UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056331
Receipt number R000064360
Scientific Title Development of a collaborative monitoring system between a hospital and community pharmacy using a cancer patient support app for breast cancer outpatients treated with abemaciclib
Date of disclosure of the study information 2024/12/02
Last modified on 2024/12/02 14:58:30

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Basic information

Public title

Development of a collaborative monitoring system between a hospital and community pharmacy using an app for breast cancer outpatients treated with abemaciclib

Acronym

Development of a monitoring system using an app

Scientific Title

Development of a collaborative monitoring system between a hospital and community pharmacy using a cancer patient support app for breast cancer outpatients treated with abemaciclib

Scientific Title:Acronym

Development of a collaborative monitoring system between a hospital and community pharmacy using an app

Region

Japan


Condition

Condition

breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluate the effectiveness among patients, pharmacists, and physicians after establishing a collaborative hospital-pharmacy monitoring system using an app in abemaciclib treatment of breast cancer in outpatient setting

Basic objectives2

Others

Basic objectives -Others

burden, anxiety, and satisfaction of patients, physicians, and community pharmacy pharmacists

Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

burden, satisfaction, and anxiety associated with app use by patients, pharmacy pharmacists, and physicians(The survey was conducted at two time points: before implementation and in the 6th month after implementation.)

Key secondary outcomes

adverse events, adherence, relative dose intensity (RDI),app input implementation rate, duration of treatment (days) and time to treatment failure (TTF), number of emergency consultations/admissions (times) associated with AEs, interview times at the outpatient pharmacist office (time to check the medication status and symptoms), number of times the pharmacist confirmed the patient's input (the number of times an alert message was confirmed), number of times free messages were added to the diary in the app (from patients to pharmacists and from pharmacists to patients), number of direct calls to the outpatient pharmacist office and the time (minutes) spent on that call.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The patient is 20 years of age or older at the time consent is obtained
Patients with access to a smartphone
Patients who have given written consent to the study

Key exclusion criteria

Patients who are unable to use smartphones
Patients with brain metastases and associated cognitive dysfunction
Patients participating in another clinical study within 28 days prior to enrollment
Patients with a performance status of 3 or higher

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Maki
Middle name
Last name Todo

Organization

Saitama Medical University Saitama International Medical Center

Division name

pharmacy

Zip code

3501298

Address

1397-1 Yamane, Hidaka, Saitama, Japan

TEL

0429844111

Email

maki.todo0628@gmail.com


Public contact

Name of contact person

1st name Maki
Middle name
Last name Todo

Organization

Saitama Medical University Saitama International Medical Center

Division name

pharmacy

Zip code

3501298

Address

1397-1 Yamane, Hidaka, Saitama, Japan

TEL

0429844646

Homepage URL


Email

m_todo@saitama-med.ac.jp


Sponsor or person

Institute

Saitama Medical University Saitama International Medical Center

Institute

Department

Personal name

Maki Todo


Funding Source

Organization

Japan Society for the Promotion of Science (JSPS)

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saitama Medical University Saitama International Medical Center Clinical Research Appropriateness Promotion Center

Address

1397-1 Yamane, Hidaka, Saitama, Japan

Tel

0429844523

Email

chikens@saitama-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 12 Month 02 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

21

Results

This system reduced the burden and anxiety of both those communicating and those checking symptoms, and increased the satisfaction of patients, physicians, and community pharmacy pharmacists. The median medication adherence rate based on pill counts and the median medication possession ratio were 94.7% and 0.97, respectively.Except for five postoperative patients who discontinued treatment for unavoidable reasons, all patients continued treatment. There was no hospitalization due to adverse events.

Results date posted

2024 Year 12 Month 02 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Gender: 21 female, median age (range): 55.0 (42-76), performance status: 0 in 19 patients, 1 in 2 patients, abemaciclib was administered to 6 patients for progressive recurrence and after surgery in 15 patients.

Participant flow


Adverse events

The all-grade symptoms were diarrhea in 100%, abdominal pain in 85.7%, fatigue in 66.7%, skin rash in 61.9%, and stomatitis in 57.1%. Grade 3 non-hematologic toxicity was diarrhea in only 2 of 21 patients.

Outcome measures

burden, satisfaction, and anxiety associated with app use by patients, pharmacy pharmacists, and physicians
Adverse events, Adherence,Relative dose intensity (RDI),App input implementation rate (%), Duration of treatment (days) and time to treatment failure (TTF), Number of emergency consultations/admissions (times) associated with AEs, Interview times at the outpatient pharmacist office (time to check the medication status and symptoms), Number of times the pharmacist confirmed the patient's input (the number of times an alert message was confirmed), Number of times free messages were added to the diary in the app (from patients to pharmacists and from pharmacists to patients), Number of direct calls to the outpatient pharmacist office and the time (minutes) spent on that call.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 02 Month 15 Day

Date of IRB

2021 Year 02 Month 15 Day

Anticipated trial start date

2022 Year 03 Month 01 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry

2024 Year 03 Month 31 Day

Date trial data considered complete

2024 Year 03 Month 31 Day

Date analysis concluded

2024 Year 03 Month 31 Day


Other

Other related information

A prospective observational study was conducted to evaluate the outcome measures.


Management information

Registered date

2024 Year 12 Month 02 Day

Last modified on

2024 Year 12 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064360