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Adaptive Goal-Directed Adherence Tracking and Enhancement (AGATE)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01349985
First Posted: May 9, 2011
Last Update Posted: May 13, 2014
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by (Responsible Party):
Talaria, Inc
  Purpose
Talaria, Inc., has designed an adherence tracking and enhancement system, called AGATE, which uses the text messaging and internet capabilities of modern cellular phones to address the problem of medication adherence in clinical care and clinical trial contexts. This trial will evaluate whether AGATE improves medication adherence in the context of a pharmacotherapy trial of naltrexone to treat problem drinking. All participants will be treatment-seeking problem drinkers who will receive naltrexone and medication monitoring over 8 weeks.

Condition Intervention Phase
Alcohol Abuse Other: AGATE Other: SASED Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: SBIR-PhaseII, "Adaptive Goal-Directed Adherence Tracking and Enhancement"

Further study details as provided by Talaria, Inc:

Primary Outcome Measures:
  • Medication adherence [ Time Frame: 8 weeks ]
    Adherence will be measured using the medication event monitoring system (MEMS), pill counts, and multiple self-report indices.


Secondary Outcome Measures:
  • Indices of alcohol use, craving, etc. [ Time Frame: 8 weeks ]
    Indicies of alcohol use, cravings etc will be measured using validated patient self report measures.


Enrollment: 136
Study Start Date: July 2011
Study Completion Date: February 2013
Primary Completion Date: February 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: AGATE
To evaluate whether AGATE, a smartphone medication reminder and assessment system, effectively measures and enhances medication adherence in the context of naltrexone treatment for problem drinking.
Other: AGATE
AGATE is a web-based adherence-enhancement intervention accessible via smartphone. All participants will be prescribed naltrexone, 50 mg, once daily for eight weeks.
Active Comparator: SASED
The control condition for the proposed study is a smartphone alcohol and side-effects diary (SASED, a smartphone alcohol and side effects diary).
Other: SASED
Participants will receive SASED, a web-based alcohol and side-effects diary via smartphone. All participants will be prescribed naltrexone, 50 mg, once daily for eight weeks.

Detailed Description:
The purpose of the naltrexone trial is to evaluate whether AGATE effectively measures and enhances medication adherence in the context of naltrexone treatment for problem drinking. Participants will be heavy/problem drinkers, recruited from the greater Albuquerque area, who are interested in either reducing or stopping their drinking and deemed to be candidates for naltrexone pharmacotherapy by the study psychiatrist, Dr. Arenella. All participants will be prescribed naltrexone, 50 mg, once daily, for eight weeks, and receive smartphones. Participants will be randomly assigned to receive either AGATE or SASED, a web-based alcohol and side-effects diary via smartphone. The primary outcome will be percent of scheduled doses that were taken during the eight week trial, as measured by the Medication Event Monitoring System (MEMS, Aardex Group, Union City, CA), pill counts, and using the timeline follow-back (TLFB) method.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   21 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • problem or heavy drinkers
  • age 21-55 years old
  • located in the greater Albuquerque NM area
  • interested in either reducing or stopping their drinking
  • candidates for naltrexone pharmacotherapy

Exclusion Criteria:

  • participation in other naltrexone study
  • unable to operate a smartphone
  • significant psychiatric or physical illness
  • current drug dependence
  • current regular opioid use
  • any recent nonmedical opioid use
  • any lifetime opioid dependence
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01349985


Locations
United States, New Mexico
The Mind Research Network, University of New Mexico
Albuquerque, New Mexico, United States, 87106
Sponsors and Collaborators
Talaria, Inc
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Investigators
Principal Investigator: Susan Stoner, Ph.D. Talaria, Inc
  More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Talaria, Inc
ClinicalTrials.gov Identifier: NCT01349985     History of Changes
Other Study ID Numbers: HHSN275201000011C
HHSN275201000011C ( Other Identifier: NIAAA SBIR Contract )
First Submitted: May 5, 2011
First Posted: May 9, 2011
Last Update Posted: May 13, 2014
Last Verified: May 2014

Keywords provided by Talaria, Inc:
Naltrexone
problem drinking
medication adherence
adherence
smartphone

Additional relevant MeSH terms:
Alcoholism
Alcohol-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Naltrexone
Narcotic Antagonists
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents