NCT00843960

Brief Summary

Medication-related non-adherence increases the risk of rejections and associated graft loss after solid organ transplantation. A randomized controlled intervention will use adherence enhancing strategies out of a larger sample of 300 heart transplant recipients. Non-Adherence will be assessed by patients' self-report and based on immunosuppression level. All non-adherent patients will be randomly designed to either intervention or control group. Multi-module interventions include patient education, electronic medication event monitoring, and a combined behavior and symptom management. Longitudinal follow-up is envisioned after initial intervention.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2009

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2009

Completed
11 days until next milestone

First Submitted

Initial submission to the registry

February 12, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 13, 2009

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2010

Completed
3.9 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2013

Completed
Last Updated

October 7, 2009

Status Verified

October 1, 2009

Enrollment Period

11 months

First QC Date

February 12, 2009

Last Update Submit

October 6, 2009

Conditions

Outcome Measures

Primary Outcomes (1)

  • Occurrence of adverse events (composite endpoint)

    at month 60

Secondary Outcomes (5)

  • Adherence behavior measurement variables from MEMS system

    first 3 month

  • Immunosuppression level

    Month 3, 12 and 60

  • All individual components of the composite endpoint occurence of adverse events

    at month 60

  • Immunosuppression level

    month 12

  • Immunosuppression level

    at month 60

Study Arms (2)

1

ACTIVE COMPARATOR

intervention group

Behavioral: behavioral adaptation and symptom management

2

NO INTERVENTION

control group

Interventions

behavioral adaptation and symptom management

1

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • all eligible patients with follow-up at our outpatient clinic
  • written informed consent
  • sufficient German language skills to read and answer a battery of questionnaires
  • \> 18 years
  • minimum 6 mts post HTX

You may not qualify if:

  • illiteracy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Clinic for Cardiac, Thoracic, Transplantation and Vascular Surgery

Hanover, 30625, Germany

RECRUITING

Related Publications (1)

  • Mellon L, Doyle F, Hickey A, Ward KD, de Freitas DG, McCormick PA, O'Connell O, Conlon P. Interventions for increasing immunosuppressant medication adherence in solid organ transplant recipients. Cochrane Database Syst Rev. 2022 Sep 12;9(9):CD012854. doi: 10.1002/14651858.CD012854.pub2.

MeSH Terms

Conditions

Medication AdherenceRejection, Psychology

Interventions

Palliative Care

Condition Hierarchy (Ancestors)

Patient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehaviorSocial Behavior

Intervention Hierarchy (Ancestors)

Patient CareTherapeuticsHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Christiane Kugler, PhD

    Clinic for Cardiac, Thoracic, Transplantation and Vascular Surgery

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

February 12, 2009

First Posted

February 13, 2009

Study Start

February 1, 2009

Primary Completion

January 1, 2010

Study Completion

December 1, 2013

Last Updated

October 7, 2009

Record last verified: 2009-10

Locations