Trial Outcomes & Findings for Dual Antiplatelet Therapy Adherence With Reminder App Usage (NCT NCT05071027)

NCT ID: NCT05071027

Last Updated: 2024-11-15

Results Overview

Change in medication adherence from the day of the procedure to ultimately 6 months post-procedure, as assessed by a medication compliance score generated by the Adherence Barrier Questionnaire. This score ranges from 14 to 52 and a higher score indicates that a patient faces greater barriers to medication adherence.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

9 participants

Primary outcome timeframe

Day of Procedure, 2-4 weeks post-procedure, 6 months post-procedure

Results posted on

2024-11-15

Participant Flow

1 patient died prior to being administered the application. They were randomized into the "App Medication Reminder Group" but never received the application.

Participant milestones

Participant milestones
Measure
App Medication Reminder Group
Patients in this group will receive dual antiplatelet medication reminders. Endovascular Neurosurgery: Custom Dual Antiplatelet Therapy reminders for patients receiving endovascular treatment of cerebral unruptured aneurysms. The app utilized to generate reminders is available on the Apple app store.
Non-app Using Group
Patients in this group receive the same standard of care \[i.e. endovascular stent-based treatment of unruptured aneurysms\] as the other group, but do not receive app dual antiplatelet reminders.
Overall Study
STARTED
3
6
Overall Study
COMPLETED
2
2
Overall Study
NOT COMPLETED
1
4

Reasons for withdrawal

Reasons for withdrawal
Measure
App Medication Reminder Group
Patients in this group will receive dual antiplatelet medication reminders. Endovascular Neurosurgery: Custom Dual Antiplatelet Therapy reminders for patients receiving endovascular treatment of cerebral unruptured aneurysms. The app utilized to generate reminders is available on the Apple app store.
Non-app Using Group
Patients in this group receive the same standard of care \[i.e. endovascular stent-based treatment of unruptured aneurysms\] as the other group, but do not receive app dual antiplatelet reminders.
Overall Study
Lost to Follow-up
1
4

Baseline Characteristics

Dual Antiplatelet Therapy Adherence With Reminder App Usage

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
App Medication Reminder Group
n=3 Participants
Patients in this group will receive dual antiplatelet medication reminders. Endovascular Neurosurgery: Custom Dual Antiplatelet Therapy reminders for patients receiving endovascular treatment of cerebral unruptured aneurysms. The app utilized to generate reminders is available on the Apple app store.
Non-app Using Group
n=6 Participants
Patients in this group receive the same standard of care \[i.e. endovascular stent-based treatment of unruptured aneurysms\] as the other group, but do not receive app dual antiplatelet reminders.
Total
n=9 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=99 Participants
5 Participants
n=107 Participants
7 Participants
n=206 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Sex: Female, Male
Female
3 Participants
n=99 Participants
6 Participants
n=107 Participants
9 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race/Ethnicity, Customized
White, Spanish/Hispanic/Latino
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race/Ethnicity, Customized
Black or African-American
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Race/Ethnicity, Customized
Spanish/Hispanic/Latino
0 Participants
n=99 Participants
4 Participants
n=107 Participants
4 Participants
n=206 Participants
Race/Ethnicity, Customized
Other, Not Spanish/Hispanic/Latino
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Region of Enrollment
United States
3 participants
n=99 Participants
6 participants
n=107 Participants
9 participants
n=206 Participants

PRIMARY outcome

Timeframe: Day of Procedure, 2-4 weeks post-procedure, 6 months post-procedure

Population: Data related to 'Change in Medication Adherence' was unable to be collected in order to obtain an Adherence Barrier Questionnaire Score and, as such, this Outcome was unable to be evaluated.

Change in medication adherence from the day of the procedure to ultimately 6 months post-procedure, as assessed by a medication compliance score generated by the Adherence Barrier Questionnaire. This score ranges from 14 to 52 and a higher score indicates that a patient faces greater barriers to medication adherence.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 6 months post-procedure

Population: Two participants in each arm/group were able to be evaluated for Dual Antiplatelet Therapy Non-adherence associated mortalities. Other participants were lost to follow up.

Mortality data associated with non-adherence to Dual Antiplatelet Therapy is summarized by study arm/group.

Outcome measures

Outcome measures
Measure
App Medication Reminder Group
n=2 Participants
Patients in this group will receive dual antiplatelet medication reminders. Endovascular Neurosurgery: Custom Dual Antiplatelet Therapy reminders for patients receiving endovascular treatment of cerebral unruptured aneurysms. The app utilized to generate reminders is available on the Apple app store.
Non-app Using Group
n=2 Participants
Patients in this group receive the same standard of care \[i.e. endovascular stent-based treatment of unruptured aneurysms\] as the other group, but do not receive app dual antiplatelet reminders.
Dual Antiplatelet Therapy Non-adherence Associated Mortality
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 6 months post-procedure

Population: Two participants in each arm/group were able to be evaluated for Dual Antiplatelet Therapy Non-adherence associated mortalities. Other participants were lost to follow up.

Instances of stroke/thrombotic events, all-cause morbidity, rehospitalization for cerebrovascular events, peri-treatment hospitalization lasting more than 15 days, and delayed discharge from hospital related to non-adherence to Dual Antiplatelet Therapy, were summarized by study arm/group.

Outcome measures

Outcome measures
Measure
App Medication Reminder Group
n=2 Participants
Patients in this group will receive dual antiplatelet medication reminders. Endovascular Neurosurgery: Custom Dual Antiplatelet Therapy reminders for patients receiving endovascular treatment of cerebral unruptured aneurysms. The app utilized to generate reminders is available on the Apple app store.
Non-app Using Group
n=2 Participants
Patients in this group receive the same standard of care \[i.e. endovascular stent-based treatment of unruptured aneurysms\] as the other group, but do not receive app dual antiplatelet reminders.
Dual Antiplatelet Therapy Non-adherence Associated Morbidity and Related Adverse Events
0 Participants
0 Participants

Adverse Events

App Medication Reminder Group

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

Non-app Using Group

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. David Altschul, Department of Neurosurgery

Montefiore Medical Center

Phone: 718-920-7498

Results disclosure agreements

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