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Trial Title: Survivorship Care for Women Living With Ovarian Cancer: (POSTCARE-O)

NCT ID: NCT05752448

Condition: Ovarian Neoplasm
Depressive Symptoms
Quality of Life

Conditions: Official terms:
Ovarian Neoplasms
Carcinoma, Ovarian Epithelial
Depression

Conditions: Keywords:
Ovarian Cancer
Survivorship
Cancer Survivor
Depression
Palliative Care
Quality of Life

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Randomized controlled trial double blinded

Primary purpose: Supportive Care

Masking: Triple (Participant, Investigator, Outcomes Assessor)

Masking description: Will mask all study personnel except care provider who will not be engaged with data interpretation

Intervention:

Intervention type: Behavioral
Intervention name: POSTCare Survivorship transition process
Description: Survivorship coaching intervention
Arm group label: Intervention group

Summary: This study will enroll 120 women living with ovarian cancer following completion of initial treatment. Our objective is to test an intervention designed to provide support during the survivorship transition for this population, who live with a high degree of morbidity related to the illness and its treatment as well as a high risk of recurrence. Study participants will be randomly assigned to receive survivorship care using the POSTCare-O process or usual care. The primary outcome is quality of life at 12 weeks after intervention.

Detailed description: Study Design We will conduct a 2-arm randomized controlled trial to evaluate the impact of a telehealth delivered survivorship transition care process. Ovarian cancer survivors (120) will be randomly allocated to receive survivorship care either using the POSTCare Process or standard of care. Study design and reporting will be in accordance with the Consolidated Standards of Reporting Trials (CONSORT) checklist. We will use quantitative and qualitative methodologies in a concurrent triangulation mixed methods design utilizing qualitative data to augment our interpretation of quantitative data. Outcomes will be collected at baseline, 12 weeks and 24 weeks, with the primary outcome being quality of life assessment at 12 weeks. Sample Size We will enroll 120 women completing primary treatment for Stage 2-4 ovarian cancer from 3 urban gynecologic oncology clinics located in the Southern United States. Participants will have received some combination of surgery, chemotherapy, radiation therapy, and biologics. Continued maintenance therapy is not an exclusion factor. Aim 1 proposes to implement a randomized controlled trial (RCT) devised to compare QOL measures among ovarian cancer patient randomized to receive usual care versus the POSTCare survivorship care transition program. The Functional Assessment of Cancer Therapy-Ovarian (FACT-O) QOL survey will be collected at baseline as well as 12 and 24 weeks after the initial course of adjuvant chemotherapy. The primary endpoint will be the 12-week survey. We expect to observe a mean 12-week FACT-O score of 116 with standard deviation of 20 for women receiving usual care. The sample size of N=120 patients provides at least 80% power to detect a 7% increase in the mean FACT-O score for women randomized to the POSTCare survivorship care intervention. This is sufficient to ascertain a minimally important difference of 8 points. Recruitment and Setting We will recruit participants from Gynecologic Oncology practices at 3 clinic settings in Texas: One safety net practice located in Dallas, one safety net practice located in Houston, and one faculty group practice located in Houston. Cumulatively the sites serve approximately 120 eligible patients per year and ensure a diverse population can be recruited during the 24-month recruitment period. 120 women will be recruited. Sixty participants will be randomly assigned to the intervention group and receive care using the POSTCare Process and 60 will be randomly assigned to the control group. It is anticipated that our study sample will reflect the ethnic and racial diversity of our clinical settings.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Stage 2-4 ovarian cancer - Treated with some combination of surgery, chemotherapy, biologics, maintenance therapy - Within 6 months of completion of initial treatment (continued maintenance therapy okay) - Able to provide consent in English or Spanish Exclusion Criteria: - Admission to hospice at the completion of treatment for ovary cancer

Gender: Female

Gender based: Yes

Gender description: Only females at birth have ovaries

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: UT Southwestern Parkland Health and Hospital System

Address:
City: Dallas
Zip: 75235
Country: United States

Status: Not yet recruiting

Contact:
Last name: Carolina Salmeron

Phone: 713-500-0147
Email: Carolina.Salmeron@uth.tmc.edu

Facility:
Name: Dan L Duncan Comprehensive Cancer Center at the O'Quinn Medical Tower at Baylor St. Luke's Medical Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Last name: Lilian Moraes de Vasconcelos

Phone: 713-798-4785
Email: Lilian.MoraesdeVasconcelos@bcm.edu

Facility:
Name: Harris Health Smith Clinic

Address:
City: Houston
Zip: 77054
Country: United States

Status: Recruiting

Contact:
Last name: Lilian Moraes de Vasconcelos

Phone: 713-798-4785
Email: Lilian.MoraesdeVasconcelos@bcm.edu

Start date: October 1, 2023

Completion date: April 15, 2027

Lead sponsor:
Agency: Baylor College of Medicine
Agency class: Other

Collaborator:
Agency: Cancer Prevention Research Institute of Texas
Agency class: Other

Collaborator:
Agency: The University of Texas Health Science Center, Houston
Agency class: Other

Collaborator:
Agency: University of Texas Southwestern Medical Center
Agency class: Other

Collaborator:
Agency: University of Texas at Austin
Agency class: Other

Source: Baylor College of Medicine

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05752448

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