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NCT05656560 · ClinicalTrials.gov registry record · NA

Reducing High-Risk Geriatric Polypharmacy Via EHR Nudges R01 Trial

A NA study of Polypharmacy, sponsored by Northwestern University.

Active
Registry status
NA
Development phase
786
Enrollment target
2
Study locations

NCT05656560 is a NA study of Polypharmacy that is active but no longer recruiting, run by Northwestern University. The registered enrollment target is 786 participants, below the 1,503-participant average among 8 other Polypharmacy trials with a reported enrollment target (48% lower). The trial reports 2 study locations across 2 states.

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The verdict

NCT05656560, a NA study of Polypharmacy, is active but no longer recruiting, sponsored by Northwestern University.

ACTIVE NOT RECRUITING
Registry status
NA
Development phase
786 participants
Enrollment target
2
Study locations

Study Summary

High-risk polypharmacy is common among older adults in the United States, is particularly dangerous for individuals with dementia or cognitive impairment, and is associated with harms such as adverse drug reactions, falls, and higher costs of care. This project aims to test in a pragmatic clinic-randomized controlled trial two electronic health record-based behavioral economic nudges to help clinicians reduce high-risk polypharmacy among their older adult patients and in the subgroup with dementia or cognitive impairment. The main questions this trial aims to answer are: Aim 1: To evaluate the effects of an EHR-based commitment nudge, a justification nudge, and the combination of both nudges on a composite measure of high-risk polypharmacy via a pragmatic randomized controlled trial. The investigators will use cluster randomization in which primary care clinics are randomized to receive 0, 1, or 2 nudges using a factorial design. The nudges will run for 18 months, followed by 12 months of observation to assess persistence of effects. Aim 2: To qualitatively and quantitatively assess clinician experiences with the EHR-based nudges, including their acceptability and effects on workflow. At the conclusion of the intervention period, the investigators will perform semi-structured interviews and field a clinician survey.

Conditions Studied

Interventions

  • BEHAVIORAL Clinical decision support (CDS)-Commitment nudge
  • OTHER Clinician education
  • BEHAVIORAL Clinical decision support (CDS)-Justification nudge

Study Locations (2)

Illinois

  • Northwestern Medicine - Chicago

Pennsylvania

  • UPMC - Pittsburgh

Trial Details

FieldValue
Enrollment Target 786 participants
Start Date 2023-06-08
Est. Completion 2026-05-31
Phase NA

Sponsor

Northwestern University

1,209 total trials

What the Registry Record Tells You About NCT05656560

The ClinicalTrials.gov registry entry for NCT05656560 describes a study currently listed as active not recruiting, categorized as NA. The registered enrollment target is 786 participants, a figure that helps gauge the scale of data the investigators plan to collect, below the 1,503-participant average among 8 other Polypharmacy trials with a reported enrollment target (48% lower). The listed sponsor is Northwestern University, which has 1,209 total studies on file at ClinicalTrials.gov.

The record links to 1 condition, with Polypharmacy appearing as the primary indexed condition, and to 3 interventions - of which Clinical decision support (CDS)-Commitment nudge is the first listed.

NCT05656560 reports 2 study locations spanning 2 distinct geographic areas - top geographies include Illinois, Pennsylvania.

Frequently Asked Questions

What is clinical trial NCT05656560 about?

NCT05656560 is a clinical study titled "Reducing High-Risk Geriatric Polypharmacy Via EHR Nudges R01 Trial". High-risk polypharmacy is common among older adults in the United States, is particularly dangerous for individuals with dementia or cognitive impairment, and is associated with harms such as adverse drug reactions, falls, and higher costs of care. This project aims to test in a pragmatic clinic-ran...

What is the current status of trial NCT05656560?

This trial is currently active not recruiting. It is a NA study. The enrollment target is 786 participants. The study started on 2023-06-08. Estimated completion is 2026-05-31.

What conditions does trial NCT05656560 study?

This clinical trial studies the following conditions: Polypharmacy.

What interventions are being tested in trial NCT05656560?

The interventions under investigation include: Clinical decision support (CDS)-Commitment nudge (BEHAVIORAL), Clinician education (OTHER), Clinical decision support (CDS)-Justification nudge (BEHAVIORAL).

Who is sponsoring clinical trial NCT05656560?

This trial is sponsored by Northwestern University, which has 1,209 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT05656560 being conducted?

This trial has 2 study locations across Illinois, Pennsylvania. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

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Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainTrial Editorial

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