Oral Adherence in Hematological Oncology Agents and Impact on Comorbid Therapy Adherence

NCT ID: NCT04663100

Last Updated: 2023-12-04

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

RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-08

Study Completion Date

2023-12-31

Brief Summary

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The objective of this study is to improve medication, symptom, and disease management of patients with hematological malignancies and multiple chronic conditions (2 or more conditions in addition to cancer) through care coordination between pharmacists working in oncology practices and those working in primary care or community practices (Pharmacists Coordinated care Oncology Model \[PCOM\]).

This is a pilot study in which the investigators will examine the association between outcome measures, but the study design and sample size are insufficient to quantify the impact of OAA initiation or OAA adherence on adherence to chronic medications. This pilot study and data analyses are being done in preparation for a larger, controlled study.

Detailed Description

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Conditions

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Chronic Myeloid Leukemia Chronic Lymphocytic Leukemia Multiple Myeloma Multiple Chronic Conditions

Keywords

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adherence leukemia anticancer agents chronic disease management pharmacy practice hematological malignancy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Pharmacist Coordinated care Oncology Model

The Pharmacist Coordinated care Oncology Model includes patient self-reported symptoms and medication adherence, comprehensive medication review(s) and intentional communication between oncology and community pharmacists.

Group Type EXPERIMENTAL

Patient-reported outcome measure

Intervention Type OTHER

Participants will complete a patient-reported outcome measure for their oral anticancer agent at two timepoints over 2 months, to assess patient symptoms and adherence to their oral anticancer agent.

Comprehensive Medication Review

Intervention Type OTHER

Following the first patient-reported outcome measure, participants will be contacted by the community pharmacist for a Comprehensive Medication Review (CMR) for their chronic medications. A follow-up CMR will take place after the second patient-reported outcome measure.

Pharmacist communication

Intervention Type OTHER

Throughout the study, the oncology and community pharmacists will communicate about medications through the electronic medical record.

Interventions

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Patient-reported outcome measure

Participants will complete a patient-reported outcome measure for their oral anticancer agent at two timepoints over 2 months, to assess patient symptoms and adherence to their oral anticancer agent.

Intervention Type OTHER

Comprehensive Medication Review

Following the first patient-reported outcome measure, participants will be contacted by the community pharmacist for a Comprehensive Medication Review (CMR) for their chronic medications. A follow-up CMR will take place after the second patient-reported outcome measure.

Intervention Type OTHER

Pharmacist communication

Throughout the study, the oncology and community pharmacists will communicate about medications through the electronic medical record.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Receiving cancer care at Vanderbilt University Medical Center
* Diagnosis of chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL), chronic myeloid leukemia (CML), or multiple myeloma (MM)
* Initiating an oral anticancer agent, either for the first time or a change from previous oral agent
* Diagnosis of 2 chronic conditions, including at least one of the following: diabetes, hypertension, hyperlipidemia, congestive heart failure, depression/anxiety, gastroesophageal reflux disease, and/or chronic obstructive pulmonary disease
* Patients taking at least two chronic medications, including at least one medication for one of the conditions listed above.
* Willing and able to sign informed consent.

Exclusion Criteria

* Cannot communicate in English
* Concurrent diagnosis of type 1 diabetes or human immunodeficiency virus
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Tennessee

OTHER

Sponsor Role lead

Vanderbilt University Medical Center

OTHER

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role collaborator

Responsible Party

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Responsibility Role SPONSOR

Locations

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Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Justin Gatwood, PhD

Role: CONTACT

Phone: 6155323403

Email: [email protected]

Katie Gatwood, PharmD

Role: CONTACT

Phone: 6153433836

Email: [email protected]

Facility Contacts

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Katie Gatwood, PharmD

Role: primary

Other Identifiers

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20-0839

Identifier Type: -

Identifier Source: org_study_id