Clinical Trial Details
— Status: Recruiting
Administrative data
NCT number |
NCT05989776 |
Other study ID # |
2022-057 |
Secondary ID |
|
Status |
Recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
June 1, 2022 |
Est. completion date |
December 2026 |
Study information
Verified date |
September 2023 |
Source |
University Paul Sabatier of Toulouse |
Contact |
Marie-Anne Durand, PhD |
Phone |
0033648038356 |
Email |
marie-anne.durand[@]univ-tlse3.fr |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The EVAPREF project aims to increase access to fertility preservation by developing an
approach to improve and evaluate existing information and coordination tools developed by the
Pays-de-la-Loire and Occitanie Regional Cancer networks. First, the investigators will use a
qualitative, iterative, user-centered and participatory approach to improve the current tools
and create training content for the physicians who will use these tools. Second, the
investigators will conduct a randomized stepped wedge trial of women under 40 newly treated
with chemotherapy for breast cancer. The investigators will evaluate the rate of fertility
preservation consultation before and after implementation of the improved tools, over a
30-month period from mid-2023 to the end of 2025. Finally, in a third step, the investigators
will study their approach (context-sensitive implementation analysis) and provide key
elements for its transferability to other contexts and in particular to other Regional Cancer
networks in France.
Description:
Background:
With the increase in the number of long-term survivors, interest is shifting from cancer
survival to life and quality of life after cancer. These include consequences of long-term
side effects of treatment, such as gonadotoxicity. Fertility preservation is becoming
increasingly important in cancer management. International recommendations agree on the need
to inform patients prior to treatments about the risk of fertility impairment and refer them
to specialized centers to discuss fertility preservation. However, the literature reveals
suboptimal access to fertility preservation on an international scale, and particularly in
France, making information for patients and oncologists a potential lever for action. The
overall goal is to improve access to fertility preservation and related consultations for
women with breast cancer through the development and evaluation of a combined intervention
targeting the diffusion of information for these patients and brief training for oncologists.
Methods:
First, the investigators will use a qualitative, iterative, user-centered and participatory
approach to improve existing information tools and create training content for oncologists
(Aim 1). Second, the investigators will conduct a randomized stepped-wedge trial evaluating
rate of fertility preservation consultation over a 30-month period (Aim 2). The investigators
will include 750 women aged 18 to 40 newly treated with chemotherapy for breast cancer at one
of 6 participating centers. The primary outcome will be rate of fertility preservation
consultation before and after using the combined intervention (informational brochure for
patients and brief training for oncologists) and will be analyzed using linear regression
models.Third, the investigators will analyze their approach (context-sensitive implementation
analysis) and provide key elements for transferability to other contexts in France (Aim 3).
Discussion:
After transitioning to the combined intervention, the investigators will expect to observe an
increase in access to fertility preservation consultation. Particular attention will be paid
to the effect of this intervention on socially disadvantaged women, who are known to be at
greater risk of inappropriate treatment. In addition, the user-centric design principles and
participatory approaches used to optimize the acceptability, usability and feasibility of the
combined intervention will likely enhance its impact, diffusion and sustainability.