Assay to Measure Beta Blocker Adherence

NCT ID: NCT05251974

Last Updated: 2023-11-22

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

TERMINATED

Total Enrollment

27 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-03-02

Study Completion Date

2023-11-15

Brief Summary

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This study will assess the feasibility and efficacy of using serum assay developed by Quest Diagnostics to detect the presence of beta blockers, specifically carvedilol and metoprolol succinate, in patients with heart failure.

Detailed Description

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Patients admitted to the Summa Akron City campus with a primary diagnosis of heart failure will be invited to participate 1 to 2 days prior to expected discharge. A research nurse with the Summa CRC will enroll patients, obtain informed consent, and perform all study-related blood sample collection. We will collect blood from each enrolled patient up to three times. The first blood sample collection will be obtained just prior to discharge. A second and third blood sample will be collected at the patient's routine 7-day and 30-day post-hospital follow up appointment, respectively. Each blood draw will collect 13mL of blood from each patient, for a total of up to 39mL of blood for the entire study. If the patient is readmitted for heart failure prior to the 7- or 30-day follow up appointment, the subsequent blood draws will be cancelled.

Our enrollment target is 100 patients. Patients admitted to the Summa Akron City campus with a primary diagnosis of heart failure will be invited to participate 1 to 2 days prior to expected discharge. A research nurse with the Summa CRC will enroll patients, obtain informed consent, and perform all study-related blood sample collection. We will collect blood from each enrolled patient up to three times. The first blood sample collection will be obtained just prior to discharge. A second and third blood sample will be collected at the patient's routine 7-day and 30-day post-hospital follow up appointment, respectively. Each blood draw will collect 13mL of blood from each patient, for a total of up to 39mL of blood for the entire study. If the patient is readmitted for heart failure prior to the 7- or 30-day follow up appointment, the subsequent blood draws will be cancelled.

Additionally, study personnel will asses medication adherence at the 7- and 30-day follow up appointments by asking the patient 1) if they took their most recent scheduled dose of their beta blocker, and 2) how often do they miss their scheduled beta blocker dose. Study personnel will also verify medication list and record other cardiology medications used at the 7- and 30-day follow ups. Blood samples will be labeled with the study code and patient DOB, and sent to Quest Diagnostics via courier for analysis. Date/time for each blood sample will be recorded. This information will be recorded on the Quest Visit Worksheet which will be stored in the subjects study binder. For each blood sample, Quest will quantify the amount of beta blocker present, as well as creatinine, and NT-proBNP level present. The patient's providers will be blinded to the assay results until after the 30-day study period has elapsed.

Conditions

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Congestive Heart Failure Medication Adherence

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Compliant with beta blocker therapy

Patients observed to be compliant with beta blocker therapy by blood assay

Quest beta blocker assay

Intervention Type DIAGNOSTIC_TEST

Blood assay to detect presence of beta blocker medications

Non-compliant with beta blocker therapy

Patients observed to be non-compliant with beta blocker therapy by blood assay

Quest beta blocker assay

Intervention Type DIAGNOSTIC_TEST

Blood assay to detect presence of beta blocker medications

Interventions

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Quest beta blocker assay

Blood assay to detect presence of beta blocker medications

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age 18-89
* Admitted for primary diagnosis of heart failure with reduced ejection fraction
* Prescribed carvedilol or metoprolol succinate for beta blocker therapy
* Will be following up at 95 Arch St. Clinic

Exclusion Criteria

* Under age 18/over age 89
* Patients that plan to follow up somewhere other than the 95 Arch St. Clinic
* Patients with prior heart transplant or a left ventricular assist device
* Patient is unable to provide consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Quest Diagnostics-Nichols Insitute

INDUSTRY

Sponsor Role collaborator

Summa Health System

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kenneth Varian, MD

Role: PRINCIPAL_INVESTIGATOR

Summa Health System

Locations

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Summa Health System

Akron, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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21145

Identifier Type: -

Identifier Source: org_study_id