ClinicalTrials.gg
RecruitingNCT07811258Updated Oct 30, 2026

Improving Adherence to Chronic Disease Medication Regimens Among Patients With Recently Diagnosed Cancer

An interventional study of Medisafe Medication Management Program and Pharmacist-Led Medication Review in Cancer, sponsored by Duke University. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Duke University · Not applicable, Interventional, and Treatment

Updated Oct 30, 2026Now RecruitingFirst site in United States+4 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This pilot study evaluates a pharmacist-led medication adherence intervention and Medisafe mobile application among patients with newly diagnosed cancer and multimorbidity. Thirty participants will be randomized to intervention or usual care to assess feasibility, acceptability, usability, and preliminary efficacy.

02

Conditions studied

  • Cancer

Keywords

  • Medication Adherence
  • Cancer Survivorship
  • Multimorbidity
03

In context

Neoplasms

10,818 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 30 is below the median of 60 across 7,703 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Duke University is the lead sponsor of 2,063 studies on the registry; 273 are open to participants now.

Of its 204 completed or terminated interventional studies of FDA-regulated products, 167 (82%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • diagnosed with breast, colorectal, lung or prostate cancer in the previous 12 months
  • had no prior diagnosis of cancer
  • are currently undergoing chemotherapy or radiation and/or underwent surgery in the prior 3 months
  • had >2 chronic conditions for >1 year prior to cancer diagnosis
  • are prescribed >1 non-cancer medication(s)

Exclusion criteria

Exclusion Criteria:

  • cannot read and communicate in English
  • do not have a smartphone
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Intervention Arm

    Pharmacist-led medication review plus Medisafe app support.

    Behavioral: Medisafe Medication Management Program · Behavioral: Pharmacist-Led Medication Review

  • No intervention
    Control Arm

    Usual care.

Interventions

  • BehavioralMedisafe Medication Management Program

    Training and use of Medisafe application for medication adherence support.

  • BehavioralPharmacist-Led Medication Review

    Comprehensive medication review and education by pharmacist.

06

What researchers measure

Primary outcomes

  1. Feasibility, as measured by number of participants recruited

    recruitment of 30 patients in 6 months

    Time frame: 6 months

  2. Feasibility, as measured by screening to enrollment ratio

    screen to enrollment ratio \>30%

    Time frame: from screening to enrollment, approximately 2 weeks

  3. Feasibility, as measured by completion rate of the comprehensive medication review

    60% completion of the comprehensive medication review

    Time frame: from enrollment to completion of 6 month follow up

  4. Feasibility, as measured by completion rate of the adherence log

    80% completion of the adherence log at 3 months

    Time frame: 3 months

  5. Feasibility, as measured by completion rate of the adherence log

    60% completion of the adherence log at 6 months

    Time frame: 6 months

  6. Acceptability, as measured by Acceptability of Intervention Measure

    5-point scale ranging from 1 (completely disagree) to 5 (completely agree). Higher scores indicating greater acceptability of the intervention.

    Time frame: 3 months, 6 months

  7. Usability, as measured by the System Usability Score of the Medisafe application

    The System Usability Score is a 10-item questionnaire that has been validated for mobile applications. This scales all values from 0 to 4 (with four being the most positive response).

    Time frame: 3 months, 6 months

  8. Patient-centeredness, as measured by the Patient-Centered Care Questionnaire

    The Patient-Centered Care Questionnaire assesses the extent to which care delivery aligns with the core principles of patient-centered care and includes dimensions like respect for patient preferences, emotional support, and physical comfort. The response options are scored from 1 to 5, with higher scores representing better outcome.

    Time frame: 3 months

  9. Patient-centeredness, as measured by the Patient-Centered Outcomes Questionnaire

    The Patient-Centered Outcomes Questionnaire measures whether healthcare interventions address the issues patients consider most important. It emphasizes outcomes that matter most to patients, such as symptom relief, quality of life, and emotional well-being. The response options are scored from 1 to 5, with higher scores representing better outcome.

    Time frame: 3 months

Secondary outcomes

  1. Quality of life, as measured by the 20-item Short Form Survey

    Uses a 0% to 100% scale where higher scores always indicate better health.

    Time frame: Baseline, 3 months, 6 months

  2. Financial well-being, as measured by the Comprehensive Score for Financial Toxicity

    Each question is answered on a 0 to 4 scale. The lower numbers indicate worse (more severe) financial toxicity, while higher numbers indicate better financial well-being.

    Time frame: Baseline, 3 months, 6 months

  3. Patient activation, as measured by the Patient Activation Measure

    Patient Activation Measure evaluates the patient's knowledge, skill, and confidence in managing their health, focusing on how engaged patients are in their care and whether they feel empowered in decision-making processes. Each of the 10 statements is scored form 1 (strongly disagree) to 4 (strongly agree). Higher scores show greater patient empowerment and engagement.

    Time frame: Baseline, 3 months, 6 months

  4. Adherence, as measured by the Adherence to Refills Medication Scale

    Adherence to Refills Medication Scale , a validated survey on barriers to adherence, and logs obtained from the Medisafe mobile application. Uses a 4-point scale, 1 (none of the time) to 4 (all of the time) where lower scores show better adherence and fewer barriers.

    Time frame: Baseline, 3 months, 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Jun 2027, 7 months later.

Of 1,981 non-industry interventional studies with no phase under Neoplasms, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 52. This study's planned 7 months is below that.

Counting every sponsor, half of 2,056 studies reached it within 29 months; a quarter within 13 and three quarters within 52.

Neoplasms covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

Start moved once since we started tracking on Sep 25, 2026: Sep 2026 → Nov 2026, on Oct 30, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Sep 3, 2026
First posted
Sep 10, 2026
StartEst.
Nov 30, 2026was Sep 2026
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
Oct 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 30, 2026
Sites
1 site added — first site in United States
Show site
  • Duke University · Durham, United States
Oct 30, 2026
Start date
Sep 7, 2026→Nov 30, 2026
Oct 30, 2026
Primary outcomes
3 edited, 1 description edited
What changed in the outcomes
  • EditedAcceptability, as measured by Acceptability of Intervention Measure (AIM)Time frame: 3 months, 6 months
  • EditedPatient-centeredness, as measured by the Patient-Centered Care Questionnaire (PCCQ)Time frame: 3 months
  • EditedPatient-centeredness, as measured by the Patient-Centered Outcomes Questionnaire (PCOQ)Time frame: 3 months
  • DescriptionUsability, as measured by the System Usability Score of the Medisafe application: how it is measured was reworded
Oct 1, 2026
Secondary outcomes
3 edited, 1 description edited
What changed in the outcomes
  • EditedQuality of life, as measured by the 3620-item Short Form Survey (SF-36)Time frame: Baseline, 3 months, 6 months
  • EditedPatient activation, as measured by the Patient Activation Measure (PAM)Time frame: Baseline, 3 months, 6 months
  • EditedAdherence, as measured by the Adherence to Refills Medication Scale (ARMS)Time frame: Baseline, 3 months, 6 months
  • DescriptionFinancial well-being, as measured by the Comprehensive Score for Financial Toxicity: how it is measured was reworded
Oct 1, 2026
Title
Improving Adherence to Chronic Disease Medication Regimens Among Patients With Recently Diagnosed Cancer: A Pilot Study
Oct 1, 2026
Show all 2 updates
  1. Oct 30, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in United States
    Show site
    • Duke University · Durham, United States
    Start date Sep 7, 2026→Nov 30, 2026
  2. Oct 1, 2026
    Primary outcomes 3 edited, 1 description edited
    What changed in the outcomes
    • EditedAcceptability, as measured by Acceptability of Intervention Measure (AIM)Time frame: 3 months, 6 months
    • EditedPatient-centeredness, as measured by the Patient-Centered Care Questionnaire (PCCQ)Time frame: 3 months
    • EditedPatient-centeredness, as measured by the Patient-Centered Outcomes Questionnaire (PCOQ)Time frame: 3 months
    • DescriptionUsability, as measured by the System Usability Score of the Medisafe application: how it is measured was reworded
    Secondary outcomes 3 edited, 1 description edited
    What changed in the outcomes
    • EditedQuality of life, as measured by the 3620-item Short Form Survey (SF-36)Time frame: Baseline, 3 months, 6 months
    • EditedPatient activation, as measured by the Patient Activation Measure (PAM)Time frame: Baseline, 3 months, 6 months
    • EditedAdherence, as measured by the Adherence to Refills Medication Scale (ARMS)Time frame: Baseline, 3 months, 6 months
    • DescriptionFinancial well-being, as measured by the Comprehensive Score for Financial Toxicity: how it is measured was reworded
    Title Improving Adherence to Chronic Disease Medication Regimens Among Patients With Recently Diagnosed Cancer: A Pilot Study

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07811258
Lead sponsor
Duke University
Responsible party
Sponsor
First posted
Sep 10, 2026
Start date
Nov 30, 2026 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Oct 30, 2026

Study contacts

Deborah Kaye
principal investigator · Duke University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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