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CTRI Number  CTRI/2025/12/099891 [Registered on: 29/12/2025] Trial Registered Prospectively
Last Modified On: 27/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [mobile application ]  
Study Design  Other 
Public Title of Study   Mobile application Vs conventional diary method on medication adherence among diabetic subjects 
Scientific Title of Study   Impact of mobile application and conventional diary method on the adherence to the medications among subjects attending Diabetes clinic in a tertiary care center of eastern India: A randomized pilot study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dipan Saha 
Designation  Senior Resident 
Affiliation  School of Tropical Medicine, Kolkata 
Address  Dept of Pharmacology, School of Tropical Medicine, Kolkata 108, Chittaranjan Avenue

Kolkata
WEST BENGAL
700073
India 
Phone  9674443064  
Fax    
Email  drdipans@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shatavisa Mukherjee 
Designation  Doctoral Scholar 
Affiliation  School of Tropical Medicine, Kolkata 
Address  Dept of Pharmacology, School of Tropical Medicine, Kolkata 108, Chittaranjan Avenue

Kolkata
WEST BENGAL
700073
India 
Phone  9830529192  
Fax    
Email  shatavisa100@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shatavisa Mukherjee 
Designation  Senior Research Officer 
Affiliation  School of Tropical Medicine, Kolkata 
Address  Dept of Pharmacology, School of Tropical Medicine, Kolkata 108, Chittaranjan Avenue


WEST BENGAL
700073
India 
Phone  9830529192  
Fax    
Email  shatavisa100@gmail.com  
 
Source of Monetary or Material Support  
School of Tropical Medicine, Kolkata 108, Chitta Ranjan Avenue Kolkata - 700034 West Bengal, India 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [Nil] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Dipan Saha  School of Tropical Medicine, Kolkata  Room no 2; Diabetes Out Patient Clinic, School of Tropical Medicine, Kolkata 108, Chittaranjan Avenue, Kolkata - 700073
Kolkata
WEST BENGAL 
9674443064

drdipans@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Clinical Research Ethics Committee, School of Tropical Medicine, Kolkata  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E119||Type 2 diabetes mellitus without complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Diary Based Method  Medication adherence is assessed by asking patients to manually record each dose taken in a paper or self-reported diary over a defined period. Duration of intervention will be 24 weeks. 
Intervention  Medisafe Mobile Application  A smartphone-based platform designed to support patients in managing their medication schedules through features like timely reminders, dose tracking, adherence reports, and educational alerts. Duration of intervention will be 24 weeks.  
Comparator Agent  Verbal Adherence Instruction  Medication adherence is promoted through direct, face-to-face counseling where healthcare providers verbally explain dosing schedules and importance of compliance. Duration of intervention will be 24 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Adults aged 18–70 years with type 2 diabetes mellitus
On stable oral hypoglycemic agents ± insulin for at least 3 months
Owns a smartphone (for Medisafe arm)
Provides informed consent. 
 
ExclusionCriteria 
Details  Cognitive impairment or psychiatric illness interfering with adherence.
Severe diabetic complications (e.g., end-stage renal disease, advanced retinopathy).
Participation in another adherence-related trial.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Medication adherence measured using:
MARS Medication Adherence Scale (MARS 5) at baseline and 24 week
Pill count method at each follow-up visit.
 
Baseline and 24 Weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Change in HbA1c at baseline and at the end of 12 weeks and 24 weeks
Fasting and postprandial blood glucose values.
Renal parameters like blood urea, serum creatinine and spot urine albumin creatinine ratio were reassessed after 12 and 24 weeks and compared with the baseline values
Patient satisfaction and ease-of-use (Likert scale questionnaire).
 
12 weeks and 24 Weeks 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

With the increasing integration of technology into healthcare, mobile health applications have emerged as innovative tools to improve adherence. The Medisafe app is a smartphone-based platform designed to support patients in managing their medication schedules through features like timely reminders, dose tracking, adherence reports, and educational alerts. These functionalities not only facilitate consistent medication intake but also actively engage patients in their own care, potentially leading to better clinical outcomes.

Comparing digital adherence tools like the Medisafe app with conventional diary-based methods can provide valuable insights into the relative effectiveness, patient acceptability, and practicality of these approaches. Such comparisons are especially relevant in the context of chronic disease management, where sustained adherence is essential for long-term health benefits. Understanding which method promotes higher adherence can guide clinicians, patients, and healthcare systems in adopting strategies that optimize treatment outcomes.

 
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