CV CARE: Opieka sercowo-naczyniowa u pacjentów z PC
CV CARE: Opieka sercowo-naczyniowa nad skutkami związanymi z androgenami u pacjentów z rakiem prostaty
This research is being done to test a program to assess and manage reversible cardiovascular (CV) risk factors in participants with prostate cancer starting androgen deprivation therapy (ADT), with the goal of integrating a standardized method into Dana-Farber Cancer Institute clinics for all such participants.
The name of the intervention used in this research study is:
CV Care (cardiovascular risk assessment and management program)
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
This research is being done to test a program to assess and manage reversible cardiovascular (CV) risk factors in participants with prostate cancer starting androgen deprivation therapy (ADT), with the goal of integrating a standardized method into Dana-Farber Cancer Institute clinics for all such participants.
Study procedures including screening for eligibility, treatment visits, questionnaires and surveys, and blood and urine tests.
Participation in this research study is expected to last about 6 months.
It is expected that about 60-150 people will take part in this study.
This study is supported by the National Comprehensive Cancer Network (NCCN) through grant funding provided by Pfizer Myovant.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Alicia Morgans, MD, MPH
- Numer telefonu: 857-215-1605
- E-mail: aliciak_morgans@dfci.harvard.edu
Lokalizacje studiów
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-
Massachusetts
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Boston, Massachusetts, Stany Zjednoczone, 02215
- Rekrutacyjny
- Dana-Farber Cancer Institute
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Kontakt:
- Alicia Morgans, MD, MPH
- Numer telefonu: 857-215-1605
- E-mail: aliciak_morgans@dfci.harvard.edu
-
Główny śledczy:
- Alicia Morgans, MD, MPH
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Boston, Massachusetts, Stany Zjednoczone, 02215
- Rekrutacyjny
- Brigham and Women's Hospital
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Kontakt:
- Alicia Morgans, MD, MPH
- Numer telefonu: 857-215-1605
- E-mail: aliciak_morgans@dfci.harvard.edu
-
Główny śledczy:
- Alicia Morgans, MD, MPH
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Participants must have a histologic diagnosis of prostate adenocarcinoma. Participants with any stage of prostate cancer are eligible, as long as treatment with at least 24 weeks of ADT is recommended by their treating physician.
- Participants must have been prescribed a plan for treatment with at least 24 weeks of ADT, and can have received up to 12 weeks of ADT therapy.
- Participants must be willing to participate in two CV CARE visits at weeks 12 and 24 after ADT initiation.
- Participants must be willing to have their follow up visits for ADT management at DFCI Longwood site.
- Participants must be willing to undergo lab and blood pressure assessments, which can include local labs and home blood pressure checks if they wish to do virtual visits for follow up care.
- Participants can have pre-existing CVD and/or CV risk factors, but this is not a requirement for inclusion.
- Participants receiving combination treatment with an androgen receptor signaling inhibitory, some examples being (abiraterone acetate, enzalutamide, darolutamide, apalutamide, or bicalutamide), immunotherapy (pembrolizumab), or PARP inhibitor (olaparib, rucaparib) are eligible.
- Age ≥18 years.
- Life expectancy of greater than 6 months.
- Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
- History of major adverse cardiac event, including myocardial infarction, new congestive heart failure (CHF) or CHF exacerbation, or stroke, within the past 24 weeks due to complicated comorbidities that necessitate close collaboration between the participant and their cardiologist.
- Participants who have already been on ADT therapy for more than 12 weeks are ineligible due to their treatment cycle being incompatible with the quality improvement initiative's trial design. ADT therapy is defined as either a GnRH agonist or antagonist.
- Participants receiving combination treatment with ADT and chemotherapy (docetaxel, cabazitaxel, carboplatin), radioligand therapy (radium-223, 177PSMA-lutetium-617), or treatment on a clinical trial are not eligible due to potential for more intensive symptom management that may be required for optimal support of their cancer-directed treatment.
- Participants actively included in therapeutic clinical trials are not eligible due to their greater time constraints.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Badania usług zdrowotnych
- Przydział: Nielosowe
- Model interwencyjny: Zadanie sekwencyjne
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
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Eksperymentalny: CV Care Program
Study procedures will be conducted as follows:
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Comprised of two, in-clinic, counseling sessions with oncology nurse practitioner or physician assistant for education on cardiovascular disease (CVD) and cardiovascular risk factors as well as recommendations for management. |
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Eksperymentalny: CV Care Program 2
Study procedures will be conducted as follows:
|
Comprised of two, in-clinic, counseling sessions with oncology nurse practitioner or physician assistant for education on cardiovascular disease (CVD) and cardiovascular risk factors as well as recommendations for management. |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Participant Retention Rate in CV CARE 2
Ramy czasowe: Weeks 4 and 24 in CV CARE 2
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The percentage of a continued participation rate at week 24 of participants who participate at week 4 in the revised iteration of the program (CV CARE 2). |
Weeks 4 and 24 in CV CARE 2
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Proportion of Participants on Statin Medications in CV CARE
Ramy czasowe: 5 months (From 4 weeks after ADT initiation to the week 24 on-treatment visit)
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The percentage of participants who initiate or adjust statin medication usage during the period between 4 weeks after ADT initiation and the week 24 on-treatment visit among individuals with ASCVD risk scores exceeding 10% and 20% at week 4 of the study. |
5 months (From 4 weeks after ADT initiation to the week 24 on-treatment visit)
|
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Proportion of Participants on Statin Medications in CV CARE 2
Ramy czasowe: 5 months (From 4 weeks after ADT initiation to the week 24 on-treatment visit)
|
The percentage of participants who initiate or adjust statin medication usage during the period between 4 weeks after ADT initiation and the week 24 on-treatment visit among individuals with ASCVD risk scores exceeding 10% and 20% at week 4 of the study. |
5 months (From 4 weeks after ADT initiation to the week 24 on-treatment visit)
|
|
Proportion of Participants on Blood Pressure Medications in CV CARE
Ramy czasowe: 5 months (From 4 weeks after ADT initiation to the week 24 on-treatment visit)
|
The percentage of participants who initiate or adjust blood pressure medication usage during the period between 4 weeks after ADT initiation and the week 24 on-treatment visit among individuals with ASCVD risk scores exceeding 10% and 20% at week 4 of the study. |
5 months (From 4 weeks after ADT initiation to the week 24 on-treatment visit)
|
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Proportion of Participants on Blood Pressure Medications in CV CARE 2
Ramy czasowe: 5 months (From 4 weeks after ADT initiation to the week 24 on-treatment visit)
|
The percentage of participants who initiate or adjust blood pressure medication usage during the period between 4 weeks after ADT initiation and the week 24 on-treatment visit among individuals with ASCVD risk scores exceeding 10% and 20% at week 4 of the study. |
5 months (From 4 weeks after ADT initiation to the week 24 on-treatment visit)
|
|
Proportion of Participants with Blood Pressure Below 130/85 (mmHg) in CV CARE
Ramy czasowe: 6 months (From the ADT initiation to the week 24 on-treatment visit)
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The comparison of proportion of participants with a blood pressure below 130/85 mmHg between the average blood pressure levels of weeks 12 and 24 of the program and the average blood pressure levels of ADT initiation and week 4. |
6 months (From the ADT initiation to the week 24 on-treatment visit)
|
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Proportion of Participants with Blood Pressure Below 130/85 (mmHg) in CV CARE 2
Ramy czasowe: 6 months (From the ADT initiation to the week 24 on-treatment visit)
|
The comparison of proportion of participants with a blood pressure below 130/85 mmHg between the average blood pressure levels of weeks 12 and 24 of the program and the average blood pressure levels of ADT initiation and week 4. |
6 months (From the ADT initiation to the week 24 on-treatment visit)
|
Współpracownicy i badacze
Sponsor
Sponsor
Współpracownicy
Współpracownicy
Śledczy
Śledczy
- Główny śledczy: Alicia Morgans, MD, MPH, Dana-Farber Cancer Institute
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Choroby układu moczowo-płciowego
- Choroby narządów płciowych
- Nowotwory narządów płciowych, mężczyzna
- Nowotwory układu moczowo-płciowego
- Nowotwory według lokalizacji
- Nowotwory
- Choroby narządów płciowych, mężczyzna
- Choroby prostaty
- Choroby układu moczowo-płciowego u mężczyzn
- Nowotwory prostaty
- Choroby układu krążenia
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- 23-311
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to: [contact information for Sponsor Investigator or designee]. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.
Ramy czasowe udostępniania IPD
Data can be shared no earlier than 1 year following the date of publication
Kryteria dostępu do udostępniania IPD
Contact the Belfer Office for Dana-Farber Innovations (BODFI) at innovation@dfci.harvard.edu
Typ informacji pomocniczych dotyczących udostępniania IPD
- PROTOKÓŁ BADANIA
- SOK ROŚLINNY
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .