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NCT Number: NCT05938738

PEP-buddy in COPD: Effect on Dyspnea Severity and Mechanism of Action

Chronic dyspnea is the most characteristic symptom of patients with Chronic Obstructive Pulmonary Disease (COPD), with intermittent increases during exercise and other events.Despite optimal standard therapy, episodic dyspnea is a common occurrence in COPD. Recently, the PEP buddy was developed which is an easy-to use, hands-free device that generates positive expiratory pressure (PEP). Although currently the available evidence is limited, it indicates that utilizing the PEP-buddy can result in enhancements in dyspnea during exertion, exertional desaturation and overall quality of life. More research is needed to evaluate the effectiveness of this device and the long term usability, as well as getting more insight in the mechanism of action. Therefore, the aim of our study is to explore the potential of this device for patients with COPD and episodic breathlessness.

Recruiting

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Key information

Age range

40 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

UMCG

Groningen, Provincie Groningen, 9700 RB, Netherlands

Location status: Recruiting

Location contact

Else ter Haar, MD

CONTACT

[email protected]

Jorine Hartman, PhD

CONTACT

[email protected]

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥40 years
  • Read, understood and signed Informed Consent
  • COPD Gold class II-IV/ B or E (FEV1<60% of predicted, CAT ≥10 points)
  • Optimized standard therapy according to the study physician 6. Episodic breathlessness requiring intervention (i.e. taking rest during physical activities, as needed inhalation medication, breathing techniques, as needed opioids) at least three days per week

Exclusion criteria

  • Other severe disease causing episodic breathlessness
  • Life expectancy ≤ 3 months
  • Exacerbation of COPD 4 weeks prior to inclusion
  • Change in COPD management targeted at breathlessness 8 weeks prior to inclusion
  • Inability to use the PEP buddy device
  • Currently participating in another interventional clinical study
  • Any other conditions, which, in the opinion of the investigator would make the patient unsuitable for inclusion, or could interfere with the patient participating in or completing the study.

Treatment and study plan

PEP-buddy

Device

PEP-buddy

Primary outcomes

  1. Dyspnea severity

    Time frame: 4 weeks

    To investigate the effect of the portable dyspnea relief device on dyspnea severity after 4 weeks. Dyspnea severity is measured by the dyspnea domain of the chronic respiratory questionnaire (CRQ), this score of this scale ranges from 5-35, with a higher score indicating more severe dyspnea.

Study contacts

Contact information is provided by the study sponsor or research team.

Jorine Hartman, PhD

CONTACT

[email protected]

+31503616161

Marlies van Dijk, MD PhD

CONTACT

[email protected]

+31503616161

Sponsors and collaborators

Lead sponsor

University Medical Center Groningen

Other

Registry information

Official study title

A Portable Dyspnea Relief Device for Episodic Breathlessness in COPD (PEP-buddy): Effect on Dyspnea Severity and Mechanism of Action

Acronym: RELIEF

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jul 10, 2023
Registry last updated
Apr 24, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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