- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03808818
Implementing a Virtual Tobacco Treatment for Cancer Patients in Community Oncology Practices
Implementing a Virtual Tobacco Treatment in Community Oncology Practices: "Smoke Free Support Study 2.0"
Study Overview
Status
Detailed Description
PRIMARY OBJECTIVE:
I. To compare the proportions of participants in the Enhanced Usual Care (EUC) and Virtual Tobacco Treatment (VIT) study arms with biochemically-verified 7-day point-prevalence abstinence from cigarettes at 6-months post enrollment.
SECONDARY OBJECTIVES:
I. Biochemically-verified 7-day point prevalence abstinence at 3-months follow-up.
II. Self-reported 7-day point prevalence cigarette abstinence at 3- and 6-months follow-up.
III. Significant reduction (> 50% reduction in reported number of cigarettes per day) in daily smoking from baseline to 3- and baseline to 6-months follow-up.
IV. Continuous (no self-reported smoking since last survey point) and sustained abstinence at 6 months (cotinine-verified at 3-months and 6-months).
EXPLORATORY OBJECTIVES:
I. To assess the potential effect of known and potential moderators on treatment effectiveness between the two arms.
II. To assess the processes of implementation and dissemination (acceptability, adoption, appropriateness, treatment fidelity, cost effectiveness, penetration/reach, and sustainability) of the investigator's intervention at community oncology sites.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM A (Enhanced Usual Care [EUC]): Patients receive an assessment of smoking status and provision of quitting advice through the screening and referral process, and are referred to the National Cancer Institute (NCI) Smoking Quitline.
ARM B (Virtual Intervention Treatment [VIT]): Patients receive an initial virtual counseling session with a study-designated tobacco treatment coach via MGH TeleHealth over 40 minutes and up to 10 more virtual counseling sessions over 15 minutes for approximately 6 months. Patients also receive up to 12 weeks of nicotine replacement (NRT) (patch and lozenge combined or alone).
After completion of study, patients may be followed up for 1 year.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Alaska
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Anchorage, Alaska, United States, 99508
- Alaska Women's Cancer Care
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Anchorage, Alaska, United States, 99508
- Katmai Oncology Group
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Georgia
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Atlanta, Georgia, United States, 30342
- Northside Hospital
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Augusta, Georgia, United States, 30912
- Augusta University Medical Center
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Illinois
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Danville, Illinois, United States, 61832
- Carle on Vermilion
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Mount Vernon, Illinois, United States, 62864
- Good Samaritan Regional Health Center
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Urbana, Illinois, United States, 61801
- Carle Cancer Center
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Iowa
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Cedar Rapids, Iowa, United States, 52402
- Physicians' Clinic of Iowa PC
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Des Moines, Iowa, United States, 50309
- Iowa Methodist Medical Center
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Des Moines, Iowa, United States, 50309
- Medical Oncology and Hematology Associates-Des Moines
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Minnesota
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Fridley, Minnesota, United States, 55432
- Unity Hospital
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Mississippi
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Southhaven, Mississippi, United States, 38671
- Baptist Memorial Hospital and Cancer Center-Desoto
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Missouri
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Joplin, Missouri, United States, 64804
- Freeman Health System
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Saint Joseph, Missouri, United States, 64506
- Heartland Regional Medical Center
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Springfield, Missouri, United States, 65807
- CoxHealth South Hospital
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New York
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Bronx, New York, United States, 10467
- Montefiore Medical Center - Moses Campus
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North Carolina
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Gastonia, North Carolina, United States, 28054
- CaroMont Regional Medical Center
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Hendersonville, North Carolina, United States, 28791
- Margaret R Pardee Memorial Hospital
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Ohio
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Belpre, Ohio, United States, 45714
- Strecker Cancer Center-Belpre
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Marietta, Ohio, United States, 45750
- Marietta Memorial Hospital
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Marion, Ohio, United States, 43302
- OhioHealth Marion General Hospital
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Portsmouth, Ohio, United States, 45662
- Southern Ohio Medical Center
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South Carolina
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Easley, South Carolina, United States, 29640
- Prisma Health Cancer Institute - Easley
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Greenville, South Carolina, United States, 29605
- Prisma Health Cancer Institute - Faris
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Greenville, South Carolina, United States, 29615
- Prisma Health Cancer Institute - Eastside
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Greenville, South Carolina, United States, 29605
- Prisma Health Cancer Institute - Butternut
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Greer, South Carolina, United States, 29650
- Prisma Health Cancer Institute - Greer
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Seneca, South Carolina, United States, 29672
- Prisma Health Cancer Institute - Seneca
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Spartanburg, South Carolina, United States, 29307
- Prisma Health Cancer Institute - Spartanburg
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Tennessee
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Memphis, Tennessee, United States, 38120
- Baptist Memorial Hospital and Cancer Center-Memphis
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Memphis, Tennessee, United States, 38120
- Baptist Memorial Hospital for Women
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Washington
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Auburn, Washington, United States, 98001
- MultiCare Auburn Medical Center
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Gig Harbor, Washington, United States, 98335
- MultiCare Gig Harbor Medical Park
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Puyallup, Washington, United States, 98372
- MultiCare Good Samaritan Hospital
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Tacoma, Washington, United States, 98405
- MultiCare Tacoma General Hospital
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Wisconsin
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Appleton, Wisconsin, United States, 54911
- ThedaCare Regional Cancer Center
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Green Bay, Wisconsin, United States, 54311
- Aurora BayCare Medical Center
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Green Bay, Wisconsin, United States, 54301
- Saint Vincent Hospital Cancer Center Green Bay
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Green Bay, Wisconsin, United States, 54303
- Saint Vincent Hospital Cancer Center at Saint Mary's
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Oconto Falls, Wisconsin, United States, 54154
- Saint Vincent Hospital Cancer Center at Oconto Falls
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Sheboygan, Wisconsin, United States, 53081
- HSHS Saint Nicholas Hospital
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Sturgeon Bay, Wisconsin, United States, 54235-1495
- Saint Vincent Hospital Cancer Center at Sturgeon Bay
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- STAFF ELIGIBILITY CRITERIA:
- Must be English speaking.
- Must be employed at NCI Community Oncology Research Program (NCORP) site for at least three months.
- PATIENT ELIGIBILITY CRITERIA STEP 0:
- Patient presenting with any type of cancer with a date of diagnosis within the past 4 months. Recurrence, diagnosed within the last 4 months, of tumors in patients with past cancer diagnoses will be considered eligible. Patients with a new primary cancer, diagnosed within the last 4 months, who have been treated previously for other types of cancer will also be considered eligible. ?In situ? cancers, diagnosed within the past 4 months, will also be considered eligible.
- Patient must be a current smoker. Current smoker is defined as any cigarette smoking (even a puff) in the past 30 days.
- Patient must be fluent in both, written and spoken, English or both, written and spoken, Spanish.
Patient must have telephone, e-mail access, and have access to the internet with a camera-enabled device (e.g., smartphone, tablet, computer, laptop with a webcam/camera)
- NOTE: The restriction to those with web and e-mail access is based on the primary intention of the study; to assess the implementation of the virtual intervention in the NCORP network.
- ELIGIBILITY CRITERIA STEP 1: Patient must still meet all criteria outlined in step 0.
- ELIGIBILITY STEP 2 (RANDOMIZATION): Patient must have completed baseline survey in Eastern Cooperative Oncology Group-American College of Radiology Imaging Network (ECOG-ACRIN) Cancer Research Group Systems for Easy Entry of Patient Reported Outcomes (EASEEPRO) within 1 month (30 days) of the date of informed consent (Step 1).
Exclusion Criteria:
- Patient has an Eastern Cooperative Oncology Group (ECOG) performance status of 3 or above, or is deemed medically unable to participate by study investigators or oncology clinician (i.e., referral to hospice).
- Patient has no intention to receive their cancer care or monitoring at an NCORP community cancer site.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Arm A (smoking assessment, quitting advice, Quitline referral)
Patients receive an assessment of smoking status and provision of quitting advice through the screening and referral process, and are referred to the NCI Smoking Quitline.
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Ancillary studies
Other Names:
Receive information about tobacco cessation
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Experimental: Arm B (virtual counseling sessions, NRT)
Patients receive an initial virtual counseling session with a study-designated tobacco treatment coach via MGH TeleHealth over 40 minutes and up to 10 more virtual counseling sessions over 15 minutes for approximately 6 months.
Patients also receive up to 12 weeks of NRT (patch and lozenge combined or alone).
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Ancillary studies
Other Names:
Ancillary studies
Given NRT patch or lozenge (or both)
Other Names:
Receive virtual tobacco cessation counseling
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
7-day point-prevalence tobacco abstinence by saliva cotinine or expired air carbon monoxide (CO)
Time Frame: At 6 months
|
Will define 7-day point-prevalence by saliva cotinine (< 15 ng/ml) or expired air CO (< 10 ppm).
All participants who report being quit and no nicotine replacement (NRT) or e-cigarette use will be requested to provide saliva samples, expired air CO will be measured in participants who report being quit and report concurrent NRT or e-cigarette use.
If a participant is lost to follow-up or does not provide a saliva or CO sample, they will be considered a current smoker.
Chi-square tests will be used to compare the outcomes between treatment groups.
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At 6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Biochemically-confirmed 7-day point prevalence abstinence by saliva cotinine or expired air CO
Time Frame: At 3 months
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Will define 7-day point-prevalence by saliva cotinine (< 15 ng/ml) or expired air CO (< 10 ppm).
All participants who report being quit and no NRT or e-cigarette use will be requested to provide saliva samples, expired air CO will be measured in participants who report being quit and report concurrent NRT or e-cigarette use.
If a participant is lost to follow-up or does not provide a saliva or CO sample, they will be considered a current smoker.
Chi-square tests will be used to compare the outcomes between treatment groups.
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At 3 months
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Self-reported 7-day point prevalence abstinence
Time Frame: At 3 months
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Chi-square tests will be used to compare the outcomes between treatment groups.
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At 3 months
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Self-reported 7-day point prevalence abstinence
Time Frame: At 6 months
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Chi-square tests will be used to compare the outcomes between treatment groups.
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At 6 months
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Self-reported continuous tobacco abstinence
Time Frame: At 6 months
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Chi-square tests will be used to compare the outcomes between treatment groups.
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At 6 months
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Sustained tobacco abstinence at 6 months
Time Frame: At 6 months
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To qualify as a sustained abstinence at 6 months, the participant must qualify as biochemically-verified 7-day point prevalence cigarette abstinence at 3 and 6 months.
Chi-square tests will be used to compare the outcomes between treatment groups.
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At 6 months
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Potential effect of sociodemographics on treatment effectiveness
Time Frame: Up to 6 months
|
Will test the effects of potential moderator in logistic regression models to determine association with tobacco abstinence.
Once a parsimonious multivariate model is developed, treatment arm will be included to test for the effect of the intervention on the moderator.
Interactions between the treatment arm and the moderators to indicate the relationship between the moderators and the treatment group on the effectiveness outcomes.
Also, generalized estimating equations (GEE) will be used to look at longitudinal models.
Multiple comparisons will be accounted for by considering Bonferroni adjustments.
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Up to 6 months
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Potential effect of medical and smoking history on treatment effectiveness
Time Frame: Up to 6 months
|
Will test the effects of potential moderator in logistic regression models to determine association with tobacco abstinence.
Once a parsimonious multivariate model is developed, treatment arm will be included to test for the effect of the intervention on the moderator.
Interactions between the treatment arm and the moderators to indicate the relationship between the moderators and the treatment group on the effectiveness outcomes.
Also, generalized estimating equations (GEE) will be used to look at longitudinal models.
Multiple comparisons will be accounted for by considering Bonferroni adjustments.
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Up to 6 months
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Potential effect of cancer variables on treatment effectiveness
Time Frame: Up to 6 months
|
Will test the effects of potential moderator in logistic regression models to determine association with tobacco abstinence.
Once a parsimonious multivariate model is developed, treatment arm will be included to test for the effect of the intervention on the moderator.
Interactions between the treatment arm and the moderators to indicate the relationship between the moderators and the treatment group on the effectiveness outcomes.
Also, generalized estimating equations (GEE) will be used to look at longitudinal models.
Multiple comparisons will be accounted for by considering Bonferroni adjustments.
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Up to 6 months
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Implementation of the intervention at community oncology sites
Time Frame: Up to 36 months
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Will follow Proctor and colleagues' recommended taxonomy for measurement of implementation outcomes.
Will measure acceptability (satisfaction with content/delivery), adoption (program uptake), appropriateness (relevance), cost, and treatment fidelity/adaptation and penetration (reach) and sustainability.
These implementation outcomes will be assessed with mixed methods using qualitative and quantitative data to be collected from patient, tobacco treatment counselor, NCORP oncology principal investigators (PIs) and provider clinicians/staff, and electronic health record (EHR) documentation.
Will use descriptive statistics to summarize implementation outcomes (acceptability, adoption, appropriateness, fidelity, cost, penetration and sustainability) and conduct treatment group comparisons (i.e., acceptability).
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Up to 36 months
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Intervention acceptability (satisfaction with content/delivery) at community oncology sites
Time Frame: Up to 36 months
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Outcome will be assessed with mixed methods using qualitative & quantitative data to be collected from patient, tobacco treatment counselor, NCORP oncology principal investigators (PIs) and provider clinicians/staff, and electronic health record (EHR) documentation.
Will use descriptive statistics to summarize implementation outcome and conduct treatment group comparisons.
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Up to 36 months
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Intervention adoption (program uptake) at community oncology sites
Time Frame: Up to 36 months
|
Outcome will be assessed with mixed methods using qualitative & quantitative data to be collected from patient, tobacco treatment counselor, NCORP oncology principal investigators (PIs) and provider clinicians/staff, and electronic health record (EHR) documentation.
Will use descriptive statistics to summarize implementation outcome and conduct treatment group comparisons.
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Up to 36 months
|
Intervention appropriateness (relevance) at community oncology sites
Time Frame: Up to 36 months
|
Outcome will be assessed with mixed methods using qualitative & quantitative data to be collected from patient, tobacco treatment counselor, NCORP oncology principal investigators (PIs) and provider clinicians/staff, and electronic health record (EHR) documentation.
Will use descriptive statistics to summarize implementation outcome and conduct treatment group comparisons.
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Up to 36 months
|
Intervention cost at community oncology sites
Time Frame: Up to 36 months
|
Outcome will be assessed with mixed methods using qualitative & quantitative data to be collected from patient, tobacco treatment counselor, NCORP oncology principal investigators (PIs) and provider clinicians/staff, and electronic health record (EHR) documentation.
Will use descriptive statistics to summarize implementation outcome and conduct treatment group comparisons.
|
Up to 36 months
|
Treatment fidelity/adaptation at community oncology sites
Time Frame: Up to 36 months
|
Outcome will be assessed with mixed methods using qualitative & quantitative data to be collected from patient, tobacco treatment counselor, NCORP oncology principal investigators (PIs) and provider clinicians/staff, and electronic health record (EHR) documentation.
Will use descriptive statistics to summarize implementation outcome and conduct treatment group comparisons.
|
Up to 36 months
|
Intervention penetration (reach) at community oncology sites
Time Frame: Up to 36 months
|
Outcome will be assessed with mixed methods using qualitative & quantitative data to be collected from patient, tobacco treatment counselor, NCORP oncology principal investigators (PIs) and provider clinicians/staff, and electronic health record (EHR) documentation.
Will use descriptive statistics to summarize implementation outcome and conduct treatment group comparisons.
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Up to 36 months
|
Intervention sustainability at community oncology sites
Time Frame: Up to 36 months
|
Outcome will be assessed with mixed methods using qualitative & quantitative data to be collected from patient, tobacco treatment counselor, NCORP oncology principal investigators (PIs) and provider clinicians/staff, and electronic health record (EHR) documentation.
Will use descriptive statistics to summarize implementation outcome and conduct treatment group comparisons.
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Up to 36 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Elyse Park, ECOG-ACRIN Cancer Research Group
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 (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms by Histologic Type
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Disease Attributes
- Neoplasms
- Carcinoma in Situ
- Recurrence
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Autonomic Agents
- Peripheral Nervous System Agents
- Cholinergic Agents
- Ganglionic Stimulants
- Nicotinic Agonists
- Cholinergic Agonists
- Nicotine
Other Study ID Numbers
- EAQ171CD (Other Identifier: CTEP)
- NCI-2018-02826 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- ECOG-ACRIN-EAQ171CD (Other Identifier: DCP)
- R01CA214427 (U.S. NIH Grant/Contract)
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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