A Pragmatic Trial of Ambulatory Toxicity Management in Patients Receiving Adjuvant or Neo-adjuvant Chemotherapy for Early Stage Breast Cancer
NCT02485678 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1460
Last updated 2020-09-03
Summary
Comparison of the number of ER plus hospital visits that occurred during chemotherapy between the telephone intervention and control arms.
Conditions
- Early Stage Breast Cancer
Interventions
- OTHER
-
Proactive Telephone Toxicity Management
Centres randomized to this arm will implement a pro-active telephone toxicity management program, for all eligible early stage breast cancer patients beginning neo-adjuvant or adjuvant chemotherapy within the intervention period until the end of their systemic treatment. Patients will receive a phone call from a local nurse who has been trained on the toxicity management toolkit at 24-72 hours and at 8 to 10 days following each chemotherapy administration. The provider conducting the call will be provided with a script and will complete the Telephone Follow-Up Questionnaire which includes questions from the abbreviated NCI PRO-CTCAE tool. The nurse conducting the call will also be provided with the provider version of the symptom management booklet and provide toxicity management counseling. If any toxicity-related problems are identified during the call, a second call will take place 24 hours after the initial call to ensure the problem is resolving or to provide additional support.
- OTHER
-
Control Arm
Centres randomized to the control arm will continue to provide routine care for chemotherapy-related toxicities as is the current standard in the centre.
- OTHER
-
PRO Sub-Study
A sub-set of approximately 25 patients enrolled at each participating centre will participate in a Patient Reported Outcomes (PRO) sub-study to assess the effect of the intervention on secondary outcomes.
Sponsors & Collaborators
-
University Health Network, Toronto
collaborator OTHER -
Princess Margaret Hospital, Canada
collaborator OTHER -
Ontario Clinical Oncology Group (OCOG)
lead OTHER
Principal Investigators
-
Monika Krzyzanowska, MD · University Health Network - Princess Margaret Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-02-29
- Primary Completion
- 2018-03-29
- Completion
- 2020-06-30
Countries
- Canada
Study Locations
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