Patient-Defined Treatment Success and Preferences in Stage IV Lung Cancer Patients
Study Details
Study Description
Brief Summary
Our long-term goal is to integrate non-small cell lung cancer patient treatment preferences into clinical treatment planning.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The following specific aims are proposed:
Aim 1: Determine whether individual patients' preferences, characteristics, and treatment experiences affect the definition of treatment success.
Aim 2: Determine how to best predict real-life patients' treatment choices based on patients' preferences of adverse events.
Aim 3: Determine whether physicians are likely to change their oncologic clinical practice after receiving a detailed communication of their patients' preferences of adverse events.
Study Design
Outcome Measures
Primary Outcome Measures
- Patient-defined "treatment success" [Baseline]
In advanced stage NSCLC patients does patient-defined "treatment success" differ when both survival and patient preferences of adverse events are accounted for, compared to when success is measured solely by survival? And does it also differ based on individual patient characteristics?
- Patients' will to experience adverse events [Baseline]
Will the serious adverse events that an advanced stage NSCLC patient is willing to experience as part of his/her treatment differ after a real-life treatment experience, compared to before treatment?
Secondary Outcome Measures
- Summary score derived from patient preferences of adverse events [Up to three months]
In advanced stage NSCLC patients, is a summary score derived from patient preferences of adverse events comparable to a real-life treatment scenario?
Other Outcome Measures
- Physicians' will to select a treatment [Two years]
Are physicians treating NSCLC patients more likely to select a treatment that matches patients' drug choices when provided standardized, detailed information on patients' preferences of adverse events compared to when they follow regular clinical practice?
Eligibility Criteria
Criteria
Inclusion Criteria:
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Willing and able to provide consent
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Greater than or equal to 19 years of age
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Diagnosed with stage IV non-small cell lung cancer (NSCLC)
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Able to understand spoken English
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Eligible to undergo chemotherapy for stage IV NSCLC, to include, but not limited to, those who:
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have not yet started chemo
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are currently undergoing chemo for stage IV NSCLC
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have completed first line stage IV NSCLC chemo or progressed to maintenance for stage IV NSCLC within the last 30 days
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elect to have chemo elsewhere -- not at one of the study sites
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decline chemo
Exclusion Criteria:
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Age <19 years
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Not willing and/or able to provide consent
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Not able to understand spoken English
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Not eligible to undergo chemotherapy for stage IV NSCLC
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Moffitt Cancer Center | Tampa | Florida | United States | 33612-9416 |
2 | Kansas City VA Medical Center | Kansas City | Missouri | United States | 64128 |
3 | Saint Francis Cancer Treatment Center | Grand Island | Nebraska | United States | 68803 |
4 | Southeast Nebraska Cancer center | Lincoln | Nebraska | United States | 68510 |
5 | Callahan Cancer Center of Great Plains Regional Medical Center | North Platte | Nebraska | United States | 69101 |
6 | Nebraska-Western Iowa (NWI) VA Health Care System | Omaha | Nebraska | United States | 68105 |
7 | University of Nebraska Medical Center | Omaha | Nebraska | United States | 68198 |
8 | Avera Cancer Institute | Sioux Falls | South Dakota | United States | 57105 |
Sponsors and Collaborators
- University of Nebraska
- Patient-Centered Outcomes Research Institute
Investigators
- Principal Investigator: KM Munirul Islam, MD, PhD, University of Nebraska
Study Documents (Full-Text)
None provided.More Information
Additional Information:
- Avera Cancer Institute
- Callahan Cancer Center of Great Plains Regional Medical Center
- Patient Centered Outcomes Research Institute
- Saint Francis Cancer Treatment Center
- University of Nebraska Medical Center
- UNMC IRB
Publications
None provided.- 318-13-EP