Cancer Patients in Clinical Trials and Their Relatives
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Anixiety assessed by Generalized Anxiety Disorder scale, total score (range 0-21), higher score indicates a higher level of anxiety.
研究概览
简要总结
Aims
The aims of this study are:
- To characterize patients' psychological well-being from the time they are referred to a phase I trial and determine risk factors for poor well-being.
- To investigate perceived information, expectations and regret when a patient participate in a phase I trial.
Materials and methods This study is a prospective cohort study based on longitudinal applied questionnaires.
The questionnaire will consist of questionnaires measuring stress, anxiety, depression and health-related quality of life longitudinal through the course in the Phase I Unit. At the time of inclusion in a trial, there will be questions regarding perceived information and expectations. At the time of exclusion from trial, there will be questions regarding regret.
The questionnaire will consist primarily of validated questionnaires. When a validated questionnaire does not exist, a previous applied questionnaire will be used to ensure comparison with data from other studies. Only a limited use of self-constructed single-items will be applied.
详细描述
Background The association between cancer and the occurrence of psychological disturbances has been shown in several studies. For cancer patients participating in phase I trials, psychological disturbances have also been found to be present, although with no comparison group.
Relatives to patients in phase I trials are also found to have higher levels of perceived stress and anxiety among 88 relatives compared to population norms measured with validated instruments.
Recognizing the aim of a phase I trial as dose escalation was found among a minority of patients (mean, 33%; range, 17-44%) in a systematic review. This review also found that a mean of 62% (range, 22-92%) of patients expected personal benefit from the new drug and a mean of 27% (range, 7-38%) expecting a cure for their cancer.
Regret has only been explored to a limited extent among patients in phase I trials and has only been found among a minority.
Applied scales in the study
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients referred to the Phase I Unit
排除标准
- •patients who do not understand written Danish
- •patients for whom contact information is missing
结局指标
主要结局
Anixiety assessed by Generalized Anxiety Disorder scale, total score (range 0-21), higher score indicates a higher level of anxiety.
时间窗: First visit, at baseline visit, day 42 visit, through study completion, an average of 1 year
Among patients and relatives
Stress assessed by the Perceived Stress Scale, total score (range 0-40), higher score indicates a higher level of stress.
时间窗: First visit, at baseline visit, day 42 visit, through study completion, an average of 1 year
Among patients and relatives
Depression assessed by Patient Health Questionnaire, total score (range 0-28), higher scoreindicates a higher level of depression.
时间窗: First visit, at baseline visit, day 42 visit, through study completion, an average of 1 year
Among patients and relatives
Physical functioning assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, subscale physical functioning, score (range 0-100), higher score indicates better physical functioning.
时间窗: First visit, through study completion, an average of 1 year
Patients
次要结局
- Question regarding expectations: Do you expect the side effects of the clinical trial treatment to be … ? Descriptive distribution of answers.(At baseline visit)
- Regret assessed by Decision Regret Scale, total score (range 0-100), higher score indicates higher level of regret(through study completion, an average of 1 year)
- Question regarding expectations: Would you like to participate in a phase 1 trial? Descriptive distribution of answers.(At baseline visit)
- Question regarding expectations: Does your family or do your friends want you to participate in a phase 1 trial? Descriptive distribution of answers.(At baseline visit)
- Perceived information assessed by the QuIC, total score (range 0-100), higher score indicates a higher level of knowledge(At baseline visit)
- Question regarding motivations: How did you get to hear about the Phase 1 Unit? Descriptive distribution of answers.(At baseline visit)
- Question regarding motivations: Indicate your reasons for participating in clinical trial treatment by circling the relevant number. Descriptive distribution of answers.(At baseline visit)
- Question regarding expectations: During the clinical trial treatment do you expect your tumour(s) to … ? Descriptive distribution of answers.(At baseline visit)
- Question regarding expectations: If you have received chemo treatment previously, how do you expect the side effects of the clinical trial treatment will be? Descriptive distribution of answers.(At baseline visit)
- Question regarding expectations: I expect: That my physically health will improve/That my mental health will improve/That my life from a social aspect will improve/That I will prolong my life/That I will be cured. Descriptive distribution of answers.(At baseline visit)
研究者
Ulrik Lassen
Head of Department of Oncology, professor
Rigshospitalet, Denmark