- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03995927
Palliative Radiation Oncology Chief's Clinic (PROCC)
Palliative Radiation Oncology Chief's Clinic (PROCC): Assessing the Impact of a Dedicated Clinic on the Timeliness of Palliative Radiotherapy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Primary Objective:
• Determine whether interval between palliative radiation therapy referral and palliative radiation therapy initiation is shorter for participants treated in a dedicated palliative radiation oncology clinic compared to the same interval for participants treated in a general radiation oncology clinic (historical control). The investigators' hypothesis is that this interval will be significantly shorter among the Palliative Radiation Oncology Chief's Clinic participants compared to historical control.
Secondary Objectives:
- Determine whether each of the three component intervals within the overall interval from referral to treatment initiation (i.e., referral to consultation; consultation to simulation; simulation to treatment) is shorter for participants treated in a dedicated palliative radiation oncology clinic compared to the length of the same intervals for participants treated in a general radiation oncology clinic (historical control). The investigators' hypothesis is that each of these component intervals will be significantly shorter among the Palliative Radiation Oncology Chief's Clinic participants compared to historical control.
- Describe levels of and changes over time in patient-reported quality of life after palliative radiation therapy in the full sample, and in subgroups stratified by various radiation regimens. The investigators' hypothesis is that participants who receive a shorter course of palliative radiation (one day or five days) will have greater improvements in overall quality of life than participants who receive a ten-day course of palliative radiation.
- Determine median overall survival after palliative radiation therapy.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
North Carolina
-
Winston-Salem, North Carolina, United States, 27157
- Wake Forest Baptist Comprehensive Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 18 years or older
- Clinically or pathologically-defined malignant disease amenable to palliative radiotherapy.
Exclusion Criteria:
- Pregnancy. A verbal pregnancy denial will suffice.
- No intention to treat with palliative radiation therapy following initial referral and consult.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Data collection/questionnaire
Data collection for patient medical charts and patient fill out questionnaires first visit and post-treatment visits
|
Only radiation oncology patients data from medical records regarding treatment, demographics and follow-up visits will be collected and logged by investigators.
Participants will be asked to complete a set of short forms at first visit and post-treatment visits.
If participant has a routine visit about 3 months after treatment, participant will be asked to complete a final form that is optional.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Days Between Referral and Start of Treatment
Time Frame: 3 months
|
Number of days between referral to palliative radiation therapy interval and start of palliative radiation therapy compared to historical control.
Mean time from referral to the start of RT (measured in days) will be computed for our sample and compared to the historical control mean of 13.4 days using a two-sided one-sample t-test.
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean Time from Referral for Consultation
Time Frame: 3 months
|
Mean time from referral to consultation will be computed for our sample and compared to the historical control mean of 3.6 days.
|
3 months
|
Mean Time from Consultation to CT Simulation
Time Frame: 3 months
|
Mean time from consultation to CT simulation will be computed for our sample and compared to the historical control mean of 3.8 days.
|
3 months
|
Mean Time from CT Simulation to Palliative Radiation Start
Time Frame: 3 months
|
Mean time from CT simulation to start of PRT will be computed for our sample and compared to the historical control mean of 6.1 days.
|
3 months
|
Quality of Life Changes
Time Frame: 1 and 3 months after treatment completion
|
Levels of and changes in patient-reported overall quality of life as measured by the EORTC QLQ-C15-PAL (14 questions) at baseline and at 1-month and 3-month intervals after end of palliative radiation therapy.
Quality of life score scale consists of 1 = not at all to 4 = very much.
The higher the QOL score the greater change in the participant's quality of life.
|
1 and 3 months after treatment completion
|
Overall Survival
Time Frame: 6 months after treatment completion
|
Median overall survival (number of days between start of radiation therapy and death from any cause) will be estimated using the Kaplan-Meier method and compared (with a one-sample logrank test and assuming a Weibull distribution parameter of 1.0) to the median overall survival of n=134 days in our historical control.
|
6 months after treatment completion
|
Collaborators and Investigators
Investigators
- Principal Investigator: Doris Brown, MD, PhD, Wake Forest University Health Sciences
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
- IRB00058996
- WFBCCC 03419 (Other Identifier: Wake Forest Baptist Comprehensive Cancer Center)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
Clinical Trials on Metastasis
-
MedtronicNeuroCompletedMetastasis Spine | Metastasis to BoneUnited States, Luxembourg, Germany, France, Canada
-
The Netherlands Cancer InstituteCompletedLymph Node Metastasis | Image-guide SurgeryNetherlands
-
M.D. Anderson Cancer CenterCompletedHead and Neck CancerUnited States
-
University Hospital, LinkoepingSahlgrenska University Hospital, Sweden; Medical Research Council of Southeast...RecruitingColorectal Cancer Metastatic | Chemotherapy Effect | Tumour Metastasis | Tumor GrowthSweden
-
Universitätsklinikum Hamburg-EppendorfRecruitingColon Carcinoma | Lymph Node MetastasesGermany
-
Li MinRecruiting
-
Da FuGanzhou City People's HospitalRecruiting
-
University of Mississippi Medical CenterCompletedMetastasisUnited States
-
Sun Yat-sen UniversityNot yet recruitingBreast Cancer | Ipsilateral Supraclavicular Lymph Node Metastasis
-
The Affiliated Nanjing Drum Tower Hospital of Nanjing...Not yet recruitingBreast Cancer | Axillary Lymph Node Metastasis
Clinical Trials on Data collection and analysis
-
Hospices Civils de LyonCompleted
-
Assistance Publique - Hôpitaux de ParisRecruitingCongenital Profound Hearing LossFrance
-
Centre Hospitalier de CayenneCentre Médical Inter-Armées (CMIA) de Cayenne, French Guiana; Centre Médical... and other collaboratorsCompletedLeishmaniasis, CutaneousFrench Guiana
-
Lille Catholic UniversityUnknown
-
Fondazione Don Carlo Gnocchi OnlusIstituto Auxologico ItalianoRecruitingAmyotrophic Lateral SclerosisItaly
-
Centre Hospitalier Universitaire DijonNot yet recruitingAcute Respiratory Distress Syndrom (SARS-Cov 2)
-
University Hospital, Basel, SwitzerlandCompletedInjury of the Anterior Cruciate Ligament (ACL)Switzerland
-
Vanderbilt-Ingram Cancer CenterNational Cancer Institute (NCI); National Institutes of Health (NIH)TerminatedLymphoma | Myelodysplastic Syndromes | Leukemia | Testicular Germ Cell Tumor | Breast Cancer | Chronic Myeloproliferative Disorders | Ovarian Cancer | Gestational Trophoblastic Tumor | Neuroblastoma | Multiple Myeloma and Plasma Cell Neoplasm | Myelodysplastic/Myeloproliferative NeoplasmsUnited States
-
University Hospital, Basel, SwitzerlandSwiss Multiple Sclerosis RegistryRecruitingMultiple Sclerosis | COVID-19 (Severe Coronavirus Disease 2019)Switzerland
-
University Hospital, BordeauxCompletedArrhythmia | SARS-CoV-2 InfectionFrance