NCT06295367

Brief Summary

This clinical trial evaluates the effect of Cost Communication and Financial Navigation (CostCOM) intervention on adherence to care and financial burden in cancer patients. Many cancer patients experience financial hardship due to high medical out of pocket costs (OOPC), changes in employment, income and insurance. Financial hardship can lead to a delay or a stop in cancer care, and is linked to poor quality of life. Financial navigation programs, such as CostCOM, provide financial counseling, education and connections to appropriate resources to reduce financial barriers to healthcare and minimize financial stress and burden. CostCOM may improve adherence to care and decrease financial burden in patients with cancer.

Trial Health

78
On Track

Trial Health Score

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

Enrollment
760

participants targeted

Target at P75+ for not_applicable

Timeline
13mo left

Started Apr 2024

Longer than P75 for not_applicable

Geographic Reach
3 countries

391 active sites

Status
active not 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 Progress70%
Apr 2024Nov 2027

First Submitted

Initial submission to the registry

February 14, 2024

Completed
21 days until next milestone

First Posted

Study publicly available on registry

March 6, 2024

Completed
1 month until next milestone

Study Start

First participant enrolled

April 10, 2024

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2027

Last Updated

September 4, 2026

Status Verified

September 1, 2026

Enrollment Period

3.6 years

First QC Date

February 14, 2024

Last Update Submit

September 2, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Cost-related cancer care non-adherence

    Cost-related cancer care non-adherence is defined as a positive response to any of the following due to costs: Delayed, forewent, stopped, or changed prescribed cancer medication; or delayed, forewent, or refused recommended cancer tests, or cancer office visits. Will be calculated as a report of non-adherence at any point up through the 12mo follow-up survey.

    12 months

Secondary Outcomes (4)

  • Rate of Material Financial Hardship

    at 12 months

  • Patient-reported financial worry

    At baseline and at 3, 6 and 12 months

  • Patient-reported Quality of life - mental and physical health

    At baseline and at 3, 6 and 12 months

  • Patient-reported satisfaction with care at 12 months

    At baseline and at 3, 6 and 12 months

Other Outcomes (10)

  • Out of pocket cost (OOPC) accuracy

    At 3, 6 and 12 months

  • Proportion of study patient participants that are of minority racial/ethnic background, and with public insurance will be measured and compared with that of practice patient population.

    Up to 12 months

  • Patient reported satisfaction with intervention

    39 months after enrollment of first study participant

  • +7 more other outcomes

Study Arms (3)

ARM A (Enhanced usual care)

ACTIVE COMPARATOR

Patients receive PAF brochure describing financial navigation services.

Other: Best PracticeOther: Survey Administration

ARM B (CostCOM)

EXPERIMENTAL

Patients receive usual financial care per practice standard of care and CostCOM financial counseling sessions over 1 hour within 30 days after enrollment and at 3, 6 and 12 months.

Other: Best PracticeOther: Financial NavigationOther: Survey Administration

Non-patient participants: (interview)

EXPERIMENTAL

Non-patient participants complete surveys and participant in 1 on 1 in depth semi-structured interview over 20-30 minutes at 15-39 months after first patient enrollment.

Other: InterviewOther: Survey Administration

Interventions

Ancillary studies

ARM A (Enhanced usual care)ARM B (CostCOM)Non-patient participants: (interview)

Receive PAF brochure describing financial navigation services

Also known as: standard of care, standard therapy
ARM A (Enhanced usual care)ARM B (CostCOM)

Receive CostCOM financial counseling

Also known as: Financial Navigation Program
ARM B (CostCOM)

Participate in a 1 on 1 in-depth interview

Non-patient participants: (interview)

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • NON-PATIENTS PARTICIPANTS: Participant must speak English
  • NON-PATIENTS PARTICIPANTS: Participant must be employed at National Cancer Institute Community Oncology Research Program (NCORP) site for at least six months
  • NON-PATIENTS PARTICIPANTS: Participant must be able to provide informed consent to participate in this study
  • NON-PATIENTS PARTICIPANTS: Participant must be one of the following:
  • A study coordinator with a role involving use of CostCOM intervention price transparency and financial navigation platform
  • A practice oncology provider (i.e., physician or mid-level), or
  • A practice financial counselor, social workers, financial navigators, or pharmacist who have provided care or been in contact (in the last 3 months) to a patient who was assigned to the CostCOM arm, and who completed the at least 6 month study follow-up
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must be ≥ 18 years of age
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must be fluent in written and spoken English OR patient must be fluent in written and spoken Spanish
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must be within 120 days of a new diagnosis of any solid cancer of any stage at the time of Step 0
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must have had their first medical oncology visit at the time of Step 0
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must have initiated oral or intravenous (IV) cancer systemic therapy or have received a prescription order with stated intent to initiate within 30 days following Step 0 consent
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patients must not have indolent cancer undergoing observation alone (i.e., active surveillance)
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patients must not be receiving palliative or hospice care alone
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must not be undergoing curative surgery alone or radiation therapy alone. (Must be receiving systemic therapy), unless they are receiving systemic therapy
  • +15 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (391)

Anchorage Associates in Radiation Medicine

Anchorage, Alaska, 98508, United States

Location

Alaska Breast Care and Surgery LLC

Anchorage, Alaska, 99508, United States

Location

Alaska Oncology and Hematology LLC

Anchorage, Alaska, 99508, United States

Location

Alaska Women's Cancer Care

Anchorage, Alaska, 99508, United States

Location

Katmai Oncology Group

Anchorage, Alaska, 99508, United States

Location

Providence Alaska Medical Center

Anchorage, Alaska, 99508, United States

Location

Fairbanks Memorial Hospital

Fairbanks, Alaska, 99701, United States

Location

Kingman Regional Medical Center

Kingman, Arizona, 86401, United States

Location

Mercy Hospital Fort Smith

Fort Smith, Arkansas, 72903, United States

Location

NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro

Jonesboro, Arkansas, 72401, United States

Location

CARTI Cancer Center

Little Rock, Arkansas, 72205, United States

Location

PCR Oncology

Arroyo Grande, California, 93420, United States

Location

Providence Saint Joseph Medical Center/Disney Family Cancer Center

Burbank, California, 91505, United States

Location

Contra Costa Regional Medical Center

Martinez, California, 94553-3156, United States

Location

Providence Queen of The Valley

Napa, California, 94558, United States

Location

Providence Medical Foundation - Santa Rosa

Santa Rosa, California, 95403, United States

Location

Providence Santa Rosa Memorial Hospital

Santa Rosa, California, 95405, United States

Location

BASS Medical Group - Lennon

Walnut Creek, California, 94598, United States

Location

Rocky Mountain Cancer Centers-Aurora

Aurora, Colorado, 80012, United States

Location

Boulder Community Foothills Hospital

Boulder, Colorado, 80303, United States

Location

Rocky Mountain Cancer Centers-Boulder

Boulder, Colorado, 80304, United States

Location

Rocky Mountain Cancer Centers - Centennial

Centennial, Colorado, 80112, United States

Location

The Women's Imaging Center

Denver, Colorado, 80209, United States

Location

Colorado Blood Cancer Institute

Denver, Colorado, 80218, United States

Location

Presbyterian - Saint Lukes Medical Center - Health One

Denver, Colorado, 80218, United States

Location

Rocky Mountain Cancer Centers-Midtown

Denver, Colorado, 80218, United States

Location

Rocky Mountain Cancer Centers-Rose

Denver, Colorado, 80220, United States

Location

Mountain Blue Cancer Care Center - Swedish

Englewood, Colorado, 80113, United States

Location

Rocky Mountain Cancer Centers - Swedish

Englewood, Colorado, 80113, United States

Location

The Melanoma and Skin Cancer Institute

Englewood, Colorado, 80113, United States

Location

Rocky Mountain Cancer Centers-Lakewood

Lakewood, Colorado, 80228, United States

Location

Rocky Mountain Cancer Centers-Littleton

Littleton, Colorado, 80120, United States

Location

Rocky Mountain Cancer Centers-Sky Ridge

Lone Tree, Colorado, 80124, United States

Location

Rocky Mountain Cancer Centers-Longmont

Longmont, Colorado, 80501, United States

Location

Rocky Mountain Cancer Centers-Thornton

Thornton, Colorado, 80260, United States

Location

Liberty County Cancer Care

Hinesville, Georgia, 31313, United States

Location

Lewis Cancer and Research Pavilion at Saint Joseph's/Candler

Savannah, Georgia, 31405, United States

Location

Hawaii Cancer Care Inc - Waterfront Plaza

Honolulu, Hawaii, 96813, United States

Location

Queen's Cancer Cenrer - POB I

Honolulu, Hawaii, 96813, United States

Location

Queen's Medical Center

Honolulu, Hawaii, 96813, United States

Location

Straub Clinic and Hospital

Honolulu, Hawaii, 96813, United States

Location

University of Hawaii Cancer Center

Honolulu, Hawaii, 96813, United States

Location

Hawaii Diagnostic Radiology Services LLC

Honolulu, Hawaii, 96817, United States

Location

Kuakini Medical Center

Honolulu, Hawaii, 96817, United States

Location

Queen's Cancer Center - Kuakini

Honolulu, Hawaii, 96817, United States

Location

The Cancer Center of Hawaii-Liliha

Honolulu, Hawaii, 96817, United States

Location

Kapiolani Medical Center for Women and Children

Honolulu, Hawaii, 96826, United States

Location

Tripler Army Medical Center

Honolulu, Hawaii, 96859, United States

Location

Straub Medical Center - Kahului Clinic

Kahului, Hawaii, 96732, United States

Location

Castle Medical Center

Kailua, Hawaii, 96734, United States

Location

Wilcox Memorial Hospital and Kauai Medical Clinic

Lihue, Hawaii, 96766, United States

Location

Hawaii Cancer Care - Westridge

‘Aiea, Hawaii, 96701, United States

Location

Pali Momi Medical Center

‘Aiea, Hawaii, 96701, United States

Location

Queen's Cancer Center - Pearlridge

‘Aiea, Hawaii, 96701, United States

Location

The Cancer Center of Hawaii-Pali Momi

‘Aiea, Hawaii, 96701, United States

Location

The Queen's Medical Center - West Oahu

‘Ewa Beach, Hawaii, 96706, United States

Location

Saint Alphonsus Cancer Care Center-Boise

Boise, Idaho, 83706, United States

Location

Saint Luke's Cancer Institute - Boise

Boise, Idaho, 83712, United States

Location

Saint Alphonsus Cancer Care Center-Caldwell

Caldwell, Idaho, 83605, United States

Location

Kootenai Health - Coeur d'Alene

Coeur d'Alene, Idaho, 83814, United States

Location

Saint Luke's Cancer Institute - Fruitland

Fruitland, Idaho, 83619, United States

Location

Idaho Urologic Institute-Meridian

Meridian, Idaho, 83642, United States

Location

Saint Luke's Cancer Institute - Meridian

Meridian, Idaho, 83642, United States

Location

Saint Alphonsus Cancer Care Center-Nampa

Nampa, Idaho, 83687, United States

Location

Saint Luke's Cancer Institute - Nampa

Nampa, Idaho, 83687, United States

Location

Kootenai Clinic Cancer Services - Post Falls

Post Falls, Idaho, 83854, United States

Location

Kootenai Clinic Cancer Services - Sandpoint

Sandpoint, Idaho, 83864, United States

Location

Saint Luke's Cancer Institute - Twin Falls

Twin Falls, Idaho, 83301, United States

Location

OSF Saint Anthony's Health Center

Alton, Illinois, 62002, United States

Location

Illinois CancerCare-Bloomington

Bloomington, Illinois, 61704, United States

Location

Illinois CancerCare-Canton

Canton, Illinois, 61520, United States

Location

Memorial Hospital of Carbondale

Carbondale, Illinois, 62902, United States

Location

SIH Cancer Institute

Carterville, Illinois, 62918, United States

Location

Illinois CancerCare-Carthage

Carthage, Illinois, 62321, United States

Location

Centralia Oncology Clinic

Centralia, Illinois, 62801, United States

Location

Saint Mary's Hospital

Centralia, Illinois, 62801, United States

Location

Carle at The Riverfront

Danville, Illinois, 61832, United States

Location

Cancer Care Specialists of Illinois - Decatur

Decatur, Illinois, 62526, United States

Location

Decatur Memorial Hospital

Decatur, Illinois, 62526, United States

Location

Illinois CancerCare-Dixon

Dixon, Illinois, 61021, United States

Location

Carle Physician Group-Effingham

Effingham, Illinois, 62401, United States

Location

Crossroads Cancer Center

Effingham, Illinois, 62401, United States

Location

Illinois CancerCare-Eureka

Eureka, Illinois, 61530, United States

Location

Illinois CancerCare-Galesburg

Galesburg, Illinois, 61401, United States

Location

Illinois CancerCare-Kewanee Clinic

Kewanee, Illinois, 61443, United States

Location

Illinois CancerCare-Macomb

Macomb, Illinois, 61455, United States

Location

Carle Physician Group-Mattoon/Charleston

Mattoon, Illinois, 61938, United States

Location

SSM Health Good Samaritan

Mount Vernon, Illinois, 62864, United States

Location

Carle BroMenn Medical Center

Normal, Illinois, 61761, United States

Location

Carle Cancer Institute Normal

Normal, Illinois, 61761, United States

Location

Cancer Care Center of O'Fallon

O'Fallon, Illinois, 62269, United States

Location

HSHS Saint Elizabeth's Hospital

O'Fallon, Illinois, 62269, United States

Location

Illinois CancerCare-Ottawa Clinic

Ottawa, Illinois, 61350, United States

Location

Illinois CancerCare-Pekin

Pekin, Illinois, 61554, United States

Location

Illinois CancerCare-Peoria

Peoria, Illinois, 61615, United States

Location

Methodist Medical Center of Illinois

Peoria, Illinois, 61636, United States

Location

Illinois CancerCare-Peru

Peru, Illinois, 61354, United States

Location

Valley Radiation Oncology

Peru, Illinois, 61354, United States

Location

Illinois CancerCare-Princeton

Princeton, Illinois, 61356, United States

Location

Southern Illinois University School of Medicine

Springfield, Illinois, 62702, United States

Location

Springfield Clinic

Springfield, Illinois, 62702, United States

Location

Springfield Memorial Hospital

Springfield, Illinois, 62781, United States

Location

Carle Cancer Center

Urbana, Illinois, 61801, United States

Location

Illinois CancerCare - Washington

Washington, Illinois, 61571, United States

Location

Mercy Hospital

Cedar Rapids, Iowa, 52403, United States

Location

Oncology Associates at Mercy Medical Center

Cedar Rapids, Iowa, 52403, United States

Location

University of Kansas Clinical Research Center

Fairway, Kansas, 66205, United States

Location

Central Care Cancer Center - Garden City

Garden City, Kansas, 67846, United States

Location

Central Care Cancer Center - Great Bend

Great Bend, Kansas, 67530, United States

Location

HaysMed

Hays, Kansas, 67601, United States

Location

University of Kansas Cancer Center

Kansas City, Kansas, 66160, United States

Location

Lawrence Memorial Hospital

Lawrence, Kansas, 66044, United States

Location

The University of Kansas Cancer Center - Olathe

Olathe, Kansas, 66061, United States

Location

University of Kansas Cancer Center-Overland Park

Overland Park, Kansas, 66210, United States

Location

University of Kansas Hospital-Indian Creek Campus

Overland Park, Kansas, 66211, United States

Location

Mercy Hospital Pittsburg

Pittsburg, Kansas, 66762, United States

Location

Salina Regional Health Center

Salina, Kansas, 67401, United States

Location

University of Kansas Health System Saint Francis Campus

Topeka, Kansas, 66606, United States

Location

University of Kansas Hospital-Westwood Cancer Center

Westwood, Kansas, 66205, United States

Location

Mercy Health - Paducah Cancer Center

Paducah, Kentucky, 42003, United States

Location

Bronson Battle Creek

Battle Creek, Michigan, 49017, United States

Location

Corewell Health Grand Rapids Hospitals - Butterworth Hospital

Grand Rapids, Michigan, 49503, United States

Location

Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital

Grand Rapids, Michigan, 49503, United States

Location

Trinity Health Grand Rapids Hospital

Grand Rapids, Michigan, 49503, United States

Location

Dickinson County Healthcare System

Iron Mountain, Michigan, 49801, United States

Location

Bronson Methodist Hospital

Kalamazoo, Michigan, 49007, United States

Location

West Michigan Cancer Center

Kalamazoo, Michigan, 49007, United States

Location

Beacon Kalamazoo Cancer Center

Kalamazoo, Michigan, 49009, United States

Location

Beacon Kalamazoo

Kalamazoo, Michigan, 49048, United States

Location

Trinity Health Muskegon Hospital

Muskegon, Michigan, 49444, United States

Location

Corewell Health Lakeland Hospitals - Niles Hospital

Niles, Michigan, 49120, United States

Location

Cancer and Hematology Centers of Western Michigan - Norton Shores

Norton Shores, Michigan, 49444, United States

Location

Corewell Health Reed City Hospital

Reed City, Michigan, 49677, United States

Location

Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center

Saint Joseph, Michigan, 49085, United States

Location

Corewell Health Lakeland Hospitals - Saint Joseph Hospital

Saint Joseph, Michigan, 49085, United States

Location

Munson Medical Center

Traverse City, Michigan, 49684, United States

Location

University of Michigan Health - West

Wyoming, Michigan, 49519, United States

Location

Minnesota Oncology - Burnsville

Burnsville, Minnesota, 55337, United States

Location

Cambridge Medical Center

Cambridge, Minnesota, 55008, United States

Location

Minnesota Oncology Hematology PA-Chaska

Chaska, Minnesota, 55318, United States

Location

Mercy Hospital

Coon Rapids, Minnesota, 55433, United States

Location

Minnesota Oncology - Coon Rapids

Coon Rapids, Minnesota, 55433, United States

Location

Fairview Southdale Hospital

Edina, Minnesota, 55435, United States

Location

Minnesota Oncology - Edina

Edina, Minnesota, 55435, United States

Location

Fairview Clinics and Surgery Center Maple Grove

Maple Grove, Minnesota, 55369, United States

Location

Minnesota Oncology - Maple Grove

Maple Grove, Minnesota, 55369, United States

Location

Minnesota Oncology Hematology PA-Maplewood

Maplewood, Minnesota, 55109, United States

Location

Saint John's Hospital - Healtheast

Maplewood, Minnesota, 55109, United States

Location

Abbott-Northwestern Hospital

Minneapolis, Minnesota, 55407, United States

Location

Hennepin County Medical Center

Minneapolis, Minnesota, 55415, United States

Location

Health Partners Inc

Minneapolis, Minnesota, 55454, United States

Location

Monticello Cancer Center

Monticello, Minnesota, 55362, United States

Location

New Ulm Medical Center

New Ulm, Minnesota, 56073, United States

Location

Fairview Northland Medical Center

Princeton, Minnesota, 55371, United States

Location

North Memorial Medical Health Center

Robbinsdale, Minnesota, 55422, United States

Location

Park Nicollet Clinic - Saint Louis Park

Saint Louis Park, Minnesota, 55416, United States

Location

Regions Hospital

Saint Paul, Minnesota, 55101, United States

Location

United Hospital

Saint Paul, Minnesota, 55102, United States

Location

Saint Francis Regional Medical Center

Shakopee, Minnesota, 55379, United States

Location

Lakeview Hospital

Stillwater, Minnesota, 55082, United States

Location

Ridgeview Medical Center

Waconia, Minnesota, 55387, United States

Location

Rice Memorial Hospital

Willmar, Minnesota, 56201, United States

Location

Minnesota Oncology Hematology PA-Woodbury

Woodbury, Minnesota, 55125, United States

Location

Fairview Lakes Medical Center

Wyoming, Minnesota, 55092, United States

Location

Baptist Memorial Hospital and Cancer Center-Golden Triangle

Columbus, Mississippi, 39705, United States

Location

Baptist Cancer Center-Grenada

Grenada, Mississippi, 38901, United States

Location

Jackson Oncology Associates PLLC

Jackson, Mississippi, 39202, United States

Location

Mississippi Baptist Medical Center

Jackson, Mississippi, 39202, United States

Location

Baptist Memorial Hospital and Cancer Center-Union County

New Albany, Mississippi, 38652, United States

Location

Baptist Memorial Hospital and Cancer Center-Oxford

Oxford, Mississippi, 38655, United States

Location

Baptist Memorial Hospital and Cancer Center-Desoto

Southhaven, Mississippi, 38671, United States

Location

Mercy Oncology and Hematology - Clayton-Clarkson

Ballwin, Missouri, 63011, United States

Location

Central Care Cancer Center - Bolivar

Bolivar, Missouri, 65613, United States

Location

Cox Cancer Center Branson

Branson, Missouri, 65616, United States

Location

Mercy Cancer Center - Cape Girardeau

Cape Girardeau, Missouri, 63703, United States

Location

Saint Francis Medical Center

Cape Girardeau, Missouri, 63703, United States

Location

Parkland Health Center - Farmington

Farmington, Missouri, 63640, United States

Location

Freeman Health System

Joplin, Missouri, 64804, United States

Location

Mercy Hospital Joplin

Joplin, Missouri, 64804, United States

Location

University Health Truman Medical Center

Kansas City, Missouri, 64108, United States

Location

University of Kansas Cancer Center - Briarcliff

Kansas City, Missouri, 64116, United States

Location

University of Kansas Cancer Center - North

Kansas City, Missouri, 64154, United States

Location

University of Kansas Cancer Center - Lee's Summit

Lee's Summit, Missouri, 64064, United States

Location

Lake Regional Hospital

Osage Beach, Missouri, 65065, United States

Location

Mercy Clinic-Rolla-Cancer and Hematology

Rolla, Missouri, 65401, United States

Location

Phelps Health Delbert Day Cancer Institute

Rolla, Missouri, 65401, United States

Location

Heartland Regional Medical Center

Saint Joseph, Missouri, 64506, United States

Location

Sainte Genevieve County Memorial Hospital

Sainte Genevieve, Missouri, 63670, United States

Location

Mercy Hospital Springfield

Springfield, Missouri, 65804, United States

Location

CoxHealth South Hospital

Springfield, Missouri, 65807, United States

Location

Mercy Infusion Center - Chippewa

St Louis, Missouri, 63109, United States

Location

Mercy Hospital South

St Louis, Missouri, 63128, United States

Location

Missouri Baptist Medical Center

St Louis, Missouri, 63131, United States

Location

Mercy Hospital Saint Louis

St Louis, Missouri, 63141, United States

Location

Missouri Baptist Sullivan Hospital

Sullivan, Missouri, 63080, United States

Location

Mercy Hospital Washington

Washington, Missouri, 63090, United States

Location

Community Hospital of Anaconda

Anaconda, Montana, 59711, United States

Location

Billings Clinic Cancer Center

Billings, Montana, 59101, United States

Location

Bozeman Health Deaconess Hospital

Bozeman, Montana, 59715, United States

Location

Benefis Sletten Cancer Institute

Great Falls, Montana, 59405, United States

Location

Great Falls Clinic

Great Falls, Montana, 59405, United States

Location

Hi-Line Sletten Cancer Center

Havre, Montana, 59501, United States

Location

Benefis Helena Specialty Center

Helena, Montana, 59601, United States

Location

Logan Health Medical Center

Kalispell, Montana, 59901, United States

Location

Saint Patrick Hospital - Community Hospital

Missoula, Montana, 59802, United States

Location

Community Medical Center

Missoula, Montana, 59804, United States

Location

Carson Tahoe Regional Medical Center

Carson City, Nevada, 89703, United States

Location

Cancer and Blood Specialists-Henderson

Henderson, Nevada, 89052, United States

Location

Comprehensive Cancer Centers of Nevada - Henderson

Henderson, Nevada, 89052, United States

Location

Comprehensive Cancer Centers of Nevada-Horizon Ridge

Henderson, Nevada, 89052, United States

Location

Comprehensive Cancer Centers of Nevada-Southeast Henderson

Henderson, Nevada, 89074, United States

Location

Las Vegas Urology - Green Valley

Henderson, Nevada, 89074, United States

Location

Las Vegas Urology - Pebble

Henderson, Nevada, 89074, United States

Location

Oncology Las Vegas - Henderson

Henderson, Nevada, 89074, United States

Location

Urology Specialists of Nevada - Green Valley

Henderson, Nevada, 89074, United States

Location

Las Vegas Urology - Pecos

Las Vegas, Nevada, 89074, United States

Location

OptumCare Cancer Care at Charleston

Las Vegas, Nevada, 89102, United States

Location

University Medical Center of Southern Nevada

Las Vegas, Nevada, 89102, United States

Location

Hope Cancer Care of Nevada

Las Vegas, Nevada, 89103, United States

Location

Radiation Oncology Centers of Nevada Central

Las Vegas, Nevada, 89106, United States

Location

Urology Specialists of Nevada - Central

Las Vegas, Nevada, 89106, United States

Location

Sunrise Hospital and Medical Center

Las Vegas, Nevada, 89109, United States

Location

Las Vegas Prostate Cancer Center

Las Vegas, Nevada, 89113, United States

Location

Las Vegas Urology - Sunset

Las Vegas, Nevada, 89113, United States

Location

Urology Specialists of Nevada - Southwest

Las Vegas, Nevada, 89113, United States

Location

Radiation Oncology Centers of Nevada Southeast

Las Vegas, Nevada, 89119, United States

Location

Ann M Wierman MD LTD

Las Vegas, Nevada, 89128, United States

Location

Comprehensive Cancer Centers of Nevada - Northwest

Las Vegas, Nevada, 89128, United States

Location

Las Vegas Urology - Cathedral Rock

Las Vegas, Nevada, 89128, United States

Location

Las Vegas Urology - Smoke Ranch

Las Vegas, Nevada, 89128, United States

Location

Oncology Las Vegas - Tenaya

Las Vegas, Nevada, 89128, United States

Location

OptumCare Cancer Care at MountainView

Las Vegas, Nevada, 89128, United States

Location

Urology Specialists of Nevada - Northwest

Las Vegas, Nevada, 89128, United States

Location

Alliance for Childhood Diseases/Cure 4 the Kids Foundation

Las Vegas, Nevada, 89135, United States

Location

Comprehensive Cancer Centers of Nevada - Town Center

Las Vegas, Nevada, 89144, United States

Location

Comprehensive Cancer Centers of Nevada-Summerlin

Las Vegas, Nevada, 89144, United States

Location

Summerlin Hospital Medical Center

Las Vegas, Nevada, 89144, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89148, United States

Location

Comprehensive Cancer Centers of Nevada - Central Valley

Las Vegas, Nevada, 89169, United States

Location

University Cancer Center

Las Vegas, Nevada, 89169, United States

Location

OptumCare Cancer Care at Fort Apache

Las Vegas, Nevada, 89183, United States

Location

Hope Cancer Care of Nevada-Pahrump

Pahrump, Nevada, 89048, United States

Location

Renown Regional Medical Center

Reno, Nevada, 89502, United States

Location

Saint Mary's Regional Medical Center

Reno, Nevada, 89503, United States

Location

Radiation Oncology Associates

Reno, Nevada, 89509, United States

Location

CentraState Medical Center

Freehold, New Jersey, 07728, United States

Location

Hackettstown Medical Center

Hackettstown, New Jersey, 07840, United States

Location

Morristown Medical Center

Morristown, New Jersey, 07960, United States

Location

Newton Medical Center

Newton, New Jersey, 07860, United States

Location

Chilton Medical Center

Pompton, New Jersey, 07444, United States

Location

Overlook Hospital

Summit, New Jersey, 07902, United States

Location

Lovelace Medical Center-Saint Joseph Square

Albuquerque, New Mexico, 87102, United States

Location

University of New Mexico Cancer Center

Albuquerque, New Mexico, 87106, United States

Location

Lovelace Radiation Oncology

Albuquerque, New Mexico, 87109, United States

Location

Lovelace Women's Hospital

Albuquerque, New Mexico, 87109, United States

Location

Montefiore Medical Center-Einstein Campus

The Bronx, New York, 10461, United States

Location

Montefiore Medical Center - Moses Campus

The Bronx, New York, 10467, United States

Location

Cone Health Cancer Center at Asheboro

Asheboro, North Carolina, 27203, United States

Location

Cone Health MedCenter Asheboro

Asheboro, North Carolina, 27205, United States

Location

AdventHealth Infusion Center Asheville

Asheville, North Carolina, 28803, United States

Location

Cone Health Cancer Center at Alamance Regional

Burlington, North Carolina, 27215, United States

Location

AdventHealth Infusion Center Haywood

Clyde, North Carolina, 28721, United States

Location

Cone Health Cancer Center

Greensboro, North Carolina, 27403, United States

Location

Cone Health Cancer Center at Drawbridge Parkway

Greensboro, North Carolina, 27410, United States

Location

AdventHealth Hendersonville

Hendersonville, North Carolina, 28792, United States

Location

Annie Penn Memorial Hospital

Reidsville, North Carolina, 27320, United States

Location

AdventHealth Infusion Center Weaverville

Weaverville, North Carolina, 28787, United States

Location

Strecker Cancer Center-Belpre

Belpre, Ohio, 45714, United States

Location

Adena Regional Medical Center

Chillicothe, Ohio, 45601, United States

Location

Mount Carmel East Hospital

Columbus, Ohio, 43213, United States

Location

The Mark H Zangmeister Center

Columbus, Ohio, 43219, United States

Location

Mount Carmel Health Center West

Columbus, Ohio, 43222, United States

Location

Central Ohio Breast and Endocrine Surgery

Gahanna, Ohio, 43230, United States

Location

Mount Carmel Grove City Hospital

Grove City, Ohio, 43123, United States

Location

Zangmeister Center Grove City

Grove City, Ohio, 43123, United States

Location

Fairfield Medical Center

Lancaster, Ohio, 43130, United States

Location

Saint Rita's Medical Center

Lima, Ohio, 45801, United States

Location

Marietta Memorial Hospital

Marietta, Ohio, 45750, United States

Location

Memorial Hospital

Marysville, Ohio, 43040, United States

Location

Knox Community Hospital

Mount Vernon, Ohio, 43050, United States

Location

Mount Carmel New Albany Surgical Hospital

New Albany, Ohio, 43054, United States

Location

Licking Memorial Hospital

Newark, Ohio, 43055, United States

Location

Newark Radiation Oncology

Newark, Ohio, 43055, United States

Location

Mercy Health - Perrysburg Hospital

Perrysburg, Ohio, 43551, United States

Location

Southern Ohio Medical Center

Portsmouth, Ohio, 45662, United States

Location

Springfield Regional Cancer Center

Springfield, Ohio, 45504, United States

Location

Springfield Regional Medical Center

Springfield, Ohio, 45504, United States

Location

Mercy Health - Saint Vincent Hospital

Toledo, Ohio, 43608, United States

Location

Mercy Health - Saint Anne Hospital

Toledo, Ohio, 43623, United States

Location

Mercy Health Sylvania Radiation Oncology Center

Toledo, Ohio, 43623, United States

Location

Saint Ann's Hospital

Westerville, Ohio, 43081, United States

Location

Clinton Memorial Hospital/Foster J Boyd Regional Cancer Center

Wilmington, Ohio, 45177, United States

Location

Genesis Healthcare System Cancer Care Center

Zanesville, Ohio, 43701, United States

Location

Mercy Hospital Oklahoma City

Oklahoma City, Oklahoma, 73120, United States

Location

Saint Alphonsus Cancer Care Center-Baker City

Baker City, Oregon, 97814, United States

Location

Saint Charles Health System

Bend, Oregon, 97701, United States

Location

Clackamas Radiation Oncology Center

Clackamas, Oregon, 97015, United States

Location

Bay Area Hospital

Coos Bay, Oregon, 97420, United States

Location

Providence Hood River Memorial Hospital

Hood River, Oregon, 97031, United States

Location

Providence Newberg Medical Center

Newberg, Oregon, 97132, United States

Location

Saint Alphonsus Cancer Care Center-Ontario

Ontario, Oregon, 97914, United States

Location

Providence Willamette Falls Medical Center

Oregon City, Oregon, 97045, United States

Location

Providence Portland Medical Center

Portland, Oregon, 97213, United States

Location

Providence Saint Vincent Medical Center

Portland, Oregon, 97225, United States

Location

Saint Charles Health System-Redmond

Redmond, Oregon, 97756, United States

Location

Geisinger Medical Center

Danville, Pennsylvania, 17822, United States

Location

Geisinger Cancer Center Dickson City

Dickson City, Pennsylvania, 18519, United States

Location

Geisinger Medical Center-Cancer Center Hazleton

Hazleton, Pennsylvania, 18201, United States

Location

Geisinger Medical Oncology-Lewisburg

Lewisburg, Pennsylvania, 17837, United States

Location

Geisinger Cancer Services-Pottsville

Pottsville, Pennsylvania, 17901, United States

Location

Community Medical Center

Scranton, Pennsylvania, 18510, United States

Location

Geisinger Medical Oncology-Selinsgrove

Selinsgrove, Pennsylvania, 17870, United States

Location

Geisinger Wyoming Valley/Henry Cancer Center

Wilkes-Barre, Pennsylvania, 18711, United States

Location

Saint Joseph's/Candler - Bluffton Campus

Bluffton, South Carolina, 29910, United States

Location

South Carolina Cancer Specialists PC

Hilton Head Island, South Carolina, 29926-3827, United States

Location

The Radiation Oncology Center-Hilton Head/Bluffton

Hilton Head Island, South Carolina, 29926, United States

Location

Baptist Memorial Hospital and Cancer Center-Collierville

Collierville, Tennessee, 38017, United States

Location

Baptist Memorial Hospital and Cancer Center-Memphis

Memphis, Tennessee, 38120, United States

Location

Baptist Memorial Hospital for Women

Memphis, Tennessee, 38120, United States

Location

Sovah Health Martinsville

Martinsville, Virginia, 24112, United States

Location

Bon Secours Memorial Regional Medical Center

Mechanicsville, Virginia, 23116, United States

Location

Bon Secours Westchester Emergency Center

Midlothian, Virginia, 23113, United States

Location

Bon Secours Saint Francis Medical Center

Midlothian, Virginia, 23114, United States

Location

Bon Secours Richmond Community Hospital

Richmond, Virginia, 23223, United States

Location

Bon Secours Saint Mary's Hospital

Richmond, Virginia, 23226, United States

Location

Bon Secours Cancer Institute at Reynolds Crossing

Richmond, Virginia, 23230, United States

Location

Providence Regional Cancer System-Aberdeen

Aberdeen, Washington, 98520, United States

Location

PeaceHealth Saint Joseph Medical Center

Bellingham, Washington, 98225, United States

Location

Providence Regional Cancer System-Centralia

Centralia, Washington, 98531, United States

Location

Swedish Cancer Institute-Edmonds

Edmonds, Washington, 98026, United States

Location

Providence Regional Cancer Partnership

Everett, Washington, 98201, United States

Location

Swedish Cancer Institute-Issaquah

Issaquah, Washington, 98029, United States

Location

Kadlec Clinic Hematology and Oncology

Kennewick, Washington, 99336, United States

Location

Providence Regional Cancer System-Lacey

Lacey, Washington, 98503, United States

Location

PeaceHealth Saint John Medical Center

Longview, Washington, 98632, United States

Location

Skagit Regional Health Cancer Care Center

Mount Vernon, Washington, 98274, United States

Location

Jefferson Healthcare

Port Townsend, Washington, 98368, United States

Location

Valley Medical Center

Renton, Washington, 98055, United States

Location

Swedish Medical Center-Ballard Campus

Seattle, Washington, 98107, United States

Location

Swedish Medical Center-Cherry Hill

Seattle, Washington, 98122-5711, United States

Location

Swedish Medical Center-First Hill

Seattle, Washington, 98122, United States

Location

PeaceHealth United General Medical Center

Sedro-Woolley, Washington, 98284, United States

Location

Cancer Care Northwest - Spokane South

Spokane, Washington, 99202, United States

Location

Cancer Care Northwest-Valley

Spokane, Washington, 99216, United States

Location

Cancer Care Northwest-North Spokane

Spokane, Washington, 99218, United States

Location

PeaceHealth Southwest Medical Center

Vancouver, Washington, 98664, United States

Location

Providence Saint Mary Regional Cancer Center

Walla Walla, Washington, 99362, United States

Location

North Star Lodge Cancer Center at Yakima Valley Memorial Hospital

Yakima, Washington, 98902, United States

Location

ThedaCare Regional Cancer Center

Appleton, Wisconsin, 54911, United States

Location

Ascension Northeast Wisconsin-Saint Elizabeth Cancer Center-Appleton

Appleton, Wisconsin, 54915, United States

Location

ThedaCare Cancer Care - Berlin

Berlin, Wisconsin, 54923, United States

Location

Ascension Southeast Wisconsin Hospital-Elmbrook Campus-Brookfield

Brookfield, Wisconsin, 53045, United States

Location

Ascension Calumet Hospital-Chilton

Chilton, Wisconsin, 53014, United States

Location

Marshfield Clinic-Chippewa Center

Chippewa Falls, Wisconsin, 54729, United States

Location

Marshfield Medical Center-EC Cancer Center

Eau Claire, Wisconsin, 54701, United States

Location

Ascension Southeast Wisconsin Hospital - Franklin

Franklin, Wisconsin, 53132, United States

Location

Reiman Cancer Center-Ascension Wisconsin Health Center-Rawson

Franklin, Wisconsin, 53132, United States

Location

Gundersen Lutheran Medical Center

La Crosse, Wisconsin, 54601, United States

Location

Marshfield Medical Center - Ladysmith

Ladysmith, Wisconsin, 54848, United States

Location

Marshfield Medical Center-Marshfield

Marshfield, Wisconsin, 54449, United States

Location

Ascension Columbia Saint Mary's Hospital-Ozaukee Campus-Mequon

Mequon, Wisconsin, 53097, United States

Location

Ascension Southeast Wisconsin Hospital-Saint Joseph-Milwaukee

Milwaukee, Wisconsin, 53210, United States

Location

Ascension Columbia Saint Mary's Hospital-Milwaukee Campus

Milwaukee, Wisconsin, 53211, United States

Location

Ascension Saint Francis Hospital-Milwaukee

Milwaukee, Wisconsin, 53215, United States

Location

Marshfield Medical Center - Minocqua

Minocqua, Wisconsin, 54548, United States

Location

ThedaCare Regional Medical Center - Neenah

Neenah, Wisconsin, 54956, United States

Location

Marshfield Medical Center - Neillsville

Neillsville, Wisconsin, 54456, United States

Location

ThedaCare Cancer Care - New London

New London, Wisconsin, 54961, United States

Location

Cancer Center of Western Wisconsin

New Richmond, Wisconsin, 54017, United States

Location

Ascension Northeast Wisconsin-Mercy Hospital-Oshkosh

Oshkosh, Wisconsin, 54904, United States

Location

ThedaCare Cancer Care - Oshkosh

Oshkosh, Wisconsin, 54904, United States

Location

Ascension All Saints Hospital-Spring Street-Racine

Racine, Wisconsin, 53405, United States

Location

Marshfield Medical Center-Rice Lake

Rice Lake, Wisconsin, 54868, United States

Location

ThedaCare Cancer Care - Shawano

Shawano, Wisconsin, 54166, United States

Location

Marshfield Medical Center-River Region at Stevens Point

Stevens Point, Wisconsin, 54482, United States

Location

ThedaCare Cancer Care - Waupaca

Waupaca, Wisconsin, 54981, United States

Location

Aspirus Cancer Care-Wausau

Wausau, Wisconsin, 54401, United States

Location

Marshfield Clinic-Wausau Center

Wausau, Wisconsin, 54401, United States

Location

Ascension Southeast Wisconsin Hospital-Mayfair Road-Wauwatosa

Wauwatosa, Wisconsin, 53226, United States

Location

Marshfield Medical Center - Weston

Weston, Wisconsin, 54476, United States

Location

Marshfield Clinic - Wisconsin Rapids Center

Wisconsin Rapids, Wisconsin, 54494, United States

Location

Memorial Hospital of Laramie County

Cheyenne, Wyoming, 82001, United States

Location

Billings Clinic-Cody

Cody, Wyoming, 82414, United States

Location

FHP Health Center-Guam

Tamuning, 96913, Guam

Location

Cancer Center-Metro Medical Center Bayamon

Bayamón, 00959-5060, Puerto Rico

Location

Puerto Rico Hematology Oncology Group

Bayamón, 00961, Puerto Rico

Location

Doctors Cancer Center

Manati, 00674, Puerto Rico

Location

San Juan Community Oncology Group

San Juan, 00917, Puerto Rico

Location

Centro Comprensivo de Cancer de UPR

San Juan, 00927, Puerto Rico

Location

PROncology

San Juan, 00927, Puerto Rico

Location

San Juan City Hospital

San Juan, 00936, Puerto Rico

Location

Related Publications (1)

  • Sadigh G, Duan F, Gareen IF, Hancock J, Sicks JD, Hawley S, Shankaran V, Torres M, Wagner LI, Carlos RC. Effectiveness of out-of-pocket cost COMmunication and financial navigation (CostCOM) in cancer patients: Study protocol for ECOG-ACRIN EAQ222CD. Contemp Clin Trials. 2025 Jun;153:107889. doi: 10.1016/j.cct.2025.107889. Epub 2025 Mar 25.

MeSH Terms

Interventions

Practice Guidelines as TopicStandard of CareInterviews as Topic

Intervention Hierarchy (Ancestors)

Guidelines as TopicQuality Assurance, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and EvaluationQuality Indicators, Health CareData CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsPublic HealthEnvironment and Public Health

Study Officials

  • Gelareh Sadigh

    ECOG-ACRIN Cancer Research Group

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
NETWORK
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 14, 2024

First Posted

March 6, 2024

Study Start

April 10, 2024

Primary Completion (Estimated)

November 1, 2027

Study Completion (Estimated)

November 1, 2027

Last Updated

September 4, 2026

Record last verified: 2026-09

Locations