UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059708
Receipt number R000068294
Scientific Title Safety and Efficacy of Home-Based Respiratory Muscle Stretching Exercises Using Information and Communication Technology in Patients with Chronic Obstructive Pulmonary Disease:A Prospective Feasibility and Efficacy Study
Date of disclosure of the study information 2025/11/10
Last modified on 2025/11/10 00:36:49

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Basic information

Public title

Safety and Efficacy of Home-Based Respiratory Muscle Stretching Exercises Using Information and Communication Technology in Patients with Chronic Obstructive Pulmonary Disease

Acronym

ReSt-ICT Study

Scientific Title

Safety and Efficacy of Home-Based Respiratory Muscle Stretching Exercises Using Information and Communication Technology in Patients with Chronic Obstructive Pulmonary Disease:A Prospective Feasibility and Efficacy Study

Scientific Title:Acronym

ReSt-ICT Study (Respiratory Muscle Stretching via ICT Study)

Region

Japan


Condition

Condition

Chronic Obstructive Pulmonary Disease

Classification by specialty

Pneumology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to compare the implementation of ICT-supported home-based respiratory muscle stretching exercises for COPD patients before and after the intervention, evaluating its effectiveness (changes in CAT scores), safety (adverse events, readmissions, falls), and implementation rate. Furthermore, it will examine the feasibility and continuity of an ICT-supported program for patients who find outpatient rehabilitation difficult.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Safety (adverse events, readmissions, falls) and efficacy (change in COPD Assessment Test (CAT) score) at 8 weeks after initiation of rehabilitation.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Participants performed respiratory muscle stretching exercises at home twice daily for 8 weeks using an instructional video. A smartwatch and tablet application were used to monitor step count, heart rate, and exercise adherence. Feedback and reminders were provided via chatbot. A follow-up outpatient visit was held at week 4, and reassessment was conducted at week 8.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Outpatient follow-up visits to the above medical departments
2.Aged 50 or older at the time of consent acquisition
3.Ability to walk independently (including with a cane)
4.Condition is stable with standard treatment.
5.Individuals with a COPD Assessment Test score of 10 or higher, or an mMRC grade of 2 or higher.
6.No history of COPD exacerbation within the past 3 months
7.Individuals who, after receiving sufficient explanation regarding participation in this study, provided written consent of their own free will based on full understanding
8.Individuals living with family members

Key exclusion criteria

1.Patients unable to walk independently or unable to undergo medical interviews or questionnaire administration
2.Patients with pacemakers (as the safety of digital devices like Fitbit cannot be guaranteed)
3.Patients with severe cerebrovascular disease, heart disease, respiratory disease, liver disease, kidney disease, digestive disease, or endocrine/metabolic disease
4.Patients with a life expectancy of less than one year due to malignant diseases, etc.
5.Patients with severe physical disabilities requiring long-term rehabilitation
6.Other individuals deemed unsuitable as research subjects by the principal investigator
7.Among the research subjects described in (1) above, eligibility is determined by satisfying all selection criteria in (2) and not meeting any exclusion criteria in (3).

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Kei
Middle name
Last name Matsuno

Organization

Juntendo University School of Medicine Affiliated Juntendo Tokyo Koto Geriatric Medical Center

Division name

Department of Respiratory medicine

Zip code

1360075

Address

Shinsuna 3-3-20, Koto-ku, Tokyo, Japan

TEL

0356323111

Email

kmatsuno@juntendo.ac.jp


Public contact

Name of contact person

1st name Kei
Middle name
Last name Matsuno

Organization

Juntendo University School of Medicine Affiliated Juntendo Tokyo Koto Geriatric Medical Center

Division name

Department of Respiratory medicine

Zip code

1360075

Address

Shinsuna 3-3-20, Koto-ku, Tokyo, Japan

TEL

0356323111

Homepage URL


Email

kmatsuno@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University

Institute

Department

Personal name



Funding Source

Organization

Environmental Restoration and Conservation Agency

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee, Faculty of Medicine, Juntendo University

Address

Hongo 3-1-3, Bunkyo-ku, Tokyo, Japan

Tel

0358021584

Email

hongo-rinri@juntendo.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 11 Month 10 Day

Date of IRB

2025 Year 10 Month 07 Day

Anticipated trial start date

2025 Year 11 Month 10 Day

Last follow-up date

2026 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 11 Month 10 Day

Last modified on

2025 Year 11 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068294