NCT01804257

Brief Summary

Feasibility study of using a digital health feedback system (DHFS) to monitor medication-taking and physiologic and behavioral parameters in patients with bipolar disorder or schizophrenia. Hypothesis: Using a digital health feedback system to characterize medication-taking behavior and activities of daily living is safe and tolerable in appropriately selected patients with bipolar disorder and schizophrenia.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
28

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started May 2010

Geographic Reach
1 country

2 active sites

Status
completed

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

May 1, 2010

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2011

Completed
1.8 years until next milestone

First Submitted

Initial submission to the registry

February 27, 2013

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 5, 2013

Completed
4.3 years until next milestone

Results Posted

Study results publicly available

June 16, 2017

Completed
Last Updated

June 16, 2017

Status Verified

March 1, 2013

Enrollment Period

1 year

First QC Date

February 27, 2013

Results QC Date

September 15, 2015

Last Update Submit

April 3, 2017

Conditions

Keywords

AdherenceBipolar disorderCellular phoneCloud computingComputersComputers, handheldDigital healthDigital health feedback systemIngestion SensorMedication adherenceMedication non-adherenceMedication nonadherenceMobile phoneMobile healthPatient adherencePatient non-adherencePatient nonadherenceSchizophreniaTelehealthTelemedicineTelenursingWearable sensor

Outcome Measures

Primary Outcomes (1)

  • Positive Detection Accuracy

    Comparison of the detection rate of sensor-enabled placebo tablet ingestion using wireless observation (wirelessly observed therapy) to directly observed ingestion. Positive detection accuracy (PDA) for wirelessly observed therapy defined as the number of sensor ingestions detected by wireless observation, divided by the number confirmed ingestions using direct observation. PDA summarized as mean and 95% confidence interval.

    4 weeks

Secondary Outcomes (1)

  • System Safety

    8 weeks

Other Outcomes (4)

  • Taking and Scheduling Adherence

    4 weeks

  • Biometrics

    4 weeks

  • Usability

    4 weeks

  • +1 more other outcomes

Study Arms (1)

Digital Health Feedback System (DHFS)

EXPERIMENTAL

Ingestion Sensor, Wearable Sensor

Other: Digital Health Feedback System

Interventions

The digital health offering passively collects and records medication-taking behavior and other habits of daily living

Also known as: Ingestible sensor, Wearable sensor
Digital Health Feedback System (DHFS)

Eligibility Criteria

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

You may qualify if:

  • Male or female ≥ 18 and ≤ 65 years of age
  • Meet Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria, by Structured Clinical Interview using DSM-IV SCID-I/P1, for either:
  • i. Bipolar disorder I, II, or Not Otherwise Specified (NOS), or ii. Schizophrenia or schizoaffective disorder
  • Clinical global impression scale-severity (CGI-S) of 3 or below
  • Currently on a stable regimen of oral antimanic or antipsychotic medication for at least 3 months
  • No anticipation to change or titrate the regimen in the next 28 days
  • Willingness to adhere to study procedures
  • Capacity to provide informed consent

You may not qualify if:

  • Pregnancy, or women of child bearing potential who are not using a medically accepted means of contraception
  • Serious suicide or homicide risk, as assessed by evaluating clinician
  • Unstable medical illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurological, or hematological disease
  • DSM-IV diagnoses or symptoms of substance use disorders, active within the last 60 days
  • A score of 3 or higher on the suspiciousness/paranoia item of the Brief Psychiatric Rating Scale (BPRS)
  • Acute, clinically significant gastrointestinal symptoms, such as nausea, vomiting, abdominal pain, diarrhea, melena, or hematochezia
  • History of significant gastrointestinal disease or major gastrointestinal surgery
  • Clinical instability of any kind that, in the investigator's opinion, could preclude safe participation in the study
  • Known allergies that could preclude safe participation in the study
  • Current presence of an electronically active implanted medical device
  • Participation in another medical device study, or on any investigational drug or device within the last 30 days
  • Inability to obtain consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Massachusetts General Hospital

Boston, Massachusetts, 02116, United States

Location

Zucker Hillside Hospital

Glen Oaks, New York, 11004, United States

Location

Related Publications (1)

  • Kane JM, Perlis RH, DiCarlo LA, Au-Yeung K, Duong J, Petrides G. First experience with a wireless system incorporating physiologic assessments and direct confirmation of digital tablet ingestions in ambulatory patients with schizophrenia or bipolar disorder. J Clin Psychiatry. 2013 Jun;74(6):e533-40. doi: 10.4088/JCP.12m08222.

MeSH Terms

Conditions

Bipolar DisorderSchizophreniaMedication AdherencePatient Compliance

Condition Hierarchy (Ancestors)

Bipolar and Related DisordersMood DisordersMental DisordersSchizophrenia Spectrum and Other Psychotic DisordersPatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Results Point of Contact

Title
John M. Kane MD
Organization
Zucker Hillside Hospital, Glen Oaks, NY

Study Officials

  • John M Kane, MD

    The Zucker Hillside Hospital

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 27, 2013

First Posted

March 5, 2013

Study Start

May 1, 2010

Primary Completion

May 1, 2011

Study Completion

May 1, 2011

Last Updated

June 16, 2017

Results First Posted

June 16, 2017

Record last verified: 2013-03

Locations