Status:

NOT_YET_RECRUITING

EVOLV-Rx VA: Evaluating Opportunities to Decrease Low-Value Prescribing in Community Living Centers

Lead Sponsor:

VA Office of Research and Development

Conditions:

Low-Value Care

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

The investigators developed EVOLV-Rx (Evaluating Opportunities to Decrease Low-Value Prescribing), a novel clinical support tool to detect 18 evidence-based and clinically useful low-value prescribing...

Detailed Description

Background: More than half of Veterans aged 65 years who reside in Community Living Centers (CLCs) are subject to low-value prescribing, placing them at increased risk of adverse drug events, hospital...

Eligibility Criteria

Inclusion

  • Veterans aged 65+ admitted to a participating VISN 4 CLC at the time of the required medication review.

Exclusion

  • Veterans receiving hospice care, as the discontinuation of medications in EVOLV-Rx (e.g., benzodiazepines) may result in undue discomfort.
  • During both the usual care and intervention period of the study, the study coordinator will query the EVOLV-Rx dashboard weekly.
  • The coordinator will ensure the presence of inclusion/exclusion criteria via chart review and using the EVOLV-Rx dashboard, they will then flag the patient if they are receiving hospice care and should be excluded from the study.

Key Trial Info

Start Date :

September 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2028

Estimated Enrollment :

1161 Patients enrolled

Trial Details

Trial ID

NCT07166107

Start Date

September 1 2026

End Date

December 31 2028

Last Update

October 21 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA

Philadelphia, Pennsylvania, United States, 19104-4551

2

VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA

Pittsburgh, Pennsylvania, United States, 15240