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N/A N=258 Randomized Double-blind Supportive Care

Urological and Renal Disease Engaging Adolescents in Adherence Collaborative Trial

Spina Bifida · Kidney Transplant

Enrolled (actual)
258
Serious AEs
25.6%
Results posted
Nov 2023
Primary outcome: Primary: Mean Percentage of Subjects With Adherence Behavior Greater Than or Equal to 85% From Baseline and Intervention Period (6-month) — 30.56; 42.04; 6.39; 12.14 percentage of subjects

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Behavioral Feedback and Economic Incentives: Arm 1 (Behavioral); Behavioral Feedback and Economic Incentives: Arm 2 (Behavioral)
Age
Pediatric, Adult · 12+ yrs
Sex
All
Sponsor
Children's Hospital of Philadelphia
Primary completion
Apr 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Percentage of Subjects With Adherence Behavior Greater Than or Equal to 85% From Baseline and Intervention Period (6-month)
30.56; 42.04; 6.39; 12.14
PRIMARY
Study Efficacy of Use of Way to Health Portal System
SECONDARY
Change in Pressure Per Unit Volume of Bladder of Spina Bifida Subjects
SECONDARY
Change in Coefficient of Variation (CV) of Immunosuppressive Drug Levels (Tacrolimus or Sirolimus) Between the Baseline (run-in) and Intervention Period.
4.69; 0.25

Summary

The purpose of this study is to determine the effectiveness of behavioral feedback plus economic incentives to promote treatment adherence among a large diverse population of adolescents and young adults (AYA) with kidney transplant (KT) or spina bifida (SB).

Eligibility Criteria

Inclusion Criteria

  • Males or females age 12-24 years.
  • Kidney Transplant subjects must be greater than 3 months post-transplant.
  • Spina Bifida subjects must be able to perform Clean Intermittent Catheterization (CIC) as part of their treatment.
  • Able to speak and read in English.
  • Willing and able to provide informed assent or consent.
  • Parental/guardian permission (informed consent) if appropriate.

Exclusion Criteria

  • Unwilling to participate.
  • Unable to speak or read in English.
  • Unable to provide informed assent or consent.
  • Severe cognitive impairment, as reported by treating team in recruiting clinic.
  • On dialysis.
  • Acquired post-transplant lymphoproliferative disease less than one year prior to enrollment
  • Less than 3 months post-transplant.
  • Unable to perform CIC.
  • Prescribed Immunosuppressive medications once per day.
  • Provider recommendations of CIC once per day
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03045276). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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