NCT02634268

Brief Summary

Symptoms of chronic obstructive pulmonary disease (COPD) and high body mass index (BMI) overlap. The investigators are trying to find out if a program proven to help people lose a modest amount of weight and increase their physical activity will improve COPD symptoms for those with a high BMI. The program uses a series of video sessions and self-study handouts focused on healthy eating and increasing physical activity, and encourages participants to monitor their weight, diet, and physical activity for one year. For those who want to, they will be able to work with a health coach to help meet weight and activity goals. We hope that the program will lead to improved exercise tolerance, body weight, dyspnea, generic health-related quality of life, and major cardiovascular risk factors (central obesity by waist circumference, Framingham Risk Score, and blood pressure) through 12 months of follow-up. To be in the study, participants will need to have COPD, high BMI, history of smoking, shortness of breath, and be at least 40 years old.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
684

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started May 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

39 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 10, 2015

Completed
8 days until next milestone

First Posted

Study publicly available on registry

December 18, 2015

Completed
1.4 years until next milestone

Study Start

First participant enrolled

May 12, 2017

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2020

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

February 9, 2022

Completed
Last Updated

April 7, 2022

Status Verified

March 1, 2022

Enrollment Period

3.5 years

First QC Date

December 10, 2015

Results QC Date

December 7, 2021

Last Update Submit

March 10, 2022

Conditions

Keywords

randomized controlled trialdietexerciseobesityoverweightchronic obstructive pulmonary diseaselifestyle

Outcome Measures

Primary Outcomes (1)

  • Six Minute Walk Test

    distance walked in six minutes

    12 months

Secondary Outcomes (12)

  • Modified Borg Scale

    12 months

  • Weight

    12 months

  • Short Form 12 Health Survey (SF-12) Physical Component Score (PCS)

    12 months

  • Short Form 12 Health Survey (SF-12) Mental Component Score (MCS)

    12-months

  • Non-laboratory Framingham Risk Score

    12 months

  • +7 more secondary outcomes

Study Arms (2)

Lifestyle intervention

ACTIVE COMPARATOR

Behavioral lifestyle intervention focused on healthy eating and physical activity

Behavioral: Lifestyle Intervention

Usual Care

NO INTERVENTION

Participants continue with usual diet and exercise activities as they desire

Interventions

Behavioral lifestyle intervention focused on healthy eating and physical activity

Lifestyle intervention

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years or older at time of eligibility screening;
  • Body mass index 25.0-44.9 kg/m2 (also see Figure 2);
  • Smoked more than 10 pack-years of cigarettes;
  • Shortness of breath;
  • COPD;
  • Able to participate fully in all study protocol/procedures including written informed consent process.

You may not qualify if:

  • Inability to speak, read, or understand English;
  • Active weight loss interventions;
  • Expected weight loss because of alternate explanations, such as from illness;
  • Unable to ambulate to weight scale for weight measurement;
  • Safety and/or adherence concerns due to severe physical or mental health issues or life expectancy \<18 months;
  • Pregnant, lactating, or planning to become pregnant during the study period;
  • Participation in other intervention studies.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (39)

Birmingham VA Medical Center

Birmingham, Alabama, 35233, United States

Location

University of Alabama at Birmingham - UAB Lung Health Center

Birmingham, Alabama, 35294, United States

Location

University of Arizona

Tucson, Arizona, 85724, United States

Location

University of California, Los Angeles

Los Angeles, California, 90095, United States

Location

Universtiy of California, San Francisco

San Francisco, California, 94143, United States

Location

National Jewish Health

Denver, Colorado, 80206, United States

Location

Waterbury Pulmonary Associates

Waterbury, Connecticut, 06708, United States

Location

Sarasota Memorial Hospital

Sarasota, Florida, 34239, United States

Location

Northwestern University - Northwestern Medical Group - Pulmonology

Chicago, Illinois, 60611, United States

Location

University of Illinois, Chicago - Division of Pulmonay, Critical Care, Sleep & Allergy

Chicago, Illinois, 60612, United States

Location

University of Iowa

Iowa City, Iowa, 52242, United States

Location

Chest Medicine

South Portland, Maine, 04106, United States

Location

University of Maryland

Baltimore, Maryland, 21201, United States

Location

Johns Hopkins University - Pulmonary & Critical Care Medicine

Baltimore, Maryland, 21224, United States

Location

Boston VA Medical Center

Boston, Massachusetts, 02132, United States

Location

Baystate Health

Springfield, Massachusetts, 01199, United States

Location

University of Michigan - Division of Pulmonary & Critical Care Medicine

Ann Arbor, Michigan, 48109, United States

Location

Minneapolis VA Health Care System - Pulmonology

Minneapolis, Minnesota, 55417, United States

Location

Minnesota Health Partners

Saint Paul, Minnesota, 55101, United States

Location

St. Louis VA

St Louis, Missouri, 63106, United States

Location

Albany Medical College

Albany, New York, 12208, United States

Location

University of Buffalo

Buffalo, New York, 14203, United States

Location

Buffalo VA Medical Center

Buffalo, New York, 14215, United States

Location

NYU Winthrop

Mineola, New York, 11501, United States

Location

Duke University

Durham, North Carolina, 27705, United States

Location

East Carolina University - Pulmonary, Critical Care & Sleep Medicine

Greenville, North Carolina, 27834, United States

Location

Case Western

Cleveland, Ohio, 44016, United States

Location

Ohio State University

Columbus, Ohio, 43221, United States

Location

Geisinger Medical Center

Danville, Pennsylvania, 17822, United States

Location

Penn State Milton S. Hershey Medical Center - Pulmonary, Allergy & Critical Care Medicine

Hershey, Pennsylvania, 17033, United States

Location

Temple University Hospital - Temple Lung Center

Philadelphia, Pennsylvania, 19140, United States

Location

University of Pittsburgh Medical Center - Kaufmann Building

Pittsburgh, Pennsylvania, 15213, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

BSW Research

Dallas, Texas, 75246, United States

Location

Baylor College of Medicine

Houston, Texas, 77505, United States

Location

Grand Medical Clinic

Katy, Texas, 77498, United States

Location

University of Utah

Salt Lake City, Utah, 84108, United States

Location

White River Junction VA

White River Junction, Vermont, 05009, United States

Location

VA Puget Sound Health Care System

Seattle, Washington, 98108, United States

Location

Related Publications (1)

  • Au DH, Gleason E, Hunter-Merrill R, Baron AE, Collins M, Ronneberg C, Lv N, Rise P, Wai TH, Plumley R, Wisniewski SR, Sciurba FC, Kim DY, Simonelli P, Krishnan JA, Wendt CH, Feemster LC, Criner GJ, Maddipati V, Mohan A, Ma J. Lifestyle Intervention and Excess Weight in Chronic Obstructive Pulmonary Disease (COPD): INSIGHT COPD Randomized Clinical Trial. Ann Am Thorac Soc. 2023 Dec;20(12):1743-1751. doi: 10.1513/AnnalsATS.202305-458OC.

MeSH Terms

Conditions

Pulmonary Disease, Chronic ObstructiveObesityWeight LossOverweightMotor Activity

Condition Hierarchy (Ancestors)

Lung Diseases, ObstructiveLung DiseasesRespiratory Tract DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsBody Weight ChangesBehavior

Results Point of Contact

Title
Margaret Collins
Organization
VA Puget Sound Health Care System

Study Officials

  • David H Au, MD, MS

    VA Puget Sound Health Care System

    PRINCIPAL INVESTIGATOR
  • Jun Ma, MD, PhD

    University of Illinois at Chicago - Institute for Health Research and Policy

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 10, 2015

First Posted

December 18, 2015

Study Start

May 12, 2017

Primary Completion

October 30, 2020

Study Completion

October 30, 2020

Last Updated

April 7, 2022

Results First Posted

February 9, 2022

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will share

A de-identified dataset will be shared with NHLBI's data repository, Biologic Specimen and Data Repository Information Coordinating Center (BioLINCC).

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Summer 2022 and onward according to BioLINCC policy.
Access Criteria
Researchers may submit a data request vis BioLINCC, including description of the research plan/protocol, and documentation of review from an Institutional Review Board (IRB) or Ethics Committee (EC). Once those requirements are met and the request is approved by the NHLBI, BioLINCC staff will provide a Research Materials Distribution Agreement (RMDA) to be signed by a designated Principal Investigator and an authorized business official from the receiving institution, prior to data release.
More information

Locations