Enhancing Access to Supportive Services for Women of Color With Metastatic Breast Cancer

NCT ID: NCT06405828

Last Updated: 2025-11-05

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

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-01

Study Completion Date

2026-11-30

Brief Summary

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Black and Latina women experience disparities in supportive and palliative care access and outcomes. The goal of the proposed pilot study is to evaluate the feasibility and acceptability of a community navigator delivered supportive care intervention for historically underserved populations of women with metastatic breast cancer.

Detailed Description

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Primary Objectives:

1. Establish the feasibility and acceptability of an adapted navigator delivered supportive care model called ACCESS to address supportive care needs for Black and Latina women with Metastatic Breast Cancer.
2. Determine the potential impact of ACCESS on cancer related distress, symptom burden, and utilization of supportive care services.

OUTLINE: Participants (N=60) are randomized to 1 of 2 groups:

GROUP 1/Intervention Group: Participants complete 6 individualized behavioral/educational sessions focused on social determinants of health and supportive care with a trained community navigator followed by monthly phone call check ins for 4 months. Participants complete questionnaires over the phone with a research coordinator at baseline, 6 and 9 months.

GROUP 2/Attention Control group: Participants complete 6 phone calls with a research coordinator focused on supportive care resources followed by monthly phone call check ins for 4 months. Participants complete questionnaires over the phone with a research coordinator at baseline, 6 months and 9 months.

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Conditions

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Metastatic Breast Cancer Stage IV Breast Cancer AJCC V7

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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ACCESS Supportive Care

Participants randomized to the intervention arm (n=30) will be connected to the navigator to with the ACCESS Supportive care

Group Type EXPERIMENTAL

ACCESS Supportive Care

Intervention Type BEHAVIORAL

ACCESS Supportive Care includes:

1. Coaching sessions: 6 one-hour weekly Community Navigator led supportive and early palliative care health coaching sessions. Sessions will be hybrid (in-person or virtual) per participant preference.
2. Monthly check-in: Monthly check-ins (\~5-10 minutes) about their supportive care and social determinants of health needs over 16 weeks.
3. Scheduling of outpatient supportive oncology appointment if interested.
4. Community linkage: Warm hand offs and connection to community resources to enhance access to support groups, educational workshops, and healthy lifestyle services.

Attention Control

Participants randomized to the attention control arm (n=30) will be connected with an unblinded RC .

Group Type PLACEBO_COMPARATOR

Phone sessions

Intervention Type BEHAVIORAL

6 weekly phone sessions, approximately 10 minutes in length each, to review breast cancer and supportive and palliative care resources in NYC and online. The 6 weekly phone sessions will include the topics discussed in the intervention arm but will be informational in nature. The phone sessions will be followed by monthly check-ins (\~5 minutes) to review and answer questions about the resources for the duration of 16 weeks.

Interventions

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ACCESS Supportive Care

ACCESS Supportive Care includes:

1. Coaching sessions: 6 one-hour weekly Community Navigator led supportive and early palliative care health coaching sessions. Sessions will be hybrid (in-person or virtual) per participant preference.
2. Monthly check-in: Monthly check-ins (\~5-10 minutes) about their supportive care and social determinants of health needs over 16 weeks.
3. Scheduling of outpatient supportive oncology appointment if interested.
4. Community linkage: Warm hand offs and connection to community resources to enhance access to support groups, educational workshops, and healthy lifestyle services.

Intervention Type BEHAVIORAL

Phone sessions

6 weekly phone sessions, approximately 10 minutes in length each, to review breast cancer and supportive and palliative care resources in NYC and online. The 6 weekly phone sessions will include the topics discussed in the intervention arm but will be informational in nature. The phone sessions will be followed by monthly check-ins (\~5 minutes) to review and answer questions about the resources for the duration of 16 weeks.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Women ≥18 years of age
* English and/or Spanish speaking
* Self-identify as Latina and/or African American/Black
* Ability to understand and the willingness to sign a written informed consent
* Stage IV breast cancer diagnosis, no time component

Exclusion Criteria

* Moderate to severe cognitive impairment
* receiving inpatient hospice care
* if patients were previously enrolled in Aim 1 and Aim 2
* currently working with a community navigator
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

Icahn School of Medicine at Mount Sinai

OTHER

Sponsor Role lead

Responsible Party

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Melissa Mazor

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Melissa Mazor

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Locations

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Mount Sinai Hospital

New York, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Melissa Mazor

Role: CONTACT

(510) 418-8642

Facility Contacts

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Karisma Pantaleon

Role: primary

212-824-7986.

Other Identifiers

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K08CA267309

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Study-21-01250

Identifier Type: -

Identifier Source: org_study_id

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