Impatto dell'ICCAN sul completamento del trattamento del cancro e sulla qualità della vita
Uno studio controllato randomizzato sull'impatto dell'ICCAN sul completamento del trattamento del cancro e sulla qualità della vita
The purpose of this study is to see if the ICCAN program is working, and to compare the ICCAN program to the standard hospital services provided in New York City hospitals, like meeting with a Social Worker or a Patient Navigator (a person who provides personal hospital guidance).
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Francesca Gany, MD, MS
- Numero di telefono: 646-888-8054
Backup dei contatti dello studio
- Nome: Jennifer Leng, MD, MPH
- Numero di telefono: 646-888-4243
Luoghi di studio
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New Jersey
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Basking Ridge, New Jersey, Stati Uniti, 07920
- Reclutamento
- Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)
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Contatto:
- Francesca Gany, MD, MS
- Numero di telefono: 646-888-8054
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Middletown, New Jersey, Stati Uniti, 07748
- Reclutamento
- Memorial Sloan Kettering Monmouth (Limited Protocol Activities)
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Contatto:
- Fransecsa Gany, MD, MS
- Numero di telefono: 646-888-8054
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Montvale, New Jersey, Stati Uniti, 07645
- Reclutamento
- Memorial Sloan Kettering Bergen (Limited Protocol Activities)
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Contatto:
- Francesca Gany, MD, MS
- Numero di telefono: 646-888-8054
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New York
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Brooklyn, New York, Stati Uniti, 11220
- Attivo, non reclutante
- Lutheran Medical Center
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Commack, New York, Stati Uniti, 11725
- Reclutamento
- Memorial Sloan Kettering Suffolk- Commack (Limited Protocol Activities)
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Contatto:
- Francesca Gany, MD, MS
- Numero di telefono: 646-888-8054
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Harrison, New York, Stati Uniti, 10604
- Reclutamento
- Memorial Sloan Kettering Westchester (Limited Protocol Activities)
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Contatto:
- Francesca Gany, MD, MS
- Numero di telefono: 646-888-8054
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New York, New York, Stati Uniti, 10065
- Reclutamento
- Memorial Sloan Kettering Cancer Center
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Contatto:
- Francesca Gany, MD, MS
- Numero di telefono: 646-888-8054
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Contatto:
- Jennifer Leng, MD, MPH
- Numero di telefono: 646-888-4243
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Investigatore principale:
- Francesca Gany, MD, MS
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New York, New York, Stati Uniti, 10035
- Reclutamento
- Memorial Sloan Kettering at Ralph Lauren Center (Limited Protocol Activities)
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Contatto:
- Francesca Gany, MD
- Numero di telefono: 646-888-8054
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New York, New York, Stati Uniti, 10031
- Reclutamento
- City College of New York (Data Collection AND Data Analysis)
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Contatto:
- Adriana Espinosa, MD
- Numero di telefono: 212-650-8404
- Email: aespinosa@ccny.cuny.edu
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Rockville Centre, New York, Stati Uniti, 11553
- Reclutamento
- Memorial Sloan Kettering Nassau (Limited Protocol Activities)
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Contatto:
- Franscesca Gany, MD, MS
- Numero di telefono: 646-888-8054
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The Bronx, New York, Stati Uniti
- Attivo, non reclutante
- Lincoln Hospital and Mental Health Center
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Metodo di campionamento
Popolazione di studio
Eligible cancer patients will be recruited in person by multilingual ICCAN Clinical Research Coordinators for participation in the study at Ralph Lauren Center for Cancer Care and Prevention (RLCCP), Lincoln Hospital (LH) and Lutheran Medical Center (LMC). In the event that MSK staff is not present when an eligible patient is identified. Refinement and Pilot RCT participants will be recruited through MSK Manhattan and OneMSK regional sites's.
Descrizione
Participant Inclusion Criteria:
Patient is eligible if he/she is
- fluent in English, Spanish, or Mandarin
- between the ages of 21-80 years old
- cancer patients currently receiving chemotherapy (started within the past month) and/or radiation therapy (started within the past week), or
- scheduled to begin chemotherapy and/or radiation therapy within the next 2 months (excluding surgery only patients)
- planning on remaining in the area for at least 1 year
Clinician is eligible if he/she:
- Has an MD or DO degree
- Is the treating physician providing care to a patient enrolled to the study
ICCAN-IO Phase 1: Refinement, participant is eligible if he/she per EMR or self-report:
- Is 18 - 85 years of age
- Has unresectable locally advanced, locally recurrent unresectable, metastatic, or high risk/early stage TNBC or stage I-IV lung cancer
- Eligible for FDA approved immunotherapy in the NYC metropolitan area (per self-report or per MSK patient EMR records).
- Is treated in the NY metropolitan area
- Self-identifies as Black or Hispanic, and/or is low-SES (low SES will be defined as household income < 200% of federal poverty level)
- Has English or Spanish proficiency
- Agrees to be audio-recorded
ICCAN-IO Phase 2: Pilot RCT, participant is eligible if he/she per EMR or self-report:
- Is 18 - 85 years of age
- Has stage II-III TNBC
- Treated at MSK Manhattan or OneMSK regional sites
- Self identifies as Black or Hispanic, and/or is low SES (low SES will be defined as household income < 200% of federal poverty level)
- Has English or Spanish proficiency
- Agrees to be audio-recorded
ICCAN-IO process evaluation study team participants only:
- Staff member who serves as an Access Facilitator
- Agrees to be audio-recorded
CCAN-GBM
- Over the age of 18 (per EMR)
- Diagnosed with Glioblastoma (per EMR)
- Has not yet started radiation and concurrent temozolomide treatment (per EMR)
- Has a primary neuro-oncologist at MSK (per EMR)
- Will be undergoing radiation at MSK (per EMR)
- Treatment plan consists of a 6-week or 3-week (hypofractionated) course of radiation and chemotherapy (per EMR)
- Participant or caregiver is fluent in English or Spanish
- Planning on remaining in the tri-state area during the 6 weeks or 3 weeks of radiation and chemotherapy (per self-report)
- Screens positive on SDOH screening tool, referred by the clinical team through traditional screening tools for SDOH assistance (per EMR or self-report), demonstrates financial need per MSK guidelines (up to 500% of the federal poverty limit), and/or requests help with SDOH resources or navigation
Participant Exclusion Criteria:
Patient is ineligible if he/she is:
- Diagnosed with Stage IV disease
- Presence of untreated psychiatric disturbance (i.e. acute psychiatric symptoms which require individual treatment) and/or cognitive impairment disorder (e.g., delirium or dementia) verified by medical record sufficient to preclude completion of the assessment measures, interview or informed consent
- Has another family member already enrolled in ICCAN (as determined by patient report)
ICCAN-IO Phase 1: Refinement, participant is ineligible if he/she per EMR or self-report:
- Presence of untreated psychiatric disturbance (e.g., acute psychiatric symptoms which require individual treatment) and/or cognitive impairment disorder (e.g., delirium or dementia) sufficient to preclude completion of the assessment measures, interview or informed consent
- Participants or family members who are participating in MSK IHCD studies related to social determinants of health
ICCAN-IO Phase 2: Pilot RCT, participant is ineligible if he/she per EMR or self-report:
- Presence of untreated psychiatric disturbance (e.g, acute psychiatric symptoms which require individual treatment) and/or cognitive impairment disorder (e.g., delirium or dementia) sufficient to preclude completion of the assessment measures, interview or informed consent
- Participants or family members who are participating in MSK IHCD studies related to social determinants of health at the PI's discretion
ICCAN-GBM
- No recurrences - must be newly diagnosed glioblastoma (per EMR)
- Patients undergoing different treatment regimens from the 15 fraction/3 week or 30 fraction/6 week course of radiation (i.e. patients undergoing 10 fractions of palliative radiation due to poor functional status) (per EMR)
- Presence of untreated psychiatric disturbance (i.e. acute psychiatric symptoms that require individual treatment) (per EMR or self-report)
- Severe cognitive impairment or fluent aphasia as not to understand the assessment measures, interview, or informed consent, without a health care proxy or caregiver that can assist as indicated by clinician or per judgement of study staff. Completion of assessments with the help of caregivers is acceptable. (per EMR or self-report)
- Has another family member or household member already enrolled in ICCAN (per self-report)
- Already participated in or already completed the ICCAN program (per self-report)
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Modelli osservazionali: COHORT
- Prospettive temporali: PROSPECTIVE
Numero di gruppi/coorti
Coorti e interventi
Gruppo / CoorteGruppo / Coorte |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Phase I: Refinement
10 Black, Hispanic, and/or low-SES patients with TNBC (5 Spanish-speaking), will be recruited from MSK |
Patients will receive written materials on social and economic resources and services. Treatment Outcomes Survey at Intake, 3 mo, 6 mo, and 1 year. Chart review at 3 mo, 6 mo and 1 year, and as needed. Plus Initial needs assessment. Assistance with high priority social and economic needs.Monthly follow-up with ICCAN Access Facilitator to address ongoing needs in addition to as-needed assistance. |
|
Phase II, Arm 1: Usual and Customary Care (U&C)
Participants in this group will receive the same referrals on social and economic resources as ICCAN group. |
Patients will receive written materials on social and economic resources and services. Treatment Outcomes Survey at Intake, 3 mo, 6 mo, and 1 year. Chart review at 3 mo, 6 mo and 1 year, and as needed. |
|
Phase II, Arm 2: ICCAN-IO
Arm 2 will consist of everything in Arm 1 |
Patients will receive written materials on social and economic resources and services. Treatment Outcomes Survey at Intake, 3 mo, 6 mo, and 1 year. Chart review at 3 mo, 6 mo and 1 year, and as needed. Plus Initial needs assessment. Assistance with high priority social and economic needs.Monthly follow-up with ICCAN Access Facilitator to address ongoing needs in addition to as-needed assistance. |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Treatment completion/adherence
Lasso di tempo: 1 year
|
The primary outcome, cancer treatment completion, will be determined by chart review at 3, 6, and 12 months after enrollment. |
1 year
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Quality of life
Lasso di tempo: 1 year
|
depression, and stress (measured through validated scales included in the Cancer Treatment Outcomes |
1 year
|
Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Francesca Gany, MD, MS, Memorial Sloan Kettering Cancer Center
Pubblicazioni e link utili
Collegamenti utili
Studiare le date dei record
Studia le date principali
Inizio studio
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stimato)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- 12-223
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