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NCT04884165Completed

Remote Monitoring to Improve Low Adherence in Non-invasive Ventilation

Remote Monitoring to Improve Low Adherence in Non-invasive Ventilation: READ-NIV Trial

Source: ClinicalTrials.gov · Last updated 18 Jun 2024

Brief summary (registry, in English)

Patients are invited to participate in a trial to test a new way to optimise long-term use of non-invasive ventilation using remote monitoring. Breathing difficulties during sleep are frequently treated using home mechanical ventilation, also called non-invasive ventilation (NIV). Breathing difficulties during sleep affect many patients with conditions such as chronic pulmonary obstructive disease (COPD), neuromuscular conditions and obesity hypoventilation syndrome. Left untreated they can cause breathlessness, headaches, sleepiness and lead to hospitalisations and other severe adverse health outcomes. The best available treatment for chronic types of sleep-disordered breathing is NIV. However, not every patient eligible tolerates this treatment because it requires patients to sleep with a nasal or full-face mask that is connected with a tube to a machine. Although NIV is recommended by the National Institute for Health and Clinical Excellence (NICE), many patients who should be on NIV use the treatment insufficiently within months. Using remote monitoring to identify problems with treatment adherence early on may help to identify clinical problems, troubleshoot user- or device-dependent problems, avoid delays in treatment and safe healthcare resources in the long-term. The investigators invite patients who use NIV to participate in this trial when they have difficulties with the treatment (NIV). This study will evaluate compliance and efficacy of a remote monitoring device (T4P device, SRETT, Paris/France) that will be connected to the standard NIV machine to remotely monitor usage. Patients will be randomly assigned to the remote monitoring using NIV for three months at home, or to usual care which is NIV without this monitoring. The primary outcome measure of this study is the improvement in adherence and compliance, as indicated by the average usage of NIV, as well as symptom scores to assess treatment effects.

Status (registry)
Completed
Study type
Interventional
Enrollment
32 (actual)
First submitted
7 May 2021
Start date
28 Mar 2022
Primary completion date
12 Jun 2024
Lead sponsor
Guy's and St Thomas' NHS Foundation Trust
Diseases
Obesity, COPD
NCT number
NCT04884165

What you commit to

  • Study type: Interventional
  • Participants enrolled: 32
  • From 28 Mar 2022 to the primary completion date, 12 Jun 2024
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • no hypercapnic respiratory failure (PaCO2\<6kPa)
  • severe pulmonary hypertension
  • valvular heart disease
  • heart failure (New York Heart Association, NYHA III-IV)
  • myocardial infarction and significant cardiac arrhythmias
  • uncontrolled hypertension
  • active psychiatric disease
  • co-existing non-respiratory sleep disorder.

Other

  • no sleep-disordered breathing (AHI\<5/hour)
  • exclusively obstructive sleep apnoea
  • isolated Rapid-Eye-Movement (REM) sleep associated OSA
  • cachexia (BMI \<18.5 kg/m2)

Who the study is looking for

  • hypercapnic respiratory failure (PaCO2 \> 6kPa)
  • low usage of home mechanical ventilation (NIV \< 4hours/night).
  • body mass index (BMI) \>18.5kg/m2
  • all genders
  • age 18-90years.

Age in the registry: 18 years to 90 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Guy's & St Thomas' NHS Foundation Trust
Coordinator of this site? Confirm its status
LondonUnited KingdomUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.