Diagnostics and Therapy of Disease-Related Quality of Life of Patients With Breast Cancer

NCT ID: NCT00145743

Last Updated: 2007-11-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Study Completion Date

2007-10-31

Brief Summary

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Quality of Life-Diagnostics and -Therapy in Individual Patients with Breast Cancer.

A randomized study including 200 patients, 5 clinics and 43 general practitioners as coordinating doctors for quality of life therapies.

Detailed Description

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Quality of life (QL) is increasingly being accepted as an important endpoint in clinical studies, however little is known about its diagnostic value in order to optimize the therapy of cancer patients. This project at the Tumorcentre Regensburg aims to integrate QL-diagnostics into the therapy of patients with breast cancer and to evaluate the efficacy of QL-diagnostics in the context of a randomized clinical trial.

The Tumorcentre Regensburg provides the infrastructure of the present project (telemedicine, project groups, quality circle). Breast cancer patients' therapy is based on the recent national breast cancer therapy guideline, including assorted QL-enhancing therapy options, such as pain therapy, physiotherapy and lymphatic drainage, psychotherapy, social counseling and rehabilitation, nutrition and sports.

In the course of an implementation phase, a new method of QL diagnostics has been developed. Five experts with varying professional background use the individual patient's QL profile and clinical and sociodemographic information in order to generate a QL-report including a therapy recommendation.

This is a two-arm randomized clinical trial with one test group (communication of the QL-finding to the coordinating physician) and a control group (no communication). Patients with newly diagnosed breast cancer who are treated in the study region by one of the coordinating doctors will be included in this randomized study. QL-assessments (EORTC QLQ-C30 plus BR23) will be taken at designated points in time over a 12 months time course. Finally, patients will provide an overall evaluation of the course and the effects of the therapy using an open-ended questionnaire.

We expect that patients in the test group will experience a lower number of QL-deficits at the end of the study period (Median 1 +/- 2) than patients of the control group (Median 2 +/- 2). The statistical confirmation of this expected effect requires a total sample size of N = 200 (n=100 vs. n=100, alpha = 5% \[two-tailed\], beta = 10%).

This is the first study to evaluate a new form of QL-diagnostics in the complexity of a real patient care environment. This study promises to reveal important new insights into advanced patient care and will make the inclusion of the quality of life concept in the current breast cancer treatment guideline more concrete.

Conditions

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Breast Neoplasms

Keywords

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Quality of Life Breast Cancer Referee's Report Diagnostics Therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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1

Patient's reported questionaire, profile in 10 dimensions (EORTC) and referees' report with treatment recommendations

Group Type EXPERIMENTAL

physio,pain,psychotherapy;social,nutrit.counselling&sports

Intervention Type BEHAVIORAL

profile and treatment recommendations based on the profile vs. routine psychooncology

2

Patient's reported questionaire; no recommendations given

Group Type EXPERIMENTAL

physio,pain,psychotherapy;social,nutrit.counselling&sports

Intervention Type BEHAVIORAL

profile and treatment recommendations based on the profile vs. routine psychooncology

Interventions

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physio,pain,psychotherapy;social,nutrit.counselling&sports

profile and treatment recommendations based on the profile vs. routine psychooncology

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All patients with primary breast cancer in the county of Regensburg, Amberg and Sulzbach-Rosenberg from November 2004 to approximately June 2006 submitted by coordinating physicians who were trained in quality of life questionnaires and profiles

Exclusion Criteria

* Secondary breast cancer, patients who refused to participate, patients incapable of filling out questionnaires, male patients, pregnant patients, age below 18 yrs.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Tumor Center Regensburg

OTHER

Sponsor Role lead

Principal Investigators

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Monika KS Klinkhammer-Schalke, MD

Role: STUDY_CHAIR

Tumor Center Regensburg

Michael MK Koller, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Marburg, Institut of Theoretical Surgery

Brigitte BE Ernst, MD

Role: PRINCIPAL_INVESTIGATOR

General Practitioner, Bad Abbach

Ferdinand FH Hofstädter, MD, Prof.

Role: PRINCIPAL_INVESTIGATOR

Tumor Center Regensburg

Wilfried WL Lorenz, MD, Prof.

Role: PRINCIPAL_INVESTIGATOR

Tumor Center Regensburg

Locations

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Tumorzentrum Regensburg

Regensburg, Bavaria, Germany

Site Status

Countries

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Germany

References

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Koller M, Lorenz W. Quality of life: a deconstruction for clinicians. J R Soc Med. 2002 Oct;95(10):481-8. doi: 10.1177/014107680209501002. No abstract available.

Reference Type BACKGROUND
PMID: 12356967 (View on PubMed)

Related Links

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Other Identifiers

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3.5/8203-1/117/02

Identifier Type: -

Identifier Source: secondary_id

TUZ-QL-RS-04

Identifier Type: -

Identifier Source: org_study_id