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Impatto dell'ICCAN sul completamento del trattamento del cancro e sulla qualità della vita

16 settembre 2026 aggiornato da: Memorial Sloan Kettering Cancer Center

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

Reclutamento

Condizioni

Intervento / Trattamento

Tipo di studio

Osservativo

Iscrizione (Stimato)

347

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo 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

    • New Jersey
      • Basking Ridge, New Jersey, Stati Uniti, 07920
        • Reclutamento
        • Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)
        • Contatto:
          • Francesca Gany, MD, MS
          • Numero di telefono: 646-888-8054
      • Middletown, New Jersey, Stati Uniti, 07748
        • Reclutamento
        • Memorial Sloan Kettering Monmouth (Limited Protocol Activities)
        • Contatto:
          • Fransecsa Gany, MD, MS
          • Numero di telefono: 646-888-8054
      • Montvale, New Jersey, Stati Uniti, 07645
        • Reclutamento
        • Memorial Sloan Kettering Bergen (Limited Protocol Activities)
        • Contatto:
          • Francesca Gany, MD, MS
          • Numero di telefono: 646-888-8054
    • New York
      • Brooklyn, New York, Stati Uniti, 11220
        • Attivo, non reclutante
        • Lutheran Medical Center
      • Commack, New York, Stati Uniti, 11725
        • Reclutamento
        • Memorial Sloan Kettering Suffolk- Commack (Limited Protocol Activities)
        • Contatto:
          • Francesca Gany, MD, MS
          • Numero di telefono: 646-888-8054
      • Harrison, New York, Stati Uniti, 10604
        • Reclutamento
        • Memorial Sloan Kettering Westchester (Limited Protocol Activities)
        • Contatto:
          • Francesca Gany, MD, MS
          • Numero di telefono: 646-888-8054
      • New York, New York, Stati Uniti, 10065
        • Reclutamento
        • Memorial Sloan Kettering Cancer Center
        • Contatto:
          • Francesca Gany, MD, MS
          • Numero di telefono: 646-888-8054
        • Contatto:
          • Jennifer Leng, MD, MPH
          • Numero di telefono: 646-888-4243
        • Investigatore principale:
          • Francesca Gany, MD, MS
      • New York, New York, Stati Uniti, 10035
        • Reclutamento
        • Memorial Sloan Kettering at Ralph Lauren Center (Limited Protocol Activities)
        • Contatto:
          • Francesca Gany, MD
          • Numero di telefono: 646-888-8054
      • New York, New York, Stati Uniti, 10031
        • Reclutamento
        • City College of New York (Data Collection AND Data Analysis)
        • Contatto:
      • Rockville Centre, New York, Stati Uniti, 11553
        • Reclutamento
        • Memorial Sloan Kettering Nassau (Limited Protocol Activities)
        • Contatto:
          • Franscesca Gany, MD, MS
          • Numero di telefono: 646-888-8054
      • The Bronx, New York, Stati Uniti
        • Attivo, non reclutante
        • Lincoln Hospital and Mental Health Center

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 21 anni a 80 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Metodo di campionamento

Campione di probabilità

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

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Modelli osservazionali: COHORT
  • Prospettive temporali: PROSPECTIVE

Coorti e interventi

Gruppo / Coorte
Intervento / 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

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

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

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Collaboratori

Investigatori

  • Investigatore principale: Francesca Gany, MD, MS, Memorial Sloan Kettering Cancer Center

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio

1 novembre 2012

Completamento primario (Stimato)

1 novembre 2027

Completamento dello studio (Stimato)

1 novembre 2027

Date di iscrizione allo studio

Primo inviato

3 dicembre 2012

Primo inviato che soddisfa i criteri di controllo qualità

3 dicembre 2012

Primo Inserito (Stimato)

5 dicembre 2012

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

21 settembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

16 settembre 2026

Ultimo verificato

1 settembre 2026

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • 12-223

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .