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Table 1 Overview of the features of the studies

From: Digital pills: a scoping review of the empirical literature and analysis of the ethical aspects

Paper IDa

Country

Study design

Study population

Aim(s) of the study

REC/IRBb Approval

Au-yeung 2011 [32]

USA

3 prospective observational studies

30 patients with Tuberculosis, 8 with Heart Failure, 43 with Hypertensionc

Evaluate the system and characterize technical performance.

Yes

Belknap 2013 [33]

USA

Feasibility study: prospective and observational.

30 patients with active tuberculosis (TB)

Evaluate accuracy, safety and acceptability of the system.

Yes

Browne 2015 [34]

USA

Prospective observational cohort-study

5 patients with type II diabetes

Characterize the at-home adherence patterns of patients through modern methods of visual analytics.

Yes

Browne 2018 [35]

USA

Randomized cross-over study

12 patients with active tuberculosis

Address Good Manufacturing Practice methods to combine the ingestion sensor with oral medications.

Yes

Chai 2017a [36]d

USA

Prospective descriptive study

16 patient with acute fracturese

Report data on opioid ingestion patterns detected by DP

Yes

Chai 2017b [37]d

USA

Pilot study: Prospective, non-randomized and observational.

10 patients with acute fractures

Determine the feasibility the digital pill system to measure opioid ingestion patterns

Yes

Dicarlo 2016 [38]

USA

Feasibility study: prospective, non-randomized, observational.

37 patients with hypertension

Record patterns of medication-taking, step count, daily blood pressure and weight. Study safety and acceptability of digital pills

Yes

Eisenberg 2013 [39]

Switzerland

Exploratory study: open-label, non-randomised and prospective.

20 patients after kidney transplant under Enteric-coated mycophenolate sodium (ECMPS)

Evaluate the detection accuracy, usability, and safety of DP combined with ECMPS in kidney transplants.

Yes

Frias 2017 [40]

USA

Pilot study: prospective, open-label, cluster-randomized (three arms).

109 adults with uncontrolled Hypertension and type II diabetes

Study the effect of digital pills on blood pressure, glycemic and lipid control, engagement, and provider decision making.

Yes

Kane 2013 [41]

USA

Pilot study: observational, non randomised.

28 subjects with schizophrenia (16) or bipolar disorder (12)

Compare the detection accuracy to that of a directly observed method. Characterise safety and user satisfaction.

Yes

Kopelowicz 2017 [42]

USA

Pilot study: observational, open-label and non-randomised.

49 subjects with bipolar disorder, major depressive disorder, or schizophrenia

Evaluate the functionality of an integrated call center in optimizing the use of the digital pills and assess its use.

Yes

Moorhead 2017 [43]

USA

Post hoc studies based on a study following a cluster randomised design.

113 patients with uncontrolled hypertension.

Study the incremental impact of seeing versus not seeing DP medication dose reminders on medication-taking and assess the safety of the digital pills with respect to possible risk of overdosing.

Yes

Naik 2017 [44]

UK

Prospective registry-based observational study.

151 patients with uncontrolled hypertensionf

Characterize patterns of medication use. Assess usability and acceptability of digital pills.

Yes

Noble 2016 [45]

UK

Prospective observational study.

39 patients with uncontrolled hypertension

Report and summarise the first use of digital pills by pharmacists to establish blood pressure management recommendations.

Not required

Peters-strickland 2016 [46]

USA

Phase II open-label observational study.

67 patients with schizophrenia

Assess the usability of the system, satisfaction, safety and tolerability.

Yes

Peters-strickland 2018 [47]

USA

Six formative human factors studies

129 patients with confirmed diagnosis of schizophrenia, bipolar I disorder, or major depressive disorder (MDD)

Assess the safe and effective use of a system. Assess whether the three intended groups of users (patients, healthcare providers, and caregivers) can appropriately use the technology.

Yes

Rohatagi 2016 [48]

USA

Phase 4 exploratory observational study: open-label and single-arm.

58 stable patients with a diagnosis of bipolar I disorder (n = 35) or MDD (n = 23)

Obtain descriptive feedback from patients, assess safety and summarize patient adherence

Yes

Thompson 2017 [49]

UK

Prospective observational study

21 patients with either established cardiovascular disease or high multifactorial risk

Test the system in a group of patients at elevated cardiovascular risk attending a cardiac prevention and rehabilitation program

N/A

  1. a First author and publication year
  2. b Research Ethics Committee (REC) or Institutional Review Board (IRB)
  3. cOnly 40 completed the study
  4. d this study used a version of the ingestible sensor and wearable patch produced by a different company
  5. e Only 15 patients completed the study
  6. f 167 patients were enrolled in the registry, but 16 were excluded from the study