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NCT07213128Recruiting

Effect of IMT in Patients After Acute Exacerbations of COPD

The Effect of Home-based Inspiratory Muscle Training Compared to Usual Care on Readmission Rate in Patients After a Severe Acute Exacerbation of Chronic Obstructive Pulmonary Disease: a Randomised, Multicentre, Parallel Group Clinical Trial: IN-SPIRED Trial

Source: ClinicalTrials.gov · Last updated 28 May 2026

Brief summary (registry, in English)

The goal of this clinical trial is to test whether home-based inspiratory muscle training can reduce hospital readmissions and death in patients recovering from a severe acute exacerbation of chronic obstructive pulmonary disease (AECOPD). The main questions this study aims to answer are: Does adding home-based inspiratory muscle training to usual care lower the risk of all-cause hospital readmission or death within 180 days after discharge? Does inspiratory muscle training improve respiratory muscle strength, symptoms of dyspnea, quality of life, and functional capacity compared to usual care? Researchers will compare patients randomized to: Intervention group: Home-based inspiratory muscle training plus usual care Control group: Usual care only to see if inspiratory muscle training leads to fewer readmissions and deaths, and better patient-reported and physiological outcomes. Participants will: Be hospitalized for ≥3 days due to AECOPD, age ≥35 years, able to consent, and own a compatible smartphone. In the intervention group, receives usual care and additionally inspiratory muscle training: Inspiratory muscle training twice daily for 90 days, then once daily up to day 180, with remote telemonitoring via a smartphone app and online supervised sessions. The control group will continue with usual care (pharmacological treatment, smoking cessation advice, vaccinations, and referral to pulmonary rehabilitation if available). Follow-up assessments will include hospital readmissions, survival, and quality of life questionnaires up to 12 months after discharge.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
358 (estimated)
First submitted
15 Sept 2025
Start date
6 Jan 2026
Primary completion date
Jun 2028
Lead sponsor
KU Leuven
Diseases
COPD
NCT number
NCT07213128

What you commit to

  • Study type: Interventional
  • Planned participants: 358
  • From 6 Jan 2026 to the primary completion date, Jun 2028
  • 12 sites 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.

Prior treatment

  • Waitlisted for lung transplantation

Other illness

  • Non-COPD pulmonary disease as primary diagnosis
  • Active malignancy
  • Inability to perform IMT or response to questionnaires (e.g., neurological/cognitive impairment)
  • Acute instable cardiac arrythmia or ischemia

Other

  • Patients already performing IMT at time of inclusion
  • Patients with estimated \<90 days life expectancy
  • Acute pneumothorax
  • Planned lung volume reduction procedure \<180days
  • Patients admitted to an in-hospital rehabilitation ward
  • Patients included in other interventional trial related to COPD that would interfere with our trial outcomes.

Who the study is looking for

  • Patients admitted to the hospital ≥3 days for AECOPD
  • Read and speak French, Dutch or English
  • Age ≥ 35 years
  • Able to provide informed consent
  • Possessing a smartphone, compatible with the tele-monitoring app and able to perform video meetings.

Age in the registry: 35 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (12)

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

SiteCityCountrySite status
AZORG
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AalstBelgiumRecruiting
Campus Joseph Bracops, Hôpitaux Iris Sud
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AnderlechtBelgiumRecruiting
Centre Hospitalier Universitaire Saint-Pierre
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BrusselsBelgiumRecruiting
Grand Hopial de Charleroi
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CharleroiBelgiumRecruiting
Universitair Ziekenhuis Antwerpen
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EdegemBelgiumNot yet recruiting
Universitair Ziekenhuis Gent
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GhentBelgiumRecruiting
AZ Maria Middelares
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GhentBelgiumRecruiting
AZ Groeninge
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KortrijkBelgiumRecruiting
University Hospitals Leuven
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LeuvenBelgiumRecruiting
Centre Hospitalier Universitaire de Liège
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LiègeBelgiumRecruiting
AZ Delta
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RoeselareBelgiumRecruiting
Centre Hospitalier Universitaire UCL Namur
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YvoirBelgiumRecruiting

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