Trial Review

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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT06122233




Registration number
NCT06122233
Ethics application status
Date submitted
2/11/2023
Date registered
8/11/2023
Date last updated
28/05/2024

Titles & IDs
Public title
REBUILD-SM Study for People With Interstitial Lung Disease (ILD)
Scientific title
A Randomised Clinical Trial of a Digital Self-management Package for People With Interstitial Lung Disease
Secondary ID [1] 0 0
X23-0387
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Lung Diseases, Interstitial 0 0
Pulmonary Fibrosis 0 0
Condition category
Condition code
Respiratory 0 0 0 0
Other respiratory disorders / diseases

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Behaviour - Pulmonary Fibrosis self-management package and smartphone application

Experimental: REBUILD-SM Group - Participants randomised to REBUILD-SM will receive the self-management package as well as the RE-BUILD app. Structured self-management support via telephone or Zoom call will be provided 4 times during the 12-week intervention period.

No Intervention: Standard Care Group - In the control arm, participants will receive standard care and a reduced capability version of the RE-BUILD app to be used for data-capture only. They will also receive phone/Zoom calls at the same frequency during the 12-week intervention period, but no health advice will be given. After 26 weeks, participants in this group will receive access to the fully functional RE-BUILD app.


Behaviour: Pulmonary Fibrosis self-management package and smartphone application
The pulmonary fibrosis package includes modules on understanding treatment options for pulmonary fibrosis, managing medication and side effects, understanding and accessing clinical trials, managing shortness of breath, managing fatigue and mood, managing co-existing conditions, the role and importance of pulmonary rehabilitation and regular physical activity, role of oxygen therapy, smoking cessation advice and support, accessing community support, and communicating with others when living with pulmonary fibrosis.
The RE-BUILD app is used as a tool for data collection and to help participants self-monitor their disease over time. Participants enter their health data, including baseline conditions, medications and diagnosis, pulmonary function results and supplementary oxygen use. It also tracks air quality data close to the participant as well as physical activity level (step count). The app also has links to ILD-related educational resources.
Intervention code [1] 0 0
Behaviour
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
King's Brief Interstitial Lung Disease questionnaire (K-BILD)
Timepoint [1] 0 0
Baseline and 12 weeks post-randomisation
Secondary outcome [1] 0 0
K-BILD
Timepoint [1] 0 0
26 and 52 weeks post-randomisation
Secondary outcome [2] 0 0
European Quality of Life 5-Dimensions 5-Level questionnaire
Timepoint [2] 0 0
Baseline, 12, 26 and 52 weeks post-randomisation
Secondary outcome [3] 0 0
General Self-Efficacy Scale
Timepoint [3] 0 0
Baseline, 12, 26, and 52 weeks post-randomisation
Secondary outcome [4] 0 0
Dyspnoea-12
Timepoint [4] 0 0
Baseline, 12, 26 and 52 weeks post-randomisation
Secondary outcome [5] 0 0
Hospital Anxiety and Depression Scale
Timepoint [5] 0 0
Baseline, 12, 26 and 52 weeks post-randomisation
Secondary outcome [6] 0 0
Physical activity levels (STEPWatch - physical activity monitor)
Timepoint [6] 0 0
Baseline, 12 and 52 weeks post-randomisation
Secondary outcome [7] 0 0
Uptake/changes to ILD treatments
Timepoint [7] 0 0
Baseline, 12, 26 and 52 weeks post-randomisation
Secondary outcome [8] 0 0
mHealth Usability questionnaire
Timepoint [8] 0 0
26 and 52 weeks post-randomisation
Secondary outcome [9] 0 0
E-Health Literacy questionnaire
Timepoint [9] 0 0
Baseline,12 and 52 weeks post-randomisation
Secondary outcome [10] 0 0
Health Care Climate questionnaire
Timepoint [10] 0 0
12 weeks post-randomisation

Eligibility
Key inclusion criteria
- Diagnosis of fibrotic ILD

- In possession of a smartphone/tablet and an email address

- Able to understand written and spoken English

- Adequate digital literacy to complete requirements of trial

- On stable ILD treatment for 30 days prior to enrolment
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Not in possession of a smartphone/tablet

- Insufficient digital literacy to complete requirements of trial

- Unable to communicate in written/spoken English

- Not on stable ILD treatment for 30 days prior to enrolment

- Acute exacerbation within 30 days prior to enrolment

- Participating in pulmonary rehab at enrolment or planning to participate during
12-week intervention period

- Unable to provide informed consent

Study design
Purpose of the study
Supportive Care
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?


The people assessing the outcomes
Intervention assignment
Parallel
Other design features
Phase
Not Applicable
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Not yet recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
1/05/2024
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
1/08/2027
Actual
Sample size
Target
400
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
Recruitment hospital [1] 0 0
Royal Prince Alfred Hospital - Sydney
Recruitment hospital [2] 0 0
The Prince Charles Hospital - Brisbane
Recruitment hospital [3] 0 0
Alfred Hospital - Melbourne
Recruitment hospital [4] 0 0
Austin Health - Melbourne
Recruitment postcode(s) [1] 0 0
2050 - Sydney
Recruitment postcode(s) [2] 0 0
4032 - Brisbane
Recruitment postcode(s) [3] 0 0
3004 - Melbourne
Recruitment postcode(s) [4] 0 0
3084 - Melbourne

Funding & Sponsors
Primary sponsor type
Other
Name
University of Sydney
Address
Country
Other collaborator category [1] 0 0
Other
Name [1] 0 0
Monash University
Address [1] 0 0
Country [1] 0 0
Other collaborator category [2] 0 0
Other
Name [2] 0 0
Lung Foundation Australia
Address [2] 0 0
Country [2] 0 0
Other collaborator category [3] 0 0
Other
Name [3] 0 0
University of Tasmania
Address [3] 0 0
Country [3] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
The goal of this clinical trial is to compare REBUILD-SM (a purpose-built smartphone app and
self-management package) with standard care in people with interstitial lung disease (ILD).
The main question it aims to answer is:

• Does REBUILD-SM improve health-related quality of life, symptoms, anxiety, self-efficacy
and physical activity for people with ILD?

Participants in the intervention group will work through the self-management package with
support from a healthcare professional via phone or Zoom. They will also enter deidentified
health data into the RE-BUILD smartphone app to track their progress over time. Participants
in the control group will use a reduced functionality version of the smartphone app only.

Researchers will compare both groups to see if there is any difference in health-related
quality of life, symptoms, anxiety, self-efficacy and level of physical activity.
Trial website
https://clinicaltrials.gov/ct2/show/NCT06122233
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Tamera Corte
Address 0 0
University of Sydney
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Carly Barton
Address 0 0
Country 0 0
Phone 0 0
+61 2 9515 5682
Fax 0 0
Email 0 0
Carly.Barton@Sydney.edu.au
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT06122233