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Randomized Trial of Follow-up Strategies in Breast Cancer

Primary Purpose

Breast Cancer

Status
Completed
Phase
Phase 4
Locations
Canada
Study Type
Interventional
Intervention
Follow-up Strategy for Breast Cancer
Sponsored by
Ontario Clinical Oncology Group (OCOG)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Breast Cancer focused on measuring Breast Cancer, Follow-up Strategy, Follow-up Care, Family Physician, Oncologist

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Women with breast cancer on well follow-up at regional cancer centres in Ontario and Manitoba Diagnosed at least 12 months previously (range 9-15 months) Without evidence of active disease (i.e., stages IIIB and IV excluded) Free from any primary treatment complications Exclusion Criteria: Primary treatment at least 3 months previously, except for continued use of tamoxifen Still experiencing complications of primary treatment (patients will become eligible once complications resolve provided they are within the 6 month window) Unable to identify an acceptable family physician to provide follow-up Language or literacy skills inconsistent with completing questionnaires Unable to comply with study protocol including completion of questionnaires Previously enrolled in a study which requires continued follow-up in specialist or peripheral clinics Actively followed at a cancer centre for another primary cancer

Sites / Locations

  • Juravinski Cancer Centre
  • Kingston Regional Cancer Centre
  • Ottawa Hospital - Integrate Cancer Program
  • Thunder Bay Regional Health Sciences Centre
  • Toronto Sunnybrook Hospital

Outcomes

Primary Outcome Measures

Rate of clinically catastrophic events
Rate of Karnofsky performance status < 70
Psychosocial well being of patients in remission

Secondary Outcome Measures

Health Related Quality of Life after recurrence
Survival
Economic evaluation

Full Information

First Posted
September 8, 2005
Last Updated
July 24, 2009
Sponsor
Ontario Clinical Oncology Group (OCOG)
Collaborators
Canadian Breast Cancer Initiative
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1. Study Identification

Unique Protocol Identification Number
NCT00156039
Brief Title
Randomized Trial of Follow-up Strategies in Breast Cancer
Official Title
A Randomized Trial of Follow-up Strategies in Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
July 2009
Overall Recruitment Status
Completed
Study Start Date
January 1997 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
June 2003 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Ontario Clinical Oncology Group (OCOG)
Collaborators
Canadian Breast Cancer Initiative

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether family physician 'routine follow-up care' of women with breast cancer in remission is an acceptable alternative to the existing system of specialist follow-up. Primary outcome measure are event rates of oncological catastrophes and quality of life.
Detailed Description
see above

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
Breast Cancer, Follow-up Strategy, Follow-up Care, Family Physician, Oncologist

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
968 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Behavioral
Intervention Name(s)
Follow-up Strategy for Breast Cancer
Primary Outcome Measure Information:
Title
Rate of clinically catastrophic events
Time Frame
Up to 5 yrs after randomization
Title
Rate of Karnofsky performance status < 70
Time Frame
Up to 5 yrs after randomization
Title
Psychosocial well being of patients in remission
Time Frame
Up to 5 yrs after randomization
Secondary Outcome Measure Information:
Title
Health Related Quality of Life after recurrence
Time Frame
Up to 5 yrs after randomization
Title
Survival
Time Frame
Up to 5 yrs after randomization
Title
Economic evaluation
Time Frame
Up to 5 yrs after randomization

10. Eligibility

Sex
Female
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Women with breast cancer on well follow-up at regional cancer centres in Ontario and Manitoba Diagnosed at least 12 months previously (range 9-15 months) Without evidence of active disease (i.e., stages IIIB and IV excluded) Free from any primary treatment complications Exclusion Criteria: Primary treatment at least 3 months previously, except for continued use of tamoxifen Still experiencing complications of primary treatment (patients will become eligible once complications resolve provided they are within the 6 month window) Unable to identify an acceptable family physician to provide follow-up Language or literacy skills inconsistent with completing questionnaires Unable to comply with study protocol including completion of questionnaires Previously enrolled in a study which requires continued follow-up in specialist or peripheral clinics Actively followed at a cancer centre for another primary cancer
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eva Grunfeld, MD
Organizational Affiliation
Cancer Care Nova Scotia
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Mark Levine, MD
Organizational Affiliation
Ontario Clinical Oncology Group (OCOG)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Juravinski Cancer Centre
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8V 5C2
Country
Canada
Facility Name
Kingston Regional Cancer Centre
City
Kingston
State/Province
Ontario
ZIP/Postal Code
K7M 4J2
Country
Canada
Facility Name
Ottawa Hospital - Integrate Cancer Program
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
Facility Name
Thunder Bay Regional Health Sciences Centre
City
Thunder Bay
State/Province
Ontario
ZIP/Postal Code
P7B 6V4
Country
Canada
Facility Name
Toronto Sunnybrook Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4N 3M5
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
16418496
Citation
Grunfeld E, Levine MN, Julian JA, Coyle D, Szechtman B, Mirsky D, Verma S, Dent S, Sawka C, Pritchard KI, Ginsburg D, Wood M, Whelan T. Randomized trial of long-term follow-up for early-stage breast cancer: a comparison of family physician versus specialist care. J Clin Oncol. 2006 Feb 20;24(6):848-55. doi: 10.1200/JCO.2005.03.2235. Epub 2006 Jan 17.
Results Reference
result

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Randomized Trial of Follow-up Strategies in Breast Cancer

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