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Pilot Study to Assess Telemonitoring of Gleevec (Imatinib Mesylate) or Tasigna (Niltinib) Therapy

Not Applicable
Terminated
Conditions
Chronic Phase CML
Interventions
Behavioral: no access to eMedonline
Behavioral: eMedonline access
Registration Number
NCT01490775
Lead Sponsor
Rex Cancer Center, Raleigh, NC
Brief Summary

This study is being conducted in a population of patients with chronic phase Chronic Myeloid Leukemia (CML) to learn more about how patients follow prescribed regimens for taking oral cancer drugs.

Detailed Description

This is a randomized, controlled pilot study to introduce eMedonline telemonitoring technology to CML patients taking Gleevec or Tasigna. eMedonline will be used to automatically collect time-dose specific medication data for individual patients, including dosing times, missed doses, adverse events and e-diary data. All data will be available to research staff for remote review via Web interface. Adverse events and non-adherence will prompt interventions including supportive care counseling.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • Patients 18 years of age or older.
  • Pathologically documented diagnosis of Chronic Phase CML (Ph+) in whom treating physician has determined that treatment with imatinib or nilotinib is appropriate
  • Patients currently receiving Gleevec (imatinib) 300-600 mg daily or Tasigna (nilotinib) 300-400 mg twice daily
  • Known performance status 0,1 or 2 (ECOG)
  • Known adequate end organ function, defined as:

Total bilirubin < 1.5 xULN SGOT and SGPT <2.5 x ULN ANC > 1.5 Platlets > 100,000

  • Patient is willing and able to use a cell phone
  • Written, voluntary informed consent
Exclusion Criteria
  • Patient with any significant history of non-compliance to medical regimens or with inability to grant reliable informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
no access to eMedonlineno access to eMedonlinepatients will be followed for 3 months with no access to eMedonline
eMedonline accesseMedonline accesspatients will be followed for 3 months with access to eMedonline
Primary Outcome Measures
NameTimeMethod
eMedonline will be used to measure non-compliance in taking oral drug regimens.at 6 months, non-compliance will be measured in each arm of study

Patients are stratified to one of two groups: Group 1 is pateints on Gleevec or Tasigna who have been on drug less than 6 months; Group 2 is patients on Gleevec or Tasigna who have been on drug for equal to or more than 6 months.

Group 1 is then divided into 2 groups: one using eMedonline for 3 months and the other not using eMedonline for 3 months. A crossover survey and pill counts will be done at the 3 month timepoint and then the groups will switch their access status to eMedonline.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Rex Cancer Center - Wakefield

🇺🇸

Raleigh, North Carolina, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

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