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Home Versus Hospital Based NIV Care in MND

Sponsor: Papworth Hospital NHS Foundation Trust

NCT ID: NCT06844370

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
Mostly remote — few or no hospital visits
Drug or intervention
Non-invasive ventilation (other)
How long the study runs
Study runs about 30 months (dates as stated)
About the drug or intervention
Non-invasive ventilation — other: Providing ventilation support through non-invasive means
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
60
Started
2024-03-06
Last checked
2025-02

Plain English Summary

What is this study?

  • • Testing a new treatment for motor neurone disease
  • • NA - 60 participants
  • • Non-invasive ventilation (NIV) is commonly offered to people with Motor Neurone Disease (MND) who have breathing difficulties

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with motor neurone disease

Where?

  • • Cambridge - Royal Paworth Hospital

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

Non-invasive ventilation (NIV) is commonly offered to people with Motor Neurone Disease (MND) who have breathing difficulties. It improves their quality of life and can prolong life by 6 months or more. It is initially used at night and typically set up during a hospital admission. By the time that they develop respiratory failure and need to start NIV, however, most patients require wheelchairs or have other significant health problems. Repeated travel to hospitals is increasingly difficult with increasing disability. It is possible to start and monitor NIV treatment at home. This may be more convenient for selected patients, though starting NIV is quite complex; it is not known if home treatment is as safe and effective as hospital-based treatment. To establish this, 60 patients with MND who have indications for NIV will be recruited. They will be randomly allocated to a home-based treatment (home NIV set up plus home visits supported by telemonitoring) or hospital-based care (inpatient NIV set up plus outpatient NIV monitoring) and followed up at 1, 4 and 7 months. Alongside measures of treatment effectiveness, assessment of patient and carer preferences, quality of life, and cost-effectiveness will be undertaken. In the additional qualitative part on this study, interviews with patients who took part in the main study and their carers will be conducted to understand in more depth their perspective on what makes for a good or bad experience with NIV, how the environment (home vs hospital) influences their NIV experience and what personal factors determine NIV use. Findings from the interviews will inform the design of a truly patient-centred NIV service.

Motor Neurone DiseaseRespiratory Insufficiency

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓Adults with a diagnosis of Motor Neurone Disease confirmed by a neurologist specialising in MND.

Who cannot take part

  • ✗Cognitive impairment precluding understanding of the study protocol and valid consent
  • ✗Severe co-morbidities (e.g. decompensated heart failure, severe chronic obstructive lung disease (COPD), morbid...
  • ✗Immediate need to start NIV (\<24hrs) and/or acute illness requiring inpatient treatment e.g. intravenous...
  • ✗Lack of a sufficient social/professional network to support NIV application at home
  • ✗Not wishing to accept home NIV
See the full criteria
Inclusion Criteria: * Adults with a diagnosis of Motor Neurone Disease confirmed by a neurologist specialising in MND. * Indications to NIV: daytime pCO2 \>6.0 kPa or/and symptoms of ventilatory failure (e.g. orthopnoea, paroxysmal nocturnal dyspnoea, morning drowsiness) in the presence of significant diaphragmatic weakness confirmed by respiratory muscle tests Exclusion Criteria: * Cognitive impairment precluding understanding of the study protocol and valid consent * Severe co-morbidities (e.g. decompensated heart failure, severe chronic obstructive pulmonary disease (COPD), morbid obesity) causing or contributing to respiratory failure * Immediate need to start NIV (\<24hrs) and/or acute illness requiring inpatient treatment e.g. intravenous antibiotics for pneumonia (in addition to the need for NIV) * Lack of a sufficient social/professional network to support NIV application at home * Not wishing to accept home NIV

Where Is This Study? (1 UK site)

Royal Paworth Hospital

Cambridge CB2 0AY, United Kingdom

Recruiting

How to Get in Touch

Dariusz Wozniak

Sponsor contact

CONTACT

01223639619 dariusz.wozniak@nhs.net

Victoria Stoneman

Sponsor contact

CONTACT

01223639865 victoria.stoneman@nhs.net
Data sourced from ClinicalTrials.gov · Last verified: 2025-02