NCT04382248

Brief Summary

The purpose of this study is to examine the feasibility and acceptability of a mobile app to improve self-management skills and medication adherence in kidney transplantation, to assess the clinical benefit of mobile app in combination with tailored coaching using text messaging to enhance patient activation, self-management and medication adherence and to determine whether immunological biomarkers such as cell-free DNA and donor specific antibodies are associated with self-management and medication adherence.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
22

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Oct 2020

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

First Submitted

Initial submission to the registry

May 5, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 11, 2020

Completed
5 months until next milestone

Study Start

First participant enrolled

October 15, 2020

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2021

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2021

Completed
Last Updated

February 17, 2022

Status Verified

February 1, 2022

Enrollment Period

11 months

First QC Date

May 5, 2020

Last Update Submit

February 15, 2022

Conditions

Keywords

kidney transplantteensmobile app

Outcome Measures

Primary Outcomes (2)

  • Change in patient activation scores as measured by Patient Activation Measure

    0-100 scale that segments patients into one of four activation levels

    baseline, 3 months, 6 months

  • Change in self-management as measured by Partners In Health survey

    baseline, 3 months, 6 months

Secondary Outcomes (6)

  • Medication adherence as measured by self-tracking

    up to 6 months

  • Medication adherence as measured by blood levels

    up to 6 months

  • Presence of cell-free DNA

    up to 6 months

  • Presence of donor-specific antibodies

    up to 6 months

  • Allograft function as measured by urine protein/creatinine ratio

    up to 6 months

  • +1 more secondary outcomes

Study Arms (2)

Interventional Group

EXPERIMENTAL

An app for tracking medications, receiving personal coaching and educational material

Other: Smartphone AppBehavioral: Tailored education

Control Group

ACTIVE COMPARATOR

An app for tracking medications

Other: Smartphone App

Interventions

An app for monitoring medications, blood pressure, exercise, healthy eating

Control GroupInterventional Group

in-person coaching

Interventional Group

Eligibility Criteria

Age12 Years - 40 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • \) age 12-40 kidney transplant recipients with stable kidney function at least one month from the time of transplantation
  • \) have and use a smartphone
  • \) patients without pre-formed antibodies

You may not qualify if:

  • \) Patients \<12 or \>40
  • \) patient with pre-existing antibodies
  • \) patients with rejection at the time of enrollment
  • \) patients without a smartphone
  • \) patients with developmental delay or psychological impairment and unable to use an app

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Duke University

Durham, North Carolina, 27710, United States

Location

MeSH Terms

Conditions

Medication Adherence

Condition Hierarchy (Ancestors)

Patient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Eileen Chambers, MD

    Duke University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 5, 2020

First Posted

May 11, 2020

Study Start

October 15, 2020

Primary Completion

August 31, 2021

Study Completion

November 30, 2021

Last Updated

February 17, 2022

Record last verified: 2022-02

Data Sharing

IPD Sharing
Will not share

Locations