NCT02076347

Brief Summary

The purpose of this project is to compare two pharmacist-led population management strategies designed to increase the rate of appropriate monitoring of vitamin B12 and serum creatinine for patients taking metformin.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
489

participants targeted

Target at P75+ for not_applicable type-2-diabetes

Timeline
Completed

Started Feb 2014

Geographic Reach
1 country

1 active site

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

February 1, 2014

Completed
25 days until next milestone

First Submitted

Initial submission to the registry

February 26, 2014

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 3, 2014

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2014

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2015

Completed
Last Updated

October 19, 2015

Status Verified

October 1, 2015

Enrollment Period

6 months

First QC Date

February 26, 2014

Last Update Submit

October 15, 2015

Conditions

Keywords

MetforminVitamin B12 DeficiencyPopulation ManagementPharmacist

Outcome Measures

Primary Outcomes (1)

  • Percentage of patients in each arm who obtain monitoring of vitamin B12 as recommended

    6 months

Secondary Outcomes (3)

  • Number of patients with newly identified vitamin B12 deficiency

    6 months

  • Percentage of patients with newly identified vitamin B12 deficiency who have prior evidence of anemia upon chart review

    within 6 months

  • Percentage of patients with newly identified vitamin B12 deficiency who have prior evidence of neuropathy upon chart review

    within 6 months

Study Arms (2)

Office visit-based intervention

EXPERIMENTAL
Behavioral: Office visit intervention

Electronic message-based intervention

EXPERIMENTAL
Behavioral: Electronic Message Intervention

Interventions

Pharmacist communicates monitoring recommendations to physician through the electronic medical record prior to a scheduled patient office visit

Office visit-based intervention

Pharmacist communicates need for monitoring directly to patients and instructs them to obtain monitoring on their own time without need for an office visit with physician

Electronic message-based intervention

Eligibility Criteria

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

You may qualify if:

  • On Metformin for at least one year
  • Activated patient portal for electronic messaging
  • Patient of an attending physician at Ohio State General Internal Medicine
  • No serum vitamin B12 and/or no serum creatinine measurement in the past year

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Ohio State University General Internal Medicine

Columbus, Ohio, 43221, United States

Location

Related Publications (1)

  • Matthews DE, Beatty SJ, Grever GM, Lehman A, Barnes KD. Comparison of 2 Population Health Management Approaches to Increase Vitamin B12 Monitoring in Patients Taking Metformin. Ann Pharmacother. 2016 Oct;50(10):840-6. doi: 10.1177/1060028016655180. Epub 2016 Jun 20.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Vitamin B 12 DeficiencyAnemia

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesVitamin B DeficiencyAvitaminosisDeficiency DiseasesMalnutritionNutrition DisordersHematologic DiseasesHemic and Lymphatic Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Clinical Pharmacy

Study Record Dates

First Submitted

February 26, 2014

First Posted

March 3, 2014

Study Start

February 1, 2014

Primary Completion

August 1, 2014

Study Completion

October 1, 2015

Last Updated

October 19, 2015

Record last verified: 2015-10

Locations