NCT01874262

Brief Summary

The purpose of this study is to evaluate whether the mobile-phone based patient support has an impact on the adherence and persistence of ticagrelor treatment or on lifestyle changes that will have a positive impact on the cardiovascular risk factors.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
174

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2013

Geographic Reach
1 country

13 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

First Submitted

Initial submission to the registry

May 29, 2013

Completed
3 days until next milestone

Study Start

First participant enrolled

June 1, 2013

Completed
10 days until next milestone

First Posted

Study publicly available on registry

June 11, 2013

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2014

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

February 22, 2016

Completed
Last Updated

February 22, 2016

Status Verified

January 1, 2016

Enrollment Period

1.5 years

First QC Date

May 29, 2013

Results QC Date

November 17, 2015

Last Update Submit

January 25, 2016

Conditions

Outcome Measures

Primary Outcomes (1)

  • Non-adherence Score

    The primary composite endpoint was defined as a non-adherence score based on the combination of adherence failure events and treatment gaps. Adherence failure events were defined as 2 missed doses during an observation cycle of up to 7 days. The first registered missed dose of ticagrelor in the e-diary initiated an observation cycle of 1 week. If a second missed dose was registered during the week, this was considered an adherence failure event. The third missed dose initiated a new observation cycle, and the process restarted. If the second missed dose was registered after more than 1 week, this was not defined as an adherence failure event, but initiated a new observation cycle. Treatment gaps were defined as patient reported gaps of 4 consecutive doses.

    6 months

Study Arms (2)

Active group

EXPERIMENTAL

The software application used on the patients' smart phones in the active group, will contain both the e-diary and the mobile-phone based patient support. Patients will receive feedback by the mobile-phone based support not only on the data they enter into the mobile-phone based patient support but also on their reported daily ticagrelor use.

Device: Mobile-phone based patient supportDevice: e-diary

The control group

PLACEBO COMPARATOR

In this group the patients will have access to the e-diary only, in which they will report their daily use of ticagrelor. The patients in the control group will not receive any feed-back.

Device: e-diary

Interventions

The mobile-phone based patient support (investigational medical device) is a stand-alone software product used on the patients' own smart phone and used in addition to medical treatment.

Active group
e-diaryDEVICE

All patients (active and control group) participating in the study will report their daily use of ticagrelor in an e-diary which will be initiated on all study patients' smart phones.

Active groupThe control group

Eligibility Criteria

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

You may qualify if:

  • Provision of written patient informed consent.
  • Patients must have a smart phone at their disposal and use it on a daily basis.
  • Ability to read, understand and write Swedish.

You may not qualify if:

  • Participation in any clinical trial or device study in the last 30 days excluding prospective/retrospective register based studies that do not require any extra visits in addition to ordinary health care.
  • Patients not suitable for participation based on the investigators judgment for example:
  • Patients on treatment with triple antithrombotic treatment.
  • Patients on treatment with anticoagulantia.
  • Patients accepted/with a plan for thoracic surgery (CABG) or any other elective surgery that cannot be postponed until after study participation.
  • Patients with a life expectancy of less than 12 months.
  • Patients judged to be unable to follow a structured physical activity program.
  • Patients those are pregnant or lactating.
  • Patients involved in the planning and/or conduct of the study (applies to AstraZeneca staff and/or staff at the study site and application developer).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

Research Site

Gothenburg, Sweden

Location

Research Site

Jönköping, Sweden

Location

Research Site

Köping, Sweden

Location

Research Site

Linköping, Sweden

Location

Research Site

Nyköping, Sweden

Location

Research Site

Örebro, Sweden

Location

Research Site

Stockholm, Sweden

Location

Research Site

Sundsvall, Sweden

Location

Research Site

Umeå, Sweden

Location

Research Site

Uppsala, Sweden

Location

Research Site

Varberg, Sweden

Location

Research Site

Vaxjo, Sweden

Location

Research Site

Västerås, Sweden

Location

MeSH Terms

Conditions

Myocardial Infarction

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Results Point of Contact

Title
Susanna Jerström
Organization
AstraZeneca

Study Officials

  • Christoph Varenhorst, MD, PhD

    Kardiologkliniken, Akademiska Sjukhuset Uppsala

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 29, 2013

First Posted

June 11, 2013

Study Start

June 1, 2013

Primary Completion

December 1, 2014

Study Completion

December 1, 2014

Last Updated

February 22, 2016

Results First Posted

February 22, 2016

Record last verified: 2016-01

Locations