NCT06099743

Brief Summary

The goal of this study is to refine and test a psychosocial intervention called ASCENT (ACT-based Supportive intervention for patients with CENTral nervous system tumors). This intervention was developed to help patients after being diagnosed with a brain tumor. The main question this study aims to answer is whether this intervention is feasible (i.e., possible to carry out) and acceptable (i.e., considered helpful) to patients. Participants will be asked to take part in 6 coaching sessions and complete short surveys at four different time points. Some participants will be asked to share feedback via interviews.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
39mo left

Started May 2025

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress23%
May 2025Jul 2029

First Submitted

Initial submission to the registry

October 19, 2023

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 25, 2023

Completed
1.6 years until next milestone

Study Start

First participant enrolled

May 15, 2025

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2029

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2029

Last Updated

July 14, 2025

Status Verified

July 1, 2025

Enrollment Period

3.8 years

First QC Date

October 19, 2023

Last Update Submit

July 10, 2025

Conditions

Keywords

gliomasupportive carebrain tumorpsychological distresssupport

Outcome Measures

Primary Outcomes (2)

  • Feasibility of the Intervention: Percentage of Eligible Patients Who Enroll and Participate in the Intervention

    The investigators will assess feasibility by examining the percentage of eligible patients who agree to enroll in the study and the percentage of enrolled patients who participate in all six intervention sessions. The intervention will be deemed feasible if at least 60% of eligible patients enroll in the study and if at least 70% of enrolled patients complete at least half of the sessions.

    Up to 12 weeks

  • Acceptability of the Intervention: Percentage of Participants who Have High Satisfaction with the Intervention

    The investigators will assess acceptability via examining the distribution of patient scores for the 8-item Client Satisfaction Questionnaire (CSQ-8). CSQ-8 scores range from 8 to 32, with higher scores indicating higher satisfaction. The intervention will be deemed acceptable if at least 70% of patients score at least 24 points on the CSQ-8.

    12 weeks

Secondary Outcomes (7)

  • Exploratory: Coping Skills

    Up to 16 weeks

  • Exploratory: Values-driven behavior

    Up to 16 weeks

  • Exploratory: Prognostic distress

    Up to 16 weeks

  • Exploratory: Depression symptoms

    Up to 16 weeks

  • Exploratory: Quality of Life

    Up to 16 weeks

  • +2 more secondary outcomes

Study Arms (2)

Pilot RCT: ASCENT Arm

EXPERIMENTAL

Enrolled patients will receive an intervention manual and will participate in six weekly or biweekly individual sessions with a clinician (e.g. nurse or behavioral health specialist). Participants will be asked to complete surveys at baseline, 6 weeks, 12 weeks, and 16 weeks.

Behavioral: Psychosocial intervention

Pilot RCT: Control Arm

ACTIVE COMPARATOR

Participants will receive usual supportive care, which includes referral to cancer center supportive care services (e.g., social work) upon request from the patient, caregiver, or clinician. Participants will be asked to complete surveys at baseline, 6 weeks, 12 weeks, and 16 weeks.

Other: Usual supportive care

Interventions

Intervention manual and six one-on-one coaching sessions.

Also known as: ASCENT
Pilot RCT: ASCENT Arm

Referral to cancer center supportive care services (e.g., social work) as needed, upon request from the patient, caregiver, or clinician.

Pilot RCT: Control Arm

Eligibility Criteria

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

You may qualify if:

  • Age ≥ 18
  • Massachusetts General Hospital Cancer Center Patient
  • Within 6 months of diagnosis of malignant primary Central Nervous System (CNS) tumor
  • English speaking

You may not qualify if:

  • Inability to provide informed consent as assessed by the study team (e.g., due to severe cognitive impairment/dementia)
  • Moderate to severe receptive aphasia (Quick Aphasia Battery sentence comprehension subscale \< 8)
  • Current or imminent hospice enrollment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hospital Cancer Center

Boston, Massachusetts, 02114, United States

RECRUITING

MeSH Terms

Conditions

Brain NeoplasmsGlioma

Interventions

Psychosocial Intervention

Condition Hierarchy (Ancestors)

Central Nervous System NeoplasmsNervous System NeoplasmsNeoplasms by SiteNeoplasmsBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesNeoplasms, NeuroepithelialNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasms, Glandular and EpithelialNeoplasms, Nerve Tissue

Intervention Hierarchy (Ancestors)

PsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Deborah A Forst, MD

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Deborah A Forst, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: In this pilot randomized control trial (n=100) participants will be randomized 1:1 to the intervention versus usual care.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

October 19, 2023

First Posted

October 25, 2023

Study Start

May 15, 2025

Primary Completion (Estimated)

March 1, 2029

Study Completion (Estimated)

July 31, 2029

Last Updated

July 14, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will share

Deidentified participant data will be made available to the public via openICPSR (Inter-University Consortium for Political and Social Research). Raw interview data may contain potentially identifiable contextual material, the study will not share raw interview data to preserve confidentiality. All other data (de-identified demographic information, de-identified clinical data, participant survey responses, and coded interview data) will be preserved and shared. Respondent identifiers will not be shared. Data to be made publicly available will include the study protocol, the semi-structured exit interview guide, data collection instruments, and a codebook describing relevant features of measured variables (e.g., variable name, related survey questions and possible responses, codes for missing values). The codebook will be accompanied by univariate descriptive statistics for variables. A User Guide will be made accessible with descriptions of data and instructions for interpretation.

Shared Documents
STUDY PROTOCOL
Time Frame
In accordance with the National Cancer Institute's Clinical Trial Access Policy, results will be made publicly accessible within 12 months of the study completion date or 12 months of final subject data collection (whichever comes first). Data will remain available for as long as the repository is in existence.
Access Criteria
Deidentified participant data will be made available to the public via openICPSR (Inter-University Consortium for Political and Social Research). However, any member of the public wishing to gain access to this data must create an account with ICPSR and therefore agree to its Terms of Use designed to protect study participants and limit redistribution of the downloaded dataset.

Locations