- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03944265
Genetics and Shared Decision Making in Improving Care for Patients With Stage IVA-C Non-small Cell Lung Cancer
Using Genetics and Shared Decision Making to Improve Lung Cancer Care: A Developmental Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
PRIMARY OBJECTIVES:
I. Use the information on genomic tumor diagnostics, provider treatment recommendations, and patient and provider feedback on the treatment decision making process, which will be used to develop materials and methods to adapt an existing decision counseling program (DCP) for use with patients diagnosed with advanced non-small cell lung carcinoma (NSCLC) as a standard component of clinical care.
SECONDARY OBJECTIVES:
I. Pilot test the adapted DCP in a subset of patients to determine the feasibility of delivering the DCP session.
II. Assess DCP effects on patient treatment knowledge and decisional conflict. III. Assess treatment choice.
OUTLINE:
PHASE I: Use physician input to develop draft treatment education materials and use patient input to adapt an online decision counseling application for use in helping patients clarify treatment preference.
PHASE II: Patients complete a treatment decision counseling session/interview about genetic testing and supportive/palliative care with a qualified member of the research team in-person or via telephone. Health care providers receive a 1-page summary of session results for use in treatment shared decision making at the next office visit.
After completion of study, participants are followed up at 30 and 60 days.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19107
- Sidney Kimmel Cancer Center at Thomas Jefferson University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Newly diagnosed with advanced NSCLC (stage IV a-c) that are wild-type for activating genetic alterations (EGFR, ROS 1, and ALK).
- May or may not be candidates for immune checkpoint therapy.
- May have had 1-any number of prior systemic therapy regimens.
- If prior systemic regimen, must have progression disease at time of evaluation.
- Untreated brain metastases permitted.
- Completed pathological analysis of tumor tissue.
- Patients who have exhausted targeting therapy options.
- Can speak and read English.
- All participants must be willing to comply with all study procedures and be available for the duration of the study.
- Providers: Those who treat NSCLC patients as described above.
Exclusion Criteria:
• There are no specific exclusions in this trial for particular medical conditions, comorbidities, or performance status. Any patient deemed appropriate to be considered for evaluation and/or treatment would be appropriate to include in this trial.
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 care (treatment decision counseling session)
Patients complete a treatment decision counseling session/interview about genetic testing and supportive/palliative care with a qualified member of the research team in-person or via telephone.
Health care providers receive a 1-page summary of session results for use in treatment shared decision making at the next office visit.
|
Ancillary studies
Ancillary studies
Other Names:
Participate in treatment decision counseling session
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Development of materials and methods to adapt an existing decision counseling program (DCP) for use with patients diagnosed with advanced non-small cell lung cancer as a standard component of clinical care
Time Frame: Up to 6 weeks
|
Results will be reported descriptively.
A Decision Counseling Program (DCP) is a tool that allows patients and physicians to engage shared decision making.
The DCP will be created based on genetic tumor diagnostics, provider treatment recommendations, and feedback from patients and providers gathered from interviews.
|
Up to 6 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility of the adapted DCP in a subset of patients: proportion of consenting patients who complete the DCP
Time Frame: Up to 6 weeks
|
Results will be reported descriptively.
The feasibility endpoint will be the proportion of consenting patients who complete the DCP, about which we will estimate an exact 95% confidence interval by the Clopper-Pearson method.
|
Up to 6 weeks
|
DCP effects on patient treatment knowledge and decisional conflict
Time Frame: Up to 60 days
|
Results will be reported descriptively on pre and post surveys that will be completed by patients Survey is the Decisional Conflict Scale (DCS) Total and subscores have applicable items are a) summed; b) divide by 10; and c) multiplied by 25 Total Score Items 1-10 Score range: 0 [No decisional conflict] to 100 [extremely high decisional conflict]. Uncertainty Sub score Items 9, 10 Score range: 0 [feels extremely certain about best choice] to 100 [feels extremely uncertain about best choice] Informed Sub score Items 1, 2, 3 Score range: 0 [feels extremely informed] to 100 [feels extremely uninformed]. Values Clarity Sub score Items 4, 5 Score range: 0 [feels extremely clear about person; a values for benefits and risks/side effects] to 100 [feels extremely unclear about personal value] Support Sub score Items 6, 7, 8 Score range: 0 [feels extremely supported in decision making] to 100 [feels extremely unsupported in decision making] |
Up to 60 days
|
Treatment choice of patients after receiving counseling
Time Frame: Up to 60 days
|
Results will be reported descriptively.
Will be collected on pre and post surveys that will be completed by patients.
Overall summary statistics will be computed for the patient surveys.
Medical records data will be reviewed in order to determine the patient treatment regimen.
|
Up to 60 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Neal Flomenberg, MD, Sidney Kimmel Cancer Center at Thomas Jefferson University
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- 18C.584
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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