Improving Uptake of Surveillance in Colorectal Cancer Survivors Through Navigation and Web Education

NCT ID: NCT06995924

Last Updated: 2025-11-06

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

RECRUITING

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2026-12-31

Brief Summary

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This pilot clinical trial looks at whether patient navigation services, an interactive web education intervention, called Current Together After Cancer (CTAC), or both navigation and CTAC works to improve the uptake of surveillance in patients with stage I-III colorectal cancer (CRC). Post-treatment surveillance is critical to detect recurrence early, yet many CRC survivors do not receive recommended surveillance care. Surveillance is a complex process that includes laboratory tests, cross-sectional imaging, and endoscopic procedures. Patient navigation services, interactive web education, or a combination of both may improve surveillance care for patients with stage I-III colorectal cancer.

Detailed Description

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OUTLINE:

Patients are assigned to 1 of 3 arms based on the clinic location they receive cancer care at.

ARM A (VIRGINIA MASON): Patients receive access to navigation services, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, within 3 months of standard of care surgical resection for stage I-III CRC.

ARM B (FRED HUTCH \[SOUTH LAKE UNION\]): Patients receive access to the CTAC intervention, which includes self-directed, interactive web-based education about surveillance and a checklist of care, within 3 months of standard of care surgical resection for stage I-III CRC.

ARM C (FRED HUTCH \[OVERLAKE\]): Patients receive access to navigation services, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, and access to the CTAC intervention, which includes self-directed, interactive web-based education about surveillance and a checklist of care, within 3 months of standard of care surgical resection for stage I-III CRC.

Patients are followed up at 3 and 9 months post study-enrollment and 12-18 months after surgical resection.

Conditions

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Stage I Colorectal Cancer AJCC v8 Stage II Colorectal Cancer AJCC v8 Stage III Colorectal Cancer AJCC v8

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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Arm A (navigation)

Patients at the Virginia Mason clinic location receive access to navigation services, in person, via telephone or via electronic conferencing platform, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, within 3 months of standard of care surgical resection.

Group Type EXPERIMENTAL

Electronic Health Record Review

Intervention Type OTHER

Ancillary studies

Patient Navigation

Intervention Type BEHAVIORAL

Receive patient navigation services

Survey Administration

Intervention Type OTHER

Ancillary studies

Arm B (CTAC)

Patients at the Fred Hutch (South Lake Union) clinic location receive access to the online CTAC intervention, which includes self-directed, interactive education about surveillance and a checklist of care, within 3 months of standard of care surgical resection.

Group Type EXPERIMENTAL

Educational Intervention

Intervention Type OTHER

Complete self-directed interactive education

Electronic Health Record Review

Intervention Type OTHER

Ancillary studies

Internet-Based Intervention

Intervention Type OTHER

Receive access to CTAC

Survey Administration

Intervention Type OTHER

Ancillary studies

Arm C (navigation and CTAC)

Patients at the Fred Hutch (Overlake) clinic location receive access to navigation services, in person, via telephone or via electronic conferencing platform, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, and access to the online CTAC intervention, which includes self-directed, interactive education about surveillance and a checklist of care, within 3 months of standard of care surgical resection.

Group Type EXPERIMENTAL

Educational Intervention

Intervention Type OTHER

Complete self-directed interactive education

Electronic Health Record Review

Intervention Type OTHER

Ancillary studies

Internet-Based Intervention

Intervention Type OTHER

Receive access to CTAC

Patient Navigation

Intervention Type BEHAVIORAL

Receive patient navigation services

Survey Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Educational Intervention

Complete self-directed interactive education

Intervention Type OTHER

Electronic Health Record Review

Ancillary studies

Intervention Type OTHER

Internet-Based Intervention

Receive access to CTAC

Intervention Type OTHER

Patient Navigation

Receive patient navigation services

Intervention Type BEHAVIORAL

Survey Administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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Education for Intervention Intervention by Education Intervention through Education Intervention, Educational Patient Navigator Program

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 due to disease and clinic population
* Stage I-III CRC survivor within 3 months post-surgical resection
* Being seen at a participating clinic
* Ability to understand and complete surveys in English
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fred Hutchinson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rachel B. Issaka, MD, MAS

Role: PRINCIPAL_INVESTIGATOR

Fred Hutch/University of Washington Cancer Consortium

Locations

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Benaroya Research Institute at Virginia Mason

Seattle, Washington, United States

Site Status NOT_YET_RECRUITING

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ari Bell-Brown

Role: CONTACT

Phone: 206.667.7624

Email: [email protected]

Facility Contacts

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Ari Bell-Brown

Role: primary

Other Identifiers

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NCI-2025-03304

Identifier Type: REGISTRY

Identifier Source: secondary_id

20875

Identifier Type: OTHER

Identifier Source: secondary_id

RG1125283

Identifier Type: -

Identifier Source: org_study_id