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Phone app tracks symptoms to help lung cancer patients keep up exercise after surgery

Tests a smartphone app that tracks symptoms to support exercise after lung cancer surgery.

Key facts

Who runs it
Zhongshan People's Hospital, Guangdong, China
Where
Zhongshan, ChinaSee the site
Trial code
Registry title
Smartphone-based Remote Symptom Monitoring to Improve Postoperative Rehabilitation Exercise Adherence After Video-assisted Thoracic Surgery (VATS) for Lung Cancer
Status
Recruiting
People taking part
736 people, planned
Started
1 Dec 2023
Expected to end
30 Jun 2027
Type of study
Interventional, 2 groupsOne group gets no study treatment, for comparison.
Treatments tested
  • ePRO based Remote Symptom Management provide by a mobile phone app
Record updated
4 September 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults aged 18-75 who are about to have keyhole (video-assisted) lung surgery for suspected or diagnosed lung cancer and can use a smartphone app.

Age
18-75 years
Sex
All sexes can join.
Disease stage
Lung cancer, or suspected lung cancer, that can be removed by surgery (resectable primary lung cancer).
Earlier treatment
People who had treatment before surgery to shrink the cancer (neoadjuvant therapy) or an earlier lung resection surgery cannot join.

Main reasons for not taking part

  • Surgery changed to open chest surgery (open thoracotomy)
  • ECOG score above 1
  • Cannot exercise because of physical limits
  • Steady systemic corticosteroid use within 1 month before enrollment
  • Unresolved side effects above Grade 1 from earlier treatments

The registry criteria, word for word

Show all 12 criteriaShow less

Who can take part

  • Age 18-75 years old
  • preoperative clinical diagnosis or suspicion of resectable primary lung cancer
  • Able to use smartphones and complete electronic questionnaires
  • Signed informed consent

Who cannot take part

  • conversions to open thoracotomy during surgery
  • Received neoadjuvant therapy
  • Previous lung resection surgery
  • Continuous systemic corticosteroid use within 1 month before enrollment
  • Unresolved toxicity above Grade 1 from previous treatments
  • ECOG score > 1
  • Unable to exercise due to physical limitations
  • Significant comorbidities or medical history

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 75 years old?

Where in China

  • No.2 Sunwen East Rd.Zhongshan, ChinaContact: Xiaojuan YangTaking people

About the trial

What the trial wants to find out

Brief Summary: This randomized controlled trial aims to evaluate whether active remote symptom monitoring and management via a smartphone app utilizing electronic patient-reported outcomes (ePRO) can improve adherence to prescribed outpatient pulmonary rehabilitation exercises among postsurgical lung cancer patients. Eligible patients will use the app for perioperative care and be randomized to an intervention group receiving ePRO-based symptom monitoring with clinician feedback or a control group receiving ePRO without feedback. The primary outcome is rehabilitation exercise adherence rate over 1 month after discharge. If proven effective, the app-enabled remote rehabilitation model can be scaled up to enhance recovery for more postoperative patients.

Read full original descriptionShow less

Due to slower-than-expected recruitment, an interim analysis was introduced through a protocol amendment. Before any unblinded between-group efficacy analysis, a blinded review of recruitment progress, data completeness, and outcome-data structure was conducted. Mean weekly exercise duration was subsequently added as a co-primary endpoint to complement the threshold-based exercise adherence outcome. The amendment and revised interim statistical framework were approved by the Ethics Committee before the formal interim analysis and incorporated into the updated study record.

The 2 groups in the trial

  • Intervention GroupTreatment being tested

    Participants randomized to the intervention group will complete ePRO symptom severity scores on the PSA-Lung questionnaire via the smartphone app on discharge and post-discharge days 3, 7, 14, 21, 28. Alerts are triggered if any of 5 core symptoms scored ≥4, prompting remote clinician feedback and guidance on symptom management.

    Treatment: ePRO based Remote Symptom Management provide by a mobile phone app

  • Control GroupNo study treatment, for comparison

    Participants randomized to the control group will complete ePRO symptom severity scores on the PSA-Lung questionnaire via the smartphone app on discharge and post-discharge days 3, 7, 14, 21, 28, without clinician alerts.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A Prospective, Randomized, Controlled Study to Evaluate the Impact of Remote Symptom Management Via Smartphone App Based on Electronic Patient-Reported Outcomes on Rehabilitation Exercise Adherence After Minimally Invasive Surgery in Lung Cancer Patients
Plain-language title
Phone app tracks symptoms to help lung cancer patients keep up exercise after surgeryGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Fit questions
Built from NCT05990946, who can take part
Record updated
4 September 2026