Patient Centered Comprehensive Medication Adherence Management System in Patients With Sickle Cell Disease

NCT ID: NCT02371720

Last Updated: 2021-03-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

164 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-01

Study Completion Date

2018-12-31

Brief Summary

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The purpose of this research study is to learn about ways to help children and adults with sickle cell disease who are taking the medication, hydroxyurea.

Detailed Description

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Sickle cell disease (SCD) is an inherited chronic multi-organ system disorder that affects approximately 100,000 individuals in the United States, mostly belonging to minority, under-served populations. SCD is associated with substantial morbidity, premature mortality, individual suffering, health care costs and loss of productivity. Hydroxyurea (HU) the only disease modifying therapy for SCD is efficacious in reducing complications such as pain crisis and acute chest syndrome and improving survival. It is however, vastly underutilized and poorly adhered to because of barriers at the health care system, provider, treatment, socioeconomic, and patient levels. The investigator's overarching hypothesis is that barriers to acceptance and adherence to HU are multi-factorial and that a structured set of interventions can lead to improved adherence to medication and patient centered outcomes.

Conditions

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Sickle Cell Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Adults - Mobile DOT

Subjects with SCD that are older than 21 years old will receive comprehensive medication adherence management (Mobile DOT) after 1 month assessment period. The subjects will receive the Mobile DOT intervention for 24 months.

Group Type EXPERIMENTAL

Mobile DOT

Intervention Type BEHAVIORAL

Daily reminders via text or email to send a video of themselves taking their Hydroxyurea, positive feedback, and be encouraged to contact the research coordinator with any questions, concerns, etc.

Adults - standard of care then Mobile DOT

Subjects with SCD that are older than 21 years old will receive standard of care for the first 12 months. They will then crossover to the comprehensive medication adherence management plan (Mobile DOT) after 1 month assessment period for the remaining 12 months.

Group Type ACTIVE_COMPARATOR

Mobile DOT

Intervention Type BEHAVIORAL

Daily reminders via text or email to send a video of themselves taking their Hydroxyurea, positive feedback, and be encouraged to contact the research coordinator with any questions, concerns, etc.

Children - Mobile DOT

Subjects with SCD that are younger than 21 years old will receive comprehensive medication adherence management (Mobile DOT) after 1 month assessment period. The subjects will receive the Mobile DOT intervention for 24 months.

Group Type EXPERIMENTAL

Mobile DOT

Intervention Type BEHAVIORAL

Daily reminders via text or email to send a video of themselves taking their Hydroxyurea, positive feedback, and be encouraged to contact the research coordinator with any questions, concerns, etc.

Children - standard of care then Mobile DOT

Subjects with SCD that are younger than 21 years old will receive standard of care for the first 12 months. They will then crossover to the comprehensive medication adherence management plan (Mobile DOT) after 1 month assessment period for the remaining 12 months.

Group Type ACTIVE_COMPARATOR

Mobile DOT

Intervention Type BEHAVIORAL

Daily reminders via text or email to send a video of themselves taking their Hydroxyurea, positive feedback, and be encouraged to contact the research coordinator with any questions, concerns, etc.

Interventions

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Mobile DOT

Daily reminders via text or email to send a video of themselves taking their Hydroxyurea, positive feedback, and be encouraged to contact the research coordinator with any questions, concerns, etc.

Intervention Type BEHAVIORAL

Other Intervention Names

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Comprehensive medication adherence management

Eligibility Criteria

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Inclusion Criteria

* be \>2 years of age up to 65 years of age, inclusive
* have a diagnosis of SCD, with either βS/βS, βS/βC, βS/βD, βS/β0, βS/βO-Arab, or βS/β+ genotype
* prescribed Hydroxyurea for at least the 6 months prior to study entry
* have daily access to a smart phone, tablet, personal computer or other device capable of producing and transmitting videos over the internet
* be willing and able to record and transmit videos

Exclusion Criteria

* patient or caregiver refuses to take Hydroxyurea as treatment for SCD
* diagnosis of significant psychiatric disorder of the subject that could seriously impede the ability to participate in the study
* an assessment by the investigator that the subject will not comply with the study procedures outlined in the study protocol
* patients receiving automatic home delivery of medications since medication possession ratio is reflective of the patient initiation the refill when they have exhausted the home supply of HU
Minimum Eligible Age

2 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Patient-Centered Outcomes Research Institute

OTHER

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role lead

Responsible Party

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Lakshmanan Krishnamurti

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lakshmanan Krishnamurti, MD

Role: STUDY_CHAIR

Emory University/Children's Healthcare of Atlanta

Locations

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Children's National Medical Center

Washington D.C., District of Columbia, United States

Site Status

Children's Healthcare of Atlanta

Atlanta, Georgia, United States

Site Status

University of Illinois at Chicago

Chicago, Illinois, United States

Site Status

Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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IRB00074105

Identifier Type: -

Identifier Source: org_study_id

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