Last reviewed · How we verify
NCT05878054
Pursuing the Triple Aim in Hotspotters: Identification and Integrated Care
NA trial testing Proactive, integrated and personalised care in Complex Patient in 41 participants. Participants enrolled and being followed up; not accepting new ones.
31 December 2026
Quick facts
| Lead sponsor | Leiden University Medical Center |
|---|---|
| Phase | NA |
| Status | Active, enrolled |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | crossover |
| Masking | none |
| Primary purpose | other |
| Enrollment | 41 |
| Start date | 2 August 2023 |
| Primary completion | 31 December 2026 |
| Estimated completion | 31 December 2026 |
| Sites | 1 location across Netherlands |
Drugs / interventions tested
- Proactive, integrated and personalised care
Conditions studied
- Complex Patient — all drugs for Complex Patient →
- Multimorbidity — all drugs for Multimorbidity →
- Psychosocial Problem — all drugs for Psychosocial Problem →
- Chronic Disease — all drugs for Chronic Disease →
Sponsor
Leiden University Medical Center
Who can join
18 and older, any sex, with Complex Patient or Multimorbidity. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
Hotspotters are patients with complex care needs, defined by problems in multiple life domains and high acute care use. These patients often receive mismatched care, resulting in overuse of care and increased healthcare costs. Reliable data on (cost-)effective interventions for these patients are scarce. The goal of this study is to assess the cost-effectiveness of pro-active and integrated care. This approach includes: an intake consultation with Positive Health; multidisciplinary meetings with physician, mental healthcare nurse, social worker and the patient; a personalised care plan and proactive care management. We aim to include 200 patients, divided over 20 primary care practices.
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
-
Hotspotters Project: a study protocol for a stepped wedge cluster RCT on the cost-effectiveness of 12-month proactive, integrated and personalised care for patients with problems on multiple life domains and high acute care use.
Tiemes V, Leming KA, Borgdorff H, Bruijnzeels MA, et al · · 2025 · cited 1× · PMID 40784776 · DOI 10.1136/bmjopen-2024-087940
Verify or expand the search:
- PubMed search for NCT05878054
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT05878054 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Leiden University Medical Center
- Last refreshed: 24 February 2026
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05878054.
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