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The Improve Drug Therapy Trial

Effects of a community pharmacy-based structured medication review on drug-related problems and patient-reported outcomes in all-comers with polypharmacy: a randomised, controlled, double-blind, parallel-group trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14052916
Enrollment
200
Registered
2025-02-27
Start date
2022-06-01
Completion date
Unknown
Last updated
2025-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Polypharmacy Other

Interventions

According to the Pharmaceutical Care Network Europe (PCNE) definition, medication reviews are structured patient interviews with systematic evaluations of their medication history with the aim of opti

Sponsors

Medical University of Vienna
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients with intake of =8 systemically available drugs (in case of combination products, =8 active ingredients, also including over-the-counter drugs, especially if they are on the list of interaction relevant over the counter drugs) 2. Patients >18 years of age 3. Patients signing informed consent

Exclusion criteria

Exclusion criteria: 1. Patients not willing to adhere to the study’s requirements 2. Patients unable to understand the nature and purpose of the study 3. Previous participation in a structured medication review type 2a

Design outcomes

Primary

MeasureTime frame
Drug-related problems assessed using a structured medication review type 2a (questionnaire) at baseline, after 3 to 4 months, and after 6 to 9 months

Secondary

MeasureTime frame
1. Therapy adherence assessed using a structured medication review type 2a (questionnaire) at baseline, after 3 to 4 months, and after 6 to 9 months 2. Health literacy was assessed using a structured medication review type 2a (questionnaire) at baseline, after 3 to 4 months, and after 6 to 9 months 3. The effects of one structured medication review type 2a at months 3 to 4 compared to two structured medication reviews type 2a at baseline and month 3 to 4 on drug-related problems (questionnaire) 4. The number of drug-related problems assessed using a structured medication review type 2a (questionnaire) at baseline, after 3 to 4 months, and after 6 to 9 months 5. The number of medications and active ingredients assessed using a structured medication review type 2a (questionnaire) at baseline, after 3 to 4 months, and after 6 to 9 months 6. Relative and absolute frequency of contraindications or severe drug-related problems that require intervention by clinical pharmacologists/clinical pharmacists or treating physicians, assessed using a structured medication review type 2a (questionnaire) at baseline, after 3 to 4 months, and after 6 to 9 months 7. Associations of gender, age, and number of medications/active ingredients at baseline with the number of drug-related problems assessed using a structured medication review type 2a at baseline Added 26/03/2025: 1. Descriptive statistics of patients participating in part 2 of the study per group and presentations of reasons why the study was terminated before part 1 2. Absolute and relative number of contributors to drug-related problems (e.g., double prescriptions, dosing errors, etc) and the impact of a structured medication review type 2a (questionnaire) on these parameters at baseline, after 3 to 4 months, and after 6 to 9 months 3. Change in drug-related problems (or contributors) within each group from baseline to month 3 to 4 or month 6 to 9 using a structured medication review type 2a (questionnaire) will be analyse

Countries

Austria

Contacts

Public ContactStefan Deibl
stefan.deibl@apothekerkammer.at+43 (0)40414100

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026