- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06138067
Patient Navigation Program to Improve Clinical Trial Enrollment in Cancer Patients
A Pilot Study of Low Versus High Intensity Patient Navigation Program to Improve the Enrollment on Clinical Trials Among Cancer Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study is a pilot randomized two arm prospective study of a high versus low intensity patient navigation program with the primary endpoint of clinical trials enrollment rate between the 2 arms. The hypothesis of the study is that a high intensity patient navigation program will improve the enrollment rates on clinical trials. Candidates for this study will already have been identified by the patient navigator as being potentially eligible for a clinical trial. Randomization will be stratified by the type of site: community versus academic. There will be a single futility analysis after approximately 50% of the patients have been randomized and offered a clinical trial. Randomization and data capture will be via REDCap.
The primary endpoint of the study is the enrollment rate on clinical trials. With a sample size of 90 and conservatively assuming a clinical trial enrollment among clinical trial eligible patients of 50%, simulations show the investigators would be able to detect a 25% minimum difference (alternative 75% enrollment) in enrollment rates between the two groups with 84% power using a Z test of proportions with a one-sided alpha level of 0.10.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Yasser Ged, MBBS
- Phone Number: 410-614-2302
- Email: yged1@jhmi.edu
Study Locations
-
-
Pennsylvania
-
Chambersburg, Pennsylvania, United States, 17201
- WellSpan
-
Contact:
- Kibem Kim, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
- Age ≥ 18 years
- Patient with a current diagnosis of a primary solid tumor including: prostate cancer and kidney cancer
- Being seen at the Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins University (JHU) or Wellspan Health Center
- Available therapeutic trial for the patient as determined through pre-screening/medical record review
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: High Intensity Approach
Patients will receive printed educational material (PEM) which will include information and resources regarding clinical trials/clinical trial participation, cancer center support services; and community resources and services available to cancer patients.
The PEM will be reviewed by the clinical trial patient navigator with the patient prior to the clinic visit with the medical oncologist.
If the patient is offered participation in a therapeutic clinical trial, the high intensity patient navigation begins.
The patient navigator will arrange to meet with the patient to complete a needs assessment to identify and address barriers to trial participation within one week of the visit with the medical oncologist (and clinical trial offer).
|
PEM, cancer center support services material, and community resources and services available to cancer patients material.
The PEM will be reviewed with the patient navigator before the participants appointment with the medical oncologist.
If enrolled in a clinical trial, the patient navigator will call the participant biweekly, or more often if they are working to resolve any needs identified in the needs assessment) until the participant is successfully enrolled in the therapeutic clinical trial.
The patient navigator will call the participant once weekly for 4 weeks, or less than 4 weeks in other cases including withdrawal from the clinical trial or this navigation study, disease progression, or death.
The participant will receive a call 3 months after enrollment on the therapeutic clinical trial to complete the Exit Questionnaire
|
Active Comparator: Low Intensity Approach
Patients will receive printed educational material (PEM) which will include information and resources regarding clinical trials/clinical trial participation and community resources and services available to cancer patients.
The PEM will be reviewed by the patient navigator with the patient prior to the clinic visit with the medical oncologist.
|
The participant will receive PEM, and community resources and services available to cancer patients material.
The PEM will be reviewed with the patient navigator before the appointment with the medical oncologist.
The patient navigator will call the participant 4 weeks after enrollment on the trial.
The participant will receive a call 3 months after enrollment on the therapeutic clinical trial to complete the Exit Questionnaire
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients from high intensity navigation program that enroll in clinical trials
Time Frame: 18 months
|
Number of patients from high intensity patient navigation program that enroll in clinical trials versus the number of patients from low intensity patient navigation program that enroll in clinical trials.
|
18 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptance rate
Time Frame: 12 months
|
Acceptance rate of patients on the navigation study.
|
12 months
|
Retention rate
Time Frame: 18 months
|
Retention rate of patients on the navigation study
|
18 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of different types of barriers to enrollment
Time Frame: 18 months
|
To identify type of potential barriers and total quantity of each type to enrollment on clinical trial reported by patients.
|
18 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Yasser Ged, MBBS, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- J23132
- IRB00412107 (Other Identifier: JHM IRB)
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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