UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062086
Receipt number R000071036
Scientific Title Establishment of a Novel Secondary Fracture Prevention Framework Using a Medication Adherence Prediction Scoring System
Date of disclosure of the study information 2026/07/01
Last modified on 2026/06/28 17:26:57

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Basic information

Public title

Establishment of a Novel Secondary Fracture Prevention Framework Using a Medication Adherence Prediction Scoring System

Acronym

Establishment of a Novel Secondary Fracture Prevention Framework Using a Medication Adherence Prediction Scoring System

Scientific Title

Establishment of a Novel Secondary Fracture Prevention Framework Using a Medication Adherence Prediction Scoring System

Scientific Title:Acronym

Establishment of a Novel Secondary Fracture Prevention Framework Using a Medication Adherence Prediction Scoring System

Region

Japan


Condition

Condition

Femur Fracture

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to identify the factors influencing medication adherence for each specific drug.
In addition to patient background information, we will also investigate biological and functional factors that determine treatment adherence using saliva-derived biomarkers and body composition assessments (InBody).
Based on the identified factors, we will develop a drug-specific medication adherence prediction scoring system for use in drug selection.

Basic objectives2

Others

Basic objectives -Others

The objectives of this study are; (1) to evaluate treatment adherence rates six months and one year after the initial fracture; (2) to identify factors influencing treatment adherence based on patients' clinical conditions, post-discharge outcomes, and socioeconomic background; and (3) to develop a predictive model for medication adherence using the information obtained in (2).

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Medication adherence rates six months and one year after the initial fracture
Factors affecting medication adherence

Key secondary outcomes

Follow-up rates six months and one year after the initial fracture
Factors affecting follow-up rates
Differences in medication adherence rates with and without pharmacist intervention


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with femoral fractures
Individuals who provided consent to participate in this study by signing a consent form
Aged 18 years or older

Key exclusion criteria

1.Individuals from whom written consent could not be obtained (for retrospective medical record reviews, this includes cases where the subject or their representative refused to allow the use of their information for research purposes)
2.Other patients deemed inappropriate by the attending physician

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Tatsuya
Middle name
Last name Yagi

Organization

Hamamatsu University School of Medicine, University Hospital

Division name

Department of hospital pharmacy

Zip code

431-3192

Address

1-20-1 Handayama, Chuo-Ku, Hamamatsu, 431-3192, Japan.

TEL

0534352767

Email

yagi5922@hama-med.ac.jp


Public contact

Name of contact person

1st name Sumika
Middle name
Last name Osa

Organization

Hamamatsu University School of Medicine, University Hospital

Division name

Department of hospital pharmacy

Zip code

431-3192

Address

1-20-1 Handayama, Chuo-Ku, Hamamatsu, 431-3192, Japan.

TEL

0534352767

Homepage URL


Email

sumika.osa@gmail.com


Sponsor or person

Institute

Hmamatsu University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Hamamatsy University of Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hamamatsu University School of Medicine

Address

1-20-1 Handayama, Chuo-Ku, Hamamatsu, 431-3192, Japan.

Tel

0534352111

Email

rinri@hama-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

2026 Year 07 Month 01 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


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 07 Month 01 Day

Last follow-up date

2031 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Items to Be Collected as Data
Subject Background: Name, age, gender, diagnosis, surgical procedure, medical history, lifestyle history, care level, history of adverse effects, concomitant medications, medication status (information related to adherence, number of remaining pills, etc.), medication management status (administrator, use of unit-dose packaging, etc.), performance status, post-discharge outcomes, number and types of medications taken, etc.
Rehabilitation assessment items: grip strength, FIM (Functional Independence Measure), MOCA-J
Osteoporosis assessment items: bone density, etc.
Physical findings: height, weight, body surface area, BMI, blood pressure, pulse, body temperature
Laboratory tests: Hematological tests (white blood cell count, hemoglobin level, platelet count, neutrophil count, lymphocyte count, etc.), biochemical tests (AST, ALT, ALP, total bilirubin, albumin, CRP, BUN, creatinine, eGFR, cystatin-C, blood glucose, HbA1c, TRACP-5b, P1NP, 25(OH)D, electrolytes, etc.)
Body Composition Analysis (body weight, BMI, skeletal muscle mass, skeletal muscle mass index, body fat mass, phase angle, etc.)
Blood and Saliva Biomarkers (inflammation-related markers, stress-related markers, nutrition- and metabolism-related proteins, bone metabolism-related factors, etc.)
Oral Microbiome


Management information

Registered date

2026 Year 06 Month 28 Day

Last modified on

2026 Year 06 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000071036