Improving how adults with COPD and asthma stick to and use their inhalers
Official title: Adherence to Inhaled Therapy - a Globally Overlooked Problem in Patients With Chronic Obstructive Pulmonary Disease and Bronchial Asthma
Run by Charles University, Czech Republic · NCT07183657 · Data updated 2026-11-12
This project will test whether a mobile/web app plus targeted training helps adults with COPD or asthma use their inhalers correctly and keep taking their inhaled medicines.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | Charles University, Czech Republic Academic / other |
| Locations | 1 site (Hradec Králové) |
| Status | Recruiting |
| Started | June 3, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2028 |
| Registry record updated | September 30, 2025 |
| Trial ID | NCT07183657 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with physician-diagnosed COPD or bronchial asthma per GOLD/GINA, clinically stable for at least 8 weeks, who have used the same inhaler for ≥3 months and can cooperate and provide informed consent.
✕Probably not a fit
Patients in a pre-terminal stage, those with major cognitive or mobility impairments, or those unwilling or unable to use the app or participate in training are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a multicenter prospective observation-interventional project enrolling about 800 outpatients and nursing home residents with COPD or bronchial asthma and 200 healthcare professionals. It uses a validated Five Steps Assessment tool plus artificial intelligence methods to develop, implement, and validate a mobile/web app for patients and clinicians. Interventions include training on inhalation technique, educational materials, telephone/online contact, e-learning for professionals, and repeated follow-up to measure change. The study will compare adherence and technique before and after the interventions across participating sites.
Why it matters
Potential benefit: If successful, patients could achieve better inhaler technique, improved symptom control, fewer exacerbations, and reduced healthcare visits.
How similar studies have gone: Previous inhaler training and digital reminder programs have produced modest improvements in technique and adherence, while combining the Five Steps Assessment with an AI-driven app represents a relatively new approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
PATIENTS Inclusion Criteria: 1. signed informed consent, 2. age ≥ 18 years, 3. previously diagnosed BA/COPD meeting GOLD 2024 and GINA 2024 diagnostic criteria, 4. ability to cooperate, 5. at least 8 weeks without exacerbation, 6. use of a particular inhaler for at least 3 months. Exclusion Criteria: 1. pre-terminal/terminal stage of any disease, 2. uncooperative patient, 3. significant limitation of mobility or cognitive functions. HEALTHCARE PROFESSIONALS Inclusion Criteria: 1. signed informed consent, 2. completed education in medicine, pharmacy, or nursing, 3. more than one year of working experience, 4. care for patients taking inhaled therapy for BA/COPD.
Where it's running
-
University Hospital Hradec Králové
Hradec Králové, Czechia Recruiting
Study contacts
- Study coordinator: Josef Malý, Assoc. Prof. PhD.
- Email: malyj@faf.cuni.cz
- Phone: 00420 495 067 421
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Chronic Respiratory Disease Participant Engagement
This study tests whether adults with long-term lung conditions can get comfortable with a clinical trials unit and research team before joining future trials.
-
IOS-based platform to screen, diagnose, and manage COPD and asthma
This study tests an Impulse Oscillometry system to screen for and diagnose COPD and asthma and to help predict flare-ups over about a year, involving adults in China.
-
Targeted NMES to improve breathing and leg/extra muscle strength in COPD
This study tests whether targeted neuromuscular electrical stimulation helps people with COPD see improvements in breathing muscle function and overall muscle strength.
-
AERO-007: a inhaled LABA+LAMA combination for COPD through a nebulizer
This study tests whether a nebulized LABA+LAMA combination can improve lung function in adults with COPD.
-
PBMT with a pulmonary rehab program for COPD patients
A small randomized trial tests whether adding photobiomodulation therapy before exercise in a COPD pulmonary rehab program helps improve functional capacity.
-
Controlled versus standard oxygen therapy for ICU COPD with acute exacerbation
This trial tests whether keeping oxygen levels at 88-92% helps ICU patients with an acute COPD flare more than keeping levels above 94%.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.