- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02256670
Pilot for The Breast Cancer Endocrine Therapy Adherence (BETA) Trial
Pilot for The Breast Cancer Endocrine Therapy Adherence (BETA) Trial: Efficacy of a Text-messaging Application in Increasing Adherence With Adjuvant Endocrine Therapy for Stage I-III Hormone Receptor Positive Breast Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Approximately 75% of breast cancers express the estrogen and/or progesterone receptor (hormone receptors). The standard of care for women with hormone receptor positive breast cancer is five to ten years of adjuvant endocrine therapy with drugs such as tamoxifen or aromatase inhibitors (AIs). In women with stage I-III breast cancer, treatment with adjuvant endocrine therapy has been shown to reduce recurrences by 30-50% and improve survival. Unfortunately, it is estimated from large population databases that up to 35-40% of patients may discontinue adjuvant endocrine therapy before completing the recommended 5 years for various reasons, and non-adherence may reduce survival.
The current protocol is a pilot study in women with hormone receptor positive breast cancer who are beginning adjuvant endocrine therapy, the purpose of which is to assess the feasibility of a two-way text messaging application, with goals for a larger randomized control study to assess if the application will increase adherence and therefore improve disease free survival. This application includes daily text message medication reminders and periodic assessment of side effects and barriers to medication adherence and simultaneously offers assistance for treatment related issues. The investigators will collect information on QOL and financial burden during the 3 month period and will correlate these metrics with adherence. This larger randomized control study would be the first such interventional study to increase adherence with adjuvant endocrine therapy in breast cancer in the US. Our larger randomized control trial would provide the first longitudinal prospectively collected information on QOL, financial burden and adherence over the entire 5-year treatment period in the routine clinical practice setting.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Connecticut
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New Haven, Connecticut, United States, 06519
- Yale New Haven Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with histologically confirmed stage I-III, estrogen and/or progesterone receptor positive, as defined by ASCO-CAP guidelines, invasive breast cancer for whom adjuvant hormonal therapy is indicated following standard NCCN practice guidelines
- Patients may enter the study before or within one month of starting endocrine treatment
- Patients with synchronous bilateral breast cancers are eligible if both tumors are hormone receptor positive
- Patient must be able to provide informed consent and agree to:
- Complete questionnaires according to the pre-specified study design
- Own a personal cell phone, agree to receive text messages on a monthly basis (including any costs), and share their personal cell phone number to receive text message reminder
- sign consent to allow research staff to contact their pharmacies to determine prescription refill dates
Exclusion Criteria:
- Patients with ductal carcinoma in situ
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)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Text Message Application Intervention
The study intervention will include a mobile phone two-way text message application.
Each prompt described below will generate either a yes (Y)/no (N) or ABCDE(F) response from patients.
Each response will generate further prompts resulting in either notification for providers to call patients or relevant phone numbers for patients to call for assistance.
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Two-way text messaging application addressing adherence with adjuvant endocrine therapy
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Acceptance of Text Message Program
Time Frame: 3 months
|
Using self-report surveys to assess feasibility and patient acceptance of text message program
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3 months
|
Adherence to Endocrine Therapy
Time Frame: 3 months
|
Adherence rates after 3 months on study, compared with historical controls.
Adherence is defined as taking > 80% of prescribed pills based on self reported adherence questionnaire.
This threshold was adopted from the literature.
Adherence will also be assessed by checking electronic pharmacy dispensation records when feasible.
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of Life
Time Frame: 3 months
|
Measure quality of life (QOL) and financial burden and correlate with medication adherence
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3 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sarah Mougalian, MD, Yale University
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1409014658
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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