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Original TRDS for trail " Clinical pharmacy services to improve management outcomes of Chronic Kidney Disease of uncertain etiology" created on Oct 06, 2017


SLCTR Registration Number

SLCTR/2015/030


Date of Registration

16 Dec 2015

The date of last modification

Oct 06, 2017


View original TRDS


Trial Status



Application Summary


Scientific Title of Trial

A study to assess the improvement of management outcomes in Chronic Kidney Disease of Uncertain etiology by introducing clinical pharmacy services to selected out-patient renal clinics in the North Central Province, Sri Lanka


Public Title of Trial

Clinical pharmacy services to improve management outcomes of Chronic Kidney Disease of uncertain etiology


Disease or Health Condition(s) Studied

Chronic Kidney Disease of uncertain etiology


Scientific Acronym

None


Public Acronym

None


Brief title

Improving CKDu management outcomes using clinical pharmacy services


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

Faculty of Medicine, Kelaniya ERC: P/148/09/2015


Trial Details


What is the research question being addressed?

Would clinical pharmacy services help to improve selected management outcomes, disease progression and quality of life compared to standard services in CKDu patients attending out-patient renal clinics in the North Central Province?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy


Assignment

Parallel


Purpose

Health services research


Study Phase


Intervention(s) planned

The study subjects will be recruited from the patients diagnosed with CKDu Stages 3 and 4, attending out-patient renal clinics in Teaching Hospital, Anuradhapura, General Hospital, Polonnaruwa and District Hospital, Medawachchiya.

The randomization will be done using the closed envelope method to allocate the participants into two arms.

A trained Sri Lankan pharmacist will provide the following clinical pharmacy services to the participants in the intervention arm during four non-consecutive clinic visits over a period of one year (at recruitment and 3,6, and 9 months).

  1. Individual review of the patients’ drug list (Possible drug related problems will be communicated to the doctor or patient depending on its nature).

  2. Individualized one to one drug counselling for 30 minutes.

The non-intervention group will receive standard clinic care.


Inclusion criteria

  1. Consenting adults age over 18 years
  2. Established diagnosis of Stage 3 or 4 Chronic Kidney Disease of Uncertain etiology

Exclusion criteria

  1. Patients undergoing haemodialysis at recruitment
  2. Patients with a history of renal transplantation
  3. Patients who do not give consent


Primary outcome(s)

1.

Quality of life as measured by Kidney Disease Quality of Life Short Form (KDQOL-SFTM), Version 1.3. (Hays et al, 1995).

[

1.At the date of recruitment (baseline) and 12 months after the date of recruitment (post research)

]

Secondary outcome(s)

1.
  1. Blood Pressure
  2. Blood investigations: hemoglobin, serum calcium, serum phosphate, serum creatinine, serum electrolytes
  3. Drug adherence using the brief medication questionnaire (Svarstad et al, 1999)
[
  1. At the date of recruitment (baseline) and 12 months after the date of recruitment (post research)
  2. At the date of recruitment (baseline) and 12 months after the date of recruitment (post research) 3.At the date of recruitment (baseline) and 12 months after the date of recruitment (post research)
]

Target number/sample size

300 (150 in each arm)


Countries of recruitment

Sri Lanka


Anticipated start date

2015-12-16


Anticipated end date

2017-12-16


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

National Research Council of Sri Lanka


Regulatory approvals



State of Ethics Review Approval


Status


Date of Approval


Approval number


Details of Ethics Review Committee

Name:
Institutional Address:
Telephone:
Email:

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. Shamila T. De Silva
Senior Lecturer in Medicine
Department of Medicine, Faculty of Medicine, University of Kelaniya, Thalagolla Road, Ragama
Tel: 0112961119
Mob: 0773601490
Fax: 0112958337
shamiladp@hotmail.com

Contact Person for Public Queries

Nadeesha Dilmi Dias Wickramasinghe
Researcher
Department of Medicine, Faculty of Medicine, University of Kelaniya, Thalagolla Road, Ragama
Tel: 0112961119
Mob: 0715399862
Fax: 0112958337
dilmiwickramasinghe2008@gmail.com


Primary study sponsor/organization

National Research Council

No Bauddhaloka Mw, Colombo 07.
Tel: 0112695060
Fax: 0112675136
nrc@sltnet.lk
www.nrc.gov.lk

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results