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- Klinische proef NCT07659652
Quality of Life for Patients With Breast Cancer Brain Metastases and Leptomeningeal Disease
Prospective Evaluation of Quality of Life in Patients With Breast Cancer Brain Metastases and Leptomeningeal Disease
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
PRIMARY OBJECTIVE:
I. To describe overall symptom experience and quality of life (QOL) over time in breast cancer patients with brain metastases and/or leptomeningeal disease.
SECONDARY OBJECTIVES:
I. To evaluate the impact of cancer-directed treatments over time on quality of life, physical function, and cognitive function in patients with breast cancer brain metastases and/or leptomeningeal disease including:
- The impact of whole brain radiation versus stereotactic radiosurgery on QOL.
- The impact of brain metastasis surgical resection on QOL.
- The impact of CNS-penetrant systemic therapies on QOL.
- The impact of craniospinal irradiation and other treatment modalities for LMD on QOL.
EXPLORATORY OBJECTIVES:
I. To evaluate the interaction between QOL and demographics, social determinants of health, and control of systemic disease in patients with breast cancer brain metastases and/or leptomeningeal disease.
OUTLINE:
Participants will be given questionnaires and followed for at least 3 years but may withdraw at any time.
Studietype
Inschrijving (Geschat)
Contacten en locaties
Studiecontact
- Naam: Amy Langdon
- Telefoonnummer: 877-827-3222
- E-mail: Amy.DeLuca@ucsf.edu
Studie Locaties
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California
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San Francisco, California, Verenigde Staten, 94143
- University of California, San Francisco
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Contact:
- E-mail: cancertrials@ucsf.edu
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Hoofdonderzoeker:
- Laura Huppert, MD
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Hoofdonderzoeker:
- Michelle Melisko, MD
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Contact:
- Amy Langdon
- Telefoonnummer: 877-827-3222
- E-mail: Amy.DeLuca@ucsf.edu
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- Be male or female 18 years of age or older.
- Have stage 4 (metastatic) breast cancer with spread to the brain parenchyma and/or leptomeninges.
- Have the intention to start or continue anticancer therapy.
- Be able to provide informed consent.
- Be able to speak and read English.
Exclusion Criteria:
Participants who are not on any anticancer therapy and are not planning to start any anticancer therapy will be excluded from the study.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Cohorten en interventies
Groep / Cohort |
Interventie / Behandeling |
|---|---|
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Participants with Metastatic Breast Cancer
This is a prospective cohort study of patients with Stage 4 (metastatic) breast cancer with brain metastases and/or leptomeningeal disease who are receiving treatment for cancer or cancer-related disease.
Through a series of surveys, participants will be asked about race/menopausal status, social determinants, symptom experience, and cognitive and physical functioning.
Participants will be asked to update surveys every 3 months.
Additional demographic and on-investigational / routine care treatment information will be obtained from the Electronic Medical Record (EMR).
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Participants can complete questionnaires online, via tablet in clinic, or via paper and pencil in clinic
Andere namen:
Data will be collected from the participants electronic medical record
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Overall changes in reported symptom burden
Tijdsspanne: Every 3 months for up to approximately 5 years.
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Participants will complete the 22-item MD Anderson Symptom Inventory for Brain Tumor (MDASI-BT) questionnaire which is designed to capture the severity of various symptoms related to cancer (13 items) and symptoms specifically related to brain cancer (9 items) during the last 24 hours.
Participants responses are given on a scale from 0 (not present) to 10 (worst possible).
The higher the score the more severe the symptom.
A subset of the most prevalent or severe symptoms reported will be used to represent symptom burden.
Additional information on the questionnaire development scoring and copyright details can be found at https://www.mdanderson.org/research/departments-labs-institutes/departments-divisions/symptom-research/symptom-assessment-tools/md-anderson-symptom-inventory-brain-tumor.html
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Every 3 months for up to approximately 5 years.
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Frequency of moderate to severe symptoms
Tijdsspanne: Every 3 months for up to approximately 5 years
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Participants will complete the 22-item MD Anderson Symptom Inventory for Brain Tumor (MDASI-BT) questionnaire which is designed to capture the severity of various symptoms related to cancer (13 items) and symptoms specifically related to brain cancer (9 items) during the last 24 hours.
Participants responses are given on a scale from 0 (not present) to 10 (worst possible).
The higher the score the more severe the symptom.
The frequency of responses to the MDASI-BT items with a score of 4 or higher will be reported as a percentage of the total number of participants.
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Every 3 months for up to approximately 5 years
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Overall change in scores on reported symptom interference (MDASI-BT)
Tijdsspanne: Every 3 months for up to approximately 5 years
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Participants will complete the 6-item section of the MD Anderson Symptom Inventory for Brain Tumor (MDASI-BT) questionnaire which is designed to capture the interference of cancer symptoms during the last 24 hours.
Participants responses are given on a scale from 0 (no interference) to 10 (interfered complete) and address general activity, mood, work/housework, relationships, walking, and enjoyment of life.
The higher the score the more the symptom interfered with daily life.
Additional information on the questionnaire development scoring and copyright details can be found at https://www.mdanderson.org/research/departments-labs-institutes/departments-divisions/symptom-research/symptom-assessment-tools/md-anderson-symptom-inventory-brain-tumor.html
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Every 3 months for up to approximately 5 years
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Change in the Mean Scores on the Patient-Reported Outcome Measurement Information System (PROMIS) - Cognitive Function Short Form 8a Questionnaire over time
Tijdsspanne: Up to 5 years.
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This 8-item questionnaire to measure cognitive function based on responses to statements about how the participants feel regarding various cognitive tasks in the past 7 days with responses ranging from 5="Never" to 1="Very Often", and a total raw score ranging from 8 - 40, which are converted to a scaled T-score (range 22.41 to 63.48) with lower scores indicating a greater impairment of cognitive function.
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Up to 5 years.
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Change in the Mean Scores on the Patient-Reported Outcome Measurement Information System (PROMIS) - Physical Function Questionnaire over time
Tijdsspanne: Every 3 months for approximately 5 years.
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This 6-item questionnaire to measures self-reported capability to physically function in the context of cancer and/or cancer treatment experiences, based on responses to statements about how the participants feel regarding various physical tasks in the past 7 days with responses ranging from 5="Without difficulty" to 1="Unable to do", or 5="Not at all" to 1="Cannot do" and a total raw score ranging from 6 - 30, which are converted to a scaled T-score with a range from 20.8 -59), with lower scores indicating a greater impairment of physical function.
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Every 3 months for approximately 5 years.
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Changes in PROMIS - Cognitive function scores over time by non-investigational treatment regimen
Tijdsspanne: Up to 5 years
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The overall changes in scores on the PROMIS cognitive function scores by non-investigational treatment regimen, including whole brain radiation or craniospinal radiation versus stereotactic radiosurgery only, participants who have undergone surgical resection versus not, and participants treated with CNS penetrant systemic therapies versus not will be analyzed using logistic regression models.
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Up to 5 years
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Changes in PROMIS - Physical function scores over time by non-investigational treatment regimen
Tijdsspanne: Up to 5 years
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The overall changes in scores on both the PROMIS physical function scores by non-investigational treatment regimen, including whole brain radiation or craniospinal radiation versus stereotactic radiosurgery only, participants who have undergone surgical resection versus not, and participants treated with CNS penetrant systemic therapies versus not will be analyzed using logistic regression models.
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Up to 5 years
|
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Changes in MDASI-BT scores over time by non-investigational treatment regimen
Tijdsspanne: Up to 5 years
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The overall changes in scores on the MDASI-BT by non-investigational treatment regimen, including whole brain radiation or craniospinal radiation versus stereotactic radiosurgery only, participants who have undergone surgical resection versus not, and participants treated with CNS penetrant systemic therapies versus not will be analyzed using logistic regression models.
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Up to 5 years
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Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Laura Huppert, MD, University of California, San Francisco
- Hoofdonderzoeker: Michelle Melisko, MD, University of California, San Francisco
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Pathologische processen
- Neoplasmata per site
- Neoplasmata
- Neoplastische processen
- Huidziektes
- Borst ziekten
- Pathologische aandoeningen, tekenen en symptomen
- Huid- en bindweefselaandoeningen
- Borstneoplasmata
- Neoplasma metastase
- Kwaliteit, toegang en evaluatie van de gezondheidszorg
- Onderzoekstechnieken
- Epidemiologische methoden
- Gegevensverzameling
- Evaluatiemechanismen voor gezondheidszorg
- Kwaliteit van de gezondheidszorg
- Volksgezondheid
- Milieu en volksgezondheid
- Gezondheidstoestand
- Demografie
- Epidemiologische metingen
- Enquêtes en vragenlijsten
- Kwaliteit van leven
Andere studie-ID-nummers
- 26757
- NCI-2026-04200 (Register-ID: NCI Clinical Trials Reporting Program (CTRP))
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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