NCT04936243

Brief Summary

This research study is comparing telemedicine and face-to-face visits to understand patients' experiences with telemedicine versus face to face visits and to understand when it is and is not appropriate to conduct visits remotely

Trial Health

87
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable breast-cancer

Timeline
Completed

Started Aug 2021

Shorter than P25 for not_applicable breast-cancer

Geographic Reach
1 country

2 active sites

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 18, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 23, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

August 1, 2021

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2022

Completed
Last Updated

December 20, 2022

Status Verified

December 1, 2022

Enrollment Period

1.3 years

First QC Date

June 18, 2021

Last Update Submit

December 19, 2022

Conditions

Keywords

Breast CancerProstate CancerPatient EngagementPatient PreferencePatient Satisfaction

Outcome Measures

Primary Outcomes (1)

  • Patient Experience Comparison

    Compare early-stage breast and early stage prostate cancer patients' experiences with a one-time Telemedicine (TM) versus Face to Face (F2F) follow up visit for routine oncologic surveillance

    Up to 6 months

Secondary Outcomes (6)

  • Patient preference Comparison

    Up to 6 months

  • Indirect Health Care Costs Comparison

    Up to 6 months

  • Health system use Comparison

    Two weeks after study visit

  • Clinician Experience Comparison

    Up to 6 months

  • Clinician Preference

    Up to 6 months

  • +1 more secondary outcomes

Study Arms (2)

FOLLOW UP VISIT-TELEMEDICINE

EXPERIMENTAL

After initial in-person routine followup care, participants will be randomly assigned to receive telemedicine care delivery for their subsequent follow up appointment. Participants will complete a survey after each visit.

Behavioral: FOLLOW UP VISIT-TELEMEDICINE

FOLLOW UP VISIT-FACE TO FACE

EXPERIMENTAL

After initial in-person routine followup care, participants will be randomly assigned to receive face-to-face care delivery for their subsequent follow up appointment. Participants will complete a survey after each visit.

Behavioral: FOLLOW UP VISIT-FACE TO FACE

Interventions

Routine follow up care conducted remotely with video-conferencing tools

FOLLOW UP VISIT-TELEMEDICINE

Routine follow up care conducted in person

FOLLOW UP VISIT-FACE TO FACE

Eligibility Criteria

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

You may qualify if:

  • For breast cancer participants: Early-stage breast cancer defined as Stages I-IIIA at diagnosis or localized prostate cancer defined as Stages I-III
  • For breast cancer participants: participant has completed definitive treatment for early stage breast cancer including surgery, radiation, chemotherapy, anti-HER2 antibody treatment. Participant may or may not be taking oral anti-estrogen treatment such as tamoxifen or an aromatase inhibitor
  • For prostate cancer participants: participant is on active surveillance or has undergone definitive surgery for localized prostate cancer
  • Participant is on a surveillance follow up visit schedule occurring at every three to seven month intervals
  • Willingness and ability to use Patient Gateway portal
  • Participant has access to an electronic device that can support a video and audio virtual visit platform (for example, laptop computer, desktop computer, smart phone)
  • Participants can be women or men
  • Age ≥ 18 years

You may not qualify if:

  • Patients whose next visit requires cytotoxic chemotherapy, radiation therapy, anti-HER2 antibody therapy or investigational cancer agents are ineligible
  • Patients with distant metastatic breast cancer
  • Patients with locally advanced or metastatic prostate cancer
  • Patients treated by radiation therapy for prostate cancer
  • Patients whose next visit requires a prostate biopsy
  • Prisoners
  • Non-English speaking patients (non-English speaking patients will be excluded from the trial given the challenges of delivering telemedicine with the use of medical interpreters. There are also logistical challenges in obtaining the study endpoints, which are largely survey based, with non-English speakers as well as the possibility that study endpoints will be influenced by the presence of a medical interpreter during a visit).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02115, United States

Location

MeSH Terms

Conditions

Breast NeoplasmsProstatic NeoplasmsPatient ParticipationPatient PreferencePatient Satisfaction

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesGenital Neoplasms, MaleUrogenital NeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital DiseasesPatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Christopher Manz, MD, MSHP

    Dana-Farber Cancer Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 18, 2021

First Posted

June 23, 2021

Study Start

August 1, 2021

Primary Completion

November 1, 2022

Study Completion

November 1, 2022

Last Updated

December 20, 2022

Record last verified: 2022-12

Data Sharing

IPD Sharing
Will share

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.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data can be shared no earlier than 1 year following the date of publication
Access Criteria
Contact the Belfer Office for Dana-Farber Innovations (BODFI) at innovation@dfci.harvard.edu

Locations