A Text-based Intervention in Improving Adherence to Hormone Therapy in Patients With Stage I-III Hormone Receptor Positive Breast Cancer

NCT ID: NCT04086875

Last Updated: 2024-06-10

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

332 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-07

Study Completion Date

2024-09-24

Brief Summary

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This trial studies how well a text-based intervention works in improving adherence to hormone therapy in patients with stage I-III hormone receptor positive breast cancer. Women often require long term therapy with adjuvant hormone therapy to prevent the cancer from returning and to improve overall survival. Side effects from hormone therapy may prevent some women from staying adherent to their medication therapy. A text-based intervention may provide educational information to breast cancer patients who are undergoing adjuvant hormone therapy.

Detailed Description

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PRIMARY OBJECTIVES:

I. Examine the efficacy of messaging for adjuvant hormone therapy compliance promotion (mAHT-CaP) in a randomized control trial (RCT) design.

SECONDARY OBJECTIVES:

I. Conduct mediator analyses of intervention efficacy..

EXPLORATORY OBJECTIVES:

I. Explore whether age (=\< 45 versus \[vs.\] \> 45 at diagnosis) and race/ethnicity (white vs. non-white) moderate intervention effects on medication adherence and symptom distress.

OUTLINE:

PHASE I: Participants attend focus groups on adherence to hormone therapy.

PHASE II: Participants are randomized to 1 of 2 groups.

GROUP I: Participants receive text messages twice weekly for 6 months to remind and motivate participants about adjuvant hormonal therapy (AHT) adherence.

GROUP II: Participants receive usual care.

After completion of study, participants are followed up at 3, 6, and 12 months.

Conditions

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Anatomic Stage I Breast Cancer AJCC v8 Anatomic Stage IIA Breast Cancer AJCC v8 Anatomic Stage IA Breast Cancer AJCC v8 Anatomic Stage II Breast Cancer AJCC v8 Anatomic Stage III Breast Cancer AJCC v8 Anatomic Stage IIIA Breast Cancer AJCC v8 Anatomic Stage IIB Breast Cancer AJCC v8 Anatomic Stage IIIB Breast Cancer AJCC v8 Anatomic Stage IIIC Breast Cancer AJCC v8 Estrogen Receptor Positive Tumor Progesterone Receptor Positive Tumor Prognostic Stage I Breast Cancer AJCC v8 Prognostic Stage IA Breast Cancer AJCC v8 Prognostic Stage IB Breast Cancer AJCC v8 Prognostic Stage II Breast Cancer AJCC v8 Prognostic Stage IIA Breast Cancer AJCC v8 Prognostic Stage IIB Breast Cancer AJCC v8 Prognostic Stage III Breast Cancer AJCC v8 Prognostic Stage IIIA Breast Cancer AJCC v8 Prognostic Stage IIIB Breast Cancer AJCC v8 Prognostic Stage IIIC Breast Cancer AJCC v8

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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Phase 1 (focus groups)

Participants attend focus groups on adherence to hormone therapy.

Group Type EXPERIMENTAL

Focus Group

Intervention Type BEHAVIORAL

Participate in focus group

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Phase II Group 1 (text messages)

Participants receive text messages twice weekly for 6 months to remind and motivate participants about AHT adherence.

Group Type EXPERIMENTAL

Text Message

Intervention Type OTHER

Receive text messages

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Phase II Group II (usual care)

Participants receive usual care.

Group Type ACTIVE_COMPARATOR

Best Practice

Intervention Type OTHER

Receive usual care

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Focus Group

Participate in focus group

Intervention Type BEHAVIORAL

Text Message

Receive text messages

Intervention Type OTHER

Best Practice

Receive usual care

Intervention Type OTHER

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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SMS Text SMS Text Message Text standard of care standard therapy

Eligibility Criteria

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Inclusion Criteria

* Woman diagnosed with stage I-III breast cancer (BCa).
* Hormone receptor positive tumor.
* Completed local definitive treatment (i.e., surgery chemotherapy, radiation).
* Within 3 month of initiation of a new adjuvant hormonal therapy (AHT) regimen.
* At least 12 months of AHT recommended.
* Able to read and understand English.
* Able to provide informed consent.
* Have a mobile device with text (TXT) capability.
* Know or willing to learn how to use TXT.

Exclusion Criteria

• Cognitive impairment documented in the electronic medical record (EMR), biological variables (sex).
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Thomas Jefferson University

OTHER

Sponsor Role lead

Responsible Party

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Kuang-Yi Wen

Associate Professor - Medical Oncology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kuang-Yi Wen, MD

Role: PRINCIPAL_INVESTIGATOR

Sidney Kimmel Cancer Center at Thomas Jefferson University

Locations

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Jefferson Health - South Jersey

Sewell, New Jersey, United States

Site Status

Jefferson Health - Abington

Abington, Pennsylvania, United States

Site Status

Doylestown Hospital

Doylestown, Pennsylvania, United States

Site Status

Sidney Kimmel Cancer Center at Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Jefferson Health - Northeast (Aria Torresdale)

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University - Methodist Hospital

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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R01CA222246

Identifier Type: NIH

Identifier Source: secondary_id

View Link

19F.265

Identifier Type: -

Identifier Source: org_study_id

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