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AsthmaAWARENCT06512064

Acoustic Waveform Respiratory Evaluation

A study testing AWARE in people with Asthma and COPD, run by Indiana University at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The study will evaluate the feasibility of using smartphone speakers and microphones to evaluate the caliber of the airways, detect airway obstruction, aid in airway disease diagnosis, and identify disease exacerbations. Read more about this study

Who is it for?
Ages 8 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Asthma, COPD, Cystic Fibrosis
What is being tested?
AWARE
Could I receive a placebo?
No, everyone receives an active treatment
How many people
800 participants
Where
2 sitesUnited States
Study dates
23 Jul 2024to Apr 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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 8 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Age 8-70 years (to ensure ability to perform other PFTs; up to 75 years for COPD subjects in the UPMC adult clinic only).
  • Ability to perform spirometry and oscillometry
  • Signed informed consent (and assent for children as appropriate)
  • No respiratory or other major disease (for healthy controls), or physician-diagnosed asthma, COPD, CF, or other airway diseases

Who cannot join

  • Inability or unwillingness to perform AWARE, spirometry, or oscillometry
  • Acute or chronic illness that, at the judgement of investigators, may affect lung function and alter the results of AWARE or the reference PFTs (spirometry and AOS)

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Elizabeth Rizzi, RN contact

317-626-6937

lizbuell@iu.edu

Lisa Bendy, RRT contact

317-278-7152

lbendy@iu.edu

United States2 sites, 2 recruiting
  • Indiana University

    Indianapolis, Indiana, 46202

    Erick Forno, MD MPH

    Recruiting
  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15224

    Juan C Celedón, MD DrPH

    Recruiting

Other trials in United States

About this study

Official title: Advancing Telemedicine in Pulmonology: Acoustic-waveform Respiratory Evaluation (AWARE) Via Sensing and Machine Learning on Smartphones

The study will evaluate the feasibility of using smartphone speakers and microphones to evaluate the caliber of the airways, detect airway obstruction, aid in airway disease diagnosis, and identify disease exacerbations.

Read the detailed description

Asthma and COPD respectively affect millions of people in the US. Chronic lower respiratory diseases represented the fourth leading cause of death in the country before the pandemic. For these and other pulmonary diseases like cystic fibrosis (CF), monitoring disease remotely but objectively could lead to marked improvements in disease control, quality of life, and overall prognosis. However, current disease monitoring and management often rely on subjective symptom report, and objective pulmonary function tests (PFTs) are often only done a handful of times a year at subspecialty referral centers. The primary hypothesis for this study is that smartphone-based sensing and machine learning (ML) approaches can advance pulmonary telemedicine by enabling comprehensive pulmonary disease evaluation with high accuracy, reliability, and adaptability. The investigators further hypothesize that AWARE can accurately help identify different lung diseases, estimate lung function, and detect changes associated with exacerbations. In Aim 1, investigators will develop and improve a smartphone sensing approach as an accurate and reliable aide in airway disease diagnosis. Investigators will recruit a sample of healthy individuals and individuals with asthma, COPD, CF, and other airway diseases, to assess whether AWARE can accurately classify subjects in their disease groups. In Aim 2, investigators will improve the ML approach to estimate lung function accurately and adaptively, including traditional PFT indices from spirometry and impulse oscillometry. And in Aim 3, investigators will develop deep learning techniques to identify changes in airway conditions associated disease exacerbations, by performing AWARE during stable disease and acute exacerbations. For these aims, investigators will recruit a cohort of pediatric and adult subjects with a wide range of demographic and anthropometric characteristics, to have adequate representation of various airway diseases, a broad range of lung function, and the ability to obtain measurements during acute disease exacerbations. The study protocol will include study questionnaires, anthropometry, body composition, and three sets of PFTs: spirometry, oscillometry, and AWARE. A subgroup of subjects will additionally perform AWARE at home for up to two weeks, allowing investigators to evaluate supervised vs unsupervised and in-clinic vs. at-home measurements. Similarly, a subgroup of subjects will perform AWARE dual testing (i.e., with both study smartphones and their own smartphone) to evaluate repeatability using diverse equipment and software platforms.

Being tested
AWARE
Medical subject headings
Asthma, Pulmonary Disease, Chronic Obstructive, Cystic Fibrosis, Ciliary Motility Disorders, Bronchiectasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AWAREDiagnostic test

    AWARE testing to estimate lung function and aid in disease diagnosis

Study groups in NCT06512064
Study groupRoleWhat they receive
AsthmaExperimentalPhysician diagnosis plus at least one of the following in the past year: asthma symptoms that improve with albuterol; prescribed asthma controller medication(s); an acute asthma exacerbation requiring systemic steroids; or an emergency department visit or hospitalization for asthma. Alternatively, report of current asthma symptoms per US NAEPP or Global Initiative for Asthma (GINA) guidelines, plus documentation of bronchodilator response or airway hyperresponsiveness.
Receives: Diagnostic Test: AWARE
Chronic Obstructive Pulmonary Disease (COPD)ExperimentalPhysician diagnosis, plus symptoms of COPD per GOLD guidelines, plus post-bronchodilator FEV1/FVC <0.70 or below the lower limit of normal (LLN) using GLI reference equations.
Receives: Diagnostic Test: AWARE
Cystic Fibrosis (CF)ExperimentalPhysician diagnosis based on U.S. CF Foundation guidelines, including signs/symptoms of CF and either a positive sweat chloride test (>60 mmol/L), or an indeterminate sweat chloride test (30-59 mmol/L) plus two CF-causing CFTR mutations. The study may include subjects with different CFTR mutation classes as well as both on and off CFTR modulators.
Receives: Diagnostic Test: AWARE
Other Airway DiseasesExperimentalThis group will include subjects with airway ciliary motility disorders, bronchiectasis, and airway malaria. Given variability in the clinical presentation and diagnosis of these conditions, they will be ascertained by physician diagnosis and reviewed by study physician investigators.
Receives: Diagnostic Test: AWARE
Healthy ControlsExperimentalThis will include generally healthy subjects who do not have any of the airway diseases included in the study, nor other chronic cardiorespiratory or other diseases that may alter lung function or the ability to participate in the study.
Receives: Diagnostic Test: AWARE

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Accurate and reliable disease diagnosis

    Ability of AWARE to accurately classify subjects into the study disease categories with high accuracy (>80% sensitivity and >80% overall accuracy)

    Measured: Up to two weeks per subject

  2. Estimation of FEV1

    Ability of AWARE to estimate FEV1 with high accuracy (<5% error compared to spirometry measures). FEV1 (forced expiratory volume in 1 second) is a measurement of how much air a person can exhale in the first second after inhaling.

    Measured: Up to two weeks per subject

  3. Estimation of FVC

    Ability of AWARE to estimate FVC with high accuracy (<5% error compared to spirometry measures). FVC (forced vital capacity) is a measurement of the maximum amount of air a person can exhale after a deep breath in.

    Measured: Up to two weeks per subject

  4. Estimation of FEV1/FVC

    Ability of AWARE to estimate FEV1/FVC with high accuracy (<5% error compared to spirometry measures). FEV1/FVC is the proportion of the forced vital capacity (FVC) that is exhaled in the first second (FEV1).

    Measured: Up to two weeks per subject

  5. Estimation of FEF2575

    Ability of AWARE to estimate FEF2575 with high accuracy (<5% error compared to spirometry measures). FEF25-75% is defined as forced expiratory flow over the middle one-half of the FVC (the average flow from the point at which 25% of the FVC has been exhaled to the point at which 75% of the FVC has been exhaled).

    Measured: Up to two weeks per subject

  6. Estimation of R5

    Ability of AWARE to estimate R5 with high accuracy (<10% error compared to oscillometry measures). R5 (also known as Rrs5), assessed by oscillometry, is the airway resistance to sound waves at a frequency of 5 Hz.

    Measured: Up to two weeks per subject

  7. Estimation of R20

    Ability of AWARE to estimate R20 with high accuracy (<10% error compared to oscillometry measures). R20 (also known as Rrs20), assessed by oscillometry, is the airway resistance to sound waves at a frequency of 20 Hz.

    Measured: Up to two weeks per subject

  8. Estimation of R5-R20

    Ability of AWARE to estimate R5-R20 with high accuracy (<10% error compared to oscillometry measures). R5-R20 (also known as Rrs5-Rrs20) is a measurement of small airway dysfunction typically assessed via oscillometry in which the difference in airway resistance to sound waves of 5 Hz and 20 Hz is calculated.

    Measured: Up to two weeks per subject

  9. Estimation of X5

    Ability of AWARE to estimate X5 with high accuracy (<10% error compared to oscillometry measures). X5 (also known as Xrs5), assessed by oscillometry, is the airway reactance to sound waves at a frequency of 5 Hz.

    Measured: Up to two weeks per subject

  10. Estimation of AX

    Ability of AWARE to estimate AX with high accuracy (<10% error compared to oscillometry measures). AX (area of reactance) is a lung function measurement of the lung's ability to store energy for passive expiration obtained via oscillometry. AX is measured by the area under the reactance curve from lowest frequency to the resonant frequency.

    Measured: Up to two weeks per subject

  11. Identification of airway changes associated disease exacerbations

    Ability of AWARE to identify disease exacerbations (>80% sensitivity and >80% overall accuracy).

    Measured: Up to two weeks per subject

Secondary outcomes (11)
  1. Reliable screening for disease diagnosis

    Ability of AWARE to classify subjects into the study disease categories with adequate sensitivity (>70%) and accuracy (>50%) for use as a screening test

    Measured: Up to two weeks per subject

  2. Screening of FEV1

    Ability of AWARE to estimate FEV1 with acceptable accuracy (<10% error) for use as a screening test.

    Measured: Up to two weeks per subject

  3. Screening of FVC

    Ability of AWARE to estimate FVC with acceptable accuracy (<10% error) for use as a screening test

    Measured: Up to two weeks per subject

  4. Screening of FEV1/FVC

    Ability of AWARE to estimate FEV1/FVC with acceptable accuracy (<10% error) for use as a screening test

    Measured: Up to two weeks per subject

  5. Screening of FEF2575

    Ability of AWARE to estimate FEF2575 with acceptable accuracy (<10% error) for use as a screening test

    Measured: Up to two weeks per subject

  6. Screening of R5

    Ability of AWARE to estimate R5 with acceptable accuracy (<20% error) for use as a screening test

    Measured: Up to two weeks per subject

  7. Screening of R20

    Ability of AWARE to estimate R20 with acceptable accuracy (<20% error) for use as a screening test

    Measured: Up to two weeks per subject

  8. Screening of R5-R20

    Ability of AWARE to estimate R5-R20 with acceptable accuracy (<20% error) for use as a screening test

    Measured: Up to two weeks per subject

  9. Screening of X5

    Ability of AWARE to estimate X5 with acceptable accuracy (<20% error) for use as a screening test

    Measured: Up to two weeks per subject

  10. Screening of AX

    Ability of AWARE to estimate AX with acceptable accuracy (<20% error) for use as a screening test

    Measured: Up to two weeks per subject

  11. Screening of airway changes associated disease exacerbations

    Ability of AWARE to identify disease exacerbations with adequate accuracy for use as a screening test (>70% sensitivity and >50% overall accuracy)

    Measured: Up to two weeks per subject

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jul 2024
  2. Study start23 Jul 2024
  3. Primary completionApr 2029 (estimated)
  4. Study completionApr 2029 (estimated)

Resources

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
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
800 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06512064
Sponsor's protocol ID
20030
Other IDs
R01HL170368
Acronym
AWARE
Status last verified
Sep 2026
First submitted
26 Jun 2024
Last updated
5 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing AWARE in people with Asthma and COPD, run by Indiana University at 2 sites in United States.

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 2 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: looking for participants now, as of the sponsor's last update on 5 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Elizabeth Rizzi, RN (317-626-6937, lizbuell@iu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Accurate and reliable disease diagnosis (time frame: Up to two weeks per subject). The study lists 11 primary outcomes in all. 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 5 Oct 2026.

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