Early Integration of Palliative Care Using the BEACON PROQOL in Patients With High Grade Glioma and Their Caregivers

NCT ID: NCT04630379

Last Updated: 2023-03-20

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

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-13

Study Completion Date

2020-08-31

Brief Summary

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This trial assesses the quality of life in patients with high grade glioma and their caregivers using a questionnaire called the Beacon Patient Related Outcomes Quality of Life (PROQOL). Knowledge gained from this trial may help researchers find out if early integration of palliative care will lead to improvement in quality of life for both patients and caregivers.

Detailed Description

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PRIMARY OBJECTIVES:

I. Assess feasibility of intra-office Beacon Patient Related Outcomes Quality of Life Scale (PROQOL) assessment of patient and caregiver.

II. Assess feasibility of routine (monthly) visits with palliative care specialists.

III. Evaluate if overall quality of life of patients with high grade glioma and their caregivers improves with identifying and addressing symptoms and psychosocial concerns identified through the PROQOL tool.

IV. Evaluate if overall quality of life of patients with high grade glioma improves further with early integration of palliative care.

V. Evaluate if overall quality of life of primary caregivers improves with early integration of palliative care.

VI. Compare patient's perception and understanding of disease severity and prognosis with that of the caregivers, and with that of the clinicians.

VII. Evaluate variance in prognosis between the neurooncologist and palliative care specialist.

OUTLINE: Patients are randomized to 1 of 3 groups.

GROUP A: Patients and primary caregiver complete the Beacon PROQOL survey before each visit. Patients then receive standard of care for high grade glioma consisting of visits with neuro-oncologist monthly for 6 months to address concerns that are identified via the survey and the domain of concern identified by patient and caregiver.

GROUP B: Patients and primary caregiver complete the Beacon PROQOL survey before each visit. Patients then receive standard of care for high grade glioma consisting of visits with neuro-oncologist and palliative care team monthly for 6 months to address concerns that are identified by the survey and domains of concerns. Caregivers also attend support sessions led by a social worker monthly for 6 months.

GROUP C: Patients and primary caregiver complete quality of life portion of the Beacon PROQOL survey before each visit. Patients then receive standard of care for high grade glioma consisting of visits with neuro-oncologist monthly for 6 months and address important concerns that come up on the survey. Patients may also receive palliative care consultation as deemed appropriate by the neuro-oncologist.

Conditions

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Glioblastoma Malignant Glioma WHO Grade III Glioma

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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Group A (visit with neuro-oncologist)

Patients and primary caregiver complete the BEACON PROQOL survey before each visit. Patients then receive standard of care for high grade glioma consisting of visits with neuro-oncologist monthly for 6 months to address concerns that are identified via the survey and the domain of concern identified by patient and caregiver.

Group Type EXPERIMENTAL

Quality-of-Life Assessment

Intervention Type OTHER

Ancillary studies

Supportive Care

Intervention Type OTHER

Visit with neuro-oncologist

Survey Administration

Intervention Type OTHER

Complete survey

Group B (visit with neuro-oncologist and palliative care team)

Patients and primary caregiver complete the BEACON PROQOL survey before each visit. Patients then receive standard of care for high grade glioma consisting of visits with neuro-oncologist and palliative care team monthly for 6 months to address concerns that are identified by the survey and domains of concerns. Caregivers also attend support sessions led by a social worker monthly for 6 months.

Group Type EXPERIMENTAL

Palliative Therapy

Intervention Type OTHER

Visit with palliative care team

Quality-of-Life Assessment

Intervention Type OTHER

Ancillary studies

Supportive Care

Intervention Type OTHER

Visit with neuro-oncologist

Survey Administration

Intervention Type OTHER

Complete survey

Group C (visit with neuro-oncologist, palliative care team)

Patients and primary caregiver complete quality of life portion of the BEACON PROQOL survey before each visit. Patients then receive standard of care for high grade glioma consisting of visits with neuro-oncologist monthly for 6 months and address important concerns that come up on the survey. Patients may also receive palliative care consultation as deemed appropriate by the neuro-oncologist.

Group Type ACTIVE_COMPARATOR

Palliative Therapy

Intervention Type OTHER

Visit with palliative care team

Quality-of-Life Assessment

Intervention Type OTHER

Ancillary studies

Supportive Care

Intervention Type OTHER

Visit with neuro-oncologist

Survey Administration

Intervention Type OTHER

Complete survey

Interventions

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Palliative Therapy

Visit with palliative care team

Intervention Type OTHER

Quality-of-Life Assessment

Ancillary studies

Intervention Type OTHER

Supportive Care

Visit with neuro-oncologist

Intervention Type OTHER

Survey Administration

Complete survey

Intervention Type OTHER

Other Intervention Names

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Comfort Care PA-Palliative Therapy palliation Palliative Palliative Care Palliative Treatment Symptom Management Symptoms Management Quality of Life Assessment Supportive Therapy Symptom Management Therapy, Supportive

Eligibility Criteria

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Inclusion Criteria

* Adults with pathology confirmed high grade glioma, graded as World Health Organization (WHO) grade III and IV
* Ability to use a tablet
* Able to adhere to completing surveys at study visits
* English speaking
* Has a caregiver that has provided oral consent to participate in this study
* Insurance accepted at Mayo Clinic Arizona

Exclusion Criteria

* Inability to use a tablet
* Inability to adhere to completing surveys at monthly visits
* Unable to speak English
* Lack of a caregiver
* Insurance not accepted at Mayo Clinic Arizona
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Alyx Porter, M.D.

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alyx B Porter Umphrey

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Arizona

Scottsdale, Arizona, United States

Site Status

Countries

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United States

References

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Sharma A, Fruth B, Barrera C, Farfour HN, Mrugala MM, Edwin MK, Sloan JA, Porter AB. How much time do we have? Longitudinal perception of prognosis in newly-diagnosed high grade glioma patients and caregivers compared to clinicians. J Neurooncol. 2021 Apr;152(2):313-323. doi: 10.1007/s11060-021-03700-2. Epub 2021 Jan 23.

Reference Type DERIVED
PMID: 33486637 (View on PubMed)

Other Identifiers

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NCI-2020-07998

Identifier Type: REGISTRY

Identifier Source: secondary_id

17-011342

Identifier Type: OTHER

Identifier Source: secondary_id

17-011342

Identifier Type: -

Identifier Source: org_study_id

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