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"A Randomized, Controlled, Evaluator-blinded Pilot Study to Evaluate the Effect of Automated Text Message Reminders on Patient Compliance With Topical Medications and Its Efficacy on Skin Disease Control in Adolescents and Adults With Mild to Moderate Acne"

Primary Purpose

Acne, Patient Compliance

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Text message reminders
Sponsored by
University of Texas Southwestern Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Acne

Eligibility Criteria

12 Years - 30 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • males and females 12-30 years of age at time of consent
  • any ethnic background
  • be capable of giving informed consent
  • have clinical diagnosis of acne vulgaris with facial involvement for at least 6 months prior to enrollment.
  • Must have a minimum of 30 to 100 non-inflammatory facial lesions (open and/or closed comedones), and 20 to 50 inflammatory lesions (papules or pustules) and no nodules or cysts.
  • Must have a score 2 or 3 on the Investigator Global Assessment Scale (IGA)
  • Must own a personal mobile telephone with SMS text messaging capabilities.
  • Must be English or Spanish speaking.
  • Women of child bearing potential and all men must be using adequate birth control measures (e.g. abstinence, oral contraceptives, intrauterine device, barrier method with spermicide, or surgical sterilization) and must agree to continue to use such measures and not become pregnant or plan a pregnancy until 12 months after receiving the last dose of study medication.
  • Must be able to adhere to study visit schedule and other protocol requirements.
  • Must avoid prolonged sun exposure and avoid use of tanning booths or other ultraviolet light sources during the study.
  • Must agree not to use any other prescription or over the counter medications other than the ones prescribed by the study protocol.
  • Must agree to limit Vitamin A supplementation to total daily dose 4000-5000 IU.

Exclusion Criteria:

  • Nodular or cystic acne, acne conglobata, acne fulminans, secondary acne (chloracne, drug-induced, mechanical)
  • Known exposure history to environmental or chemical comedogenic agents such as cutting oils, tar, halogenated compounds or polyaromatic hydrocarbons.
  • Women with a known history or clinical evidence of hyperandrogenism such as polycystic ovarian syndrome.
  • Known history or clinical evidence of Cushing's syndrome or congenital adrenal hyperplasia.
  • Use of hormonal contraceptives or intrauterine device (unless subject is on stable dose, i.e at least 6 months of prior treatment
  • Have used any investigational drug within the previous 4 weeks or 5 times the half life of the investigational drug, whichever longer.
  • Have received phototherapy or use a tanning booth within 4 weeks prior to enrollment
  • Currently taking any systemic medications that could affect evaluation of acne (including, but not limited to antibiotics, retinoids, biologic disease modifying agents, chemotherapeutic agents, anti-epileptic agents or EGFR-receptor antagonists)
  • History of chronic or recurrent infectious disease, including, but not limited to folliculitis, infected skin wounds or ulcers and recurrent herpes simplex infections.
  • Known hypersensitivity response, including anaphylaxis, to any of the compounds used for treatment (e.g: clindamycin, retinoids).
  • Known substance abuse (drug or alcohol) problem within the previous 12 months.
  • Presence of beard or facial hair which might interfere with study assessments
  • Participating in another clinical trial using an investigational agent or procedure during participation in the study.
  • Are pregnant or planning pregnancy or a surgery during the participation in the study

Sites / Locations

  • UT Southwestern Medical Center at Dallas - Dermatology Clinical Trials
  • Department of Dermatology, University of Texas Southwestern Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

No Intervention

Arm Label

Text message reminders

Control

Arm Description

Outcomes

Primary Outcome Measures

adherence to topical medication use
The primary goal of the study is to determine whether automated text messages produce increased adherence with medication use in the Reminder group compared to the Control group over the 12 week study duration. Overall adherence will be calculated as the total number of doses applied (recorded cap opening/closing events) divided by the total number of expected doses applied (twice daily cap opening/closing events) based on the prescribed treatment regimen.

Secondary Outcome Measures

Improvement in acne severity (as measured by IGA score)
Secondary endpoints include determination of improvement in acne severity, quality of life, and patient satisfaction in the Reminder versus Control group at study completion (week 12 compared to baseline). Improvement in acne will be measured using full-face lesion counts, Investigator Global Assessment Score (IGA) and subject Global Assessment Score (SGA). Quality of life and satisfaction will be measured using the Acne Quality Index Index(Acne-QoL), and patient satisfaction surveys.

Full Information

First Posted
March 5, 2010
Last Updated
September 13, 2019
Sponsor
University of Texas Southwestern Medical Center
Collaborators
University of California, Davis
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1. Study Identification

Unique Protocol Identification Number
NCT01082523
Brief Title
"A Randomized, Controlled, Evaluator-blinded Pilot Study to Evaluate the Effect of Automated Text Message Reminders on Patient Compliance With Topical Medications and Its Efficacy on Skin Disease Control in Adolescents and Adults With Mild to Moderate Acne"
Official Title
"A Randomized, Controlled, Evaluator-blinded Pilot Study to Evaluate the Effect of Automated Text Message Reminders on Patient Compliance With Topical Medications and Its Efficacy on Skin Disease Control in Adolescents and Adults With Mild to Moderate Acne"
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
February 2010 (undefined)
Primary Completion Date
October 2010 (Actual)
Study Completion Date
October 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Texas Southwestern Medical Center
Collaborators
University of California, Davis

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether an automated electronic reminder system using text messages sent to patient's cell phones will help patients with acne be more compliant with their topical medications and lead to an improvement of their acne. Hypothesis: Automatically delivered electronic reminders in the form of text messages will increase acne patient adherence to topical medications and consequently result in better treatment outcome and higher patient satisfaction
Detailed Description
Patient non-compliance with topical medication use is a significant determinant of treatment failure resulting in both patient and physician frustration with outcome and leading to suboptimal medical care. It is important to address ways to improve patient compliance both from a medical and economic standpoint, as adequate use of medications could lead to a reduction of unnecessary office visits and a more cost-effective use of prescribed medications. Patients with mild to moderate acne will be prescribed a standard treatment regimen with clindamycin/benzoyl peroxide gel in the mornings and adapalene gel in the evenings. Half of the subjects will then be randomly assigned to receive customized text messages instructing them twice a day to apply their morning and evening cream as prescribed, with the remainder of subjects serving as controls. Each medication tube supplied to every subject will be fitted with an electronic Medication Event Monitoring System cap (MEMS cap) which has the ability to record the date and time of every opening/closing of the tube. This data will serve as an objective measure of medication use and will be used to determine whether the reminder messages resulted in a higher and more consistent use of the prescribed medications. Specific Aims: The primary aim of the study is to determine whether automated text messages produce increased adherence with medication use in the Reminder group compared to the Control group over the 12 week study duration. Improvement in acne will be measured using full face lesion counts, Investigator Global Assessment Score (IGA) and subject Global Assessment Score (SGA). Quality of life and satisfaction will be measured using the Dermatology Life Quality Index (DLQI), and patient satisfaction surveys.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acne, Patient Compliance

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Text message reminders
Arm Type
Active Comparator
Arm Title
Control
Arm Type
No Intervention
Intervention Type
Other
Intervention Name(s)
Text message reminders
Intervention Description
Subjects in this arm will receive twice daily automated text messages reminding them to apply their medications.
Primary Outcome Measure Information:
Title
adherence to topical medication use
Description
The primary goal of the study is to determine whether automated text messages produce increased adherence with medication use in the Reminder group compared to the Control group over the 12 week study duration. Overall adherence will be calculated as the total number of doses applied (recorded cap opening/closing events) divided by the total number of expected doses applied (twice daily cap opening/closing events) based on the prescribed treatment regimen.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Improvement in acne severity (as measured by IGA score)
Description
Secondary endpoints include determination of improvement in acne severity, quality of life, and patient satisfaction in the Reminder versus Control group at study completion (week 12 compared to baseline). Improvement in acne will be measured using full-face lesion counts, Investigator Global Assessment Score (IGA) and subject Global Assessment Score (SGA). Quality of life and satisfaction will be measured using the Acne Quality Index Index(Acne-QoL), and patient satisfaction surveys.
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: males and females 12-30 years of age at time of consent any ethnic background be capable of giving informed consent have clinical diagnosis of acne vulgaris with facial involvement for at least 6 months prior to enrollment. Must have a minimum of 30 to 100 non-inflammatory facial lesions (open and/or closed comedones), and 20 to 50 inflammatory lesions (papules or pustules) and no nodules or cysts. Must have a score 2 or 3 on the Investigator Global Assessment Scale (IGA) Must own a personal mobile telephone with SMS text messaging capabilities. Must be English or Spanish speaking. Women of child bearing potential and all men must be using adequate birth control measures (e.g. abstinence, oral contraceptives, intrauterine device, barrier method with spermicide, or surgical sterilization) and must agree to continue to use such measures and not become pregnant or plan a pregnancy until 12 months after receiving the last dose of study medication. Must be able to adhere to study visit schedule and other protocol requirements. Must avoid prolonged sun exposure and avoid use of tanning booths or other ultraviolet light sources during the study. Must agree not to use any other prescription or over the counter medications other than the ones prescribed by the study protocol. Must agree to limit Vitamin A supplementation to total daily dose 4000-5000 IU. Exclusion Criteria: Nodular or cystic acne, acne conglobata, acne fulminans, secondary acne (chloracne, drug-induced, mechanical) Known exposure history to environmental or chemical comedogenic agents such as cutting oils, tar, halogenated compounds or polyaromatic hydrocarbons. Women with a known history or clinical evidence of hyperandrogenism such as polycystic ovarian syndrome. Known history or clinical evidence of Cushing's syndrome or congenital adrenal hyperplasia. Use of hormonal contraceptives or intrauterine device (unless subject is on stable dose, i.e at least 6 months of prior treatment Have used any investigational drug within the previous 4 weeks or 5 times the half life of the investigational drug, whichever longer. Have received phototherapy or use a tanning booth within 4 weeks prior to enrollment Currently taking any systemic medications that could affect evaluation of acne (including, but not limited to antibiotics, retinoids, biologic disease modifying agents, chemotherapeutic agents, anti-epileptic agents or EGFR-receptor antagonists) History of chronic or recurrent infectious disease, including, but not limited to folliculitis, infected skin wounds or ulcers and recurrent herpes simplex infections. Known hypersensitivity response, including anaphylaxis, to any of the compounds used for treatment (e.g: clindamycin, retinoids). Known substance abuse (drug or alcohol) problem within the previous 12 months. Presence of beard or facial hair which might interfere with study assessments Participating in another clinical trial using an investigational agent or procedure during participation in the study. Are pregnant or planning pregnancy or a surgery during the participation in the study
Facility Information:
Facility Name
UT Southwestern Medical Center at Dallas - Dermatology Clinical Trials
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390-8802
Country
United States
Facility Name
Department of Dermatology, University of Texas Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States

12. IPD Sharing Statement

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"A Randomized, Controlled, Evaluator-blinded Pilot Study to Evaluate the Effect of Automated Text Message Reminders on Patient Compliance With Topical Medications and Its Efficacy on Skin Disease Control in Adolescents and Adults With Mild to Moderate Acne"

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