Status:

COMPLETED

Early Intervention vs. Standard Palliative Care in Improving End-of-Life Care in Advanced Cancer Patients

Lead Sponsor:

Dartmouth-Hitchcock Medical Center

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Cancer

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

RATIONALE: Palliative care may help patients with advanced cancer live more comfortably. PURPOSE: This randomized clinical trial is studying an early intervention palliative care program to see how w...

Detailed Description

OBJECTIVES: * Determine the efficacy of an early intervention palliative care program comprising a phone-based nurse educator and shared medical appointments in improving end-of-life care of patients...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Diagnosis of 1 of the following advanced cancers:
  • Stage IIIB or IV non-small cell lung cancer
  • Extensive stage small cell lung cancer
  • Stage IV breast cancer
  • Poor prognostic indicators (conferring likelihood of ≤ 2 years survival), including, but not limited to, any of the following:
  • Visceral crisis
  • Lung or liver metastasis
  • Estrogen receptor-negative disease
  • HER2/neu-positive disease
  • Progressive or recurrent disease during or within 2 years of first treatment
  • Unresectable stage III or stage IV gastrointestinal cancers
  • Stage IV genitourinary cancers
  • Prostate cancer must be hormone refractory
  • Hormone receptor status:
  • Not specified
  • PATIENT CHARACTERISTICS:
  • Sex
  • Not specified
  • Menopausal status
  • Not specified
  • Performance status
  • Not specified
  • Life expectancy
  • Not specified
  • Hematopoietic
  • Not specified
  • Hepatic
  • Not specified
  • Renal
  • Not specified
  • Other
  • No dementia or significant confusion (i.e., Mini Mental Exam score \< 25)
  • No Axis I psychiatric disorders (DSM-IV), including any of the following:
  • Schizophrenia
  • Bipolar disorder
  • Active substance use disorder
  • PRIOR CONCURRENT THERAPY:
  • Endocrine therapy
  • See Disease Characteristics

Exclusion

    Key Trial Info

    Start Date :

    January 1 2003

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    September 1 2013

    Estimated Enrollment :

    329 Patients enrolled

    Trial Details

    Trial ID

    NCT00253383

    Start Date

    January 1 2003

    End Date

    September 1 2013

    Last Update

    December 19 2014

    Active Locations (2)

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    Page 1 of 1 (2 locations)

    1

    Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, United States, 03756-0002

    2

    Veterans Affairs Medical Center - White River Junction

    White River Junction, Vermont, United States, 05009