NCT05914766

Brief Summary

The aim of this study is to evaluate the feasibility and acceptability of conducting a randomized trial of a brief psychoeducational intervention versus enhanced usual care for patients with locally advanced rectal cancer who are initiating neoadjuvant multimodality treatment.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
30mo left

Started Sep 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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

Study Progress51%
Sep 2023Dec 2028

First Submitted

Initial submission to the registry

June 13, 2023

Completed
9 days until next milestone

First Posted

Study publicly available on registry

June 22, 2023

Completed
3 months until next milestone

Study Start

First participant enrolled

September 21, 2023

Completed
4.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 21, 2028

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2028

Last Updated

May 18, 2025

Status Verified

May 1, 2025

Enrollment Period

4.7 years

First QC Date

June 13, 2023

Last Update Submit

May 14, 2025

Conditions

Keywords

total neoadjuvant therapylocally advanced rectal cancerself efficacypsychoeducationalmultimodality treatment

Outcome Measures

Primary Outcomes (1)

  • Proportion of participants retained in the intervention (feasibility)

    The primary outcome will be feasibility, defined as ≥60% retention of participants over the four-week intervention.

    4 weeks

Secondary Outcomes (2)

  • Proportion of patients enrolled on the study (feasibility)

    12 weeks

  • Proportion of participants reporting acceptability of the intervention (acceptability)

    12 weeks

Study Arms (4)

Study Phase I: PATHWAYS Intervention

EXPERIMENTAL

Participants assigned to the PATHWAYS Intervention will receive: 1) four coaching sessions, 2) a comprehensive patient education guidebook, and 3) a coaching session workbook.

Behavioral: PATHWAYS

Study Phase I: Enhanced Usual Care

ACTIVE COMPARATOR

Participants assigned to the enhanced usual care will receive: 1) an information resource guide for navigating information online.

Other: Enhanced usual care

Study Phase II: PATHWAYS Intervention

EXPERIMENTAL

Participants assigned to the PATHWAYS Intervention will receive: 1) four coaching sessions and 2) a comprehensive patient education guidebook. The intervention has been modified and refined based on feedback from Study Phase I.

Behavioral: PATHWAYS

Study Phase II: Enhanced Usual Care

ACTIVE COMPARATOR

Participants assigned to the enhanced usual care will receive: 1) an information resource guide for navigating information online.

Other: Enhanced usual care

Interventions

PATHWAYSBEHAVIORAL

The PATHWAYS intervention is a psychoeducational intervention comprised of four behavioral coaching sessions and a patient education guidebook.

Study Phase I: PATHWAYS InterventionStudy Phase II: PATHWAYS Intervention

The enhanced usual care condition consists of an information resource guide.

Study Phase I: Enhanced Usual CareStudy Phase II: Enhanced Usual Care

Eligibility Criteria

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

You may qualify if:

  • Age≥18 years
  • Within 8 weeks after documented decision to pursue multi-modality therapy for newly diagnosed LARC (i.e., stage II or III disease)
  • Able to complete study procedures English or with the assistance of an interpreter

You may not qualify if:

  • Comorbid health condition that would interfere with study participation, as identified by cancer care team
  • Has undergone treatment for a prior colorectal cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

RECRUITING

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215, United States

RECRUITING

MeSH Terms

Conditions

Rectal Neoplasms

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesRectal Diseases

Study Officials

  • Kelsey Lau-Min, MD, MSCE

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Kelsey Lau-Min, MD, MSCE

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: Participants will be randomized to either the intervention or enhanced usual care. Randomization will be stratified by treatment sequence (e.g., chemotherapy first vs. concurrent chemoradiation first).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 13, 2023

First Posted

June 22, 2023

Study Start

September 21, 2023

Primary Completion (Estimated)

May 21, 2028

Study Completion (Estimated)

December 1, 2028

Last Updated

May 18, 2025

Record last verified: 2025-05

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 Partners Innovations team at link below

Locations