Can remote care tame COPD Flare-Ups?
NCT ID NCT07751003
First seen Aug 06, 2026 · Last updated Aug 07, 2026 · Updated 1 time
Summary
This trial tests whether active remote management—where a respiratory therapist regularly reviews ventilator data and adjusts settings—can improve quality of life and reduce flare-ups in COPD patients with chronic hypercapnia using home breathing support. Participants are randomly assigned to either active remote management or passive monitoring alone, and are followed for 12 months. The study compares changes in quality-of-life scores and the number of acute exacerbations requiring medication.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Remote management program (active monitoring and adjustment of home non-invasive respiratory support by a respiratory therapist)
- What this could lead to
- If effective, this approach could reduce COPD flare-ups and improve daily life for people on home breathing support, potentially easing hospital burden.
- What could go wrong
- The trial is relatively small and the benefit over standard monitoring is uncertain. Remote adjustments may not suit all patients, and technology or connectivity issues could limit effectiveness.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 236 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Meets the diagnostic criteria for Chronic Obstructive Pulmonary Disease (COPD) with confirmed persistent airflow limitation by spirometry. * Hospitalized due to an acute exacerbation of COPD. * Stable daytime arterial blood gas analysis showing PaCO₂ ≥ 50 mmHg, with hypoxemia. * Already receiving or planned to receive long-term home non-invasive respiratory support. * Capable of using a smartphone or tablet for video communication and has internet access. * Willing to participate and provides written informed consent. Exclusion Criteria: * Concurrent severe pulmonary diseases (e.g., active tuberculosis, diffuse pulmonary fibrosis, advanced lung cancer). * Chronic respiratory failure primarily caused by non-COPD conditions (e.g., neuromuscular disease, chest wall deformity, or severe obesity hypoventilation syndrome). * Severe cognitive impairment or psychiatric illness that would prevent cooperation with remote management. * Other severe systemic diseases with an expected survival of less than 1 year (e.g., advanced malignancy). * Pregnant or lactating women.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Henan Provincial People's Hospital
Zhengzhou, Henan, China
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Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University
Hangzhou, Zhejiang, 310016, China
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Taizhou Hospital of Integrated Traditional Chinese and Western Medicine
Wenling, Zhejiang, 317523, China
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The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410006, China
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