Actively Recruiting

Phase Not Applicable
Age: 60Years +
All Genders
ID07114094

Development and Validation of a Deprescribing Tool for Indian Elderly and Evaluation of Its Effectiveness in Reducing Inappropriate Polypharmacy

Led by Indian Council of Medical Research · Updated on 2025-08-14

1650

Participants Needed

2

Research Sites

30 weeks

Total Duration

On this page

Sponsors

I

Indian Council of Medical Research

Lead Sponsor

S

St Johns Medical College Hospital, Bangalore, India

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating whether a deprescribing tool can help reduce prescriptions with potentially inappropriate medications (PIMs) among elderly patients in India. The study aims to determine if inappropriate polypharmacy can be lowered by developing and implementing a tool tailored to the Indian context, where medication use patterns differ from other countries. This trial compares outcomes between physicians who use the deprescribing tool and those who follow routine prescribing practices. In this multicenter study, physicians are randomly assigned to either a control group that prescribes as usual or an intervention group that uses the deprescribing tool during patient consultations. The tool guides medication review and deprescribing decisions, such as stopping duplicate drugs, tapering unnecessary medications, or reducing doses. Patients aged 60 years and older receive routine care from their assigned physician, and prescriptions are collected for evaluation. Participants are followed for one month after the consultation to monitor adverse events, including hospitalizations. Data collected include the proportion of prescriptions containing PIMs, average number of PIMs per prescription, deprescribing rates, and potential adverse drug reactions or interactions. Researchers assess the impact of the tool on improving prescription quality and reducing medication-related risks, with the total participation lasting from enrollment through follow-up.

CONDITIONS

Brief Title

Development, Validation and Evaluation of a Deprescribing Tool

Who Can Participate

Age: 60Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Elderly patients (60 years or older) of either sex visiting the General Medicine or Community and Family Medicine outpatient departments
Not Eligible

You will not qualify if you...

  • Patients not willing to participate in the study or provide consent to participate in the trial study procedures and follow-up contact including telephonic contact at one month post-consultation

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - 30 minutes to 1 hour

Participants receive medication review using the deprescribing tool during their consultation, where prescribers may deprescribe medications if indicated.

1 visit (in-person)

Follow-up

Duration - 1 month

Participants are followed up approximately one month after consultation to monitor for any adverse events, including hospitalizations, via telephone or in person if a routine follow-up visit occurs.

1 follow-up visit (telephone or in-person)

Trial Site Locations

Total: 2 locations

1

St. John's Medical College, Bangalore, India

Bangalore, Karnataka, India, 560034

Actively Recruiting

2

All India Institute of Medical Sciences Bhopal

Bhopal, Madhya Pradesh, India, 462020

Actively Recruiting

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Research Team

R

Ratinder Jhaj, DM

D

Dr. Atiya Faruqui, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

OTHER

Number of Arms

2

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Frequently Asked Questions

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Published Research Related To This Trial

Potentially Inappropriate Medications and Potential Prescribing Omissions in Elderly Patients Receiving Post-Acute and Long-Term Care: Application of Screening Tool of Older People's Prescriptions/Screening Tool to Alert to Right Treatment Criteria.

Catarina Candeias, Jorge Gama, Márcio Rodrigues...

https://pubmed.ncbi.nlm.nih.gov/34737705

American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults.

By the 2023 American Geriatrics Society Beers Criteria® Update Expert Panel

https://pubmed.ncbi.nlm.nih.gov/37139824

Prevalence of Polypharmacy, Hyperpolypharmacy and Potentially Inappropriate Medication Use in Older Adults in India: A Systematic Review and Meta-Analysis.

Akshaya S Bhagavathula, Kota Vidyasagar, Manik Chhabra...

https://pubmed.ncbi.nlm.nih.gov/34093207

The EU(7)-PIM list: a list of potentially inappropriate medications for older people consented by experts from seven European countries.

Anna Renom-Guiteras, Gabriele Meyer, Petra A Thürmann

https://pubmed.ncbi.nlm.nih.gov/25967540

A systematic review of the evidence for deprescribing interventions among older people living with frailty.

Kinda Ibrahim, Natalie J Cox, Jennifer M Stevenson...

https://pubmed.ncbi.nlm.nih.gov/33865310