- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03798769
Supportive Oncology Care at Home for Patients With Pancreatic Cancer Receiving Preoperative FOLFIRINOX
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Preoperative treatment can cause significant morbidity and often result in hospitalizations. Patients receiving preoperative FOLFIRINOX often experience numerous side effects, including nausea, vomiting, diarrhea, fatigue, fever, neuropathy, and loss of appetite. Frequently, patients require hospital admissions to help address uncontrolled symptoms related to their cancer and side effects related to the treatment,
Interventions targeting patients' symptoms and delivering care to patients at their homes have the potential to improve patient outcomes. Studies show that interventions targeting patients' symptoms can improve symptom management, enhance quality of life (QOL), and prevent hospitalizations.
Medically Home interventions have shown the potential to enhance patient outcomes. The Medically Home model of care is an alternative to a hospital admission for acute care and treatment of a clinical condition. Medically Home interventions entail providing medical care to acutely ill patients in their home. In addition, research in the general medicine literature has demonstrated that interventions involving remote patient monitoring with 'triggers' for visits to patients' homes for worrisome symptoms can enhance care outcomes.
Although this research demonstrates promising results, these studies have not been conducted among patients with cancer. Notably, the prior work involving home monitoring with visits as needed has lacked patient-reported outcomes, such as symptom monitoring. Thus, efforts are needed to develop and test interventions containing both symptom monitoring and the potential for home visits when necessary in a population of patients with cancer.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Ryan Nipp
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 18 or older
- Within three weeks of signing consent for parent trial of neoadjuvant FOLFIRINOX
- Planning to receive care at Massachusetts General Hospital
- Ability to read and respond to questions in English
- Residing within 50 miles of Massachusetts General Hospital
Exclusion Criteria:
-Uncontrolled psychiatric illness or impaired cognition
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: Supportive Oncology Care at Home
The Supportive Oncology Care at Home intervention entails the following:
|
Entails the following:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rates of study enrollment
Time Frame: 2 years
|
Proportion of patients who agree to participate in the study and sign informed consent.
|
2 years
|
Rates of completion
Time Frame: 2 years
|
Proportion of patients who complete daily patient-reported symptom assessments within the first two weeks of enrollment.
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rates of completion of daily symptom monitoring
Time Frame: 2 years
|
Proportion of participants completing daily symptom monitoring throughout the study
|
2 years
|
Rates of completion of daily vital signs
Time Frame: 2 years
|
Proportion of participants completing daily reporting of vital signs throughout the study
|
2 years
|
Rates of completion of weekly body weight
Time Frame: 2 years
|
Proportion of participants completing weekly reporting of body weight throughout the study
|
2 years
|
Number of home visits required
Time Frame: 2 years
|
Number of home visits required, their average duration, the issues addressed at home, and the interventions delivered to patients at their home
|
2 years
|
Number of phone calls required
Time Frame: 2 years
|
Number of phone calls required per patient as well as average duration of these calls
|
2 years
|
Number of emails required
Time Frame: 2 years
|
Number of emails from Medically Home to the primary oncology team
|
2 years
|
Patient acceptability
Time Frame: 2 years
|
Qualitative acceptability ratings from patients regarding helpfulness, convenience, and perceptions of the study.
|
2 years
|
Family caregiver acceptability
Time Frame: 2 years
|
Qualitative acceptability ratings from family caregivers regarding helpfulness, convenience, and perceptions of the study.
|
2 years
|
Clinician acceptability
Time Frame: 2 years
|
Qualitative acceptability ratings from clinicians regarding helpfulness, convenience, and perceptions of the study.
|
2 years
|
Number of emergency department visits
Time Frame: 2 Years
|
The number of emergency department [ED] visits and the proportion of patients needing an emergency department [ED] visit
|
2 Years
|
Number of urgent visits
Time Frame: 2 Years
|
The number of urgent visits to clinic and the proportion of patients needing an urgent visit to clinic
|
2 Years
|
Number of hospital admissions
Time Frame: 2 Years
|
The number of hospital admissions and the proportion of patients needing a hospital admission
|
2 Years
|
Change in symptom burden longitudinally throughout the study
Time Frame: 2 years
|
Change in symptom burden (assessed using Edmonton Symptom Assessment System-revised [ESAS-r], range 0-10 for each symptom with higher scores indicating worse symptom burden) throughout the study.
|
2 years
|
Change in psychological distress
Time Frame: 2 years
|
Change in psychological distress (assessed using the Patient Health Questionnaire-4 [PHQ-4], range 0-12 with higher scores indicating greater distress, and subscales for depression/anxiety ranging 0-6 with higher scores indicating greater distress) throughout the study.
|
2 years
|
Change in quality of life longitudinally throughout the study
Time Frame: 2 Years
|
Change in quality of life (assessed using the Functional Assessment of Cancer Therapy-General [FACT-G], with range of 0-108 and higher scores indicating better quality of life) throughout the study.
|
2 Years
|
Number of cycles of FOLFIRINOX received
Time Frame: 2 years
|
Describe the number of cycles of FOLFIRINOX chemotherapy received by patients
|
2 years
|
Number of treatment delays
Time Frame: 2 years
|
Describe the number of treatment delays for patients
|
2 years
|
Cumulative dose of FOLFIRINOX received
Time Frame: 2 years
|
Describe the cumulative dose of FOLFIRINOX received
|
2 years
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of patients requiring a hospital admission
Time Frame: 2 years
|
Compare difference in proportion of patients with hospital admissions between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Number of hospital admissions
Time Frame: 2 years
|
Compare difference in number of hospital admissions between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Proportion of patients requiring an emergency department visit
Time Frame: 2 years
|
Compare difference in proportion of patients with emergency department visits between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Number of emergency department visits
Time Frame: 2 years
|
Compare difference in number of emergency department visits between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Proportion of patients requiring an urgent care visit
Time Frame: 2 years
|
Compare difference in proportion of patients with urgent care visits between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Number of urgent care visits
Time Frame: 2 years
|
Compare difference in number of urgent care visits between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Proportion of patients requiring a hospital admission or emergency department visit
Time Frame: 2 years
|
Compare difference in proportion of patients with a hospital admission or emergency department visit between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Number of hospital admissions or emergency department visits
Time Frame: 2 years
|
Compare difference in number of hospital admissions or emergency department visits between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Proportion of patients requiring a treatment delay
Time Frame: 2 years
|
Compare difference in proportion of patients with a treatment delay between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Proportion of days in hospital or emergency department
Time Frame: 2 years
|
Compare difference in proportion of days in hospital or emergency department between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Proportion of days in hospital, emergency department, or urgent care
Time Frame: 2 years
|
Compare difference in proportion of days in hospital, emergency department, or urgent care between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Number of cycles of chemotherapy completed
Time Frame: 2 years
|
Compare difference in number of cycles of chemotherapy completed between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Numbers of treatment delays
Time Frame: 2 years
|
Compare difference in number of treatment delays between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Dose intensity
Time Frame: 2 years
|
Compare difference in chemotherapy dose intensity between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Overall survival
Time Frame: 2 years
|
Compare difference in overall survival between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Progression free survival
Time Frame: 2 years
|
Compare difference in progression free survival between patients with pancreatic cancer receiving preoperative FOLFIRINOX who did and did not receive Supportive Oncology Care at Home
|
2 years
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Ryan Nipp, MD, MPH, Massachusetts General Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 18-532
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
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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