Cancer Clinical Trial
Official title:
A Randomized, Controlled Trial to Assess Multi-Level Interventions to Improve Adherence to Oral Medications in Cancer Patients in a Socioeconomically Disadvantaged Community
Einstein Medical Center in Philadelphia serves a diverse group of the patient population. The majority of patients have a diverse cultural background, low literacy, and poor social-economic status. Medication adherence for chronic medical problems is in a range of 40-70%. Medication adherence among patients on oral anti-cancer therapy is not studied in detail. The main objective is to study medication adherence to oral anticancer agents in patients with low literacy and poor socio-economic status.
Status | Recruiting |
Enrollment | 110 |
Est. completion date | December 20, 2022 |
Est. primary completion date | December 20, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - All patients on oral chemotherapeutic agents - Clinical diagnosis of stage IV breast cancer - Clinical diagnosis of stage III and IV colorectal cancer (not receiving concurrent radiation therapy) - Clinical diagnosis of stage IV non-small cell lung cancer - Clinical diagnosis of stage IV renal cell carcinoma - Clinical diagnosis of stage IV ovarian carcinoma - Clinical diagnosis of multiple myeloma - Clinical diagnosis of chronic myelogenous leukemia on TKI - Clinical diagnosis of myelodysplastic syndrome on Lenalidomide - Adjuvant treatment for Gastro Intestinal Stromal Tumor - Clinical diagnosis of chronic Lymphocytic Leukemia - Clinical diagnosis of metastatic Prostate cancer - Clinical diagnosis of hepatocellular Carcinoma - Clinical diagnosis of stage IV Melanoma - Clinical diagnosis of myelofibrosis/myeloproliferative neoplasms - Age >18 years - ECOG Performance Status <3 Exclusion Criteria: - ECOG Performance Status of 3 and above - Concurrent chemo radiation - Non-English speaker - Clinical diagnosis of dementia, or otherwise unable to give informed consent. - History of non-compliance (defined as the history of 2 or more missed appointments in the clinic). - Pregnant patients - Nursing Home Patients - Incarcerated |
Country | Name | City | State |
---|---|---|---|
United States | Albert Einstein Healthcare Network | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Albert Einstein Healthcare Network | Merck Sharp & Dohme Corp. |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Adherence to oral chemotherapy | Frequency of missed chemotherapy doses post randomization (based on interviews) | 6 months | |
Secondary | Frequency of medication refills | Prescription refills, based on pharmacy records | 6 months | |
Secondary | Adherence to scheduled follow-up medical care visits | Frequency and adherence to schedule follow up visit | 6 months | |
Secondary | Healthcare utilization | Any unscheduled visit (office Visit, ED Visits, Hospitalization, use of preventive care) | 6 months |
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