Trial Outcomes & Findings for Default Options to Reduce Unnecessary Daily Imaging During Palliative Radiation (NCT NCT03110692)

NCT ID: NCT03110692

Last Updated: 2019-12-09

Results Overview

Radiology tests including x-rays and CT scans

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1188 participants

Primary outcome timeframe

3 months post arm crossover

Results posted on

2019-12-09

Participant Flow

Participant milestones

Participant milestones
Measure
Usual Practice (Control)
The usual practice group will rollover to the intervention arm 3 months after the start of the default intervention group in Feb. 2017
Intervention
Default initiation: Introduce a default prescription template in the palliative setting in order to reduce unnecessary daily image guided radiation. Default initiation: A default prescription template will be introduced in the palliative setting in order to reduce unnecessary daily image guided radiation. To start in Feb 2017 and continue in the intervention through Feb 2018
Overall Study
STARTED
679
509
Overall Study
COMPLETED
679
509
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Default Options to Reduce Unnecessary Daily Imaging During Palliative Radiation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Practice (Control)
n=679 Participants
The usual practice group will rollover to the intervention arm after 3 months following the start of the default intervention in Feb 2017.
Intervention
n=509 Participants
Default initiation: Introduce a default prescription template in the palliative setting in order to reduce unnecessary daily image guided radiation. Default initiation: A default prescription template will be introduced in the palliative setting in order to reduce unnecessary daily image guided radiation. To start in Feb 2017 and continue in the intervention through Feb 2018
Total
n=1188 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
341 Participants
n=5 Participants
259 Participants
n=7 Participants
600 Participants
n=5 Participants
Age, Categorical
>=65 years
338 Participants
n=5 Participants
250 Participants
n=7 Participants
588 Participants
n=5 Participants
Sex: Female, Male
Female
347 Participants
n=5 Participants
268 Participants
n=7 Participants
615 Participants
n=5 Participants
Sex: Female, Male
Male
332 Participants
n=5 Participants
241 Participants
n=7 Participants
573 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · White non-hispanic
470 Participants
n=5 Participants
333 Participants
n=7 Participants
803 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Black non-hispanic
147 Participants
n=5 Participants
114 Participants
n=7 Participants
261 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Other
41 Participants
n=5 Participants
37 Participants
n=7 Participants
78 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Missing
21 Participants
n=5 Participants
25 Participants
n=7 Participants
46 Participants
n=5 Participants
ECOG Performance Status
0
92 participants
n=5 Participants
66 participants
n=7 Participants
158 participants
n=5 Participants
ECOG Performance Status
1
200 participants
n=5 Participants
145 participants
n=7 Participants
345 participants
n=5 Participants
ECOG Performance Status
2
206 participants
n=5 Participants
133 participants
n=7 Participants
339 participants
n=5 Participants
ECOG Performance Status
3
151 participants
n=5 Participants
121 participants
n=7 Participants
272 participants
n=5 Participants
ECOG Performance Status
4
27 participants
n=5 Participants
26 participants
n=7 Participants
53 participants
n=5 Participants
ECOG Performance Status
Missing
3 participants
n=5 Participants
18 participants
n=7 Participants
21 participants
n=5 Participants
Insurance
Medicaid
46 Participants
n=5 Participants
54 Participants
n=7 Participants
100 Participants
n=5 Participants
Insurance
Medicare
337 Participants
n=5 Participants
226 Participants
n=7 Participants
563 Participants
n=5 Participants
Insurance
Commercial
296 Participants
n=5 Participants
229 Participants
n=7 Participants
525 Participants
n=5 Participants
Target Type
Bone
345 Participants
n=5 Participants
275 Participants
n=7 Participants
620 Participants
n=5 Participants
Target Type
Brain
104 Participants
n=5 Participants
82 Participants
n=7 Participants
186 Participants
n=5 Participants
Target Type
Soft Tissue
133 Participants
n=5 Participants
103 Participants
n=7 Participants
236 Participants
n=5 Participants
Target Type
Multiple Sites
97 Participants
n=5 Participants
49 Participants
n=7 Participants
146 Participants
n=5 Participants
Prior Radiation
381 Participants
n=5 Participants
268 Participants
n=7 Participants
649 Participants
n=5 Participants
Number of Patients Receiving Fractions
2-5 total fractions per course
156 Participants
n=5 Participants
162 Participants
n=7 Participants
318 Participants
n=5 Participants
Number of Patients Receiving Fractions
6-10 total fractions per course
403 Participants
n=5 Participants
277 Participants
n=7 Participants
680 Participants
n=5 Participants
Number of Patients Receiving Fractions
11-15 total fractions per course
104 Participants
n=5 Participants
51 Participants
n=7 Participants
155 Participants
n=5 Participants
Number of Patients Receiving Fractions
15+ total fractions per course
16 Participants
n=5 Participants
19 Participants
n=7 Participants
35 Participants
n=5 Participants
Number of patients receiving dose per fraction
Less than or equal to 200 doses per fraction
26 Participants
n=5 Participants
38 Participants
n=7 Participants
64 Participants
n=5 Participants
Number of patients receiving dose per fraction
201-300 doses per fraction
509 Participants
n=5 Participants
308 Participants
n=7 Participants
817 Participants
n=5 Participants
Number of patients receiving dose per fraction
301-400 doses per fraction
137 Participants
n=5 Participants
154 Participants
n=7 Participants
291 Participants
n=5 Participants
Number of patients receiving dose per fraction
Greater than 400 doses per fraction
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 months post arm crossover

Radiology tests including x-rays and CT scans

Outcome measures

Outcome measures
Measure
Usual Practice (Control)
n=679 Participants
The usual practice group will rollover to the intervention arm after 3 months from start of the default intervention in Feb 2017.
Intervention
n=509 Participants
Default initiation: Introduce a default prescription template in the palliative setting in order to reduce unnecessary daily image guided radiation. Default initiation: A default prescription template will be introduced in the palliative setting in order to reduce unnecessary daily image guided radiation. To start in Feb 2017 and continue in the intervention through Feb 2018
Percent of Patients Receiving Daily Imaging
679 Participants
509 Participants

Adverse Events

Usual Practice (Control)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Mitesh S. Patel

Perelman School of Medicine, University of Pennsylvania

Phone: 215-898-3367

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place