UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062806
Receipt number R000071897
Scientific Title A Multicenter, Randomized, Open-label, Parallel-group Controlled Trial to Evaluate the Safety and Efficacy of Respiratory Muscle Stretching Exercise Combined with Remote Monitoring in Patients with Chronic Obstructive Pulmonary Disease (COPD)
Date of disclosure of the study information 2026/09/07
Last modified on 2026/09/03 15:47:42

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Basic information

Public title

A study to evaluate the effects and safety of respiratory muscle stretching exercise with smartwatch-based remote monitoring in patients with COPD (chronic obstructive pulmonary disease)

Acronym

COPD Resipiratory muscle Stretch Study

Scientific Title

A Multicenter, Randomized, Open-label, Parallel-group Controlled Trial to Evaluate the Safety and Efficacy of Respiratory Muscle Stretching Exercise Combined with Remote Monitoring in Patients with Chronic Obstructive Pulmonary Disease (COPD)

Scientific Title:Acronym

RMS-COPD(remote monitoring combined Respiratory Muscle Stretching trial for COPD)

Region

Japan


Condition

Condition

COPD

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy, safety, and adherence of a home-based respiratory muscle stretching exercise program combined with ICT-based remote monitoring in patients with COPD, through a multicenter randomized controlled trial. This study also aims to clarify the feasibility and continuity of an ICT-based home pulmonary rehabilitation program for patients who have difficulty accessing outpatient-based pulmonary rehabilitation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

[Safety] Incidence of adverse events, rehospitalization, and falls / [Efficacy] Change in COPD Assessment Test (CAT) score (between-group difference from baseline to the end of the 8-week intervention period)

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration


Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Intervention group: After a 1-week wearable-only run-in period (remote monitoring of step count and heart rate via smartwatch, without exercise), participants perform respiratory muscle stretching exercise at home twice daily for 8 weeks, based on a video program developed by the principal investigator. Throughout the exercise period, step count, heart rate, and exercise adherence continue to be remotely monitored via smartwatch, and chatbot-based feedback messages are delivered via a provided tablet application to promote continued exercise and walking activity. A mid-point outpatient visit is conducted 4 weeks after exercise initiation to confirm adherence and provide guidance.

Interventions/Control_2

Control group: Participants continue usual care, without the respiratory muscle stretching program or wearable-based remote monitoring. Assessments (pulmonary function tests, questionnaires, etc.) are performed at baseline and at 8 weeks.

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

Outpatients regularly attending the relevant department at a participating institution
Aged 50 years or older at the time of consent
Diagnosed with COPD according to the Japanese Guideline for the Diagnosis and Treatment of COPD, 2022
Able to walk independently (with or without a cane)
Clinically stable on standard treatment
No history of COPD exacerbation within 3 months before enrollment
Provided written informed consent voluntarily after receiving a full explanation and understanding of the study

Key exclusion criteria

Unable to walk independently, or unable to complete interviews/questionnaires
Presence of a cardiac pacemaker (due to unconfirmed safety of the digital wearable device)
Severe cerebrovascular, cardiac, respiratory, hepatic, renal, gastrointestinal, or endocrine/metabolic disease
Life expectancy of less than 1 year due to malignancy or other conditions
Severe physical disability requiring long-term rehabilitation
Any other reason judged by the principal investigator to make the patient unsuitable for participation

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Kei
Middle name
Last name Matsuno

Organization

Juntendo Tokyo Koto Geriatric Medical Center

Division name

Department of Respiratory Medicine

Zip code

1360075

Address

3-3-20, Shinsuna, 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

Division name

Department of Respiratory Medicine

Zip code

1360075

Address

3-3-20, Shinsuna, 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 (ERCA)

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

Address

Hongo2-1-1,Bunkyo-ku,Tokyo,Japan

Tel

03-5802-1584

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

2026 Year 09 Month 07 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

Enrolling by invitation

Date of protocol fixation

2026 Year 06 Month 01 Day

Date of IRB

2026 Year 08 Month 10 Day

Anticipated trial start date

2026 Year 09 Month 04 Day

Last follow-up date

2028 Year 03 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

2026 Year 09 Month 03 Day

Last modified on

2026 Year 09 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071897