NCT03038126

Brief Summary

Home telehealth monitoring of veterans with chronic kidney disease, with a disease management protocol and safety-specific decision support, will increase the detection of adverse safety events, and in turn, reduce the need for urgent health resource utilization and associated poor outcomes.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
137

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2014

Longer than P75 for not_applicable

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

May 1, 2014

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

January 29, 2017

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 31, 2017

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2018

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

March 18, 2020

Completed
Last Updated

March 18, 2020

Status Verified

March 1, 2020

Enrollment Period

4.3 years

First QC Date

January 29, 2017

Results QC Date

October 8, 2019

Last Update Submit

March 4, 2020

Conditions

Keywords

chronic kidney diseasepatient safetyhome telehealth

Outcome Measures

Primary Outcomes (1)

  • Safety Events

    number of safety events discovered in each study arm. In-center safety events include those detected during study visit vital signs and laboratory results (e.g. hypotension, hyperkalemia, etc.) Self-reported safety events include patient-identified incidents reported to staff at study visits (e.g. hypoglycemia, leg/ankle swelling, falls etc.)

    3 months, 6 months

Secondary Outcomes (2)

  • Change in Renal Function

    6 months

  • Hospitalization

    3 months, 6 months

Study Arms (2)

CCHT

ACTIVE COMPARATOR

Veterans Administration (VA) CCHT with an established guideline-based CKD DMP, augmented laboratory monitoring, and decision support from the VA Renal Inter-disciplinary Safety clinic (RISC).

Other: CCHT

Usual care

PLACEBO COMPARATOR
Other: Usual care

Interventions

CCHTOTHER

Veterans Administration (VA) CCHT program available to veterans with difficult to manage chronic conditions and employing an established guideline-based CKD DMP, augmented laboratory monitoring, and decision support from the VA Renal Inter-disciplinary Safety clinic (RISC).

CCHT

Standard clinical care

Usual care

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Veterans with Stage III-V CKD
  • Diabetes

You may not qualify if:

  • Expectation of dialysis or death within 6 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Baltimore VA Medical Center

Baltimore, Maryland, 21201, United States

Location

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Jeffrey C. Fink, MD MS; Principal Investigator
Organization
University of Maryland Baltimore

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

January 29, 2017

First Posted

January 31, 2017

Study Start

May 1, 2014

Primary Completion

August 1, 2018

Study Completion

August 1, 2018

Last Updated

March 18, 2020

Results First Posted

March 18, 2020

Record last verified: 2020-03

Locations