About Predict & Prevent


Predict Á Prevent is a phase III, 2 arm, multi-centre, open label, parallel-group randomised clinical investigation investigating the use of a personalised early warning decision support system (COPDPredictTM) to predict and prevent acute exacerbations of Chronic Obstructive Pulmonary Disease - 'Predict & Prevent AECOPD'

Aim

To test the hypothesis that COPDPredictTM can produce a reduction in AECOPD hospitalisations (where the primary reason for admission is AECOPD) in the 12 months post randomisation, when compared to SSMP.


Clinical Investigation Design

A phase III, 2 arm parallel-group, multi-centre, open label, individually randomised clinical investigation of 384 patients in a 1:1 ratio, to receive either a standard self-management plan and rescue medication pack (standard arm) or the COPDPredictTM self-management system and rescue medication pack (intervention arm).


Outcome Measures

Primary outcomes

The number of hospital admissions up to 12 months post randomisation, where the primary reason for admission is AECOPD

Secondary outcomes:

Over a 12 month period, following randomisation;

• Total inpatient days
• Number of patient defined exacerbations
• Number of visits to Accident and Emergency (A&E)
• Symptom control markers, specifically the amount of breathlessness and sputum (Anthonisen criteria)
• End-user experience (technology acceptability usability/utility via questionnaires and interviews);
• Health-related quality of life (COPD Assessment Test, CATTM and EQ-5D-5L);
• Lifestyle choices via App usage/questionnaires/interviews;
• Blood and salivary C-Reactive Protein (CRP) levels
• FEV1 at 12 months
• Social acceptability and practical responses to the intervention, including any implementation issues