- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03191487
Evaluation of a New Organization for Collecting Pre-chemotherapy Session Information (ChimioPal)
Evaluation of a New Organization for Collecting Pre-chemotherapy Session Information: a Multicenter, Open, Randomized Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Compare the two arms of the study in terms of:
A. each element contributing to the primary criterium;
B. the quality of chemotherapy related care;
C. logistics;
D. patient satisfaction with respect to support for chemotherapy care;
E. the feasibility and acceptability of the organization by patients will be assessed by the rate of optimal use of toxicity collection tools and patient satisfaction rates relative to the tool (experimental arm)
F. Comparison of the overall cost of care in both arms and estimated cost of the strategy
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Avignon Cedex 9, France, 84918
- Institut Sainte Catherine
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Montpellier Cedex 5, France, 34298
- Institut de Cancérologie Montpellier
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Nîmes, France, 30029
- CHRU de Nîmes - Hôpital Universitaire Carémeau
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Strasbourg, France, 67098
- CHRU de Strasbourg - Hopital de Hautepierre
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Toulouse, France, 31100
- IUCT-Oncopole
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Toulouse Cedex 9, France, 31059
- CHRU de Toulouse - Hôpital de Rangueil
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The patient was informed about the implementation of the study, its objectives, constraints and patient rights
- The patient has given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is available for 6 months of follow-up
- The patient is treated via anti-cancer chemotherapy for colorectal cancer
- The patient is starting a new adjuvant or metastatic chemotherapy protocol with a follow-up in a day-clinic setting
- The patient has already used a smartphone, or desires to learn how, or is accompanied by a person who can help the patient use a smartphone
- The anticipated chemotherapy treatment corresponds to one of the following protocols: cetuximab, FOLFIRI, FOLFIRI-aflibercept, FOLFIRI-bevacizumab, FOLFIRI-cetuximab, FOLFIRI-panitumumab, Folfirinox, Folfirinox-bevacizumab, Folfoxiri, Folfoxiri-bevacizumab, FOLFOX 4 simplified, FOLFOX 4 simplified - bevacizumab, FOLFOX 4 simplified - cetuximab, FOLFOX 4 simplified - panitumumab, Irinotecan-cetuximab, LV5FU2 simplified, panitumumab, XELOX.
Exclusion Criteria:
- The patient is participating in another study, or has participated in another study within the past 3 months, that may influence the results or conclusions of the present trial
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, or is an adult under guardianship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
- The patient is pregnant, parturient, or breastfeeding
- The planned chemotherapy regimen includes weekly treatment cycles
- Patient who is incapable of using a smartphone either by himself/herself or via another helping person
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: ChimioPal
Systematic collection of clinical and laboratory toxicities.
|
Systematic collection of clinical and laboratory toxicities (TXs) during the 2-4 days preceding a chemotherapy (CT) session (48H before a session (D-2 towards the end of the afternoon) and a maximum of 96h before sessions occurring on Mondays (D-4 towards the end of the afternoon). Clinical TX data will be collected via ChimioPal (a self-questionnaire administered by smartphone) and laboratory TX data will be collected via Apicrpyt (secure messaging service) or a fax-to-email service. Data flow management by a nurse dedicated to this activity in each centre will be implemented. If the results of the assessment do not authorize CT, additional assessments may be prescribed. If the experimental data transmission does not occur, the usual pathways will be implemented. Patient training on how to use a smart phone and the questionnaire will be performed by a nurse before the start of the first chemotherapy session, with reminders at the following sessions if required. |
Active Comparator: Standard
The usual management and logistic pathways will be respected.
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In the standard arm, the usual management and logistic pathways will be respected.
Only extra data collection is required by this study.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The rate of prescriptions for chemotherapy in the outpatient clinic prepared at the latest the day before a session (except for predefined, limited stability products) and administered in full, per patient, during a follow-up period of 6 months
Time Frame: 6 months
|
This criterion is aggregated per patient but its components are collected for each prescription, according to the following coding:
For each patient, the sum of the results for each prescription will be the numerator. The denominator is the number of prescriptions during 6 months follow-up for each patient. The limited stability products that will necessarily be prepared at the last minute are:
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6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The number of prescriptions prepared in advance and administered in full
Time Frame: 6 months
|
6 months
|
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The number of prescriptions prepared in advance and not administered in full
Time Frame: 6 months
|
6 months
|
|
The number of prescriptions not prepared in advance
Time Frame: 6 months
|
6 months
|
|
Dose-intensity per patient over 6 months of follow-up
Time Frame: 6 months
|
6 months
|
|
The number of chemotherapy session postponements that were anticipated, and the patient was not required to come in to the clinic
Time Frame: 6 months
|
6 months
|
|
The number of chemotherapy session postponements that were not anticipated, and the patient was required to come in to the clinic
Time Frame: 6 months
|
6 months
|
|
The number of pharmaceutical interventions* accepted by the doctor / the number of prescriptions prepared for the totality of sessions
Time Frame: 6 months
|
*a pharmaceutical intervention = request for prescription verification following results/information
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6 months
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The number of chemotherapy sessions that really took place (c) during the 6 months of follow-up
Time Frame: 6 months
|
6 months
|
|
The average number of days between chemotherapy sessions
Time Frame: 6 months
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The average number of days of inter-session lag: ∑(days between 2 sessions-expected days between 2 sessions)/(c-1) |
6 months
|
The waiting time (on average) for the patient in the outpatient clinic before administration of the treatment
Time Frame: 6 months
|
6 months
|
|
the total period of time spent by the patient in the outpatient clinic
Time Frame: 6 months
|
6 months
|
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The number of prescriptions that were prepared and administered
Time Frame: 6 months
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6 months
|
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The number of pouches that were prepared, not-administered, but recycled
Time Frame: 6 months
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6 months
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The number of pouches prepared, not administered and destroyed
Time Frame: 6 months
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6 months
|
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The average number of laboratory assessments required per chemotherapy session
Time Frame: 6 months
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6 months
|
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Patient satisfaction vis-à-vis their chemotherapy care (Visual Analog Scale from 0.0 to 10.0)
Time Frame: 6 months
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6 months
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Experimental arm per patient: The number Apicrypt transmissions / number of lab prescriptions
Time Frame: 6 months
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6 months
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Experimental arm per patient: the number questionnaires filled out / the number of requested questionnaires
Time Frame: 6 months
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6 months
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Experimental arm: Patient satisfaction vis-à-vis the ChimioPal tool (Visual Analog Scale from 0.0 to 10.0)
Time Frame: 6 months
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6 months
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Overall costs
Time Frame: 6 months
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The cost of pouches, consultations, examinations and transport will be estimated in both arms.
Staff time, optimized due to the new organization, will be quantified.
The point of view of health insurance and the establishment will be considered.
Any gains will be weighed against the cost of the experimental strategy.
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6 months
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Collaborators and Investigators
Investigators
- Study Director: Mireille Favier, PharmD, Centre Hospitalier Universitaire de Nīmes
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PREPS/2016/MF-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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