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Trial Title: IMPACT Trial: Intervention to iMProve AdherenCe Equitably

NCT ID: NCT05496829

Condition: Breast Cancer

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Single Group Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Multicomponent Adherence Intervention
Description: The adherence intervention will be comprised of a participant preference approach in which all participants undergo a baseline pharmacist-led medication optimization session and are offered training in how to use the patient portal and freely-available smartphone reminder app.
Arm group label: Adherence Intervention

Intervention type: Other
Intervention name: Usual Care
Description: Receipt of usual care from providers
Arm group label: Usual Care

Summary: To determine the efficacy of a multicomponent adherence intervention among participants with early-stage breast cancer on endocrine therapy and at least one oral cardiovascular disease (CVD) medication on adherence to endocrine therapy and to CVD medication at 24 weeks assessed by self-report using the Domains of Subjective Extent (DOSE)-Nonadherence questionnaire and also by pharmacy fill data assessed in the electronic health record (EHR).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Women or men age >18 years - Diagnosed with stage I-III breast cancer prescribed endocrine therapy - Within 3-years of the end of early active treatment (e.g., surgery, chemotherapy not including human epidermal growth factor receptor 2 (HER2)-directed therapy, radiation) - Patients must be prescribed at least 1 antihypertensive or statin medication for CVD prevention - Self-report of at least some nonadherence ET or CVD medication on DOSE-Nonadherence Extent of Nonadherence questionnaire Exclusion Criteria: - Evidence of breast cancer recurrence - Non-English or Non-Spanish speaking - Not cognitively able to complete study requirements - Do not follow with either a primary care provider or cardiologist within the New York Presbyterian Health system's Epic EHR - Inability to provide informed consent

Gender: All

Minimum age: 18 Years

Maximum age: 99 Years

Healthy volunteers: No

Locations:

Facility:
Name: Columbia University Medical Center

Address:
City: New York
Zip: 10032
Country: United States

Status: Recruiting

Contact:
Last name: Dawn Hershman, MD

Phone: 212-305-1945
Email: dlh23@columbia.edu

Investigator:
Last name: Dawn Hershman, MD
Email: Principal Investigator

Start date: March 2, 2023

Completion date: March 31, 2027

Lead sponsor:
Agency: Columbia University
Agency class: Other

Collaborator:
Agency: National Institute on Minority Health and Health Disparities (NIMHD)
Agency class: NIH

Source: Columbia University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05496829

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