Clinical trial Recruiting at 1 site Interventional Ages 40 and up

Comparing single and multiple inhalers with digital support for COPD management

Official title: Triple Therapy Convenience by the Use of One or Multiple Inhalers and Digital Support in Chronic Obstructive Pulmonary Disease

Run by Franciscus Gasthuis · NCT05495698 · Data updated 2026-11-12

This study is testing whether using one inhaler instead of multiple ones, along with digital support, helps people with COPD stick to their medication better.

Quick facts

Study typeInterventional
Ages40 Years and up
SexAll
Enrollment300 (estimated)
SponsorFranciscus Gasthuis
Academic / other
Locations1 site (Rotterdam, South Holland)
StatusRecruiting
StartedDecember 13, 2022
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedAugust 21, 2025
Trial IDNCT05495698 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 40 and older with a clinical diagnosis of COPD who are indicated for triple therapy.

Probably not a fit

Patients who are unable to comply with study procedures or have asthma as the predominant disease may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effectiveness of single-inhaler triple therapy (SITT) versus multi-inhaler triple therapy (MITT) in patients with Chronic Obstructive Pulmonary Disease (COPD). It aims to determine if SITT improves adherence to inhaled corticosteroids compared to MITT, and whether the addition of e-health support enhances this adherence further. The study is conducted in multiple centers across the Netherlands and involves a randomized, open-label design to assess real-world outcomes.

Why it matters

Potential benefit: If successful, this study could lead to improved medication adherence and better management of COPD for patients.

How similar studies have gone: Previous studies have shown promise in improving adherence through simplified inhaler regimens and digital support, suggesting this approach may be effective.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Clinical diagnosis of COPD for at least 1 year before the screening visit
* Aged 40 years and older
* An indication for triple therapy according to the treating physician (following the GOLD guideline 2021(2)). Could be step-up from dual therapy or currently receiving triple therapy (both MITT and SITT).
* Owner of mobile device compatible with e-device app with access to internet (Android or iOS)
* Willing to provide written informed consent
* Current or ex-smoker

Exclusion Criteria:

* Inability to comply with study procedures or with study treatment
* Insufficiently skilled in the Dutch language to be able to read and understand the app. Help by third party (family members) is allowed
* Asthma as the predominant disease according to the investigator's opinion, a past history of asthma is allowed
* Use of e-health application for COPD in the past six months
* Patients with any other therapy that could interfere with the study drugs (according to the investigator's opinion)
* Use of nebulized bronchodilators, for example via pari boy
* Pregnant or lactating women and all women physiologically capable of becoming pregnant unless they have highly effective contraceptive
* Patients mentally or legally incapacitated, or patients accommodated in an establishment as a result of an official or judicial order
* Patients without the capability to complete the questionnaires

Where it's running

  • Franciscus Gasthuis & Vlietland
    Rotterdam, South Holland, Netherlands
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.