Full Text View
Tabular View
No Study Results Posted
Related Studies
Chemotherapy Decisions and Outcomes in Older Women With Newly Diagnosed Breast Cancer
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), November 2009
First Received: September 10, 2003   Last Updated: November 17, 2009   History of Changes
Sponsor: Cancer and Leukemia Group B
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00068328
  Purpose

RATIONALE: Studying how older women make treatment decisions and how these decisions affect the outcome of treatment may help doctors plan more effective treatments and improve patient quality of life.

PURPOSE: This clinical trial is studying how a patient's treatment preferences and decisions about chemotherapy affect the outcome of treatment in older women with newly diagnosed breast cancer.


Condition Intervention
Breast Cancer
Psychosocial Effects of Cancer and Its Treatment
Procedure: psychosocial assessment and care
Procedure: quality-of-life assessment

Study Type: Interventional
Official Title: Observational Cohort Study: Chemotherapy Decisions and Outcomes in Women Age 65 or Older With Operable, Newly Diagnosed Breast Cancer

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 1360
Study Start Date: August 2003
Estimated Primary Completion Date: July 2005 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the relationship between preferences and chemotherapy decisions in women age 65 and over with operable, newly diagnosed breast cancer.
  • Determine how factors that could be targets for intervention affect the relationship between preferences and chemotherapy decisions in these patients.
  • Determine the relationships between preference-based chemotherapy decisions, quality of life, and satisfaction with treatment decisions in these patients.
  • Determine the disease-free survival and competing causes of mortality of these patients.
  • Determine the types of physician providers who care for older breast cancer survivors after initial cancer treatment is completed and explore how women decide about which physicians to see.
  • Measure quality indicators for the survivorship phase of care and evaluate if quality varies by type of physician provider model.
  • Determine if long-term patient-reported satisfaction varies as a function of physician model for providing follow-up care post-treatment.
  • Determine whether physician-patient communication and coordination of care after treatment ends mediate follow-up quality and outcomes post-treatment.

OUTLINE: This is a cohort study.

Patients participate in interviews over 30-45 minutes at baseline, at 6 months, and at 1 and 2 years.

Patients are followed annually for at least 5 years.

PROJECTED ACCRUAL: A total of 1,296 patients will be accrued for this study within 18-24 months.

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed primary adenocarcinoma of the breast

    • Operable disease
    • Invasive and unilateral tumor
    • No more than 20 weeks since diagnosis
    • T1-4 (tumor size ≥ 1 cm), N0, M0 OR
    • T1-4, N1-3, M0
  • No prior carcinoma in situ, lobular carcinoma in situ, ductal carcinoma in situ, or invasive breast cancer
  • Hormone receptor status:

    • Any estrogen receptor status

PATIENT CHARACTERISTICS:

Age

  • 65 and over

Sex

  • Female

Menopausal status

  • Not specified

Performance status

  • Any performance status

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • No other malignancy except those for which the patient has completed treatment AND is considered to be at less than 30% risk of recurrence
  • History of non-melanoma skin cancer allowed
  • Sufficient cognitive function to consent to and complete interviews
  • English or Spanish speaking

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00068328

  Hide Study Locations
Locations
United States, California
Arroyo Grande Community Hospital Recruiting
Arroyo Grande, California, United States, 93420
Contact: David L. Palchak, MD     805-773-7127        
Recruiting
Pismo Beach, California, United States, 93449
Contact: David L. Palchak, MD     805-773-7127        
United States, District of Columbia
Walter Reed Army Medical Center Recruiting
Washington, District of Columbia, United States, 20307-5001
Contact: Clinical Trials Office - Walter Reed Army Medical Center     202-782-7840        
Washington Cancer Institute at Washington Hospital Center Recruiting
Washington, District of Columbia, United States, 20010
Contact: Clinical Trials Office - Washington Cancer Institute     202-877-8839        
United States, Illinois
Center for Cancer Care at OSF Saint Anthony Medical Center Recruiting
Rockford, Illinois, United States, 61108
Contact: Clinical Trials Office - Center for Cancer Care at OSF Saint     815-227-2633        
La Grange Memorial Hospital Recruiting
La Grange, Illinois, United States, 60525
Contact: Clinical Trials Office - La Grange Memorial Hospital     630-856-7526        
University of Chicago Cancer Research Center Recruiting
Chicago, Illinois, United States, 60637-1470
Contact: Clinical Trials Office - University of Chicago Cancer Research     773-834-7424        
United States, Indiana
CCOP - Northern Indiana CR Consortium Recruiting
South Bend, Indiana, United States, 46601
Contact: Rafat H. Ansari, MD, FACP     574-234-5123        
Center for Cancer Therapy at LaPorte Hospital and Health Services Recruiting
La Porte, Indiana, United States, 46350
Contact: Rafat H. Ansari, MD, FACP     574-234-5123        
Elkhart General Hospital Recruiting
Elkhart, Indiana, United States, 46515
Contact: Rafat H. Ansari, MD, FACP     574-234-5123        
Howard Community Hospital Recruiting
Kokomo, Indiana, United States, 46904
Contact: Rafat H. Ansari, MD, FACP     574-234-5123        
Memorial Hospital of South Bend Recruiting
South Bend, Indiana, United States, 46601
Contact: Clinical Trials Office - Memorial Hospital of South Bend     800-284-7370        
Saint Joseph Regional Medical Center Recruiting
South Bend, Indiana, United States, 46617
Contact: Rafat H. Ansari, MD, FACP     574-234-5123        
South Bend Clinic Recruiting
South Bend, Indiana, United States, 46617
Contact: Rafat H. Ansari, MD, FACP     574-234-5123        
Suniti Medical Corporation Recruiting
Merrillville, Indiana, United States, 46410
Contact: Bharat H. Barai, MD     219-736-2800        
United States, Maine
Maine Center for Cancer Medicine and Blood Disorders - Scarborough Recruiting
Scarborough, Maine, United States, 04074
Contact: Tracey F. Weisberg, MD     207-885-7634        
United States, Maryland
Harry & Jeanette Weinberg Cancer Institute at Franklin Square Hospital Center Recruiting
Baltimore, Maryland, United States, 21237
Contact: Clinical Trials Office - Harry & Jeanette Weinberg Cancer Inst     443-777-7364        
United States, Massachusetts
Addison Gilbert Hospital Recruiting
Gloucester, Massachusetts, United States, 01930
Contact: Angus P. McIntyre, MD     978-927-6850        
Cape Cod Hospital Recruiting
Hyannis, Massachusetts, United States, 02601
Contact: Contact Person     508-771-1800        
Dana-Farber/Brigham and Women's Cancer Center Recruiting
Boston, Massachusetts, United States, 02115
Contact: Clinical Trials Office     617-724-5200        
Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute Recruiting
Boston, Massachusetts, United States, 02115
Contact: Contact Person     617-632-3474        
Lowell General Hospital Recruiting
Lowell, Massachusetts, United States, 01854
Contact: Contact Person     978-937-6000        
Massachusetts General Hospital Recruiting
Boston, Massachusetts, United States, 02114
Contact: Clinical Trials Office - Massachusetts General Hospital     877-726-5130        
South Shore Hospital Recruiting
South Weymouth, Massachusetts, United States, 02190
Contact: Contact Person     781-340-8000        
Sturdy Memorial Hospital Recruiting
Attleboro, Massachusetts, United States, 02703
Contact: Michael J. Vasconcelles, MD     617-632-5301        
United States, Michigan
Battle Creek Health System Cancer Care Center Recruiting
Battle Creek, Michigan, United States, 49017
Contact: Martin J. Bury     616-966-8000        
Butterworth Hospital at Spectrum Health Recruiting
Grand Rapids, Michigan, United States, 49503
Contact: Martin J. Bury     616-391-2799        
CCOP - Grand Rapids Recruiting
Grand Rapids, Michigan, United States, 49503
Contact: Martin J. Bury     616-391-1230        
Lacks Cancer Center at Saint Mary's Health Care Recruiting
Grand Rapids, Michigan, United States, 49503
Contact: Martin J. Bury     616-752-5222        
Lakeland Regional Cancer Care Center - St. Joseph Recruiting
St. Joseph, Michigan, United States, 49085
Contact: Rafat H. Ansari, MD, FACP     574-234-5123        
Mecosta County Medical Center Recruiting
Big Rapids, Michigan, United States, 49307
Contact: Martin J. Bury     231-796-8691        
Mercy General Health Partners Recruiting
Muskegon, Michigan, United States, 49443
Contact: Martin J. Bury     231-672-2000        
Metro Health Hospital Recruiting
Wyoming, Michigan, United States, 49519
Contact: Martin J. Bury     616-252-7200        
Munson Medical Center Recruiting
Traverse City, Michigan, United States, 49684
Contact: Martin J. Bury     231-935-6202        
United States, Missouri
Ellis Fischel Cancer Center at University of Missouri - Columbia Recruiting
Columbia, Missouri, United States, 65203
Contact: Clinical Trial Office - Ellis Fischel Cancer Center     573-882-7440        
Saint Luke's Hospital Recruiting
Chesterfield, Missouri, United States, 63017
Contact: Donald F. Busiek, MD     314-205-6737        
Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis Recruiting
Saint Louis, Missouri, United States, 63110
Contact: Michael J. Naughton, MD     314-996-8872        
St. Anthony's Cancer Center Recruiting
Saint Louis, Missouri, United States, 63128
Contact: R. William Morris, MD     314-849-6066        
United States, Nebraska
Callahan Cancer Center at Great Plains Regional Medical Center Recruiting
North Platte, Nebraska, United States, 69103
Contact: Clinical Trials Office - Callahan Cancer Center at Great Plain     308-696-7864        
Saint Francis Cancer Treatment Center at Saint Francis Memorial Health Center Recruiting
Grand Island, Nebraska, United States, 68803
Contact: Elizabeth C. Reed, MD     402-559-5388        
UNMC Eppley Cancer Center at the University of Nebraska Medical Center Recruiting
Omaha, Nebraska, United States, 68198-6805
Contact: Clinical Trials Office - UNMC Eppley Cancer Center at the Univ     800-999-5465        
United States, Nevada
CCOP - Nevada Cancer Research Foundation Recruiting
Las Vegas, Nevada, United States, 89106
Contact: John A. Ellerton, MD, CM     702-384-0013        
University Medical Center of Southern Nevada Recruiting
Las Vegas, Nevada, United States, 89102
Contact: John A. Ellerton, MD, CM     702-384-0013        
United States, New Hampshire
Center for Cancer Care at Exeter Hospital Recruiting
Exeter, New Hampshire, United States, 03833
Contact: Danny M. Sims     603-580-6636        
Elliot Regional Cancer Center at Elliot Hospital Recruiting
Manchester, New Hampshire, United States, 03103
Contact: Douglas J. Weckstein, MD     603-622-6484        
Lakes Region General Hospital Recruiting
Laconia, New Hampshire, United States, 03246
Contact: Charles H. Catcher, MD     603-224-2556        
New Hampshire Oncology - Hematology, PA - Hooksett Recruiting
Hooksett, New Hampshire, United States, 03106
Contact: Frederick M. Briccetti, MD     603-224-2556        
New Hampshire Oncology - Hematology, PA at Payson Center for Cancer Care Recruiting
Concord, New Hampshire, United States, 03301
Contact: Frederick M. Briccetti, MD     603-224-2556        
Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center Recruiting
Lebanon, New Hampshire, United States, 03756-0002
Contact: Clinical Trials Office - Norris Cotton Cancer Center     603-650-7609     cancerhelp@dartmouth.edu    
Oncology Center at St. Joseph Hospital Recruiting
Nashua, New Hampshire, United States, 03060
Contact: Mary Ann Voltz, MD     603-880-3408        
United States, New Jersey
St. Barnabas Medical Center Cancer Center Recruiting
Livingston, New Jersey, United States, 07039
Contact: Clinical Trials Office - St. Barnabas Medical Center Cancer Ce     973-322-2470        
United States, New York
CCOP - Hematology-Oncology Associates of Central New York Recruiting
East Syracuse, New York, United States, 13057
Contact: Jeffrey J. Kirshner, MD     315-472-7504        
Lipson Cancer and Blood Center at Rochester General Hospital Recruiting
Rochester, New York, United States, 14621
Contact: Peter Bushunow, MD     585-922-4020        
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10065
Contact: Diana E. Lake, MD     212-639-8953        
Ralph Lauren Center for Cancer Care and Prevention Recruiting
New York, New York, United States, 10035
Contact: Diana E. Lake, MD     212-639-8953        
Roswell Park Cancer Institute Recruiting
Buffalo, New York, United States, 14263-0001
Contact: Clinical Trials Office - Roswell Park Cancer Institute     877-275-7724        
United States, North Carolina
Cape Fear Valley Medical Center Cancer Center Recruiting
Fayetteville, North Carolina, United States, 28302-2000
Contact: Clinical Trial Office - Cape Fear Valley Medical Center Cance     910-609-4561        
Duke Comprehensive Cancer Center Recruiting
Durham, North Carolina, United States, 27710
Contact: Clinical Trials Office - Duke Comprehensive Cancer Center     888-275-3853        
Maria Parham Medical Center Recruiting
Henderson, North Carolina, United States, 27536
Contact: Jeffrey Crawford, MD     919-681-9509        
FirstHealth Moore Regional Community Hospital Comprehensive Cancer Center Recruiting
Pinehurst, North Carolina, United States, 28374
Contact: Clinical Trials Office - FirstHealth Moore Regional Community     910-715-2200        
Granville Medical Center Recruiting
Oxford, North Carolina, United States, 27565
Contact: Jeffrey Crawford, MD     919-681-9509        
Duke Health Raleigh Hospital Recruiting
Raleigh, North Carolina, United States, 27609
Contact: Jeffrey Crawford, MD     919-681-9509        
Person Memorial Hospital Recruiting
Roxboro, North Carolina, United States, 27573
Contact: Jeffrey Crawford, MD     919-681-9509        
Southeastern Regional Medical Center Recruiting
Lumberton, North Carolina, United States, 28359
Contact: Jeffrey Crawford, MD     919-681-9509        
Wake Forest University Comprehensive Cancer Center Recruiting
Winston-Salem, North Carolina, United States, 27157-1096
Contact: Clinical Trials Office - Wake Forest University Comprehensive     336-713-6771        
United States, South Carolina
Keyserling Cancer Center at Beaufort Memorial Hospital Recruiting
Beaufort, South Carolina, United States, 29902
Contact: Majd Chahin     877-532-6472        
South Carolina Oncology Associates, PA Recruiting
Columbia, South Carolina, United States, 29210
Contact: George T. Jones     803-461-3000        
United States, Vermont
Fletcher Allen Health Care - University Health Center Campus Recruiting
Burlington, Vermont, United States, 05401
Contact: Clinical Trials Office - Fletcher Allen Health Care     802-656-8990        
Mountainview Medical Recruiting
Berlin, Vermont, United States, 05602
Contact: Hyman B. Muss, MD     802-656-5487        
United States, West Virginia
St. Mary's Regional Cancer Center at St. Mary's Medical Center Recruiting
Huntington, West Virginia, United States, 25702
Contact: Gerrit A. Kimmey, MD     304-528-4645        
Sponsors and Collaborators
Cancer and Leukemia Group B
Investigators
Study Chair: Jeanne Mandelblatt, MD, MPH Lombardi Cancer Research Center
Investigator: Alice B. Kornblith, PhD Dana-Farber Cancer Institute
Investigator: Hyman B. Muss, MD University of Vermont
Investigator: Stephen B. Edge, MD Roswell Park Cancer Institute
  More Information

Additional Information:
Publications:
Mandelblatt J, Sheppard V, Hurria A, et al.: Patient preference as a determinant of breast cancer adjuvant chemotherapy use in older women: CALGB #369901. [Abstract] J Clin Oncol 27 (Suppl 15): A-9544, 2009.
Kreling B, Figueiredo MI, Sheppard VL, Mandelblatt JS. A qualitative study of factors affecting chemotherapy use in older women with breast cancer: barriers, promoters, and implications for intervention. Psychooncology. 2006 Apr 6; [Epub ahead of print]

Study ID Numbers: CDR0000321396, CALGB-369901
Study First Received: September 10, 2003
Last Updated: November 17, 2009
ClinicalTrials.gov Identifier: NCT00068328     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
psychosocial effects of cancer and its treatment
stage I breast cancer
stage II breast cancer
stage IIIA breast cancer
stage IIIB breast cancer
stage IIIC breast cancer

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Skin Diseases
Breast Neoplasms
Breast Diseases

ClinicalTrials.gov processed this record on November 27, 2009