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TerminatedNCT01963156SyNCMedUpdated Jan 11, 2016

Synchronization to Improve Non-Adherence to Cardiovascular Medications

An interventional study of Prescription synchronization in Chronic Disease, Cardiovascular Disease and Diabetes Mellitus, sponsored by Brigham and Women's Hospital. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-01-11.

Sponsored by Brigham and Women's Hospital · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
3,675
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to evaluate if synchronizing when patients with diabetes and/or coronary artery disease fill their prescriptions improves long-term adherence to these medications.

02

Conditions studied

  • Chronic Disease
  • Cardiovascular Disease
  • Diabetes Mellitus

Keywords

  • Prescription synchronization
  • Cardiovascular disease
  • Medication adherence
  • Randomized controlled trial
  • Chronic disease
  • Pharmacy benefit design
  • Quality improvement
03

In context

Cardiovascular Diseases

4,904 studies on the registry are indexed under Cardiovascular Diseases; 919 are open to participants now.

This study's enrollment of 3,675 is above the median of 100 across 2,738 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

We will enroll patients 18 years of age and older who within 6 months of study enrollment have filled ≥ 2 medications intended for long-term use (i.e. maintenance medications) by mail order at CVS Caremark. At least 1 of these 2 medications of must be for the treatment of diabetes or cardiovascular disease. In addition, these medications must be delivered on two or more unique delivery dates, there must be at least one refill remaining for all eligible medications and either all or none of their prescriptions must be enrolled in the ReadyFill@Mail program (see Intervention Description for details).

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
3,675 participants (actual)

Study arms

  • Experimental
    Prescription synchronization

    Behavioral: Prescription synchronization

  • No intervention
    Control

Interventions

  • BehavioralPrescription synchronization

    Each patient's medication that has the greatest quantity of pills on hand after randomization will be defined as the "index "medication and partial supplies will be provided for all other eligible medications in order to synchronize all of a patient's medication. Prescribers will be contacted for a new prescription to ensure all eligible medications are on the same renewal schedule. Randomization will occur within strata of whether patients are enrolled in the "ReadyFill@Mail" program. Once synchronized, patients who are not enrolled in the ReadyFill@Mail program will initiate their own refills. Patients who are enrolled in the ReadyFill@Mail program will have their refills automatically filled, however patients may disenroll from ReadyFill@Mail at any time, in which case they will initiate their own refills. Patients may disenroll in whole or in part from the program at any point.

06

What researchers measure

Primary outcomes

  1. Medication adherence

    Average adherence to medications for the treatment of cardiovascular disease and diabetes medications as assessed using administrative pharmacy claims

    Time frame: 12 months

Secondary outcomes

  1. Full adherence to medications for the treatment of diabetes or cardiovascular disease

    Percent of subjects achieving full adherence (defined as a Medication Possession Ratio \> 80%) to medications for cardiovascular disease and diabetes

    Time frame: 12 months

Other outcomes

  1. Rates of de-synchronization

    Rate at which members whose prescriptions have been synchronized elect to discontinue with the synchronization during the study period

    Time frame: 12 months

07

Study locations

1 site
  • CVS Caremark
    Woonsocket, Rhode Island 02895, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 11, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01963156
Lead sponsor
Brigham and Women's Hospital
Collaborators
CVS Caremark
Responsible party
Niteesh K. Choudhry, MD, PhD (Associate Professor, Harvard Medical School, Brigham and Women's Hospital) — Principal investigator
First posted
Oct 16, 2013
Start date
Nov 2013
Primary completion
Jun 2014
Completion
Jun 2014
Last update
Jan 11, 2016

Study contacts

Niteesh K Choudhry, MD, PhD
principal investigator · Brigham and Women's Hospital/Harvard Medical School
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jan 2016. You cannot join it, but the record below documents what was studied.

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