Web-Based Symptom Monitoring and Self-Management Portal (YES) for Adolescent and Young Adult Breast Cancer Survivors

NCT ID: NCT04906200

Last Updated: 2025-03-06

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

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-28

Study Completion Date

2026-08-31

Brief Summary

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This clinical trial compares a web-based patient-reported symptom monitoring and self management portal, the Young, Empowered \& Strong (YES), to standard therapy in managing symptoms in adolescent and young adult breast cancer survivors. YES is a web-based portal (website) to help monitor issues or symptoms women with breast cancer may experience. The YES portal may improve the quality of life of young breast cancer survivors. The YES portal may help manage symptoms and provide useful information/resources.

Detailed Description

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PRIMARY OBJECTIVES:

I. To determine the efficacy of the YES intervention compared to usual care in improving quality of life (QOL), as measured by the Quality of Life in Adult Cancer Survivors (QLACS) at 6-months (primary outcome).

II. To determine the efficacy of the YES intervention compared to usual care in reducing specific adolescent and young adult (AYA) breast cancer (BC) concerns and symptoms at 6-months.

III. To determine the sustainability of the effects of YES on AYA concerns, symptoms, and QOL at 9 months, after the completion of the 6-month active intervention period.

EXPLORATORY OBJECTIVE:

I. To explore potential moderators and mediators of intervention efficacy, and to explore the potential effects of the intervention on inflammatory and other biomarkers including genetic profiles.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP A: Patients receive access to the YES portal for 9 months. Patients also complete surveys at baseline and 3, 6, and 9 months.

GROUP B: Patients receive usual care for 9 months. Patients also complete surveys at baseline and 3, 6, and 9 months. After 9 months, patients may also receive access to the YES portal for 3 months.

Conditions

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Anatomic Stage 0 Breast Cancer AJCC V8 Anatomic Stage I Breast Cancer AJCC V8 Anatomic Stage IA Breast Cancer AJCC V8 Anatomic Stage IB Breast Cancer AJCC V8 Anatomic Stage II Breast Cancer AJCC V8 Anatomic Stage IIA Breast Cancer AJCC V8 Anatomic Stage IIB Breast Cancer AJCC V8 Anatomic Stage III Breast Cancer AJCC V8 Anatomic Stage IIIA Breast Cancer AJCC V8 Anatomic Stage IIIB Breast Cancer AJCC V8 Anatomic Stage IIIC Breast Cancer AJCC V8 Prognostic Stage 0 Breast Cancer AJCC V8 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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Group A (YES portal)

Patients receive access to YES portal for 9 months. Patients also complete surveys at baseline and 3, 6, and 9 months.

Group Type EXPERIMENTAL

Internet-Based Intervention

Intervention Type OTHER

Receive access to YES portal

Survey Administration

Intervention Type OTHER

Complete survey

Group B (usual care)

Patients receive usual care for 9 months. Patients also complete surveys at baseline and 3, 6, and 9 months. After 9 months, patients may also receive access to YES portal for 3 months.

Group Type ACTIVE_COMPARATOR

Best Practice

Intervention Type OTHER

Receive usual care

Survey Administration

Intervention Type OTHER

Complete survey

Interventions

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Best Practice

Receive usual care

Intervention Type OTHER

Internet-Based Intervention

Receive access to YES portal

Intervention Type OTHER

Survey Administration

Complete survey

Intervention Type OTHER

Other Intervention Names

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standard of care standard therapy

Eligibility Criteria

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Inclusion Criteria

* Female
* Age 15-39 years at diagnosis of a stage 0-III breast cancer
* Within 3 years of breast cancer diagnosis
* No known evidence of breast cancer recurrence (local or distant) or second primary breast cancer
* No prior history of new other malignancy since their breast cancer diagnosis (other than non-melanoma skin cancer)
* Able to speak, understand and read English
* Cognitively able to complete the study requirements
* Ability to access medical records from treating hospital
* Willing to provide cell phone number and/or email address, and willing to receive email and/or text messages from the study team either with their own smartphone or one provided by the study team if they do not have their own to use
* Pregnant survivors are also eligible for this protocol, given that fertility and pregnancy are important AYA issues

Exclusion Criteria

* Individuals under age 15 or over age 42
* Stage IV or metastatic breast cancer
* Males with breast cancer are not being recruited to this protocol. In the AYA age group, only a miniscule proportion of breast cancers occur in males. For this reason, the YES portal intervention materials have been targeted for young women
Minimum Eligible Age

15 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Dana-Farber Cancer Institute

OTHER

Sponsor Role collaborator

Columbia University

OTHER

Sponsor Role collaborator

Ohio State University Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Michelle Naughton

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michelle Naughton, PhD

Role: PRINCIPAL_INVESTIGATOR

Ohio State University Comprehensive Cancer Center

Locations

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Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status

Countries

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United States

References

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Dibble KE, Rosenberg SM, Snow C, Kirkner GJ, Tayob N, Contreras M, Roma ND, DeGraffinreid CR, Nolan TS, Hershman DL, Naughton M, Partridge AH. Young, Empowered & strong (YES): a study protocol paper for a randomized controlled trial of an mHealth symptom monitoring and self-management intervention for adolescent and young adult (AYA) breast cancer survivors. BMC Public Health. 2025 Jan 11;25(1):126. doi: 10.1186/s12889-025-21288-4.

Reference Type BACKGROUND
PMID: 39799291 (View on PubMed)

Related Links

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Other Identifiers

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NCI-2021-03962

Identifier Type: REGISTRY

Identifier Source: secondary_id

U01CA246648

Identifier Type: NIH

Identifier Source: secondary_id

View Link

OSU-21035

Identifier Type: -

Identifier Source: org_study_id

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