Head and Neck Cancer Survivorship Ototoxicity Screening (SOS)
Head and Neck Cancer Survivorship Ototoxicity Screening (SOS) Protocol
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: David Lee, M.D.
- Phone Number: 314-935-5000
- Email: david.s.lee@wustl.edu
Study Locations
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Missouri
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St Louis, Missouri, United States, 63110
- Washington University School of Medicine
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult (≥ 18 years old)
- H&N cancer patients will be eligible for inclusion if they have previously undergone cisplatin-based CRT or radiotherapy, including proton therapy, intensity-modulated radiation therapy, and adaptive radiotherapy-surgery with curative intent (i.e., definitive, neoadjuvant, or adjuvant) or definitive surgery with neoadjuvant or adjuvant radiation.
Exclusion Criteria:
- Patient has been evaluated by an audiologist within the past 12 months
- Use of a hearing aid
- Received a cochlear implant
- Cannot complete simple forms in English
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Ototoxicity Screening Protocol
After enrollment, participants will complete a pre-screening survey.
Before their survivorship clinic visit, participants will complete the ototoxicity screening protocol and implementation outcome surveys.
During their visit, they will receive counseling on ototoxicity and referral to audiology.
After their visit, they will complete the SESMQ and WU-QOLv4 surveys and undergo pure tone audiometry.
Each participant will complete this protocol once.
The investigators will follow each participant by chart review for at least six months to evaluate for audiologic follow-up.
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The ototoxicity screening protocol contains a functional and objective component.
The functional component is the Hearing Handicap Inventory for the Elderly - Screening Version (HHIE-S).
The objective component will be pure tone audiometry.
A 2 kHz tone at 40 dB will play through over-the-ear headphones and subjects will indicate whether they heard it.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Rate of participants who complete audiologic follow-up
Time Frame: Through completion of follow-up (estimated to be 6 months)
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Through completion of follow-up (estimated to be 6 months)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Feasibility of ototoxicity screening protocol as measured by the Feasibility of Intervention Measure
Time Frame: Before survivorship clinic visit (Day 1)
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-Contains 4 statements about the proposed intervention that are scored on a five-point Likert scale (1 indicates the participant "completely disagrees", 5 indicates "completely agrees").
A score greater than or equal to 4 will indicate the intervention is feasible.
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Before survivorship clinic visit (Day 1)
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Acceptability of ototoxicity screening protocol as measured by the Acceptability of Intervention Measure
Time Frame: Before survivorship clinic visit (Day 1)
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-Contains 4 statements about the proposed intervention that are scored on a five-point Likert scale (1 indicates the participant "completely disagrees", 5 indicates "completely agrees").
A score greater than or equal to 4 will indicate the intervention is acceptable.
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Before survivorship clinic visit (Day 1)
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Appropriateness of ototoxicity screening protocol as measured by the Intervention Appropriateness Measure
Time Frame: Before survivorship clinic visit (Day 1)
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-Contains 4 statements about the proposed intervention that are scored on a five-point Likert scale (1 indicates the participant "completely disagrees", 5 indicates "completely agrees").
A score greater than or equal to 4 will indicate the intervention is appropriate.
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Before survivorship clinic visit (Day 1)
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Functional hearing loss of participants as measured by the Situational Management Questionnaire (SESMQ)
Time Frame: After survivorship clinic visit (Day 1)
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-This questionnaire contains 20 situations.
Participants rate each situation according to their ability to hear in the given situation (hearing ability scale; SESMQH) and their confidence in managing the given situation (confidence scale; SESMQC).
The score for each situation ranges from 0 (poor hearing/low confidence) to 10 (normal hearing/high confidence), totaling 200 points for each scale.
The higher the score indicates less hearing loss to the participant.
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After survivorship clinic visit (Day 1)
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Quality of life of participants as measured by the University of Washington Quality of Life Questionnaire (UW-QOL)
Time Frame: After survivorship clinic visit (Day 1)
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-This questionnaire contains 16 items on morbidities associated with H&N cancer treatment.
Twelve items are graded on a 5-point Likert scale.
One question lists treatment-related morbidities and ask participants to identify their top three most important issues.
The last three questions evaluate global QoL.
It is scored on a scale from 0 (worst) to 100 (best).
However, UW-QOL does not include symptoms of ototoxicity.
Therefore, the investigators will modify it to include tinnitus and hearing loss as additional 5-point Likert scale questions and morbidities in the rank order question.
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After survivorship clinic visit (Day 1)
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Functional social support as measured by the Duke-UNC Functional Social Support Questionnaire
Time Frame: After survivorship clinic visit (Day 1)
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It has been validated for use in populations of cancer patients and cancer survivors.
5 questions are presented using a Likert scale from 0-2, with higher scores indicating a higher level of social support.
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After survivorship clinic visit (Day 1)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: David Lee, M.D., Washington University School of Medicine
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neurologic Manifestations
- Nervous System Diseases
- Wounds and Injuries
- Pathologic Processes
- Neoplasms by Site
- Neoplasms
- Chemically-Induced Disorders
- Otorhinolaryngologic Diseases
- Sensation Disorders
- Ear Diseases
- Drug-Related Side Effects and Adverse Reactions
- Radiation Injuries
- Hearing Disorders
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Ototoxicity
- Head and Neck Neoplasms
- Hearing Loss
Other Study ID Numbers
Other Study ID Numbers
- 202302038
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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