Chronic Kidney Disease stage4NCT03348839
Medico-economic Impacts of NeLLY Service for Not on Dialysis Severe Chronic Kidney Disease
A study testing NeLLY service in people with Chronic Kidney Disease stage4 and Kidney Diseases, run by Calydial at 10 sites in France.
Trial summary
This medico-economic research project (PRME) aim to analyse NeLLY service efficiency for not on dialysis severe chronic kidney disease (DFG < 30ml/mn) patients care. NeLLY is a service that includes telemonitoring, educational therapy and support for patients with severe chronic kidney disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Kidney Disease stage4, Kidney Diseases
- What is being tested?
- NeLLY service
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 600 participants
- Where
- 10 sitesFrance
- Study dates
- Mar 2018to Jun 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- patient with chronic kidney disease stage 4
- patient with at least 1 cardiovascular comorbidity and / or diabetes
- patient with internet connexion from home
- patient having given his express consent
Who cannot join
- dialysed patient
- refusal of patient to take part in the research
- impairment of vital prognosis within a short period
- patient expecting a transplant from a living donor within 6 months
Trial locations and contacts
10 sites in 1 country.
10 sites in 1 country
France10 sites
CHU Caen
Caen, 14033
LOBBEDEZ Thierry, 231272343 ext. +33
CHU Chalon
Chalon-sur-Saône, 71100
DUBOT Philippe, 3 85 91 00 56 ext. +33
CHU Clermont Ferrand
Clermont-Ferrand, 63000
HENG Anne-Elisabeth, 473751425 ext. +33
Centre hospitalier Saint Joseph Saint Luc
Lyon, 60365
VILLAR Emmanuel, 4 78 61 89 72 ext. +33
CHU Marseille
Marseille, 13005
BRUNET Philippe, 4 91 38 30 42 ext. +33
CHU Reims
Reims, 51092
RIEU Philippe, 3 26 78 76 38 ext. +33
CHU Rennes
Rennes, 35033
VIGNEAU Cécile, 2 99 28 94 90 ext. +33
ARTIC 42
Saint-Etienne, 42270
BERTHOUX François, 4 77 91 03 86 ext. +33
CHU Saint Etienne
Saint-Etienne, 42270
ALAMARTINE Eric, 4 77 82 83 45 ext. +33
CALYDIAL
Vienne, 38200
CAILLETTE BEAUDOIN Agnès, 428873800 ext. +33, direction@calydial.org
About this study
Official title: Multicentre Trial, With Stepped Wedge Randomized Controled Clusters, on Medico-economic Impacts of NeLLY Service for Not on Dialysis Severe Chronic Kidney Disease
This medico-economic research project (PRME) aim to analyse NeLLY service efficiency for not on dialysis severe chronic kidney disease (DFG < 30ml/mn) patients care. NeLLY is a service that includes telemonitoring, educational therapy and support for patients with severe chronic kidney disease.
Read the detailed description
NeLLY study is a multicentre trial, with stepped wedge randomized controled clusters. 2 strategies will be compared: usual patients follow-up and NeLLY service. The primary endpoint of the study is incremental cost-effectiveness ratio. This 3 years study will include 600 French patients.
NeLLY service, offering telemonitoring, educational therapy and support to patients with severe chronic kidney disease, is based on an app, both for patients and health professionals, named Ap'Telecare (@TMM).
- Conditions
- Chronic Kidney Disease stage4, Kidney Diseases
- Being tested
- NeLLY service
- Keywords
- telemedicine, telemonitoring, educational therapy
- Medical subject headings
- Kidney Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NeLLY serviceDevice
Also called Ap'Telecare
Telesurveillance and therapeutic support
| Study group | Role | What they receive |
|---|---|---|
| Cluster 1 | Experimental | NeLLY service is implemented after 8 months. Receives: Device: NeLLY service |
| Cluster 2 | Experimental | NeLLY service is implemented after 12 months. Receives: Device: NeLLY service |
| Cluster 3 | Experimental | NeLLY service is implemented after 16 months. Receives: Device: NeLLY service |
| Cluster 4 | Experimental | NeLLY service is implemented after 20 months. Receives: Device: NeLLY service |
| Cluster 5 | Experimental | NeLLY service is implemented after 24 months. Receives: Device: NeLLY service |
| Cluster 6 | Experimental | NeLLY service is implemented after 28 months. Receives: Device: NeLLY service |
| Cluster 7 | Experimental | NeLLY service is implemented after 32 months. Receives: Device: NeLLY service |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incremental cost-effectiveness ratio
The primary endpoint of the study is incremental cost-effectiveness ratio comparing 2 strategies : usual patients follow-up and NeLLY service
Measured: Data collection all along the study: 3 years
Secondary outcomes (6)
Evaluation of costs related to each strategy
All medical expenses will be collected in the case report form
Measured: Data collection every 4 months at least, all along the study: 3 years
Evaluation of quality of life related to each strategy
Specific questionnaire analysing patient's mobility, autonomy, pain and discomfort, anxiety and depression (patient's answer can be yes or no)
Measured: every 4 months, all along the study: 3 years
Evaluation of the financial impact of NeLLY service implementation in France
All medical expenses will be collected in the case report form
Measured: Data collection every 4 months at least, all along the study: 3 years
Evaluation of clinical impact of NeLLY service
The question is: does NeLLY reduce hospitalisation, slow chronic kidney disease evolution, increase blood pressure control. Data will be collected during usual nephrology consultations.
Measured: Data collection all along the study: 3 years
Evaluation of NeLLY service impacts on dialysis and transplant
The question is: does NeLLY delay resorting to dialysis, avoid emergency dialysis, encourage transplant
Measured: Data collection all along the study: 3 years
Evaluation of NeLLY service impacts on compliance of patients
Specific questionnaire:
Did the patient forget this morning to take medication? Since his last consultation, did the patient already miss any medication at home? Is the patient sometimes late to take medication? Did the patient already forget medication because of a lapse of memory? Did the patient already miss to take a medication because the patient think it can do more harm than good? Do the patient believe having too many medication to take? Patient's answer can be yes or no.
Measured: 4 times during the study: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Nov 2017
- Study startMar 2018 (estimated)
- Primary completionJun 2021 (estimated)
- Study completionJun 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Kidney Disease stage4Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- Multicentre study, in randomized mastered clusters, in stepped wedge
- Masking
- None (open label)
- Enrolment
- 600 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Calydial
- Sponsor type
- University, hospital or other
- Collaborators
- Hospices Civils de Lyon
- Responsible party
- Sponsor
- Investigators
- CAILLETTE BEAUDOIN Agnès, Principal investigator, Calydial
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03348839
- Sponsor's protocol ID
- PRME-16-0418
- Status last verified
- Nov 2017
- First submitted
- 14 Nov 2017
- Last updated
- 18 Jan 2018
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicentre Trial, With Stepped Wedge Randomized Controled Clusters, on Medico-economic Impacts of NeLLY Service for Not on Dialysis Severe Chronic Kidney Disease
- ClinicalTrials.gov ID
- NCT03348839
- Acronym / sponsor ID
- PRME-16-0418
- Conditions
- Chronic Kidney Disease stage4, Kidney Diseases
- Keywords
- telemedicine, telemonitoring, educational therapy
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 600 participants (estimated)
- Lead sponsor
- CalydialUniversity, hospital or other
- Collaborators
- Hospices Civils de Lyon
- Study start
- Mar 2018 (estimated)
- Primary completion
- Jun 2021 (estimated)
- Study completion
- Jun 2021 (estimated)
- First posted
- 21 Nov 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This medico-economic research project (PRME) aim to analyse NeLLY service efficiency for not on dialysis severe chronic kidney disease (DFG < 30ml/mn) patients care. NeLLY is a service that includes telemonitoring, educational therapy and support for patients with severe chronic kidney disease.
Detailed description
NeLLY study is a multicentre trial, with stepped wedge randomized controled clusters. 2 strategies will be compared: usual patients follow-up and NeLLY service. The primary endpoint of the study is incremental cost-effectiveness ratio. This 3 years study will include 600 French patients.
NeLLY service, offering telemonitoring, educational therapy and support to patients with severe chronic kidney disease, is based on an app, both for patients and health professionals, named Ap'Telecare (@TMM).
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 7
- Model description
- Multicentre study, in randomized mastered clusters, in stepped wedge
| Arm | Type | Receives |
|---|---|---|
| Cluster 1 | Experimental | Device: NeLLY serviceNeLLY service is implemented after 8 months. |
| Cluster 2 | Experimental | Device: NeLLY serviceNeLLY service is implemented after 12 months. |
| Cluster 3 | Experimental | Device: NeLLY serviceNeLLY service is implemented after 16 months. |
| Cluster 4 | Experimental | Device: NeLLY serviceNeLLY service is implemented after 20 months. |
| Cluster 5 | Experimental | Device: NeLLY serviceNeLLY service is implemented after 24 months. |
| Cluster 6 | Experimental | Device: NeLLY serviceNeLLY service is implemented after 28 months. |
| Cluster 7 | Experimental | Device: NeLLY serviceNeLLY service is implemented after 32 months. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- patient with chronic kidney disease stage 4
- patient with at least 1 cardiovascular comorbidity and / or diabetes
- patient with internet connexion from home
- patient having given his express consent
Key exclusion criteria (4 listed)
- dialysed patient
- refusal of patient to take part in the research
- impairment of vital prognosis within a short period
- patient expecting a transplant from a living donor within 6 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NeLLY serviceAlso: Ap'TelecareTelesurveillance and therapeutic support | Device | Cluster 1, Cluster 2, Cluster 3, Cluster 4, Cluster 5, Cluster 6, Cluster 7 |
Primary outcome
Incremental cost-effectiveness ratio
Time frame: Data collection all along the study: 3 years
The primary endpoint of the study is incremental cost-effectiveness ratio comparing 2 strategies : usual patients follow-up and NeLLY service
6 secondary outcomes
Evaluation of costs related to each strategy
Time frame: Data collection every 4 months at least, all along the study: 3 years
Evaluation of quality of life related to each strategy
Time frame: every 4 months, all along the study: 3 years
Evaluation of the financial impact of NeLLY service implementation in France
Time frame: Data collection every 4 months at least, all along the study: 3 years
Evaluation of clinical impact of NeLLY service
Time frame: Data collection all along the study: 3 years
Evaluation of NeLLY service impacts on dialysis and transplant
Time frame: Data collection all along the study: 3 years
Evaluation of NeLLY service impacts on compliance of patients
Time frame: 4 times during the study: 3 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jan 2018.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
CAILLETTE BEAUDOIN Agnès principal investigator
Calydial
10 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing NeLLY service in people with Chronic Kidney Disease stage4 and Kidney Diseases, run by Calydial at 10 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 18 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 10 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact CAILLETTE BEAUDOIN Agnès (428873800 ext. +33, direction@calydial.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incremental cost-effectiveness ratio (time frame: Data collection all along the study: 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jan 2018.