Trial Outcomes & Findings for Exploratory Trial to Assess the Functionality of an Integrated Call Center for the Digital Medicine System (NCT NCT02722967)

NCT ID: NCT02722967

Last Updated: 2018-05-23

Results Overview

The primary outcome was assessed as the establishment of a functional and operational integrated call center with coordinated feedback to the subject and investigative site to optimize the use of DMS as measured by: 1. Inbound calls (ie, calls from the subject to the integrated call center) by help type; 2. Outbound calls (ie, calls from the integrated call center to the subject) by help type. The number presented in the table is the number of subjects in trial who made (inbound) or received (outbound) calls

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

49 participants

Primary outcome timeframe

From baseline upto week 9

Results posted on

2018-05-23

Participant Flow

This open-label, single-arm trial assessed the functionality of an integrated call center for digital medicine system (DMS) as used by adult subjects (18 to 65 years of age, inclusive, at the time of screening) with Schizophrenia (SCH), Bipolar 1 disorder (BP1), or Major depressive disorder (MDD) being treated with oral aripiprazole.

The trial consisted of a screening period of ≤ 7 days. This period assessed the eligibility criteria at 1 or more visits. An interactive web response system (IWRS) was used to obtain an identification number for each subject with a signed electronic informed consent form (eICF).

Participant milestones

Participant milestones
Measure
Bipolar 1 Disorder (BP1)
This group consisted of the participants with acute treatment of manic and mixed episodes associated with BP1 who were being treated with oral aripiprazole.
Major Depressive Disorder (MDD)
This group consisted of the participants with adjunctive treatment of MDD who were being treated with oral aripiprazole.
Schizophrenia (SCH)
This group consisted of the participants with SCH who were being treated with oral aripiprazole.
Overall Study
STARTED
22
12
15
Overall Study
COMPLETED
17
10
11
Overall Study
NOT COMPLETED
5
2
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Bipolar 1 Disorder (BP1)
This group consisted of the participants with acute treatment of manic and mixed episodes associated with BP1 who were being treated with oral aripiprazole.
Major Depressive Disorder (MDD)
This group consisted of the participants with adjunctive treatment of MDD who were being treated with oral aripiprazole.
Schizophrenia (SCH)
This group consisted of the participants with SCH who were being treated with oral aripiprazole.
Overall Study
Adverse Event
1
0
0
Overall Study
Lost to Follow-up
0
1
0
Overall Study
Non-compliance with patch wearing
2
1
1
Overall Study
Withdrawal by Subject
1
0
1
Overall Study
Physician Decision
1
0
0
Overall Study
Non-adherence of the patch to the skin
0
0
2

Baseline Characteristics

Exploratory Trial to Assess the Functionality of an Integrated Call Center for the Digital Medicine System

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bipolar 1 Disorder (BP1)
n=22 Participants
This group consisted of the participants with acute treatment of manic and mixed episodes associated with bipolar 1 disorder who were treated with oral aripiprazole.
Major Depressive Disorder (MDD)
n=12 Participants
This group consisted of the participants with adjunctive treatment of major depressive disorder who were treated with oral aripiprazole.
Schizophrenia (SCH)
n=15 Participants
This group consisted of the participants with schizophrenia who were treated with oral aripiprazole.
Total
n=49 Participants
Total of all reporting groups
Age, Continuous
45.5 years
STANDARD_DEVIATION 15.2 • n=5 Participants
49.3 years
STANDARD_DEVIATION 11.2 • n=7 Participants
45.5 years
STANDARD_DEVIATION 11.1 • n=5 Participants
46.4 years
STANDARD_DEVIATION 13.0 • n=4 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
31 Participants
n=4 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
18 Participants
n=4 Participants

PRIMARY outcome

Timeframe: From baseline upto week 9

Population: Intent-to-treat (ITT) Sample: All subjects who entered the trial and used Digital Medicine System (DMS).

The primary outcome was assessed as the establishment of a functional and operational integrated call center with coordinated feedback to the subject and investigative site to optimize the use of DMS as measured by: 1. Inbound calls (ie, calls from the subject to the integrated call center) by help type; 2. Outbound calls (ie, calls from the integrated call center to the subject) by help type. The number presented in the table is the number of subjects in trial who made (inbound) or received (outbound) calls

Outcome measures

Outcome measures
Measure
Bipolar 1 Disorder (BP1)
n=22 Participants
This group consisted of the participants with acute treatment of manic and mixed episodes associated with bipolar 1 disorder who were treated with oral aripiprazole
Major Depressive Disorder (MDD)
n=12 Participants
This group consisted of the participants with adjunctive treatment of major depressive disorder who were treated with oral aripiprazole.
Schizophrenia (SCH)
n=15 Participants
This group consisted of the participants with schizophrenia who were treated with oral aripiprazole.
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Baseline
0 participants
0 participants
1 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week 1
8 participants
8 participants
9 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week 2
7 participants
4 participants
6 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week 3
2 participants
1 participants
3 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week 4
4 participants
2 participants
5 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week 5
4 participants
2 participants
4 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week 6
0 participants
3 participants
6 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week 7
1 participants
3 participants
3 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week 8
2 participants
0 participants
4 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Inbound, Week >8
0 participants
0 participants
1 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Baseline
0 participants
0 participants
0 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week 1
22 participants
12 participants
15 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week 2
22 participants
12 participants
15 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week 3
6 participants
4 participants
3 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week 4
6 participants
3 participants
4 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week 5
5 participants
3 participants
2 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week 6
7 participants
2 participants
5 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week 7
9 participants
4 participants
4 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week 8
7 participants
5 participants
5 participants
Assessment of the Functionality of an Integrated Call Center for DMS by Adult Subjects With SCH, MDD, or BP1 Who Were Treated With Oral Aripiprazole.
Outbound, Week >8
4 participants
2 participants
0 participants

Adverse Events

Bipolar 1 Disorder (BP1)

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Major Depressive Disorder (MDD)

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Schizophrenia (SCH)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Bipolar 1 Disorder (BP1)
n=22 participants at risk
This group consisted of the participants with acute treatment of manic and mixed episodes associated with BP1 who were being treated with oral aripiprazole.
Major Depressive Disorder (MDD)
n=12 participants at risk
This group consisted of the participants with adjunctive treatment of MDD who were being treated with oral aripiprazole.
Schizophrenia (SCH)
n=15 participants at risk
This group consisted of the participants with SCH who were being treated with oral aripiprazole.
General disorders
Peripheral Swelling
0.00%
0/22 • 9 Weeks
0.00%
0/12 • 9 Weeks
6.7%
1/15 • Number of events 1 • 9 Weeks
Infections and infestations
Sinusitis
0.00%
0/22 • 9 Weeks
8.3%
1/12 • Number of events 1 • 9 Weeks
0.00%
0/15 • 9 Weeks
Infections and infestations
Upper Respiratory Tract Infection
4.5%
1/22 • Number of events 1 • 9 Weeks
8.3%
1/12 • Number of events 1 • 9 Weeks
0.00%
0/15 • 9 Weeks
Injury, poisoning and procedural complications
Meniscus Injury
0.00%
0/22 • 9 Weeks
8.3%
1/12 • Number of events 1 • 9 Weeks
0.00%
0/15 • 9 Weeks
Injury, poisoning and procedural complications
Sunburn
0.00%
0/22 • 9 Weeks
8.3%
1/12 • Number of events 1 • 9 Weeks
0.00%
0/15 • 9 Weeks
Musculoskeletal and connective tissue disorders
Pain In Extremity
0.00%
0/22 • 9 Weeks
0.00%
0/12 • 9 Weeks
6.7%
1/15 • Number of events 2 • 9 Weeks
Nervous system disorders
Headache
4.5%
1/22 • Number of events 1 • 9 Weeks
8.3%
1/12 • Number of events 1 • 9 Weeks
0.00%
0/15 • 9 Weeks
Nervous system disorders
Syncope
0.00%
0/22 • 9 Weeks
8.3%
1/12 • Number of events 1 • 9 Weeks
0.00%
0/15 • 9 Weeks
Skin and subcutaneous tissue disorders
Erythema
9.1%
2/22 • Number of events 2 • 9 Weeks
0.00%
0/12 • 9 Weeks
0.00%
0/15 • 9 Weeks
Skin and subcutaneous tissue disorders
Pruritis
4.5%
1/22 • Number of events 3 • 9 Weeks
8.3%
1/12 • Number of events 1 • 9 Weeks
0.00%
0/15 • 9 Weeks
Skin and subcutaneous tissue disorders
Rash
22.7%
5/22 • Number of events 5 • 9 Weeks
50.0%
6/12 • Number of events 6 • 9 Weeks
0.00%
0/15 • 9 Weeks
Skin and subcutaneous tissue disorders
Skin Irritation
0.00%
0/22 • 9 Weeks
8.3%
1/12 • Number of events 1 • 9 Weeks
0.00%
0/15 • 9 Weeks

Additional Information

Global Clinical Development

Otsuka Pharmaceutical Development & Commercialization, Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee Until the information herein is released by Otsuka to the public domain, the contents of this document are Otsuka confidential information and should not be duplicated or re-distributed without prior written consent of Otsuka.
  • Publication restrictions are in place

Restriction type: OTHER