Diversity and Inclusion in Research Underpinning Prevention and Therapy Trials

NCT ID: NCT05146297

Last Updated: 2025-02-20

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

RECRUITING

Clinical Phase

NA

Total Enrollment

644 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-23

Study Completion Date

2026-03-31

Brief Summary

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This proposal brings together multidisciplinary teams from four New York City institutions charged with reducing cancer disparities that affect approximately two million people residing in some of the most diverse and underserved communities in the United States. The intent of this collaborative research is captured by its acronym, DISRUPT: Diversity \& IncluSion in Research Underpinning Prevention \& Therapy Trials. To disrupt the norms that maintain heightened risk and poorer outcomes experienced by BIPOC, the research team propose three integrated and synergistic aims to improve diversity and inclusion in CTs through disruptive approaches at the community (Aim 1), provider, system and patient (Aim 2), and basic and translational scientist levels (Aim 3). All three aims focus on metrics for changing norms reified in institutional policies and established practice that will provide essential evidence to translate and scale these changes to institutions and networks involved in cancer treatment research. In Aim 1, the research team will partner with local organizations to formulate and disseminate new norms regarding cancer care and research and diffuse these new norms throughout the community via community organizations and Health Ambassadors bringing a different vantage point on CTs, raising awareness and increasing demand for access to cancer research. In Aim 2, the research team will create an electronic approach to identify key clinical characteristics of patients and trials and match patients and trials and bring these data to patients and their physicians at the time of key decisions. In Aim 3, the research team will provide and integrate essential experiential training in diversity, social determinants of health and the importance of conducting community-relevant work into basic and translational science training. This DISRUPT proposal provides the foundation to disrupt norms about cancer clinical trials in our communities, delivery systems and scientific research enterprises.

Detailed Description

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Conditions

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Breast Cancer Liver Cancer Prostate Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Patient Participants

Patients with invasive breast, prostate or liver cancer, who face a treatment decision

Group Type ACTIVE_COMPARATOR

Clinical trial match-list

Intervention Type BEHAVIORAL

Creation and dissemination educational materials designed to inform and empower patients' participation in their cancer treatment including the consideration of clinical trial participation and provide clinical trials' patient navigators (CTPN) to further aid with education about clinical trials.

Physician Participants

Oncologists, and advanced practitioners caring for patients with breast, prostate, liver cancer including medical, surgical, radiation oncologists, interventional radiologists, urologists \& hepatologists

Group Type ACTIVE_COMPARATOR

Match-list intervention

Intervention Type BEHAVIORAL

Providers by intervening at the clinical and systems levels to provide them with tools and processes and informational and practical support to facilitate CT consideration, discussion, and offer to aid with education about clinical trials and facilitate CT consideration at a treatment decision node.

Interventions

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Clinical trial match-list

Creation and dissemination educational materials designed to inform and empower patients' participation in their cancer treatment including the consideration of clinical trial participation and provide clinical trials' patient navigators (CTPN) to further aid with education about clinical trials.

Intervention Type BEHAVIORAL

Match-list intervention

Providers by intervening at the clinical and systems levels to provide them with tools and processes and informational and practical support to facilitate CT consideration, discussion, and offer to aid with education about clinical trials and facilitate CT consideration at a treatment decision node.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All patients \>21 years of age with invasive breast, lung or liver cancer, who face a treatment decision
* patients of doctors who have consented to participate
* able to give consent and speak either English or Spanish
* For provider recruitment, oncologists, and advanced practitioners caring for patients with breast, lung, liver cancer including medical and surgical oncologists, interventional radiologists \& hepatologists will be eligible

Exclusion Criteria

* Patients who are unable to give consent
* unable to understand English or Spanish
* lack of invasive breast/liver cancer
* those who do not face an imminent treatment decision
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Icahn School of Medicine at Mount Sinai

OTHER

Sponsor Role lead

Responsible Party

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Nina Bickell

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nina Bickell

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Locations

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Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status RECRUITING

Herbert Irving Comprehensive Cancer Care Center

New York, New York, United States

Site Status RECRUITING

Albert Einstein College of Medicine

The Bronx, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Radhi Yagnik

Role: CONTACT

212-659-5933

Facility Contacts

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Radhi Yagnik

Role: primary

Kimberly Burke

Role: primary

Ariana Tao

Role: primary

References

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Bickell NA, May B, Havrylchuk I, John J, Lin S, Tao A, Yagnik R, Tatonetti NP. Implementation of a rule-based algorithm to find patients eligible for cancer clinical trials. JAMIA Open. 2024 Nov 18;7(4):ooae131. doi: 10.1093/jamiaopen/ooae131. eCollection 2024 Dec.

Reference Type DERIVED
PMID: 39559491 (View on PubMed)

Other Identifiers

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GCO 21-0012

Identifier Type: -

Identifier Source: org_study_id

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