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Trial Title: Adherence Intervention in Patients With Metastatic Breast Cancer

NCT ID: NCT06121453

Condition: Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Multicomponent Adherence Intervention
Description: multi-part intervention to reduce barriers to medication use
Arm group label: Single Arm: Adherence Intervention

Summary: To evaluate the preliminary efficacy of a multicomponent adherence intervention focused on enhancing digital equity and pharmaco-equity among nonadherent patients with metastatic breast cancer (MBC) and cardiovascular disease (CVD) risk factors on endocrine therapy (ET), CDK4/6 inhibitor (CDK 4/6i), and CVD medications. To assess the acceptability and appropriateness of this intervention in patients with MBC and CVD risk factors through validated measures of implementation outcomes. To gain a deeper understanding of the impact of social determinants of health (SDOH) on medication nonadherence through semi-structured interviews with a subset of study participants.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Women or men age >18 years - Diagnosed with stage IV/metastatic breast cancer prescribed endocrine therapy and a CDK4/6i - Prescribed at least 1 antihypertensive or statin medication for CVD prevention or treatment - Self-report of at least some nonadherence ET/CDK4/6i or CVD medication on nonadherence screener or verbally to a treating clinician, or nonadherent to ET, CDK4/6i, and/or CVD medication on pharmacy fill data in the EHR (proportion of days covered over prior 180 days <80%). Exclusion Criteria: - Non-English or Non-Spanish speaking - Not cognitively able to complete study requirements - Inability to provide informed consent for any other reason (e.g, severe psychiatric illness, active substance use) - Unavailable for 28 weeks of follow-up

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: Claire Sathe, MD

Phone: 212-305-8923
Email: ds1099@cumc.columbia.edu

Start date: April 12, 2024

Completion date: December 10, 2026

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/NCT06121453

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