NCT07755839

Brief Summary

Cancer-related cognitive impairment (CRCI) affects a large proportion of non-central nervous system cancer survivors and can negatively impact cognitive functioning and daily life. Cognitive rehabilitation has shown promising results in addressing these difficulties. The goal of this pilot randomized controlled trial is to evaluate the feasibility, acceptability, and preliminary efficacy of the CanCOG®- Cognitive Rehabilitation in Cancer program in Portuguese adult cancer survivors with CRCI. Adult non-central nervous system cancer survivors (n=60) will be randomly assigned to receive either the CanCOG® intervention or treatment as usual. CanCOG® is a structured cognitive rehabilitation program designed to help cancer survivors manage cognitive difficulties through cognitive training exercises, psychoeducation, and compensatory strategy training. The program consists of six weekly sessions of 1 hour and 30 minutes each, delivered over six consecutive weeks. Sessions are administered in person in small groups (3-9 participants) and are led by a trained professional. The main focus of the study is to assess feasibility outcomes, including recruitment, retention, adherence to the intervention, and completion of study assessments, as well as acceptability and participant satisfaction. The study will also explore preliminary effects of the intervention on cognitive functioning (both perceived and objective), symptoms of anxiety and depression, and quality of life. Participants will complete assessments at baseline (2 weeks after the intervention), 2 weeks after the intervention, and at 3- and 6-month follow-ups. Some participants (10-15) will also take part in interviews to provide feedback on their experience with the program.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
20mo left

Started Sep 2026

Geographic Reach
1 country

1 active site

Status
not yet 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

First Submitted

Initial submission to the registry

July 29, 2026

Completed
12 days until next milestone

First Posted

Study publicly available on registry

August 10, 2026

Completed
22 days until next milestone

Study Start

First participant enrolled

September 1, 2026

Expected
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2027

11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2028

Last Updated

August 10, 2026

Status Verified

August 1, 2026

Enrollment Period

9 months

First QC Date

July 29, 2026

Last Update Submit

August 7, 2026

Conditions

Keywords

cancercancer survivorscognitive rehabilitationcognitionnon-pharmacological interventionsRCTPilot studycrcicancer-related cognitive impairment

Outcome Measures

Primary Outcomes (10)

  • Feasibility - Screening rate

    Screening rate will be assessed as the proportion of potentially eligible cancer survivors who undergo eligibility screening.

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-ups.

  • Feasibility - Eligibility rate

    The eligibility rate will be assessed as the proportion of screened individuals who meet the eligibility criteria. Reasons for ineligibility will be documented whenever available.

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-ups

  • Feasibility - Consent rate

    Consent rate will be assessed as the proportion of eligible individuals who provide informed consent. Reasons for refusal to participate will be documented whenever available.

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-ups.

  • Feasibility - Retention rate

    Retention rate will be assessed as the proportion of participants who remain enrolled until study completion. Reasons for withdrawal will be documented whenever available.

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-ups

  • Feasibility - Assesment completion rate

    Assessment completion rate will be assessed as the proportion of participants completing assessments at each assessment time point. Reasons for missed assessments will be documented whenever available.

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-ups

  • Feasibility - Intervention adherence

    Intervention adherence will be assessed as the proportion of intervention sessions attended by participants allocated to the intervention group. Reasons for missed sessions will be documented whenever available.

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-ups

  • Feasibility - Intervention fidelity

    Intervention fidelity, the extent to which the intervention is delivered according to the intervention manual and session plans, will be assessed through facilitator-completed fidelity checklists.

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-ups

  • Acceptability - Participant retention and intervention adherence

    Acceptability of the intervention will be assessed using participant retention (proportion of participants who remain enrolled until study completion) and intervention adherence (proportion of intervention sessions attended by participants allocated to the intervention group).

    Baseline ( 2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-up.

  • Acceptability - Qualitative feedback

    Acceptability will be assessed through semi-structured interviews conducted with 10-15 participants from the intervention group. Interviews will explore participants' perceptions of the intervention content, format, duration, group delivery, perceived usefulness, and barriers or facilitators to participation.

    Post-intervention (2 weeks after)

  • Acceptability - ACRIS-CS

    Acceptability will also be assessed through the Acceptability of Cognitive Rehabilitation Interventions Survey-Cancer Survivors (ACRIS-CS). This 11-item instrument evaluates participants' perceptions of the intervention's acceptability, including its perceived usefulness, appropriateness, and overall satisfaction. Higher scores indicate greater acceptability of the cognitive rehabilitation intervention.

    Baseline (2 weeks before intervention) and post-intervention (2 weeks after).

Secondary Outcomes (11)

  • Perceived cognitive functioning

    Baseline (2 weeks before intervention), post-intervention (2weeks after), 3-month and 6-month follow-ups.

  • Objective cognitive functioning (Global cognition)

    Baseline (2 weeks before intervention), Post-intervention (2 weeks after), and 3-month and 6-month follow-up.

  • Objective cognitive functioning (Verbal learning and memory)

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-up.

  • Objective cognitive functioning (Attention and processing speed)

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-up.

  • Objective cognitive functioning (Executive functioning and cognitive flexibility)

    Baseline (2 weeks before intervention), post-intervention (2 weeks after), and 3-month and 6-month follow-up.

  • +6 more secondary outcomes

Study Arms (2)

Cognitive rehabilitation intervention

EXPERIMENTAL

Participants allocated to this arm will receive the CanCOG® cognitive rehabilitation intervention in addition to usual care. Following baseline assessment (2 weeks before the intervention), participants will attend the intervention over a 6-week period and complete study assessments 2 weeks after the intervention and at 3- and 6-month follow-up time points. Participants will be asked to complete neuropsychological and psychosocial assessments at each evaluation point. A subset of participants (10-15) may also be invited to participate in a semi-structured interview to explore the acceptability of the intervention, perceived benefits, barriers to participation, and overall satisfaction with the program and study procedures.

Behavioral: CanCOG® - Cogntive Rehabilitation in Cancer

Treatment-as-usual

NO INTERVENTION

Participants allocated to this arm will continue to receive the usual care and support available through their healthcare providers and will not receive the CanCOG® intervention during the study period. Participants will complete the same schedule of neuropsychological and psychosocial assessments as the intervention group at baseline, post-intervention, and at 3- and 6-month follow-up time points.

Interventions

CanCOG® is a structured cognitive rehabilitation program designed for cancer survivors experiencing cancer-related cognitive impairment (CRCI). The intervention is delivered in person in small groups of 3 to 9 participants by a trained professional and consists of six weekly sessions of 90 minutes each over six consecutive weeks. The program combines psychoeducation about CRCI, cognitive training exercises targeting domains such as attention, memory, and executive functioning, and compensatory strategy training to support everyday cognitive functioning and self-management of cognitive difficulties.

Cognitive rehabilitation intervention

Eligibility Criteria

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

You may qualify if:

  • Adults aged 18 to 65 years whose native language is European Portuguese;
  • Diagnosis of cancer not involving the central nervous system (non-CNS cancer);
  • Disease stage I to III;
  • Completion of primary cancer treatment at least 6 months and no more than 5 years prior to enrollment (with the exception of ongoing hormone therapy and immunotherapy);
  • Score \< 51 on the Perceived Cognitive Abilities subscale of the FACT-Cog v3. Stable psychiatric and neurological medication regimen for at least 3 months prior to enrollment;
  • Educational level equal to or higher than the 3rd year of primary education;
  • Ability to read and write in Portuguese and provide informed consent to participate.

You may not qualify if:

  • Diagnosis of current severe psychiatric disorders (e.g., schizophrenia, psychosis, bipolar disorder, major depressive disorder, or attention-deficit/hyperactivity disorder);
  • Diagnosis of communication disorders;
  • Diagnosis of neurodevelopmental disorders or other severe medical conditions (e.g., history of stroke, encephalitis, dementia or neurodegenerative disease, epilepsy, or traumatic brain injury);
  • Presence of metastases or other tumors;
  • History of substance abuse (alcohol or drugs);
  • Current or prior participation in another cognitive rehabilitation intervention.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Aveiro

Aveiro, 3810-193, Portugal

Location

Related Publications (35)

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MeSH Terms

Conditions

DepressionAnxiety DisordersNeoplasms

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorMental Disorders

Central Study Contacts

Sofia A Marques-Fernandes, M.Sc.

CONTACT

Study Design

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

Study Record Dates

First Submitted

July 29, 2026

First Posted

August 10, 2026

Study Start (Estimated)

September 1, 2026

Primary Completion (Estimated)

June 1, 2027

Study Completion (Estimated)

May 1, 2028

Last Updated

August 10, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share

Locations