About this trial
The purpose of this study is to evaluate an approach to managing patients with lupus nephritis called the Lupus Nephritis (LN) Pathway among approximately 25 patients. Activities include answering surveys and participating in an interview.
Objectives include: 1) Assess feasibility and acceptability of the LN Care Pathway, 2) evaluate user experiences to identify opportunities for improvement, and 3) explore the preliminary effect of this pathway on medication adherence and clinical outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Active patient at a Duke University Health System clinic
Current diagnosis of Systemic Lupus Erythematosus (SLE) based on the 1997 ACR,32 2012 Systemic Lupus International Collaborating Clinics (SLICC),33 or 2019 European League Against Rheumatism (EULAR)/ACR (American College of Rheumatology)34 classification criteria
Aged 18 years or older
Able to provide informed consent
Disqualifiers
Patients with severe cognitive impairment
Do not wish to receive longitudinal care at our health system
Trial design
Single group
Treatments tested in this trial
Lupus Nephritis (LN) Care Pathway
BehavioralThe LN Care Pathway is an innovative, scalable, team-based model that leverages clinical pharmacist practitioners (CPPs) to deliver frequent telemedicine visits and implement protocol-based adherence support, medication management, and remote monitoring, all with oversight from rheumatology and nephrology physicians.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of Eligible Patients Who Consent to and Enroll in the Study
The proportion of eligible patients who provide informed consent and enroll in the study. Feasibility of recruitment will be supported if at least 70% of eligible patients consent to and enroll.
Proportion of Enrolled Participants Who Complete the 6-Month Lupus Nephritis Care Pathway
The proportion of enrolled participants who complete the 6-month Lupus Nephritis Care Pathway. Feasibility of retention will be supported if at least 80% of enrolled participants complete the Care Pathway.
Proportion of Enrolled Participants Who Complete at Least 50% of Planned Visits
The proportion of enrolled participants who complete at least 50% of planned telehealth visits during the 6-month Lupus Nephritis Care Pathway. Feasibility of participant engagement will be supported if at least 75% meet this threshold.
Feasibility of the Lupus Nephritis Care Pathway as Measured by the Feasibility of Intervention Measure
The Feasibility of Intervention Measure is a 4-item measure of perceived feasibility. Each item is rated on a 5-point scale from 1 to 5, with higher scores indicating greater feasibility. The mean score across items will be calculated.
Locations
Sponsors and contacts
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Duke University
Lead sponsor
Rheumatology Research Foundation
Collaborator
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