Trial Outcomes & Findings for Exploring Novel Interventions to Improve Adherence in Children With Cystic Fibrosis (NCT NCT02301377)

NCT ID: NCT02301377

Last Updated: 2015-07-16

Results Overview

Overall adherence to inhaled hypertonic saline, dornase alfa and CF multivitamins based on prescription refill data. The actual number of prescriptions of each of the three medications filled in the 3-month period was divided by the number that should have been filled based on the prescribed amount of each medication and that value was multiplied by a 100 to generate a percentage.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

5 participants

Primary outcome timeframe

3 months

Results posted on

2015-07-16

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Group
Subjects in this group were asked to use the Spiro PD personal spirometer to check their lung function once a week for 3 months. They were also asked to use the medication reminder feature of their device daily. Participants were trained on the appropriate use of their device at the time of enrollment. They also received weekly telephone calls from a respiratory therapist to review that week's lung function results. They filled out a quality of life questionnaire at enrollment and at 3 months. Information regarding their height, weight, lung function and frequency of hospitalizations over the previous 3 months were obtained at enrollment and 3-months from review of their medical records. Pharmacies were contacted for refill data during the 3-month study duration for inhaled hypertonic saline, dornase alfa and CF multivitamins.
Control
Subjects in this group had their adherence to inhaled hypertonic saline, dornase alfa and CF multivitamins during the 3-month study duration monitored through the use of prescription refill histories. They filled out a quality of life questionnaire at enrollment and 3 months. Their height, weight, lung function and frequency of hospitalizations over the previous 3 months was obtained at enrollment and 3-months from review of their medical records.
Overall Study
STARTED
3
2
Overall Study
COMPLETED
3
2
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Exploring Novel Interventions to Improve Adherence in Children With Cystic Fibrosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Group
n=3 Participants
Subjects in this group were asked to use the Spiro PD personal spirometer to check their lung function once a week for 3 months. They were also asked to use the medication reminder feature of their device daily. Participants were trained on the appropriate use of their device at the time of enrollment. They also received weekly telephone calls from a respiratory therapist to review that week's lung function results. They filled out a quality of life questionnaire at enrollment and at 3 months. Information regarding their height, weight, lung function and frequency of hospitalizations over the previous 3 months were obtained at enrollment and 3-months from review of their medical records. Pharmacies were contacted for refill data during the 3-month study duration for inhaled hypertonic saline, dornase alfa and CF multivitamins.
Control
n=2 Participants
Subjects in this group had their adherence to inhaled hypertonic saline, dornase alfa and CF multivitamins during the 3-month study duration monitored through the use of prescription refill histories. They filled out a quality of life questionnaire at enrollment and 3 months. Their height, weight, lung function and frequency of hospitalizations over the previous 3 months was obtained at enrollment and 3-months from review of their medical records.
Total
n=5 Participants
Total of all reporting groups
Age, Continuous
11.51 years
STANDARD_DEVIATION 0.64 • n=5 Participants
11.93 years
STANDARD_DEVIATION 1.29 • n=7 Participants
11.67 years
STANDARD_DEVIATION 0.82 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Forced expiratory volume in 1 second (FEV1)
74.33 %predicted
STANDARD_DEVIATION 16.65 • n=5 Participants
93 %predicted
STANDARD_DEVIATION 1.41 • n=7 Participants
81.8 %predicted
STANDARD_DEVIATION 15.61 • n=5 Participants
Body Mass Index (BMI) Percentile
64.33 Percentile
STANDARD_DEVIATION 19.14 • n=5 Participants
41.5 Percentile
STANDARD_DEVIATION 16.26 • n=7 Participants
55.2 Percentile
STANDARD_DEVIATION 20.14 • n=5 Participants
Cystic Fibrosis Questionnaire-Revised (CFQ-R) Treatment Burden Domain Score (Child)
74.33 units on a scale
STANDARD_DEVIATION 6.35 • n=5 Participants
78 units on a scale
STANDARD_DEVIATION 31.11 • n=7 Participants
75.8 units on a scale
STANDARD_DEVIATION 16.31 • n=5 Participants
Cystic Fibrosis Questionnaire-Revised (CFQ-R) Treatment Burden Domain (Parent)
59.33 units on a scale
STANDARD_DEVIATION 17.24 • n=5 Participants
61 units on a scale
STANDARD_DEVIATION 24.04 • n=7 Participants
60 units on a scale
STANDARD_DEVIATION 17.14 • n=5 Participants

PRIMARY outcome

Timeframe: 3 months

Overall adherence to inhaled hypertonic saline, dornase alfa and CF multivitamins based on prescription refill data. The actual number of prescriptions of each of the three medications filled in the 3-month period was divided by the number that should have been filled based on the prescribed amount of each medication and that value was multiplied by a 100 to generate a percentage.

Outcome measures

Outcome measures
Measure
Control
n=2 Participants
Subjects in this group had their adherence to inhaled hypertonic saline, dornase alfa and CF multivitamins during the 3-month study duration monitored through the use of prescription refill histories. They filled out a quality of life questionnaire at enrollment and 3 months. Their height, weight, lung function and frequency of hospitalizations over the previous 3 months was obtained at enrollment and 3-months from review of their medical records.
Intervention Group
n=3 Participants
Subjects in this group were asked to use the Spiro PD personal spirometer to check their lung function once a week for 3 months. They were also asked to use the medication reminder feature of their device daily. Participants were trained on the appropriate use of their device at the time of enrollment. They also received weekly telephone calls from a respiratory therapist to review that week's lung function results. They filled out a quality of life questionnaire at enrollment and at 3 months. Information regarding their height, weight, lung function and frequency of hospitalizations over the previous 3 months were obtained at enrollment and 3-months from review of their medical records. Pharmacies were contacted for refill data during the 3-month study duration for inhaled hypertonic saline, dornase alfa and CF multivitamins.
Medication Adherence
100 Percent Adherence
Standard Deviation 0
91.6 Percent Adherence
Standard Deviation 14.43

SECONDARY outcome

Timeframe: 3 months

Response of the participants to the treatment burden domain of the CFQ-R at the end of 3 months

Outcome measures

Outcome measures
Measure
Control
n=2 Participants
Subjects in this group had their adherence to inhaled hypertonic saline, dornase alfa and CF multivitamins during the 3-month study duration monitored through the use of prescription refill histories. They filled out a quality of life questionnaire at enrollment and 3 months. Their height, weight, lung function and frequency of hospitalizations over the previous 3 months was obtained at enrollment and 3-months from review of their medical records.
Intervention Group
n=3 Participants
Subjects in this group were asked to use the Spiro PD personal spirometer to check their lung function once a week for 3 months. They were also asked to use the medication reminder feature of their device daily. Participants were trained on the appropriate use of their device at the time of enrollment. They also received weekly telephone calls from a respiratory therapist to review that week's lung function results. They filled out a quality of life questionnaire at enrollment and at 3 months. Information regarding their height, weight, lung function and frequency of hospitalizations over the previous 3 months were obtained at enrollment and 3-months from review of their medical records. Pharmacies were contacted for refill data during the 3-month study duration for inhaled hypertonic saline, dornase alfa and CF multivitamins.
Cystic Fibrosis Questionnaire-Revised (CFQ-R)Treatment Burden Domain Score (Child)
72.5 units on a scale
Standard Deviation 23.33
81.66 units on a scale
Standard Deviation 16.80

SECONDARY outcome

Timeframe: 3 months

Response of the parents/caregivers to the treatment burden domain of the CFQ-R at the end of 3-months

Outcome measures

Outcome measures
Measure
Control
n=2 Participants
Subjects in this group had their adherence to inhaled hypertonic saline, dornase alfa and CF multivitamins during the 3-month study duration monitored through the use of prescription refill histories. They filled out a quality of life questionnaire at enrollment and 3 months. Their height, weight, lung function and frequency of hospitalizations over the previous 3 months was obtained at enrollment and 3-months from review of their medical records.
Intervention Group
n=3 Participants
Subjects in this group were asked to use the Spiro PD personal spirometer to check their lung function once a week for 3 months. They were also asked to use the medication reminder feature of their device daily. Participants were trained on the appropriate use of their device at the time of enrollment. They also received weekly telephone calls from a respiratory therapist to review that week's lung function results. They filled out a quality of life questionnaire at enrollment and at 3 months. Information regarding their height, weight, lung function and frequency of hospitalizations over the previous 3 months were obtained at enrollment and 3-months from review of their medical records. Pharmacies were contacted for refill data during the 3-month study duration for inhaled hypertonic saline, dornase alfa and CF multivitamins.
Cystic Fibrosis Questionnaire-Revised (CFQ-R) Treatment Burden Domain Score (Parent)
66.5 units on a scale
Standard Deviation 31.82
67 units on a scale
Standard Deviation 19.05

Adverse Events

Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Aarti Shakkottai

University of Michigan

Phone: 734-764-4123

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place