- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04358276
Technology-Enabled Activation of Skin Cancer Screening for Stem Cell Transplant Survivors and Their Primary Care Providers, TEACH Study
Technology-Enabled Activation of Skin Cancer Screening for Hematopoietic Cell Transplantation Survivors and Their Primary Care Providers (TEACH)
Study Overview
Status
Conditions
Detailed Description
PRIMARY OBJECTIVES:
I. Determine the impact of patient activation and education (PAE, N=360) alone or with physician activation (PAE+Phys, N=360) on skin cancer screening and health promotion practices at 12 months, measured by percentage of survivors who conduct skin self-exam and receive physician skin exam, and time to detection and diagnosis of suspicious lesions.
II. Among primary care physicians of transplant patients, determine the impact of an e-learning teledermoscopy program compared with provision of print materials for identifying suspect lesions.
OUTLINE: Participants are randomized to 1 of 3 groups.
GROUP I: Participants receive a study packet on skin cancer. Participants also receive text messages once every 3 weeks for 9 months.
GROUP II: Participants receive a study packet on skin cancer. Participants also receive text messages once every 3 weeks for 9 months. Participants' physician receives a letter that describes the educational intervention and encourages them to do a skin examination at next patient visit.
GROUP III: Participants receive a study packet on skin cancer. Participants also receive text messages once every 3 weeks for 9 months. Participants' physician receives a letter that describes the educational intervention and encourages them to do a skin examination at next patient visit. Physicians also receive a free dermatoscope with instructions for uploading images of suspect lesions and attend a 30-minute online course comprising additional descriptions of dermoscopic images for skin cancers and "mimickers" common in hematopoietic stem cell transplantation patients, along with clear instructions for using a dermatoscope and steps to integrate dermoscopy into their practice.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Duarte, California, United States, 91010
- Recruiting
- City of Hope Medical Center
-
Contact:
- Saro H. Armenian
- Phone Number: 800-826-4673
- Email: sarmenian@coh.org
-
Principal Investigator:
- Saro H. Armenian
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Have undergone autologous or allogeneic hematopoietic stem cell transplantation (HCT) at City of Hope (COH)
- Are 2 years (yrs) to 5 yrs (+/- 3 months [m]) after HCT
- Have seen a primary care provider (PCP) in the previous 12 m (expected > 95% of all eligible) or planning to do so in next 12 m
- Have a mobile phone with the ability to receive text messages
- Can fluently read and write in English or Spanish
- Can understand and sign the study-specific Informed Consent Form (ICF)
Exclusion Criteria:
- Patients who have evidence of active hematologic malignancy or acute illness that would limit study participation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group I (PAE)
Participants receive a study packet on skin cancer.
Participants also receive text messages once every 3 weeks for 9 months.
|
Ancillary studies
Receive text messages
Other Names:
Receive study packet
Other Names:
|
Experimental: Group II (PAE, physician)
Participants receive a study packet on skin cancer.
Participants also receive text messages once every 3 weeks for 9 months.
Participants' physician receives a letter that describes the educational intervention and encourages them to do a skin examination at next patient visit.
|
Ancillary studies
Receive text messages
Other Names:
Receive study packet
Other Names:
Receive physician directed letter and educational package
Other Names:
|
Experimental: Group III (PAE, physician, dermatoscope)
Participants receive a study packet on skin cancer.
Participants also receive text messages once every 3 weeks for 9 months.
Participants' physician receives a letter that describes the educational intervention and encourages them to do a skin examination at next patient visit.
Physicians also receive a free dermatoscope with instructions for uploading images of suspect lesions and attend a 30-minute online course comprising additional descriptions of dermoscopic images for skin cancers and "mimickers" common in hematopoietic stem cell transplantation patients, along with clear instructions for using a dermatoscope and steps to integrate dermoscopy into their practice.
|
Ancillary studies
Receive text messages
Other Names:
Receive study packet
Other Names:
Receive physician directed letter and educational package
Other Names:
Complete online course
Receive dermatoscope
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Impact of patient activation and education alone or with physician activation on change in skin cancer screening and health promotion practices
Time Frame: Baseline and 12 months
|
Will administer questionnaires at baseline and 12 months to ask about skin examinations performed within the past 12 months.
Will use logistic regression to adjust for imbalance in patient characteristics and risk factors.
Will also test for group by covariate interactions, depending on group main effect.
|
Baseline and 12 months
|
Time interval between a participant's first notice of a suspect mole or lesion and the date on which a definitive diagnosis was made
Time Frame: Up to 12 months
|
Will be a continuous variable, and will employ a generalized linear model to compare the interval between the two study arms, adjusted for covariates of interest.
Will begin with bivariate models to determine potential variables to include in a multivariable regression model.
If the group main effect is significant, interactions of the group main effect with other variables will be examined.
|
Up to 12 months
|
Impact of an e-learning teledermoscopy program compared with provision of print materials for identifying suspect lesions
Time Frame: Up to 12 months
|
Will compare the group difference in changes in attitude over time, using generalized estimating equation (GEE) for normally distributed data, with a compound symmetry covariance matrix analysis to account for within-physician correlation.
Will dichotomize the Likert scale (1-5) response and compare the proportion of primary care physicians (PCPs) reporting a higher (>= 4 versus < 4) level of confidence at 12 months (m) compared to baseline between groups, using the longitudinal binomial GEE model with a compound symmetry covariance structure.
Covariate adjustment will be made in these models as necessary.
|
Up to 12 months
|
Economic impact on patients - cost-effectiveness analysis
Time Frame: Up to 12 months
|
Evaluated using standard incremental cost-effectiveness analysis methods will be used to assess the impact of assumptions and uncertainty on results and conclusions.
|
Up to 12 months
|
Economic impact on patients - sensitivity analysis
Time Frame: Up to 12 months
|
Evaluated using standard incremental sensitivity analysis will be used to assess the impact of assumptions and uncertainty on results and conclusions.
|
Up to 12 months
|
Downstream costs
Time Frame: Up to 12 months
|
Will estimate the cost per additional self skin exam completed and the cost per additional PCP exam completed, comparing the two intervention arms.
|
Up to 12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Saro H Armenian, City of Hope Comprehensive Cancer Center
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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
- 20096 (Other Identifier: City of Hope Medical Center)
- NCI-2020-01830 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- 38249 (Other Identifier: National Cancer Institute)
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 Skin Carcinoma
-
Elucid Labs Inc.UnknownMelanoma (Skin) | Squamous Cell Carcinoma of the Skin | Basal Cell Carcinoma of the SkinCanada
-
Memorial Sloan Kettering Cancer CenterRecruitingSkin Cancer | Squamous Cell Carcinoma | Cutaneous Squamous Cell Carcinoma | Locally Advanced Skin Squamous Cell Carcinoma | Locally Advanced Cutaneous Squamous Cell Carcinoma | Locally Advanced Squamous Cell Carcinoma | Locally Advanced Squamous Cell Carcinoma of the SkinUnited States
-
Salzburger LandesklinikenBristol-Myers SquibbRecruitingSquamous Cell Carcinoma of the SkinAustria
-
National Cancer Institute (NCI)CompletedRecurrent Neuroendocrine Carcinoma of the Skin | Stage III Neuroendocrine Carcinoma of the Skin | Stage IV Neuroendocrine Carcinoma of the Skin | Stage II Neuroendocrine Carcinoma of the Skin | Stage I Neuroendocrine Carcinoma of the SkinUnited States
-
City of Hope Medical CenterNational Cancer Institute (NCI); Genentech, Inc.RecruitingLocally Advanced Skin Squamous Cell Carcinoma | Unresectable Skin Squamous Cell Carcinoma | Resectable Skin Squamous Cell CarcinomaUnited States
-
National Cancer Institute (NCI)CompletedRecurrent Neuroendocrine Carcinoma of the Skin | Stage III Neuroendocrine Carcinoma of the Skin | Stage II Neuroendocrine Carcinoma of the SkinUnited States
-
Rutgers, The State University of New JerseyNational Cancer Institute (NCI)CompletedMetastatic Skin Squamous Cell Carcinoma | Recurrent Skin Squamous Cell Carcinoma | Locally Advanced Skin Squamous Cell CarcinomaUnited States
-
Bispebjerg HospitalUniversity of CopenhagenActive, not recruitingSkin Cancer | Basal Cell Carcinoma | Squamous Cell Carcinoma | Non-melanoma Skin CancerDenmark
-
Renee CattellNot yet recruitingSkin Cancer | Basal Cell Carcinoma | Squamous Cell CarcinomaUnited States
-
University of Southern CaliforniaNational Cancer Institute (NCI)RecruitingRecurrent Skin Squamous Cell Carcinoma | Resectable Skin Squamous Cell Carcinoma | Stage I Skin Cancer | Stage II Skin Cancer | Stage III Skin CancerUnited States
Clinical Trials on Questionnaire Administration
-
Fondazione Don Carlo Gnocchi OnlusUnknown
-
Rutgers, The State University of New JerseyNational Cancer Institute (NCI)TerminatedHealth Status UnknownUnited States
-
Istanbul Aydın UniversityCompleted
-
Centre Oscar LambretCentre Hospitalier Universitaire de BesanconTerminated
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingBreast Carcinoma | Fallopian Tube Carcinoma | Endometrial Carcinoma | Ovarian Carcinoma | Primary Peritoneal Carcinoma | Deleterious CDH1 Gene Mutation | Deleterious DICER1 Gene Mutation | Deleterious SMARCA4 Gene Mutation | Deleterious STK11 Gene MutationUnited States
-
Hospital Clínico Universitario de ValladolidRed Centinela Sanitaria de Castilla y León (RCSCYL); Centro Nacional de Gripe... and other collaboratorsRecruitingMigraine | Headache Disorders | Viral Infection | Influenza -Like Illness | Head PainSpain
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)RecruitingBreast Ductal Carcinoma In Situ | Invasive Breast Carcinoma | COVID-19 Infection | Hereditary Breast CarcinomaUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingAdvanced Malignant Solid Neoplasm | Recurrent Lymphoma | Recurrent Malignant Solid Neoplasm | Metastatic Malignant Solid Neoplasm | Recurrent Plasma Cell Myeloma | Caregiver | Recurrent LeukemiaUnited States
-
I.M. Sechenov First Moscow State Medical UniversityAgency of Social Information St. PetersburgActive, not recruiting
-
I.M. Sechenov First Moscow State Medical UniversityActive, not recruitingShoulder ArthropathyRussian Federation