A Digital Pill System to Measure and Support Acamprosate Adherence in Individuals With Alcohol Associated Liver Disease

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorYale University

About this trial

This study seeks to develop and test a novel digital pill system (DPS) that measures real-time medication ingestion and pairs it with a cognitive behavioral therapy (CBT)-based intervention to provide personalized, data-driven adherence support, with the long-term goal of providing new and improved personalized support and increase medication adherence for people with AUD and ALD.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Being treated for AUD

Diagnosed with DSM-5 moderate to severe AUD

Screens positive ALD utilizing non-invasive blood tests

Planned initiation of acamprosate

Disqualifiers

History of hypersensitivity to acamprosate

Allergy to magnesium or silver

Severe renal impairment (creatinine clearance of 30mL/min or less)

Trial design

Design model

Parallel

Treatments tested in this trial

  • AcamproSync

    Device

    AcamproSync, is an innovative behavioral intervention to support acamprosate adherence in individuals with ALD. It comprises three components: 1) a digital pill system that directly measures acamprosate adherence, 2) a personalized, adherence intervention grounded in the empiric LifeSteps Cognitive Behavioral Therapy framework and 3) self-management and introspection into alcohol use patterns through ecological momentary assessments (EMA) of drinking and alcohol craving.

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: AcamproSyncExperimental treatment 1 intervention
Group B: Control (Treatment as Usual)No intervention 0 interventions

Trial outcomes

Primary outcomes

1

Ability to enroll participants- Feasibility

Number of participants enrolled out of all screened.

Time frame
Baseline and 30 days
2

Retention- Feasibility

Number of participants enrolled that complete the 30 day follow-up.

Time frame
Baseline and 30 days
3

Feasibility of Intervention Measure (FIM)- Feasibility

Feasibility of intervention measured using Feasibility of Intervention Measure (FIM)- a 4-item instrument to assess perceived intervention feasibility. Total score 1-5 with higher scores indicating greater feasibility.

Time frame
Baseline and 30 days
4

Acceptability of Intervention (AIM)- Acceptability

Treatment Acceptability will be measured using the Acceptability of Intervention Measure (AIM), a 4-item measure of perceived intervention acceptability. Total score 1-5 with higher scores indicating greater acceptability.

Time frame
Baseline and 30 days

Secondary outcomes

1

DPS Accuracy

Correlation coefficient between DPS recorded adherence and pill counts.

Time frame
Baseline and 30 days
2

Heavy drinking frequency

Mean days heavy drinking in the last thirty days

Time frame
Baseline and 30 days
3

Abstinence frequency

Mean days drinking abstinence in the last thirty days

Time frame
Baseline and 30 days
4

Linkage to AUD treatment

Binary yes/no indicating if an individual was linked to further treatment post-inpatient treatment

Time frame
Baseline and 30 days

Other outcomes

Sponsors and contacts

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Yale University

Lead sponsor

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: