NCT01885884

Brief Summary

This is a pilot, randomized controlled trial of an embedded collaborative model of supportive care designed to improve quality of life and decrease use of unwanted healthcare services at the end of life for patients with advanced pancreatic cancer. We will enroll 30 patients who are receiving treatment at the Hillman Cancer Center for recently diagnosed, locally advanced or metastatic pancreatic adenocarcinoma, as well as their accompanying caregivers and providers. Patients will be randomized to receive either the supportive care intervention or usual care. The purpose of this study is to refine an embedded collaborative model of supportive care and to develop protocols for recruitment, randomization, and longitudinal data collection.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2013

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 7, 2013

Completed
18 days until next milestone

First Posted

Study publicly available on registry

June 25, 2013

Completed
6 days until next milestone

Study Start

First participant enrolled

July 1, 2013

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2015

Completed
Last Updated

May 12, 2016

Status Verified

May 1, 2016

Enrollment Period

2.1 years

First QC Date

June 7, 2013

Last Update Submit

May 10, 2016

Conditions

Keywords

Supportive CarePalliative CarePancreatic CancerEmbedded, coordinated model of supportive care within oncology carePatient and Caregiver support

Outcome Measures

Primary Outcomes (4)

  • trial feasibility

    We will assess trial feasibility by monitoring number of eligible patients per clinic day, contact rates, interest rates, enrollment rates, randomization rates, intervention visit completion rates, and outcome assessment completion rates.

    up to 2 years

  • acceptability of intervention participation

    We will report the percentage of patients and caregivers who found the intervention acceptable.

    3 months (+/- 3 weeks) from patient enrollment

  • intervention fidelity

    We will use post-visit checklists to characterize the number and types of recommended topics covered during each supportive care intervention visit.

    Up to 2 years

  • perceived effectiveness

    We will report the percentage of patients and caregivers who perceived the intervention to be effective for treating symptoms, understanding their illness, coping, and planning for the future.

    3 months (+/- 3 weeks) from patient enrollment

Secondary Outcomes (3)

  • change in patient quality of life

    baseline (enrollment) to 3 months (+/- 3 weeks) after enrollment

  • patient healthcare utilization

    up to 2 years

  • patient quality of life

    3 months (+/- 3 weeks) from patient enrollment

Other Outcomes (19)

  • patient illness understanding and care preferences

    3 months (+/- 3 weeks) from patient enrollment

  • change in patient anxiety symptoms

    baseline (enrollment) to 3 months (+/- 3 weeks) after enrollment

  • change in patient distress

    baseline (time of enrollment) to 3 months (+/- 3 weeks) after enrollment

  • +16 more other outcomes

Study Arms (2)

Supportive Care Intervention

EXPERIMENTAL

Monthly (minimum) patient \& caregiver visits with a Supportive Care physician, embedded within their standard oncological care (through collaboration with oncology providers).

Behavioral: Embedded Supportive Care

Usual Care

NO INTERVENTION

Participants will receive standard oncology care from their oncology providers.

Interventions

Supportive Care Intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients:
  • Adults (≥ 18 years old)
  • Pathologically-confirmed locally advanced or metastatic pancreatic adenocarcinoma diagnosed within the past 8 weeks
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 (asymptomatic), 1 (symptomatic but fully ambulatory), or 2 (symptomatic and in bed \<50% of the day)
  • Planning to receive continued care from an oncologist at the Hillman Cancer Center
  • Accompanied by a caregiver (family member or friend) at the first visit
  • Caregivers:
  • Adults (\>= 18 years old)
  • Family member or friend of an eligible patient

You may not qualify if:

  • Patients:
  • Unable to read and respond to questions in English
  • Not planning to receive continued care from an oncologist at the Hillman Cancer Center
  • Pancreatic neuroendocrine cancer
  • Caregivers:
  • Unable to read and respond to questions in English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Pittsburgh Cancer Institute (UPCI), Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

MeSH Terms

Conditions

Pancreatic Neoplasms

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Study Officials

  • Yael Schenker, MD, MAS

    University of Pittsburgh

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Medicine

Study Record Dates

First Submitted

June 7, 2013

First Posted

June 25, 2013

Study Start

July 1, 2013

Primary Completion

August 1, 2015

Study Completion

August 1, 2015

Last Updated

May 12, 2016

Record last verified: 2016-05

Locations