- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02311465
A Randomized Study of Early Palliative Care
A Randomized Study of Early Palliative Care Integrated With Standard Oncology Care Versus Oncology Care Alone in Patients With Non-colorectal Gastrointestinal Malignancies.
Study Overview
Detailed Description
The investigators will conduct a one-year randomized, controlled study to evaluate the impact of an early, integrated palliative care services. The intervention will include comprehensive palliative care services delivered in conjunction with standard oncology care and patient friendly materials for high risk oncology patients. The investigators primary clinical endpoint will be health related quality of life, specifically focusing on measures of anxiety, depression, and well-being.
Secondary personalized palliative care outcomes are expected to include:
- Reduced deviations from care plan as captured in the medical record compared to the group who did not receive early, integrated palliative care services
- Reduced hospital utilization compared to the group who did not receive early, integrated palliative care services
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt University
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- -Adults with newly diagnosed pancreatic, hepatocellular, esophageal, or stomach cancer
- Upcoming scheduled oncology clinic visit (2nd visit to the clinic) at Vanderbilt
- Ability to read and respond to questions in English
- Permission of oncology physician
Exclusion Criteria:
- -Receiving oncology care at non-Vanderbilt sites (to ensure appropriate follow-up)
- Participation in another clinical trial
Study Plan
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: Palliative Care + Standard of Care
Consenting patients will be approached by a research nurse to complete quality of life questionnaires (baseline measures) either in the oncology clinics or infusion clinics.
Patients assigned to early palliative care will meet with a member of the palliative care team after enrollment and completion of the initial questionnaires to receive and review patient-oriented materials detailing palliative care services.
Patients will then receive a comprehensive initial consult with a palliative care provider (a trained physician, nurse or nurse practitioner).
Additional consults with the palliative care service will be scheduled approximately every 6 weeks for the duration of the study period (one year) at the discretion of the patient and palliative care provider.
|
Components of the palliative care service intervention are expected to include:
Other Names:
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No Intervention: Standard of Care
Patients will receive standard care from their oncologist.
An assessment of health related quality of life will be conducted at regular oncology clinic visits at baseline and 3,6,9,and 12 months.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Functional Assessment of Cancer Therapy: General (FACT-G) Health Related Quality of Life Questionnaire
Time Frame: 1 year
|
The FACT Measurement System is a group of questions which measure health-related quality of life (QOL) in cancer patients.
The FACT-G is a 26-item version that addresses multiple QOL dimensions including physical well-being, functional well-being, emotional well-being and social well-being.
The response format of the FACT Measurement System consists of a 5-point Likert scale.
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1 year
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PROMIS Depression Scale
Time Frame: 1 year
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Patient-Reported Outcome Measurement Information System (PROMIS) Depression scale is a highly reliable, validated, precise measures of patient-reported health status for physical, mental, and social well-being.
The domains of depression are measured through four targeted questions each on a 5 point Likert scale.
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1 year
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PROMIS Anxiety Scale
Time Frame: 1 year
|
Patient-Reported Outcome Measurement Information System (PROMIS) Anxiety scale is a highly reliable, validated, precise measures of patient-reported health status for physical, mental, and social well-being.
The domains of anxiety are measured through four targeted questions each on a 5 point Likert scale.
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1 year
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Hospitalizations
Time Frame: 1 year
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Patient level data will be obtained for this study through retrospective chart review.
Data to be collected from patients' charts include oncology medications and treatments, outcomes and interventions over the course of treatment (surgeries, adverse events, death), and hospitalizations.
Clinical interventions, treatments, and events extracted from the charts will inform the investigators analyses regarding health care resource utilization.
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1 year
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Gordon Bernard, MD, Vanderbilt University Medical Center
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
Other Study ID Numbers
- 141854
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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