Palliative Care Intervention in Improving Quality of Life, Psychological Distress, and Communication in Patients With Solid Tumors Receiving Treatment

NCT ID: NCT01828775

Last Updated: 2021-03-10

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

NA

Total Enrollment

480 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-08

Study Completion Date

2020-05-18

Brief Summary

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This pilot randomized clinical trial studies palliative care intervention in improving quality of life, psychological distress, and communication in patients with solid tumors receiving treatment on phase I trials. Cancer patients experience many symptoms related to treatment and the cancer itself that can be distressing and impact quality of life. Palliative care focuses on managing these symptoms and may help patients with solid tumors live more comfortably.

Detailed Description

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PRIMARY OBJECTIVES:

I. Test the effects of a palliative care intervention (PCI) on patients' quality of life (QOL), psychological distress and satisfaction with communication, comparing the experimental versus control groups.

II. Test the effects of a PCI on patients' symptom intensity and symptom interference with daily activities, comparing the experimental versus control groups.

III. Test the effects of a PCI on patients' hospital and palliative care resource utilization and clinical trial retention rates, comparing the experimental versus control groups.

IV. Test the effects of the timing of PCI initiation (early versus delayed) on patient outcomes, comparing the experimental versus control groups.

V. Describe patients' satisfaction with the PCI.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients receive part I of the PCI comprising quantitative surveys, comprehensive palliative care assessment by the Research Nurses, and goals of care discussions beginning prior to administration of the first dose of phase I treatment. Patients then receive part II of the PCI comprising recommendations from the interdisciplinary team, patient educational sessions, and supportive care referrals following the first dose of phase I treatment and is completed within one month of the first treatment.

ARM II: Patients receive usual care until 12 weeks post-treatment initiation. Patients then receive both part I and II of the PCI.

After completion of study, patients are followed up for 5 years.

Conditions

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Unspecified Adult Solid Tumor, Protocol Specific

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Arm I (early PCI)

Patients receive part I of the PCI comprising quantitative surveys, comprehensive palliative care assessment by the Research Nurses, and goals of care discussions beginning prior to administration of the first dose of phase I treatment. Patients then receive part II of the PCI comprising recommendations from the interdisciplinary team, patient educational sessions, and supportive care referrals following the first dose of phase I treatment and is completed within one month of the first treatment.

Group Type EXPERIMENTAL

palliative care

Intervention Type OTHER

Receive early PCI

quality-of-life assessment

Intervention Type PROCEDURE

Ancillary studies

survey administration

Intervention Type OTHER

Ancillary studies

Arm II (delayed PCI)

Patients receive usual care until 12 weeks post-treatment initiation. Patients then receive both part I and II of the PCI.

Group Type EXPERIMENTAL

palliative care

Intervention Type OTHER

Receive delayed PCI

quality-of-life assessment

Intervention Type PROCEDURE

Ancillary studies

survey administration

Intervention Type OTHER

Ancillary studies

Interventions

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palliative care

Receive early PCI

Intervention Type OTHER

palliative care

Receive delayed PCI

Intervention Type OTHER

quality-of-life assessment

Ancillary studies

Intervention Type PROCEDURE

survey administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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quality of life assessment

Eligibility Criteria

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Inclusion Criteria

* Patients diagnosed with solid tumors who are eligible for participation in Phase I clinical trials of investigational cancer therapies
* Patients who have signed an informed consent for participation in Phase I clinical trials
* Able to read or understand English-this is included because the intervention and study materials (including outcome measures) are only in English
* Ability to read and/or understand the study protocol requirements, and provide written informed consent

Exclusion Criteria

* Patients diagnosed with hematologic (as a population distinct from solid tumors and different trials) cancers.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

City of Hope Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Betty Ferrell

Role: PRINCIPAL_INVESTIGATOR

City of Hope Medical Center

Locations

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City of Hope Medical Center

Duarte, California, United States

Site Status

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2013-00731

Identifier Type: REGISTRY

Identifier Source: secondary_id

1R01CA177562-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

13193

Identifier Type: -

Identifier Source: org_study_id

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