Value Proposition: Overview of Med-ic®

Non-adherence with prescribed medications costs the US health care system an estimated $300Bn per year and is responsible for over 100,000 deaths and 1,000,000 hospitalizations. Figures in Europe are similar.  Measuring patient adherence has long been the goal of researchers and clinicians. Information Mediary Corporation (IMC) has achieved this goal with the revolutionary Med-ic Smart Blister Package and other Electronic Content Monitors (ECMs), such as eCAP and CoolBlue Syringe Pack.

Med-ic integrates seamlessly into standard industry blister package configurations and production runs, leaving its electronics hidden in a normal medication blister package. The patient does not have to do anything but take the medication in the usual way and Med-ic records the times of dose removal. These data can then be downloaded with any NFC mobile device, or IMC’s proprietary secure CertiScan reader and stored for further analysis and/or displayed graphically. Such objective adherence data are at the basis of behaviour coaching, and assist in both AI and human clinical decision making.

Each Med-ic package has a unique ID number to facilitate track and trace throughout its life cycle. The ID also facilitates authentication and detects tampering. Med-ic can be customized with our CoolBlue sensors to record temperature, humidity, and exposure to light, shock and radiation. Med-ic can also support auditory and visual reminders and printed patient diaries.

All of our ECMs are environmentally friendly, being powered by a nontoxic lithium watch battery.

 

Med-ic in Clinical Trials

Med-ic is designed to increase the power of clinical trials by minimizing the biggest source and error variance – patient non-adherence with dosing protocols. Med-ic allows non-adherence to be identified and addressed – by remedial education, by screening, by identifying grossly aberrant outliers or by co-varying non-adherence out in the primary outcome analyses. Med-ic streamlines data acquisition via patient-owned mobile devices, using their built-in NFC contactless reader and encrypted app. Non-adherence data may identify biases in a clinical trial that might not show up in the usual statistical analyses. 

Med-ic also reduces clinical trial costs by eliminating the need for medication counting, medication diaries, and associated data entry. Most importantly, the Med-ic can help avoid erroneous decisions to abandon or continue clinical trials.

..…/ more on clinical trials

 

Med-ic in Clinical Settings

The Med-ic Smart Blisters and eCAP Smart Bottles work in any clinical setting where patient adherence is of interest to the clinician. The information available to the physician or pharmacist at follow up will facilitate rational assessment of the effectiveness of treatment and dictate further treatment strategies. For example, a poor clinical response in a non-compliant patient might discourage a physician from switching antibiotics unnecessarily.

Both chronic and as required (prn) medications are candidates for our ECM smart packaging solutions. Medications with high toxicity or dependence liability can benefit from adherence monitoring. This is particularly useful in populations known to have trouble with adherence such as the elderly, patients with addictions, psychiatric patients and home care patients on complicated medication regimens. The return on investment with Med-ic increases with the cost of the drug, making it ideal for drugs used to treat orphan diseases and those requiring medication at long intervals.

Knowledge about a patient’s adherence allows the physician or pharmacist to target such patients with remedial education strategies to improve adherence with the prescribed regimen.

 

Med-ic in Custom Applications

Med-ic can be customized for situations where it is desirable to monitor the environmental conditions in which packaged medication is stored or transported. Med-ic can be adapted to monitor medication that is temperature, vibration, shock, humidity, radiation or light sensitive. Visual and sound devices can be used to warn of medication expiry dates, time for next dose, or give instructions on what to do about a missed dose. It can also incorporate printed diaries to record the patients’ state at the time of dosing.

 

Med-ic ECM in Secure Applications

The Med-ic is also useful in the prevention of counterfeiting by storing an encrypted unique identification in its memory module. This secure ID can be used to track grey-market activities or unauthorized sale. It can warn of expiration, facilitate recalls, and generally provide information of interest from marketing, safety and logistics points of view.  Med-ic provides a full accounting at dose level for clinical trials supply chains and critical applications, such as opiate dispensing.

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