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Palliative and Oncology Care Intervention: Symptom COACH

Primary Purpose

Cancer of Head and Neck

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Evidenced-based symptom management and coping intervention
Sponsored by
Fox Chase Cancer Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Cancer of Head and Neck

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. adult patients (≥18 years) with a diagnosis of HNC for which they are undergoing CRT
  2. receiving all oncology care at Fox Chase Cancer Center (FCCC)
  3. able to speak and read in English or with assistance from an interpreter

Exclusion Criteria:

  1. patients with prior history of HNC for which they underwent CRT
  2. patients with uncontrolled psychiatric disorders (psychotic disorder, bipolar disorder, major depression) or other co-morbid disease which the treating clinician believes prohibits informed consent or participation in the study
  3. patients enrolled on other supportive care intervention trials

Sites / Locations

  • Fox Chase Cancer Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Collaborative palliative and oncology care

Arm Description

Outcomes

Primary Outcome Measures

Percentage of patients who comply for acceptability of a collaborative palliative and oncology care intervention for patients with HNC receiving CRT
The intervention will be considered feasible if >50% of patients agree to enroll on the trial and if > 70% of the participants have at least half of the scheduled palliative care visits

Secondary Outcome Measures

Percentage of patients with coping strategies longitudinally in relation to symptom burden, QOL, mood, and health care utilization
This exploratory aim will provide preliminary data on associations of coping with patient outcomes to power a larger trial. We will specifically examine whether approach-oriented coping is associated with lower symptom burden, higher QOL and mood, and reduced health care utilization (e.g fewer hospitalizations, fewer treatment breaks or reductions in chemotherapy dose intensity)

Full Information

First Posted
November 16, 2018
Last Updated
February 2, 2022
Sponsor
Fox Chase Cancer Center
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1. Study Identification

Unique Protocol Identification Number
NCT03760471
Brief Title
Palliative and Oncology Care Intervention: Symptom COACH
Official Title
A Collaborative Palliative and Oncology Care Intervention to Improve Symptoms and Coping During Treatment for Head and Neck Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 7, 2018 (Actual)
Primary Completion Date
November 1, 2019 (Actual)
Study Completion Date
November 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fox Chase Cancer Center

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The investigators propose to conduct the first pilot trial of a collaborative palliative and oncology care intervention for HNC patients receiving CRT to assess the feasibility and acceptability of the intervention. The intervention will incorporate weekly palliative care visits into standard oncology care targeting coping, mood, and symptom management.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer of Head and Neck

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Collaborative palliative and oncology care
Arm Type
Experimental
Intervention Type
Other
Intervention Name(s)
Evidenced-based symptom management and coping intervention
Intervention Description
The intervention visits will focus on coping and the following symptoms prevalent during CRT: (1) pain and mucositis, (2) nausea, (3) constipation, (4) fatigue, (5) sleep disturbances, (6) xerostomia, (7) thick mucus, and (8) depression
Primary Outcome Measure Information:
Title
Percentage of patients who comply for acceptability of a collaborative palliative and oncology care intervention for patients with HNC receiving CRT
Description
The intervention will be considered feasible if >50% of patients agree to enroll on the trial and if > 70% of the participants have at least half of the scheduled palliative care visits
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Percentage of patients with coping strategies longitudinally in relation to symptom burden, QOL, mood, and health care utilization
Description
This exploratory aim will provide preliminary data on associations of coping with patient outcomes to power a larger trial. We will specifically examine whether approach-oriented coping is associated with lower symptom burden, higher QOL and mood, and reduced health care utilization (e.g fewer hospitalizations, fewer treatment breaks or reductions in chemotherapy dose intensity)
Time Frame
11 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: adult patients (≥18 years) with a diagnosis of HNC for which they are undergoing CRT receiving all oncology care at Fox Chase Cancer Center (FCCC) able to speak and read in English or with assistance from an interpreter Exclusion Criteria: patients with prior history of HNC for which they underwent CRT patients with uncontrolled psychiatric disorders (psychotic disorder, bipolar disorder, major depression) or other co-morbid disease which the treating clinician believes prohibits informed consent or participation in the study patients enrolled on other supportive care intervention trials
Facility Information:
Facility Name
Fox Chase Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111-2497
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Palliative and Oncology Care Intervention: Symptom COACH

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