified biometric data and qualitative interview transcripts will also be preserved and shared. All data will be stored within a secure computing environment. All participant identifiers (e.g., names and addresses) will be removed and maintained in a secure file for future contact purposes. Participant identifiers will not be shared.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will be available within 12 months of study conclusion

Access criteria: Data will be archived in The Hive. The Hive is a publicly-accessible repository for research data generated by UHealth researchers, students, and staff. It is maintained by the Marriott Library IT and Digital Collections. The Hive has policies and procedures in place that will provide data access to qualified researchers, fully consistent with NIH data-sharing policies and applicable laws and regulations. Deidentified data within The Hive will be shared with other investigators who propose specific aims/hypotheses in order to identify the data elements required and who receive agreement from the appropriate project leaders.

Data sharing details ↗ · hive.utah.edu

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Oct 2026 (actual). Primary completion is estimated for Oct 2028, 24 months after the start.

Of 814 non-industry interventional studies with no phase under Substance-Related Disorders, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 53. This study's planned 24 months is below that.

Counting every sponsor, half of 854 studies reached it within 34 months; a quarter within 17 and three quarters within 53.

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

Registered
Oct 12, 2026
First posted
Nov 4, 2026
StartActual
Oct 13, 2026
Primary completionEst.
Oct 31, 2028
CompletionEst.
Oct 31, 2028
Last update
Nov 4, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07915882
Lead sponsor
Michael Incze
Responsible party
Michael Incze (Associate Professor, University of Utah) — Sponsor-investigator
First posted
Nov 4, 2026
Start date
Oct 13, 2026
Primary completion
Oct 31, 2028 (estimated)
Completion
Oct 31, 2028 (estimated)
Last update
Nov 4, 2026

Study contacts

Michael A Incze, MD
Contact
Michael.Incze@hsc.utah.edu
801-581-2000
Michael A Incze, MD
principal investigator · University of Utah

Oversight

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

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