- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00541606
Pharmacist Assisted Medication Program Enhancing the Regulation of Diabetes (PAMPERED)
May 15, 2009 updated by: Lahey Clinic
Pharmacist Assisted Medication Program Enhancing the Regulation of Diabetes (PAMPERED)
The purpose of this study is to demonstrate that pharmacists working collaboratively with physicians and other providers in an ambulatory care setting can improve glucose, blood pressure, and lipid control, as well as improve quality of life, adherence to screening and general preventative measures.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
It is evident that a multi-disciplinary approach is key to the success in controlling the disease of diabetes and its complications.
The value of pharmacists' involvement in disease state management in producing positive outcomes for patients has been well documented in the literature.
There have been several studies that have shown that pharmacists' involvement in diabetes care improves glycemic control.
There are also studies that look at pharmacists' management of glycemic control and adherence to the ADA guidelines.
Many of these studies are retrospective, lack a randomized control group, had a small study sample, or were short term.
We undertook a prospective, randomized study to demonstrate that pharmacists working collaboratively with physicians and other providers in an ambulatory care setting can improve glucose, blood pressure, and lipid control, as well as improve quality of life, adherence to screening and general preventative measures.
Study Type
Interventional
Enrollment (Actual)
285
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Massachusetts
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Burlington, Massachusetts, United States, 01805
- Lahey Clinic
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
N/A
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients over the age of 18
- A1c > 8% within the 6 months prior to the data acquisition date
- Primary Care physician at Lahey Clinic Burlington site
- Diagnosis of T2 DM for minimum of 6 months
Exclusion Criteria:
- Concurrently enrolled in any other pharmacist-run or diabetes study
- Receiving diabetes management by an outside provider
- A medical condition that may adversely affect compliance with the treatment protocol
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Received collaborative care including a clinical pharmacist practitioner.
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Patients attended a minimum of 3 clinic visits (month 0, 6, 12) with one of the clinical pharmacists, where targeted physical assessment, education, and medication changes and follow up were recommended.
Additional visits were arranged as clinically appropriate for drug monitoring.
Referrals were facilitated to other clinicians where indicated, including ophthalmology, podiatry, CDEs, nutrition, and primary care.
The pharmacists' recommendations for medication adjustment, laboratory monitoring and referrals were based upon the most recent guidelines and clinical trial evidence.
Any therapy adjustment, lab testing or referrals required approval by the referring physician.
A1c, lipid and BP values were collected prospectively at months 0, 6 and 12.
|
Active Comparator: Control
Patients received usual care directed by their physician.
|
Control patients received usual care directed by their physician, and the same data were gathered from chart review during the 12-month study period.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Primary outcomes included the achievement of targets for A1c (< or = 7%), LDL cholesterol (< or = 100 mg/dL) and blood pressure (< or = 130/80), changes in quality of life as measured by the SF-36 Health Survey, and patient satisfaction.
Time Frame: 12 months
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12 months
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Secondary outcomes included diabetes-related hospitalizations and acute care visits during the study period for both the intervention and control groups.
Time Frame: 12 months
|
12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Gary Cushing, MD, Lahey Clinic, Burlington, MA
- Study Director: Michelle Jacobs, PharmD, Currently: Northeastern University, Boston, MA
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 1, 2000
Study Completion (Actual)
July 1, 2004
Study Registration Dates
First Submitted
October 9, 2007
First Submitted That Met QC Criteria
October 9, 2007
First Posted (Estimate)
October 10, 2007
Study Record Updates
Last Update Posted (Estimate)
May 19, 2009
Last Update Submitted That Met QC Criteria
May 15, 2009
Last Verified
May 1, 2009
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PAMPERED
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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