Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Exercise with telehealth or walking programs for people with PRISm

Official title: Role of Exercise in Functional Capacity of Smokers and Subsequent Development of Chronic Obstructive Pulmonary Disease

Run by The University of Hong Kong · NCT07387432 · Data updated 2026-11-12

This project will test whether a telehealth-guided exercise program or a step-based walking program, together with smoking-cessation advice, helps people with PRISm stay stable or avoid developing COPD.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment90 (estimated)
SponsorThe University of Hong Kong
Academic / other
Locations1 site (Hong Kong)
StatusRecruiting
StartedJuly 14, 2025
Main results expectedJanuary 2027
Study endsJanuary 2028
Registry record updatedMarch 6, 2026
Trial IDNCT07387432 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) who currently smoke or formerly smoked, are ambulatory, can give informed consent, and have spirometry showing PRISm (FEV1/FVC ≥ 0.7 and FEV1 < 80% predicted).

Probably not a fit

Non-smokers, people who cannot walk independently, those whose spirometry does not meet PRISm criteria, or those unable to attend required in-person assessments are unlikely to benefit from this protocol.

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

What this trial studies

This open-label, randomized controlled trial enrolls smokers and ex-smokers with PRISm and randomizes them 1:1:1 to telehealth-guided exercise, a progressive walking step-goal program, or no exercise instruction. The active interventions last 26 weeks (telehealth sessions twice weekly; walking program with weekly step targets) with clinical follow-up through 52 weeks. All participants receive smoking cessation advice and serial assessments including spirometry, 6-minute walk test, symptom scores, and hospitalisation tracking at scheduled visits. The trial measures whether these exercise approaches change spirometric status, functional capacity, respiratory symptoms, and healthcare events over one year.

Why it matters

Potential benefit: If successful, these interventions could slow or prevent progression from PRISm to COPD and improve breathing, exercise capacity, and quality of life.

How similar studies have gone: Exercise and pulmonary rehabilitation have improved symptoms and function in COPD and telehealth delivery has shown promise, but randomized trials specifically targeting PRISm are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18 or above
* Smoker/ ex-smoker
* Spirometry shows PRISm, with FEV1/FVC \>= 0.7 and FEV1 \<80% predicted
* Ambulatory to walk
* Able to give informed consent

Exclusion Criteria:

* Age below 18
* Non-smoker
* Spirometry does not show PRISm/ unable to perform spirometry
* Requires assistance for walking
* Unable to give informed consent

Where it's running

  • The University of Hong Kong, Queen Mary Hospital
    Hong Kong, China
    Recruiting

Study contacts

  • Principal investigator: King Pui Florence Chan, MD — he University of Hong Kong, Queen Mary Hospital
  • Study coordinator: King Pui Florence Chan, MD
  • Email: kpfchan@hku.hk
  • Phone: +852 22553741

Similar studies

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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.