Improving Transplant Medication Safety Through A Technology and Pharmacist Intervention
NCT03860818 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 2196
Last updated 2024-08-01
Summary
Medication safety issues in Veteran organ transplant recipients, including side effects and errors, are a major issue leading to graft failure and death. The causes of these events are complicated and involve fragmented care, communication breakdowns between the Veterans, providers and the different health care systems. This grant proposal seeks to improve medication safety within these high-risk Veterans, using two innovative components; the application of technology to leverage the massive amount of data contained within the electronic medical record in identifying Veterans with potential medication safety issues, coupled with a pharmacist-led intervention to improve the management and coordination of immunosuppression therapy. The completion of this prospective, multicenter, cluster randomized controlled clinical trial will provide evidence that these interventions can improve medication safety, clinical outcomes and costs and will be used to justify the dissemination of these interventions to all VAs caring for Veteran transplant recipients across the U.S.
Conditions
- Transplant
Interventions
- OTHER
-
Health services delivery
Technology-enabled pharmacist intervention
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
David J. Taber, PharmD · Ralph H. Johnson VA Medical Center, Charleston, SC
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-03-18
- Primary Completion
- 2021-06-14
- Completion
- 2021-06-14
Countries
- United States
Study Locations
More Related Trials
-
Recombinant Human C1 Inhibitor for the Treatment of Early Antibody-Mediated Rejection in Renal Transplantation
NCT01035593 ·Status: WITHDRAWN ·Phase: PHASE2
-
Safety and Efficacy of Treprostinil (Remodulin®) In Reducing Ischemia-Reperfusion Injury During Kidney Transplantation
NCT04005469 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Safety and Efficacy of FTY720 in Adult Patients Who Receive a Kidney Transplant
NCT00099801 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Efficacy of FTY720 in Adult Patients Who Receive a Kidney Transplant
NCT00099749 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Mycophenolate Mofetil for Reducing Cardiovascular Risk in Renal Transplant Recipients
NCT01213394 ·Status: TERMINATED ·Phase: PHASE3
-
Gradual Withdrawal of Immune System Suppressing Drugs in Patients Receiving a Liver Transplant
NCT00135694 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy and Safety of FTY720 Versus Mycophenolate Mofetil (MMF, Roche Brand) in de Novo Adult Renal Transplant Recipients
NCT00239863 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety of Early Versus Delayed Administration of Everolimus in de Novo Renal Transplant Patients
NCT00154297 ·Status: COMPLETED ·Phase: PHASE4
-
To Evaluate the Efficacy and Safety of ADVAGRAF® After Treatment With a Tacrolimus in New Liver Transplant Recipients
NCT04761731 ·Status: COMPLETED ·Phase: PHASE4
-
Pharmaco-economical Study in Kidney Transplantation
NCT01989832 ·Status: COMPLETED
-
Efficacy and Safety of FTY720 in de Novo Adult Renal Transplant Recipients
NCT00239785 ·Status: COMPLETED ·Phase: PHASE3
-
Donor-Alloantigen-Reactive Regulatory T Cell (darTregs) in Liver Transplantation
NCT02188719 ·Status: TERMINATED ·Phase: PHASE1
-
Rituximab Desensitization Therapy for Patients on the Waiting List for Kidney Transplant
NCT00167791 ·Status: WITHDRAWN ·Phase: NA
-
Belatacept and Risk of Post-transplant Lymphoproliferative Disorder in US Renal Transplant Recipients
NCT01656343 ·Status: COMPLETED
-
Attenuating Ischemia Reperfusion Injury After Living Donor Renal Transplantation
NCT01149993 ·Status: WITHDRAWN ·Phase: PHASE4
-
Efficacy and Safety of Human Plasma-derived C1-esterase Inhibitor as add-on to Standard of Care for the Treatment of Refractory Antibody Mediated Rejection (AMR) in Adult Renal Transplant Recipients
NCT03221842 ·Status: TERMINATED ·Phase: PHASE3
-
Validation of Population Pharmacokinetic Model Derived From Healthy Volunteer in Kidney Transplant Recipients
NCT02808065 ·Status: UNKNOWN
-
Novel Desensitization Kidney Transplantation
NCT05345717 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Safety and Efficacy of Alemtuzumab in Pediatric Intestinal Transplantation
NCT01208337 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Assess the Efficacy and Safety of Advagraf® Switching From Cyclosporine Between the Group That Was Treated With a 50% Reduced Corticosteroid and the Group With Maintained Corticosteroid for Stable Kidney Transplant Recipients
NCT02034747 ·Status: COMPLETED ·Phase: PHASE4
-
Use of Belatacept to Delay Tacrolimus Initiation in Kidney Transplant Patients With Delayed Graft Function
NCT06091995 ·Status: COMPLETED
-
Pharmacokinetics of Mmf and Valganciclovir
NCT00189150 ·Status: COMPLETED ·Phase: PHASE4
-
A Pilot Study Comparing the Use of Low-target Versus Conventional Target Advagraf
NCT01265537 ·Status: COMPLETED ·Phase: NA
-
The Effect of Simvastatin on Desensitization of Panel-Positive Kidney Transplant Candidates
NCT00693576 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Study to Evaluate and Compare the Efficacy and Safety of FK506MR vs Prograf® in Stable Liver Transplantation Patients
NCT00619398 ·Status: COMPLETED ·Phase: PHASE3