Resilience Enhancement Using Electronic Frailty Index-Directed Care Pathway
Resilience Enhancement Utilizing an Electronic Frailty Index-Directed Care Pathway for Older Adults Receiving Chemotherapy (RESILIENCE-e): A Prospective Single-Arm Interventional Study
2 other identifiers
interventional
32
1 country
2
Brief Summary
The study purpose is to gain a better understanding of the needs of adults aged 65 and older while they are receiving chemotherapy by measuring their resilience and tailor care plans based on their individual needs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable cancer
Started Mar 2026
2 active sites
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
September 8, 2025
CompletedFirst Posted
Study publicly available on registry
September 16, 2025
CompletedStudy Start
First participant enrolled
March 16, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 1, 2027
May 6, 2026
January 1, 2026
10 months
September 8, 2025
April 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Recruitment rate
The proportion of patients who are enrolled out of the total number of eligible patients approached for enrollment
Enrollment
Retention rate
The proportion of enrolled patient participants who complete Visit 2 out of the total number of patient participants who were enrolled and initiate chemotherapy
At 12 weeks after initiation of standard of care chemotherapy
Completion rate of Weekly Symptom Assessment
The total number of weekly assessments completed out of the total number of weekly assessments among participants who enroll and initiate chemotherapy.
Weeks 1 to 12
Secondary Outcomes (2)
Number of Participants with Hospital admission
Baseline to Week 12
Number of Participants with ED visits
Baseline to Week 12
Study Arms (1)
Participants 65 years or older with active cancer diagnosis and planned chemotherapy
EXPERIMENTALParticipants aged 65 or older with an active cancer diagnosis who are planned to receive chemotherapy and are eFI pre-frail or frail. Participants will be provided with results and education regarding baseline assessments and offered referrals for supportive care interventions to decrease chemotherapy toxicity
Interventions
Geriatric assessment (GA) -guided supportive care and weekly Patient Reported Outcomes (PRO) symptom assessment
Eligibility Criteria
You may qualify if:
- Patients with cancer:
- Ability to understand and willingness to sign an IRB-approved informed consent
- Age ≥ 65 years at the time of enrollment.
- Planned to initiate an outpatient chemotherapy regimen for cancer treatment (any type or stage), either as an initial therapy or as a new line of therapy, with curative or palliative intent.
- eFI pre-frail or frail status (available in EHR) within 30 days before enrollment.
- Ability to read and understand the English language
- Providers:
- Treating medical oncologist of at least one patient participant who enrolled on to the study and completed baseline assessment.
You may not qualify if:
- Patients:
- Documented physical or psychological comorbidity that would limit participant's ability to understand or comply with study procedures for the entire length of the study per the enrolling investigator.
- Chemotherapy planned at a facility outside the Atrium Health system.
- Currently receiving chemotherapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Levine Cancer Institute
Charlotte, North Carolina, 28204, United States
Atrium Health Wake Forest Baptist Comprehensive Cancer Center
Winston-Salem, North Carolina, 27157, United States
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Heidi Klepin, MD
Wake Forest University Health Sciences
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 8, 2025
First Posted
September 16, 2025
Study Start
March 16, 2026
Primary Completion (Estimated)
January 1, 2027
Study Completion (Estimated)
May 1, 2027
Last Updated
May 6, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share