Medication Adherence Clinical Trial
Official title:
A Phase II Randomized Trial to Assess the Effectiveness and Safety of the ID-Cap System for Medication Ingestion Monitoring and Enhancing Adherence
In pharmacotherapy trials involving drug-dependent individuals, medication compliance is a significant issue, as rates tend to be low and adherence to medication may predict improved outcomes (Baros et al, 2007; McRae et al, 2004; O'Brien et al, 1996; Somoza et al., 2010). However, methods commonly used to determine compliance may result in inaccurate measurement of adherence. In this study, we propose to assess the effectiveness and safety of the ID-Cap System, a novel compliance measurement device, in a healthy population.
The primary objective of this clinical trial is to evaluate the acceptability, tolerability,
and efficacy of the ID-Cap system in a healthy population. The ID-Cap is an ingestible
medical device for detecting the presence of an ingested capsule inside the gastrointestinal
(GI) tract.
Participation in the study takes 3 visits over a period of approximately six weeks. The first
visit is a screening visit to determine if participants are eligible to participate. After
the initial assessment visit, participants will be randomized to one of two groups. Group 1
will have adherence measured by self-report, pill count, and urine riboflavin levels. This
group will not receive capsules containing ingestible sensors, but will receive their
medication in a bottle capped with a MEMS Track Cap, which records when the medication bottle
is opened and closed. Group 2 will receive capsules containing an ingestible sensor and will
have adherence measured by self-report, pill count, urine riboflavin levels as needed, and
data collected by an ID-Cap reader. Participants randomized to this group will also receive
reminder calls and/or text messages to ingest the study medication if a signal is not sent
from the ID-Cap reader to the study team within one hour of the scheduled medication
administration time. They will also be using biometric identification technology to confirm
subject identity, specifically electrocardiogram (ECG).
After the initial screening visit, participants will be required to attend two clinic visits
during the six-week study, a randomization visit and a one-week follow-up visit approximately
one week after last medication dose.
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