Impact of Pharmaceutical Care on Drug-related Problems in Patients With Parkinson's Disease
A Randomized Controlled Trial to Study the Impact of Pharmaceutical Care on Drug-related Problems in Patients With Parkinson's Disease at Parkinson's Disease and Movement Disorders Clinic, Siriraj Hospital, Thailand
1 other identifier
interventional
80
1 country
1
Brief Summary
The aim of this study is to evaluate the impact of pharmaceutical care on the number of drug-related problems, clinical outcomes and quality of life of patients with Parkinson's disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable parkinson-disease
Started Mar 2022
Shorter than P25 for not_applicable parkinson-disease
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 11, 2022
CompletedFirst Submitted
Initial submission to the registry
May 13, 2022
CompletedFirst Posted
Study publicly available on registry
June 8, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 2, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 23, 2023
CompletedOctober 10, 2023
October 1, 2023
9 months
May 13, 2022
October 9, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Change in the total number of drug-related problems related to all drugs
Compare the change of mean number of drug-related problems related to all drugs per person between the pharmaceutical care versus the usual care group.
24 weeks
Secondary Outcomes (6)
Change in the number of drug-related problems related to with Parkinson's disease treatment
24 weeks
Change in clinical outcome
12 and 24 weeks
Clinical status
12 and 24 weeks
Change in Quality of life
24 weeks
The factors affecting the change in the number of drug-related problems
24 weeks
- +1 more secondary outcomes
Study Arms (2)
Pharmaceutical care
EXPERIMENTALThe intervention group will receive the pharmaceutical care from a pharmacist and the existing standard care available in the Parkinson's disease and movement disorders clinic.
Usual care
NO INTERVENTIONThe usual care includes the current existing care provided to patients in the Parkinson's disease and movement disorders clinic except the pharmaceutical care provided by pharmacists.
Interventions
The clinical pharmacists will conduct medication reviews, patient education, and counseling. Moreover, the clinical pharmacists will identify drug-related problems (DRPs) and provide the information through written pharmacist notes to physicians at the clinic.
Eligibility Criteria
You may qualify if:
- Age 18 years or older
- Diagnosed with idiopathic Parkinson's disease according to the UK Parkinson's disease Society Brain Bank Criteria for at least 3 years
- Modified Hoehn and Yahr stage 2-4
- Patient had received at least one of antiparkinsonian drugs the following: levodopa, MAO-B inhibitors, dopamine agonists, COMT inhibitors, amantadine, and trihexyphenidyl
- Patient has given a written informed consent to participate in the study. If the patients are unable to give an informed consent, it must be obtained from the caregiver.
You may not qualify if:
- Patient is unable to communicate via telephone or mobile phone or internet.
- Patient who is terminal illness
- Patient who is bed ridden
- Patient with other movement disorders include corticobasal syndrome, multiple system atrophy, progressive supranuclear palsy and essential tremor
- Moderate to severe dementia as evidenced by Mini Mental State Examination (MMSE) or Thai Mental State Examination (TMSE) less than 20 and without the caregiver
- Patient who is planning to undergo surgery or have a history of surgical treatment for Parkinson's disease such as pallidotomy, thalamotomy, or deep brain stimulation
- Patient with hearing impairments which affects communication via telephone or electronic media
- Unable to communicate Thai language
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Siriraj hospital
Bangkok, 10700, Thailand
Related Publications (1)
Techa-Angkoon P, Pitakpatapee Y, Saengphatrachai W, Srivanitchapoom P, Suansanae T. Impact of pharmacist-physician collaboration on patient outcomes in Parkinson's disease: a randomised controlled trial in tertiary care. Int J Clin Pharm. 2025 Jun;47(3):834-843. doi: 10.1007/s11096-025-01883-6. Epub 2025 Feb 13.
PMID: 39945968DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yuvadee Pitakpatapee
Yuvadee.pit@gmail.com
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- The participants and assessors evaluating MDS-UPDRS were blinded in this study
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 13, 2022
First Posted
June 8, 2022
Study Start
March 11, 2022
Primary Completion
December 2, 2022
Study Completion
January 23, 2023
Last Updated
October 10, 2023
Record last verified: 2023-10