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Breast Cancer SurvivorNCT06865755

Collaborative Research: Multiscale Modeling and Intervention for Improving Long-Term Medication

A study testing integrated medication monitoring (MM) system in people with Breast Cancer Survivor and Breast Cancer Early Stage Breast Cancer (Stage 1-3), run by San Diego State University at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this study is to learn about the impact of an integrated medication monitoring system in breast cancer survivors aged 21-70 who are prescribed endocrine therapy. The main question it aims to address is: Does the integrated medication monitoring system improve medication adherence among breast cancer… Read more about this study

Who is it for?
Ages 21 to 70 years, women only
What is being tested?
integrated medication monitoring (MM) system
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteUnited States
Study dates
Dec 2026to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 70 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • are English-speaking and reading;
  • are between ages 21 and 70 years;
  • are diagnosed with stage 0-3 breast cancer in the past 5 years;
  • have completed all surgery, radiation, and chemotherapy, except endocrine therapy;
  • are prescribed endocrine therapy;
  • do not have a physical impairment that would prevent them from using the MM system;
Show all 9Show fewer
  • are able to provide informed consent;
  • are willing and able to use the MM system for 6 months;
  • have an Iphone or Android phone.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Kristen J Wells, PhD contact

619-594-1919

kwells@sdsu.edu

Laura Barnes, PhD contact

lb3dp@virginia.edu

United States1 site
  • San Diego State University

    San Diego, California, 92120

    Gabriel Estrella, 619-594-3120, gestrella@sdsu.edu

Other trials in United States

About this study

Official title: Deploying and Evaluating a Technology Based System to Help People Adhere to Long Term Medications

The goal of this study is to learn about the impact of an integrated medication monitoring system in breast cancer survivors aged 21-70 who are prescribed endocrine therapy. The main question it aims to address is: Does the integrated medication monitoring system improve medication adherence among breast cancer survivors when used over a six-month period?

Fifteen English-speaking breast cancer survivors who meet the inclusion criteria will use a combination of smartphone-based ecological momentary assessments, a medication event monitoring system (Wisepill), and a wearable sensor (Fitbit). After 2 months, participants will be provided personalized content to facilitate medication adherence through an app (Digital Trails) and through WisePill. Participants will complete online surveys at baseline, 3 months, and 6 months to assess their experiences and adherence.

Read the detailed description

Purpose/objective:

The investigators have created a new integrated medication monitoring (MM) system for long-term monitoring of medication adherence consisting of baseline, 3-month, and 6-month surveys, smartphone based ecological momentary assessment, smartphone sensors, a medication event monitoring system (MEMS; Wisepill) sensor, and a wrist-worn wearable sensor (Fitbit) that will be used to collect data to understand and model medication-taking behaviors. The objective of the project is to deploy this system to predict nonadherence to endocrine therapy for breast cancer survivors and implement intervention strategies to improve medication adherence. These interventions will be evaluated for preliminary impact on behavior, acceptability, attractiveness, and usefulness.

Overview:

The investigators will conduct a single arm study collecting data in multiple ways and multiple intervals, over six months' time: 1) baseline, 3-month, and 6-month surveys via Qualtrics; 2) smartphone-based ecological momentary assessment (via Digital Trails application) at the following intervals: every 2-3 days, weekly, and monthly; 3) wireless medication event monitoring system devices (MEMS; Wisepill; daily), 4) a wrist-worn wearable sensor (Fitbit; continuous); and 5) smartphone sensors (data collected via Digital Trails application, continuous). Participants will be provided personalized intervention content based on their specific risk via the Digital Trials app. Fifteen breast cancer survivors will be asked to participate in this longitudinal study for six months.

Intervention:

The investigators have created a new integrated medication monitoring (MM) system consisting of baseline, 3-month, and 6-month surveys, smartphone-based ecological momentary assessment via an application installed on a smartphone (Digital Trails based on the UVA Sensus app), a wireless medication event monitoring system device (MEMS; Wisepill), and a wearable sensor (Fitbit), and data collected passively from smartphone sensors using the Digital Trails app. These sources of information will be used to understand predictors of medication taking behaviors and, after two months of monitoring, to deploy appropriate interventions which will be delivered via the Digital Trails app platform. The objective of the project is to deploy this MM system to predict nonadherence to endocrine therapy for breast cancer survivors and implement intervention strategies to improve medication adherence (via Digital Trails). These interventions will be evaluated for preliminary impact on behavior, acceptability, attractiveness, and usefulness.

Participant Eligibility Criteria Fifteen breast cancer survivors will be included in the study if they: 1) are English-speaking and reading; 2) are between ages 21 and 70 years; 3) are diagnosed with stage 0-3 breast cancer in the past 5 years; 4) have completed all surgery, radiation, and chemotherapy, except endocrine therapy; 5) are prescribed endocrine therapy; 6) do not have a physical impairment that would prevent them from using the MM system; 7) are able to provide informed consent; 8) are willing and able to use the MM system for 6 months; and 9) have an Iphone or Android phone.

Participant Recruitment Using convenience sampling, the investigators will recruit 15 breast cancer survivors. The study will be publicized using a number of different ways, including ads on social media. Participants will be directed to complete an online screening survey via Qualtrics or to contact the study staff via email or phone. The investigators will contact interested participants and do a telephone or HIPAA-Zoom screening to assess study inclusion criteria, after obtaining informed consent. The investigators will then provide sensors to participants (via mail) and in a subsequent baseline data collection session (via Zoom), assist participants with completing baseline surveys via Qualtrics, in learning how to use the sensors, and in downloading and using smartphone applications. Participants will be asked to use two sensors: 1) a medication event monitoring system device (MEMS; Wisepill); and 2) a wrist-worn wearable sensor (Fitbit) daily for the next 6 months (see below). Participants will be asked to download the Fitbit and Digital Trails apps to their smartphones. Participants will also be asked to complete ecological momentary assessment (EMA; short surveys) using a smartphone app (Digital Trails) for six months.

Data Collection Digital Trails is an app that combines Sensus, a novel mobile sensing system for Android and iOS capable of collecting data from smartphone and Bluetooth-enabled sensors and administering EMAs, with a smartphone intervention. EMA surveys will be implemented at the following intervals: 1) randomly; 2) every 2- 3 days; 3) every 14 days; and 4) every 28 days. Digital Trails will also collect data from the participants' smartphone if authorized by the participant. These may include, but are not limited to, GPS, accelerometer, gyroscope, and pedometer data. Participants will complete 3 surveys via Qualtrics, at baseline, three month follow-up, and six-month follow-up. These surveys will be administered via Qualtrics. Participants will be asked to use two sensors daily for the entire six month period: 1) a Fitbit wrist sensor; and 2) a Wisepill MEMS cap. The investigators will use the Fitbit Sense smartwatch to collect data including steps, calories burned, total distance traveled, sleep, flights of stairs climbed, active minutes, exercise, and average heart rate. Participants will be asked to download the Fitbit app onto their personal smartphone. Participants' Fitabase data will be monitored by the study team using the Fitabase dashboard.

Primary Outcomes: Adherence to medication, receipt of intervention components, perception of intervention (thoughts, most useful components, lease useful components, most attractive components, least attractive components, problems with the intervention, suggested changes to intervention, additional information that should be provided by intervention, willingness to use intervention/system in future).

Planned analyses:

Evaluation of immediate response to delivery of each intervention module will consist of examining MM data that measure: 1) detection of a risk for missed medication; 2) delivery of the specific intervention module suggested by our modeling; and 3) whether the participant subsequently took the medicine as prescribed after the intervention module was deployed (within a 24 hour interval from the last dose plus or minus 6 hours). The investigators will also summarize data regarding participants' use of each type of module offered and their assessment of the acceptability, attractiveness, and usefulness of intervention modules used. Data collected from close-ended questions (i.e., use of an intervention module) will be summarized using descriptive data (i.e., counts and frequencies). Qualitative data collected from open-ended questions will be summarized using content analysis by having two raters code data on the three a priori themes (i.e., acceptability, attractiveness, and usefulness).

Being tested
integrated medication monitoring (MM) system
Keywords
Single-Arm Study Design, Medication Event Monitoring System (MEMS), Medication Adherence, Breast Cancer Survivors, Personalized Interventions, endocrine therapy, mobile health
Medical subject headings
Medication Adherence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • integrated medication monitoring (MM) systemDevice

    We have created a new integrated medication monitoring (MM) system consisting of baseline, 3-month, and 6-month surveys, smartphone-based ecological momentary assessment via an application installed on a smartphone (Digital Trails based on the UVA Sensus app), a wireless medication event monitoring system device (MEMS; Wisepill), and a wearable sensor (Fitbit), and data collected passively from smartphone sensors using the Digital Trails app. These sources of information will be used to understand predictors of medication taking behaviors and, after two months of monitoring, to deploy appropriate interventions which will be delivered via the Digital Trails app platform.

Study groups in NCT06865755
Study groupRoleWhat they receive
integrated medication monitoring systemExperimentalThe single-arm intervention design of this study focuses on delivering a comprehensive integrated medication monitoring system to a cohort of breast cancer survivors. The system will analyze data collected from EMAs, MEMS, and Fitbit sensors to identify participants at risk of nonadherence. Based on this risk assessment, personalized interventions will be delivered through the Digital Trails app, which may include reminders for medication intake, among others.
Receives: Device: integrated medication monitoring (MM) system

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Wisepill MEMS Sensor data collection

    Participants will be asked to put their endocrine therapy medication in the Wisepill device and will be asked to open the Wisepill when taking their medicine daily for six months

    Measured: From enrollment to the end of study at 6 months

  2. Intervention component - Introduction

    Number of respondents who reported receiving and/or using the app introduction

    Measured: 6 months after enrollment into study

  3. Intervention component - Instructions

    Number of respondents who reported receiving and/or using instructions for using the app

    Measured: 6 months after enrollment into the study

  4. Intervention component - calendar

    Number of respondents who reported receiving and/or using the app calendar

    Measured: 6 months after enrollment into the study

  5. Intervention component - resources

    Number of respondents who reported receiving and/or using resources for breast cancer survivors

    Measured: 6 months after enrollment into the study

  6. Intervention component - relaxation audio files

    Number of respondents who reported receiving and/or using relaxation audio files

    Measured: 6 months after enrollment into the study

  7. Intervention component - social support

    Number of respondents who reported receiving and/or using information about social support

    Measured: 6 months after enrollment into the study

  8. Intervention component - tamoxifen

    Number of respondents who reported receiving and/or using information about tamoxifen

    Measured: 6 months after enrollment into the study

  9. Intervention component - aromatase inhibitors

    Number of respondents who reported receiving and/or using information about aromatase inhibitors

    Measured: 6 months after enrollment into the study

  10. Intervention component - routine

    Number of respondents who reported receiving and/or using information about establishing a routine for taking medications

    Measured: 6 months after enrollment into the study

  11. Intervention component - reminders

    Number of respondents who reported receiving and/or using information about setting medication reminders

    Measured: 6 months after enrollment into the study

  12. Intervention component - joint pain

    Number of respondents who reported receiving and/or using information about managing joint pain

    Measured: 6 months after enrollment into the study

  13. Intervention component - hot flashes

    Number of respondents who reported receiving and/or using information about managing hot flashes

    Measured: 6 months after enrollment into the study

  14. Intervention component - pacing

    Number of respondents who reported receiving and/or using information about pacing

    Measured: 6 months after enrollment into the study

  15. Intervention component - relaxation

    Number of respondents who reported receiving and/or using information about relaxation

    Measured: 6 months after enrollment into the study

  16. Intervention component - needs

    Number of respondents who reported receiving and/or using information about getting what they need from their health care providers

    Measured: 6 months after enrollment into the study

  17. Intervention component - travel

    Number of respondents who reported receiving and/or using information about travel

    Measured: 6 months after enrollment into the study

  18. Intervention component - thoughts

    Participants will be asked to describe what they thought about the intervention overall (qualitative response)

    Measured: 6 months after enrollment into the study

  19. Intervention component - most useful

    Participants will be asked to describe the most useful intervention components (qualitative response)

    Measured: 6 months after enrollment into the study

  20. Intervention component - least useful

    Participants will be asked to describe the least useful intervention components (qualitative response)

    Measured: 6 months after enrollment into the study

  21. Intervention component - most attractive

    Participants will be asked to describe which intervention components were most attractive (qualitative response)

    Measured: 6 months after enrollment into the study

  22. Intervention component - least attractive

    Participants will be asked to describe which intervention components were least attractive (qualitative response)

    Measured: 6 months after enrollment into the study

  23. Intervention component - problems

    Participants will be asked to describe problems they experienced using the intervention application (qualitative response)

    Measured: 6 months after enrollment into the study

  24. Intervention component - changes

    Participants will be asked to describe any changes they would make to the intervention (qualitative response)

    Measured: 6 months after enrollment into the study

  25. Intervention component - additional information

    Participants will be asked to describe what additional information the intervention should provide (qualitative response)

    Measured: 6 months after enrollment into the study

  26. Intervention component - future use

    Participants will be asked to describe whether or not they would be willing to use the intervention and monitoring system in the future to remember to take medicines.

    Measured: 6 months after enrollment into the study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Mar 2025
  2. Study startDec 2026 (estimated)
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
15 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06865755
Sponsor's protocol ID
HS-2024-0145
Other IDs
R01CA239246
Status last verified
Oct 2026
First submitted
15 Oct 2024
Last updated
5 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: We plan to share the data so it can be anonymized in registries such as Open Science Framework or alongside our publications.

Questions about this trial

What is this clinical trial studying?

A study testing integrated medication monitoring (MM) system in people with Breast Cancer Survivor and Breast Cancer Early Stage Breast Cancer (Stage 1-3), run by San Diego State University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 5 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Kristen J Wells, PhD (619-594-1919, kwells@sdsu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Wisepill MEMS Sensor data collection (time frame: From enrollment to the end of study at 6 months). The study lists 26 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Oct 2026.

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