Telehealth Self-Management Coaching Sessions to Improve Quality of Life in Pancreatic Cancer Survivors and Their Family Care Givers

November 6, 2025 updated by: City of Hope Medical Center

Impacting Quality of Life and Pancreatic Cancer Survivorship Through a Telehealth Intervention

This clinical trial evaluates the impact of telehealth self-management coaching sessions on quality of life in pancreatic cancer survivors and their family care givers (FCGs). Patients with pancreatic cancer experience many symptoms because of the disease and treatment, which can have a negative impact on quality of life. Patients and their families have unmet needs during treatment, including a lack of quality of life programs that offer support to patients. Supporting patients and families on managing the physical symptoms, emotional well-being, social well-being and spiritual well-being with telehealth self-management coaching sessions may help improve quality of life, manage symptoms from treatment, and support families in their role as caregivers during treatment.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

136

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Vincent Chung, MD
  • Phone Number: 626-359-8111
  • Email: vchung@coh.org

Study Locations

    • California
      • Arcadia, California, United States, 91007
        • Not yet recruiting
        • City of Hope at Arcadia
        • Contact:
      • Corona, California, United States, 92879
        • Not yet recruiting
        • City of Hope Corona
        • Contact:
      • Duarte, California, United States, 91010
        • Not yet recruiting
        • City of Hope Comprehensive Cancer Center
        • Contact:
      • Duarte, California, United States, 91010
        • Recruiting
        • City of Hope at Duarte
        • Contact:
          • Vincent Chung, MD
      • Glendale, California, United States, 91204
        • Not yet recruiting
        • City of Hope at Glendale
        • Contact:
      • Glendora, California, United States, 91741
        • Not yet recruiting
        • City of Hope at Glendora
        • Contact:
      • Huntington Beach, California, United States, 92648
        • Not yet recruiting
        • City of Hope Seacliff
        • Contact:
      • Irvine, California, United States, 92618
        • Not yet recruiting
        • City of Hope at Irvine Lennar
        • Contact:
      • Irvine, California, United States, 92618
        • Not yet recruiting
        • City of Hope at Irvine Sand Canyon
        • Contact:
      • Lancaster, California, United States, 93534
        • Not yet recruiting
        • City of Hope Antelope Valley
        • Contact:
      • Long Beach, California, United States, 90808
        • Not yet recruiting
        • City of Hope at Long Beach Worsham
        • Contact:
      • Long Beach, California, United States, 90813
        • Not yet recruiting
        • City of Hope at Long Beach Elm
        • Contact:
      • Mission Hills, California, United States, 91345
        • Not yet recruiting
        • City of Hope Mission Hills
        • Contact:
      • Newport Beach, California, United States, 92660
        • Not yet recruiting
        • City of Hope at Newport Beach Fashion Island
        • Contact:
      • Palmdale, California, United States, 93551
        • Not yet recruiting
        • City of Hope at Palmdale
        • Contact:
      • Santa Clarita, California, United States, 91355
        • Not yet recruiting
        • City of Hope - Santa Clarita
        • Contact:
      • Simi Valley, California, United States, 93065
        • Not yet recruiting
        • City of Hope at Simi Valley
        • Contact:
      • South Pasadena, California, United States, 91030
        • Not yet recruiting
        • City of Hope South Pasadena
        • Contact:
      • Thousand Oaks, California, United States, 91361
        • Not yet recruiting
        • City of Hope at Thousand Oaks
        • Contact:
      • Torrance, California, United States, 90503
        • Not yet recruiting
        • City of Hope South Bay
        • Contact:
      • Upland, California, United States, 91786
        • Not yet recruiting
        • City of Hope Upland
        • Contact:
      • West Covina, California, United States, 91790
        • Not yet recruiting
        • City of Hope West Covina
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • • PATIENT: Documented informed consent of the participant and/or legally authorized representative

    • Assent, when appropriate, will be obtained per institutional guidelines

      • PATIENT: Age: ≥ 18 years
      • PATIENT: Eastern Cooperative Oncology Group (ECOG) ≤ 2
      • PATIENT: Ability to read and understand English or Spanish for questionnaires
      • PATIENT: Subjects must have histologically or cytologically confirmed diagnosis of metastatic pancreatic adenocarcinoma who are within 8 weeks of initial diagnosis
      • FAMILY CARE GIVER: Documented informed consent of the participant and/or legally authorized representative
    • Assent, when appropriate, will be obtained per institutional guidelines

      • FAMILY CARE GIVER: Age: ≥ 18 years
      • FAMILY CARE GIVER: Ability to read and understand English or Spanish for questionnaires
      • FAMILY CARE GIVER: A family member or friend identified by the patient and defined as a person who knows the patient well and is involved in the patient's medical care

Exclusion Criteria:

  • • An employee who is under the direct/ indirect supervision of the principal investigator (PI)/ a co-investigator/ the study manager

    • A direct study team member

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Arm A (telehealth self-management coaching sessions)
Patients and FCGs attend telehealth self-management coaching sessions over 40-60 minutes every other week for 6 sessions over 3 months.
Ancillary studies
Attend telehealth self-management coaching sessions
Attend telehealth self-management coaching sessions
Ancillary studies
Active Comparator: Arm B (standard of care)
Patients and FCGs receive standard of care on study.
Ancillary studies
Receive standard of care

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Patient reported quality of life (QOL)
Time Frame: At baseline and at 3 months post randomization
Patient reported quality of life will be assessed by the Functional Assessment of Cancer Therapy- Hepatobiliary (FACT-Hep) quality of life score. The primary analysis will be a treatment group comparison of the QOL at 3 months via linear regression model, with adjustment for baseline FACT-Hep score and stratification factors. Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures. The dependent variables will be transformed to approximate normality as appropriate.
At baseline and at 3 months post randomization

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Enrollment rate
Time Frame: Up to 25 months
Feasibility of the intervention will be defined as at least 60% of eligible participants enrolling. Descriptive statistics will be used to summarize the feasibility of the intervention. Reasons for non-participation will be recorded and used to make needed modifications for improvement in future studies.
Up to 25 months
Intervention completion rate
Time Frame: Up to 6 months
Feasibility of the intervention will be defined as at least 60% of participants completing ≥ 80% of the intervention (4 of 6 sessions). Descriptive statistics will be used to summarize the feasibility of the intervention. Reasons for attrition will be recorded and used to make needed modifications for improvement in future studies.
Up to 6 months
Rate of participants completing any follow-up assessments
Time Frame: Up to 6 months
Feasibility of the intervention will be defined as at least 60% of participants completing any follow-up assessments after randomization. Descriptive statistics will be used to summarize the feasibility of the intervention. Reasons for attrition will be recorded and used to make needed modifications for improvement in future studies.
Up to 6 months
Participant experience
Time Frame: Up to 6 months
Participant experiences with the intervention will be explored through qualitative data (structured exit interviews) from participants randomized to the intervention group and analyzed using content analysis approach. Interviews will be transcribed and data analyzed. Transcripts will be imported for the development of analytic categories, data coding, and review of coded data. Codes will be sorted into themes based on links and relationship.
Up to 6 months
Patient reported symptom severity
Time Frame: At baseline and at 3 and 6 months post randomization
Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors. Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures. The dependent variables will be transformed to approximate normality as appropriate.
At baseline and at 3 and 6 months post randomization
Patient reported psychological distress
Time Frame: At baseline and at 3 and 6 months post randomization
Patient reported psychological distress will be measured using the National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT). Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors. Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures. The dependent variables will be transformed to approximate normality as appropriate.
At baseline and at 3 and 6 months post randomization
Family care giver (FCG) psychological distress
Time Frame: At baseline and at 3 and 6 months post randomization
FCG reported psychological distress will be measured using the NCCN DT. Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors. Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures. The dependent variables will be transformed to approximate normality as appropriate.
At baseline and at 3 and 6 months post randomization
FCG caregiving burden
Time Frame: At baseline and at 3 and 6 months post randomization
FCG caregiving burden will be measured using the Montgomery Borgatta Caregiver Burden Scale. Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors. Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures. The dependent variables will be transformed to approximate normality as appropriate.
At baseline and at 3 and 6 months post randomization
FCG QOL
Time Frame: At baseline and at 3 and 6 months post randomization
FCG QOL will be measured using City of Hope Quality of Life-Family questionnaire. Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors. Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures. The dependent variables will be transformed to approximate normality as appropriate.
At baseline and at 3 and 6 months post randomization
Overall survival
Time Frame: From initiation of intervention to death from any cause, up to 6 months
From initiation of intervention to death from any cause, up to 6 months

Other Outcome Measures

Outcome Measure
Time Frame
Chemotherapy in last 14 days of life
Time Frame: At 3 and 6 months post randomization
At 3 and 6 months post randomization
Emergency room visits in the last days of life
Time Frame: At 3 and 6 months post randomization
At 3 and 6 months post randomization
Intensive care unit admissions in the last 30 days of life
Time Frame: At 3 and 6 months post randomization
At 3 and 6 months post randomization
Hospice care for less than 3 days before death
Time Frame: At 3 and 6 months post randomization
At 3 and 6 months post randomization

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Vincent Chung, MD, City of Hope Medical Center

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 7, 2024

Primary Completion (Estimated)

May 3, 2027

Study Completion (Estimated)

May 3, 2027

Study Registration Dates

First Submitted

July 24, 2024

First Submitted That Met QC Criteria

July 24, 2024

First Posted (Actual)

July 29, 2024

Study Record Updates

Last Update Posted (Actual)

November 10, 2025

Last Update Submitted That Met QC Criteria

November 6, 2025

Last Verified

November 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • 24172 (Health Institutes of Türkiye (TUSEB))
  • NCI-2024-06078 (Other Identifier: P30)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

IPD Plan Description

not yet decided

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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