Trial Outcomes & Findings for Pharmacy-based Interdisciplinary Program for Patients With Chronic Heart Failure (NCT NCT01692119)

NCT ID: NCT01692119

Last Updated: 2021-04-22

Results Overview

Percentage of days covered (PDC) by prescribed medication and according to claims data

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

258 participants

Primary outcome timeframe

12 months

Results posted on

2021-04-22

Participant Flow

Participant milestones

Participant milestones
Measure
Regular, Pharmacy-based Intervention
providing medication in weekly dosing aids and regular contacts with the local pharmacy Regular, pharmacy based intervention: Regular, pharmacy-based intervention conducted in cooperation with the treating physician: * Medication review at baseline: recording of all medicines currently taken (prescribed medication and self-medication), check for drug-related problems, consolidation of a medication plan. * Regularly (weekly): dose-dispensing of the medication (weekly dosing aid), discussion and counseling regarding medication, adherence, potential side effects, and signs and symptoms of cardiac decompensation; blood pressure and pulse measurement. If required: contact with patients' physician.
Usual Care
usual care; no medication review, no dose dispensing; study pharmacists unaware of patients in this group.
Overall Study
STARTED
130
128
Overall Study
COMPLETED
110
127
Overall Study
NOT COMPLETED
20
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Regular, Pharmacy-based Intervention
providing medication in weekly dosing aids and regular contacts with the local pharmacy Regular, pharmacy based intervention: Regular, pharmacy-based intervention conducted in cooperation with the treating physician: * Medication review at baseline: recording of all medicines currently taken (prescribed medication and self-medication), check for drug-related problems, consolidation of a medication plan. * Regularly (weekly): dose-dispensing of the medication (weekly dosing aid), discussion and counseling regarding medication, adherence, potential side effects, and signs and symptoms of cardiac decompensation; blood pressure and pulse measurement. If required: contact with patients' physician.
Usual Care
usual care; no medication review, no dose dispensing; study pharmacists unaware of patients in this group.
Overall Study
Protocol Violation
3
1
Overall Study
Intervention: pts. did not present to participating pharmacy
17
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Regular, Pharmacy-based Intervention
n=110 Participants
providing medication in weekly dosing aids and regular contacts with the local pharmacy Regular, pharmacy based intervention: Regular, pharmacy-based intervention conducted in cooperation with the treating physician: * Medication review at baseline: recording of all medicines currently taken (prescribed medication and self-medication), check for drug-related problems, consolidation of a medication plan. * Regularly (weekly): dose-dispensing of the medication (weekly dosing aid), discussion and counseling regarding medication, adherence, potential side effects, and signs and symptoms of cardiac decompensation; blood pressure and pulse measurement. If required: contact with patients' physician.
Usual Care
n=127 Participants
usual care; no medication review, no dose dispensing; study pharmacists unaware of patients in this group.
Total
n=237 Participants
Total of all reporting groups
Age, Continuous
74.1 years
STANDARD_DEVIATION 6.8 • n=110 Participants
74.1 years
STANDARD_DEVIATION 7.2 • n=127 Participants
74.1 years
STANDARD_DEVIATION 7.0 • n=237 Participants
Sex: Female, Male
Female
42 Participants
n=110 Participants
49 Participants
n=127 Participants
91 Participants
n=237 Participants
Sex: Female, Male
Male
68 Participants
n=110 Participants
78 Participants
n=127 Participants
146 Participants
n=237 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: 12 months

Population: Patients for whom we were able to calculate a PDC.

Percentage of days covered (PDC) by prescribed medication and according to claims data

Outcome measures

Outcome measures
Measure
Regular, Pharmacy-based Intervention
n=90 Participants
providing medication in weekly dosing aids and regular contacts with the local pharmacy Regular, pharmacy based intervention: Regular, pharmacy-based intervention conducted in cooperation with the treating physician: * Medication review at baseline: recording of all medicines currently taken (prescribed medication and self-medication), check for drug-related problems, consolidation of a medication plan. * Regularly (weekly): dose-dispensing of the medication (weekly dosing aid), discussion and counseling regarding medication, adherence, potential side effects, and signs and symptoms of cardiac decompensation; blood pressure and pulse measurement. If required: contact with patients' physician.
Usual Care
n=112 Participants
usual care; no medication review, no dose dispensing; study pharmacists unaware of patients in this group.
Medication Adherence
91.2 percentage of days covered
Standard Deviation 11.9
85.5 percentage of days covered
Standard Deviation 16.6

PRIMARY outcome

Timeframe: 12 months

Days lost due to unplanned cardiovascular hospitalizations or death of any cause

Outcome measures

Outcome measures
Measure
Regular, Pharmacy-based Intervention
n=110 Participants
providing medication in weekly dosing aids and regular contacts with the local pharmacy Regular, pharmacy based intervention: Regular, pharmacy-based intervention conducted in cooperation with the treating physician: * Medication review at baseline: recording of all medicines currently taken (prescribed medication and self-medication), check for drug-related problems, consolidation of a medication plan. * Regularly (weekly): dose-dispensing of the medication (weekly dosing aid), discussion and counseling regarding medication, adherence, potential side effects, and signs and symptoms of cardiac decompensation; blood pressure and pulse measurement. If required: contact with patients' physician.
Usual Care
n=127 Participants
usual care; no medication review, no dose dispensing; study pharmacists unaware of patients in this group.
Days Lost Due to Unplanned Cardiovascular Hospitalizations or Death of Any Cause
24.8 days lost
Interval 10.6 to 38.9
16.5 days lost
Interval 6.1 to 26.8

Adverse Events

Regular, Pharmacy-based Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 8 deaths

Usual Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 8 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Martin Schulz

ABDA, Department of Medicine

Phone: +49 30 40004-514

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place