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Mobile Application Using the PRO-CTCAE to Improve Patients' Participation in Symptom Management During Treatment.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04568278
Recruitment Status : Active, not recruiting
First Posted : September 29, 2020
Last Update Posted : July 8, 2021
Sponsor:
Information provided by (Responsible Party):
Juhee Cho, Samsung Medical Center

Brief Summary:
This study aims to evaluate the effect of a mobile application system using the Patient Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) to improve patients' participation in symptom management during cancer treatment. Our hypothesis is that patients who use a mobile application using the PRO-CTCAE will more likely to recognize symptoms due to cancer treatment and report them better to their clinicians than patients who do not use the mobile application.

Condition or disease Intervention/treatment Phase
Neoplasms Other: ePRO-CTCAE application Not Applicable

Detailed Description:
This is a randomized controlled trial to evaluate the effect of a mobile application system using the Patient Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) to improve patients' participation in symptom management during cancer treatment. Breast, lung, head and neck, esophagus, and gynecologic cancer patients who will begin new lines of chemotherapy or radiation therapy will be randomly assigned into the intervention and control groups (2:1 ratio). The intervention group will have the mobile application installed on their smart phones which they could record symptoms and adverse events due to cancer treatments using the pre-specified PRO-CTCAE questions for different types of cancer. The control group will have usual care. Primary endpoint is patients' participation/engagement of reporting symptoms and it will be evaluated at 8 weeks after the intervention using a questionnaire developed by the research team. Secondary end points are unexpected hospital visits during treatment during 8 weeks after the beginning of the treatment and quality of life at 8 weeks after the intervention.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 222 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Randomized Controlled Trial, Single center, Open label
Masking: None (Open Label)
Masking Description: Statistician who will analyze the results of the study will be blinded
Primary Purpose: Supportive Care
Official Title: Effect of a Mobile Application System Using the Patient Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) to Improve Patients' Participation in Symptom Management During Cancer Treatment.
Actual Study Start Date : October 5, 2020
Actual Primary Completion Date : March 31, 2021
Estimated Study Completion Date : July 30, 2021

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Palliative Care

Arm Intervention/treatment
Experimental: Intervention Group
a mobile application using the PRO-CTCAE along with usual care
Other: ePRO-CTCAE application
The intervention will be the use of a mobile application for recording symptoms during cancer treatments. Patients in the intervention group will have the mobile application (e-PRO) installed on their smart phones on the first day of cancer treatment (chemotherapy or radiation therapy) and patients will be asked to use the application for 8 weeks. Every week, the application will ask patients to report symptoms they experienced during past 7 days using the pre-specified PRO-CTCAE questions for different types of cancer. Patients also can memo and save photos related symptoms using the application and patients can monitor the progression of the symptoms over time.

No Intervention: Controlled Group
Usual care



Primary Outcome Measures :
  1. Patients' participation in symptom management [ Time Frame: 8 weeks after the intervention ]
    Patients' participation in reporting and managing symptoms due to cancer treatment will be measured using 7 questions developed by study team. Questions will be asked using 4 Likert scale. Minimum value is 0 and maximum value will be 21. Higher score means better outcome.


Secondary Outcome Measures :
  1. European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire C-30 [ Time Frame: 8 weeks after the intervention ]
    State of well-being evaluated by an individual, including both physical, mental, social, and spiritual areas. This will be measured using relevant items of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30. Scores will be calculated by manual (0-100) and higher score means better quality of life.

  2. Unexpected visits [ Time Frame: 8 weeks after the intervention ]
    number of unexpected hospital visits (emergency room visits, unplanned outpatient visits, or unplanned hospitalization) due to symptoms or adverse events due to cancer treatment



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients who are scheduled to have chemotherapy or radiation therapy.
  • Patients who own a smartphone (Android) and who can use mobile applications.
  • Patients who understand the purpose of this study and agree to participate in the study
  • Patients age over 18 years old (no age limit, but if necessary informed consent of the caregivers will be obtained for the patients whose age are over 70 years old)

Exclusion Criteria:

  • Patients whose life expectancy is less than 6 months (hospice)
  • Patients who would any physical or mental problems that would make them difficult to use the applications

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04568278


Locations
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Korea, Republic of
Danbee Kang
Seoul, Korea, Republic of, 135-710
Samsung Medical Center
Seoul, Korea, Republic of
Sponsors and Collaborators
Samsung Medical Center
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Responsible Party: Juhee Cho, Director, Cancer Education Center, Samsung Medical Center, Samsung Medical Center
ClinicalTrials.gov Identifier: NCT04568278    
Other Study ID Numbers: ePRO-CTCAE_2020
First Posted: September 29, 2020    Key Record Dates
Last Update Posted: July 8, 2021
Last Verified: July 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Juhee Cho, Samsung Medical Center:
patient-reported outcome
PRO-CTCAE
mobile application
patient engagement