Diabetic Treatment Adherence
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| ClinicalTrials.gov Identifier: NCT01318564 |
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Recruitment Status :
Completed
First Posted : March 18, 2011
Last Update Posted : September 12, 2016
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| Condition or disease | Intervention/treatment |
|---|---|
| Endocrine System Diseases | Drug: Metformin Behavioral: Questionnaires |
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Study Background:
Some people find it difficult to take drugs on the proper schedule. For this reason, researchers want to learn if a different kind of drug packaging can help patients take their drugs more easily.
In unit-dose packaging, each pill is packaged in its own plastic bubble (called a "blister") on a package that has a calendar on it. This is designed to make it easier to keep track of when the pills should be taken.
Study Drug Administration:
If you are found to be eligible to take part in this study, you will keep taking the same drugs that you are taking now. You will also keep taking those drugs on the same schedule that your doctor prescribed. The specific "study drugs" you may be taking are metformin, lisinopril, enalapril, atorvastatin, simvastatin, and aspirin.
You will be randomly assigned (as in the flip of a coin) to 1 of 2 groups. You have an equal chance of being assigned to either group.
Group 1 will receive their study drugs in unit-dose packages (also called "reminder blister packages") from Visit 1 to Visit 2.
Group 2 will receive their study drugs in pill bottles from Visit 1 to Visit 2.
Data Collection on Pill Usage:
There are electronic sensors on each blister package and pill bottle. If you are using blister packages (Group 1), the sensors will record the dates and times that you remove pills from the blisters. If you are using pill bottles (Group 2), the sensors will record the dates and times that you open the bottles.
It is important that you do not remove the pills too early before your dose (for example, the night before), so that the proper time is recorded.
You should return the empty blister packages or bottles to the clinic at each study visit. When you return the empty packaging, researchers will be able to collect the data that the sensors recorded (times and dates).
Study Visits:
On Day 1 and after Month 3, you will complete a questionnaire. It includes questions about your overall health, daily activities, and moods. There are also questions about how you take your drugs and how you feel about your diabetes drugs such as metformin. This questionnaire should take about 30-45 minutes to complete.
Researchers will record the results of your routine blood sugar level tests performed on Day 1 and after Month 3. Researchers will also record the results of your routine cholesterol level blood tests on Day 1 and after Month 3. The purpose is to learn how the drugs may impact your health status.
At each visit your blood pressure will be measured 3 times. This will take about 15 min. If your questionnaire responses show that you may be having emotional difficulties or depression, you will receive contact information for the counseling staff in case you would like to speak with a counselor.
Study Databases:
Your questionnaire and blood test data will be kept confidential and will only be used for this study. The same is true for the pill/package usage data recorded by the electronic sensors.
The study data will be entered into password-protected databases. In the databases, your name and other identifying information will not be used. Instead, your study identification (ID) number will be used.
Length of Study Participation:
Your study participation will be over after you complete the questionnaire after Month 3.
This is an investigational study. Unit-dose packaging is an FDA-approved type of packing for certain other drugs. At this time and for these particular drugs, unit-dose packaging is only being used in research.
Up to 120 patients will take part in this study.
| Study Type : | Observational |
| Actual Enrollment : | 28 participants |
| Observational Model: | Cohort |
| Time Perspective: | Prospective |
| Official Title: | Treatment Adherence With Compliance Prompting Packaging |
| Study Start Date : | March 2011 |
| Actual Primary Completion Date : | August 2016 |
| Actual Study Completion Date : | August 2016 |
| Group/Cohort | Intervention/treatment |
|---|---|
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Group 1: Unit-dose - Pill Bottle
Unit-dose (blister) packages used first week, followed second week by pill bottles usage.
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Drug: Metformin
500 - 1000 mg by mouth twice a day with either via a MEMS device pill bottle (medication event monitoring system) or by unit-dosing (blister packaging) with attached Med-ic device (electronic compliance monitoring for blistered medication). Behavioral: Questionnaires Completion on Day 1 and after Month 3. Each questionnaire to take about 30 minutes to complete.
Other Name: Surveys |
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Group 2: Pill Bottle - Unit Dose
Pill bottle usage the first week followed second week by Unit-dose (blister) packages.
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Drug: Metformin
500 - 1000 mg by mouth twice a day with either via a MEMS device pill bottle (medication event monitoring system) or by unit-dosing (blister packaging) with attached Med-ic device (electronic compliance monitoring for blistered medication). Behavioral: Questionnaires Completion on Day 1 and after Month 3. Each questionnaire to take about 30 minutes to complete.
Other Name: Surveys |
- Patients' Adherence to Unit Dose Packaging Devices [ Time Frame: 12 weeks ]Taking information from the electronic monitor device packages, adherence considered as a ratio of prescribed doses to doses taken.
Biospecimen Retention: Samples With DNA
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
| Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Inclusion Criteria:
- Adults of 18 years or older.
- Patients with type II Diabetes taking or eligible to start metformin with at least another medication for hypertension (Lisinopril or Enalapril), hyperlipidemia (atorvastatin or simvastatin) and/or aspirin.
Exclusion Criteria:
- Dementia
- Patients receiving current intravenous chemotherapy
- Pregnancy
- Patients residing in a nursing home
- Treatment with any type of Insulin
- Patients wanting to continue to use pill organizers for monitored medications
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): NCT01318564
| United States, Texas | |
| Kelsey Seybold Clinics | |
| Houston, Texas, United States, 77025 | |
| University of Texas MD Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Maria Suarez-Almazor, MD,PHD | M.D. Anderson Cancer Center |
Additional Information:
| Responsible Party: | M.D. Anderson Cancer Center |
| ClinicalTrials.gov Identifier: | NCT01318564 History of Changes |
| Other Study ID Numbers: |
2008-0242 U18HS016093 ( U.S. AHRQ Grant/Contract ) |
| First Posted: | March 18, 2011 Key Record Dates |
| Last Update Posted: | September 12, 2016 |
| Last Verified: | September 2016 |
Keywords provided by M.D. Anderson Cancer Center:
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Type II Diabetes Unit dose packaging devices Metformin Lisinopril Enalapril |
Atorvastatin Lipitor Simvastatin Aspirin Questionnaires |
Additional relevant MeSH terms:
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Endocrine System Diseases Metformin Hypoglycemic Agents Physiological Effects of Drugs |