Shared Decision Making in Surveillance for Distant Metastasis in Breast Cancer
SMART-FU
Shared Decision Making in Follow-up Imaging Surveillance for Distant Metastasis in Treated Breast Cancer Patients [SMART-FU]: A Prospective, Single-institution, Randomized Pragmatic Trial
1 other identifier
interventional
368
1 country
1
Brief Summary
In this study, clinical impacts of shared decision making between physicians and patients in strategy of surveillance for asymptomatic patients who ended the primary treatments on quality of life would be investigated
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable breast-cancer
Started Jul 2021
Typical duration for not_applicable breast-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 18, 2021
CompletedFirst Posted
Study publicly available on registry
April 27, 2021
CompletedStudy Start
First participant enrolled
July 6, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedJuly 8, 2024
July 1, 2024
4.5 years
April 18, 2021
July 4, 2024
Conditions
Outcome Measures
Primary Outcomes (4)
Quality of life (QoL), Depression-anxiety scale
Evaluated QoL with Functional Assessment of Cancer Therapy - Breast (FACT-B) questionnaire
At the point of enrollment
Quality of life (QoL), Depression-anxiety scale
Evaluated QoL with Functional Assessment of Cancer Therapy - Breast (FACT-B) questionnaire
After 6 month of enrollment
Quality of life (QoL), Depression-anxiety scale
Evaluated QoL with Functional Assessment of Cancer Therapy - Breast (FACT-B) questionnaire
After 1 year of enrollment
Quality of life (QoL), Depression-anxiety scale
Evaluated QoL with Functional Assessment of Cancer Therapy - Breast (FACT-B) questionnaire
After 2 year of enrollment
Secondary Outcomes (2)
Rate of patients who choose guideline-dependent surveillance rather than advanced imaging-dependent in SDM group
6 month
Cross over rate in SDM group
2 years
Study Arms (2)
Shared decision making group
EXPERIMENTALThe Study arm - shared decision making when deciding surveillance strategy
Usual surveillance group
OTHERThe control arm - surveillance with usual care
Interventions
Shared decision making and decide surveillance strategy between "standard follow-up according to the institutional practice and decide what to do advanced imagings for surveillance" and "guideline-based surveillance"
standard follow-up according to the institutional practice
Eligibility Criteria
You may qualify if:
- Women between 20-70 years
- Invasive unilateral breast carcinoma with histological confirmation
- History of invasive breast cancer
- TMN stage I-II according to AJCC 7th
- Histologically or radiologically no suspicion of distant metastases
- Performance status corresponding to ECOG grade 0-2
- No psychological and geographical restriction in follow-up
- Written informed consent
You may not qualify if:
- History of any cancer in the previous 5 years
- Bilateral breast cancer
- Male breast cancer
- Patients who are planning for surveillance in other institutions
- Unable to understand and fill out questionnaires
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Seoul National University Hospital
Seoul, 03080, South Korea
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hyeong-Gon Moon
Seoul National University Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Medical doctor, Clinical Professor
Study Record Dates
First Submitted
April 18, 2021
First Posted
April 27, 2021
Study Start
July 6, 2021
Primary Completion
December 31, 2025
Study Completion
December 31, 2025
Last Updated
July 8, 2024
Record last verified: 2024-07