Trial Outcomes & Findings for Default Options to Reduce Unnecessary Daily Imaging During Palliative Radiation (NCT NCT03110692)

NCT ID: NCT03110692

Last Updated: 2019-12-09

Results Overview

Radiology tests including x-rays and CT scans

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1188 participants

Primary outcome timeframe

3 months post arm crossover

Results posted on

2019-12-09

Participant Flow

Participant milestones

Participant milestones
Measure
Usual Practice (Control)
The usual practice group will rollover to the intervention arm 3 months after the start of the default intervention group in Feb. 2017
Intervention
Default initiation: Introduce a default prescription template in the palliative setting in order to reduce unnecessary daily image guided radiation. Default initiation: A default prescription template will be introduced in the palliative setting in order to reduce unnecessary daily image guided radiation. To start in Feb 2017 and continue in the intervention through Feb 2018
Overall Study
STARTED
679
509
Overall Study
COMPLETED
679
509
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Default Options to Reduce Unnecessary Daily Imaging During Palliative Radiation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Practice (Control)
n=679 Participants
The usual practice group will rollover to the intervention arm after 3 months following the start of the default intervention in Feb 2017.
Intervention
n=509 Participants
Default initiation: Introduce a default prescription template in the palliative setting in order to reduce unnecessary daily image guided radiation. Default initiation: A default prescription template will be introduced in the palliative setting in order to reduce unnecessary daily image guided radiation. To start in Feb 2017 and continue in the intervention through Feb 2018
Total
n=1188 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
341 Participants
n=99 Participants
259 Participants
n=107 Participants
600 Participants
n=206 Participants
Age, Categorical
>=65 years
338 Participants
n=99 Participants
250 Participants
n=107 Participants
588 Participants
n=206 Participants
Sex: Female, Male
Female
347 Participants
n=99 Participants
268 Participants
n=107 Participants
615 Participants
n=206 Participants
Sex: Female, Male
Male
332 Participants
n=99 Participants
241 Participants
n=107 Participants
573 Participants
n=206 Participants
Race/Ethnicity, Customized
Race/Ethnicity · White non-hispanic
470 Participants
n=99 Participants
333 Participants
n=107 Participants
803 Participants
n=206 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Black non-hispanic
147 Participants
n=99 Participants
114 Participants
n=107 Participants
261 Participants
n=206 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Other
41 Participants
n=99 Participants
37 Participants
n=107 Participants
78 Participants
n=206 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Missing
21 Participants
n=99 Participants
25 Participants
n=107 Participants
46 Participants
n=206 Participants
ECOG Performance Status
0
92 participants
n=99 Participants
66 participants
n=107 Participants
158 participants
n=206 Participants
ECOG Performance Status
1
200 participants
n=99 Participants
145 participants
n=107 Participants
345 participants
n=206 Participants
ECOG Performance Status
2
206 participants
n=99 Participants
133 participants
n=107 Participants
339 participants
n=206 Participants
ECOG Performance Status
3
151 participants
n=99 Participants
121 participants
n=107 Participants
272 participants
n=206 Participants
ECOG Performance Status
4
27 participants
n=99 Participants
26 participants
n=107 Participants
53 participants
n=206 Participants
ECOG Performance Status
Missing
3 participants
n=99 Participants
18 participants
n=107 Participants
21 participants
n=206 Participants
Insurance
Medicaid
46 Participants
n=99 Participants
54 Participants
n=107 Participants
100 Participants
n=206 Participants
Insurance
Medicare
337 Participants
n=99 Participants
226 Participants
n=107 Participants
563 Participants
n=206 Participants
Insurance
Commercial
296 Participants
n=99 Participants
229 Participants
n=107 Participants
525 Participants
n=206 Participants
Target Type
Bone
345 Participants
n=99 Participants
275 Participants
n=107 Participants
620 Participants
n=206 Participants
Target Type
Brain
104 Participants
n=99 Participants
82 Participants
n=107 Participants
186 Participants
n=206 Participants
Target Type
Soft Tissue
133 Participants
n=99 Participants
103 Participants
n=107 Participants
236 Participants
n=206 Participants
Target Type
Multiple Sites
97 Participants
n=99 Participants
49 Participants
n=107 Participants
146 Participants
n=206 Participants
Prior Radiation
381 Participants
n=99 Participants
268 Participants
n=107 Participants
649 Participants
n=206 Participants
Number of Patients Receiving Fractions
2-5 total fractions per course
156 Participants
n=99 Participants
162 Participants
n=107 Participants
318 Participants
n=206 Participants
Number of Patients Receiving Fractions
6-10 total fractions per course
403 Participants
n=99 Participants
277 Participants
n=107 Participants
680 Participants
n=206 Participants
Number of Patients Receiving Fractions
11-15 total fractions per course
104 Participants
n=99 Participants
51 Participants
n=107 Participants
155 Participants
n=206 Participants
Number of Patients Receiving Fractions
15+ total fractions per course
16 Participants
n=99 Participants
19 Participants
n=107 Participants
35 Participants
n=206 Participants
Number of patients receiving dose per fraction
Less than or equal to 200 doses per fraction
26 Participants
n=99 Participants
38 Participants
n=107 Participants
64 Participants
n=206 Participants
Number of patients receiving dose per fraction
201-300 doses per fraction
509 Participants
n=99 Participants
308 Participants
n=107 Participants
817 Participants
n=206 Participants
Number of patients receiving dose per fraction
301-400 doses per fraction
137 Participants
n=99 Participants
154 Participants
n=107 Participants
291 Participants
n=206 Participants
Number of patients receiving dose per fraction
Greater than 400 doses per fraction
7 Participants
n=99 Participants
9 Participants
n=107 Participants
16 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 3 months post arm crossover

Radiology tests including x-rays and CT scans

Outcome measures

Outcome measures
Measure
Usual Practice (Control)
n=679 Participants
The usual practice group will rollover to the intervention arm after 3 months from start of the default intervention in Feb 2017.
Intervention
n=509 Participants
Default initiation: Introduce a default prescription template in the palliative setting in order to reduce unnecessary daily image guided radiation. Default initiation: A default prescription template will be introduced in the palliative setting in order to reduce unnecessary daily image guided radiation. To start in Feb 2017 and continue in the intervention through Feb 2018
Percent of Patients Receiving Daily Imaging
679 Participants
509 Participants

Adverse Events

Usual Practice (Control)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Mitesh S. Patel

Perelman School of Medicine, University of Pennsylvania

Phone: 215-898-3367

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place