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Registrational Trial to Compare Effectiveness of Two Digital Software Medical Devices as Adjunctive Oncology Treatment

Not Applicable
Terminated
Conditions
Anatomic Stage II Breast Cancer AJCC v8
Stage III Lung Cancer AJCC v8
Stage II Lung Cancer AJCC v8
Anatomic Stage I Breast Cancer AJCC v8
Anatomic Stage III Breast Cancer AJCC v8
Stage I Lung Cancer AJCC v8
Interventions
Device: Attune™
Device: Cerena™
Registration Number
NCT04862195
Lead Sponsor
Blue Note Therapeutics
Brief Summary

This is a non-significant risk, double-blinded, randomized, registrational study to compare the effectiveness of two digital, software only, medical devices (SaMD) (attune™ and cerena™) in reducing cancer-related anxiety and depression symptoms when used adjunctively with multidisciplinary (medical, psychosocial) oncology usual care regimens for up to 10 weeks.

Study population will consist of up to 553 participants with stage I-III breast cancer or stage I-III NSCLC. The primary endpoint is percent improvement in anxiety symptoms at Week 10 and secondary endpoints of percent improvement in depressive symptoms will be assessed at Week 12.

An interim analysis for efficacy and futility will be conducted once 236 participants have completed the study.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
31
Inclusion Criteria
  • Stage I-III breast cancer or Stage I-III NSCLC who are currently in active treatment or have completed initial cancer directed treatments (surgery, radiation, chemotherapy) within the past 3 months;
  • Are experiencing at least moderate anxiety (GAD-7 >10) or mild-to-moderate depression (PHQ-8 score 5-11);
  • Are fluent in English; and
  • Have access to smartphone, or tablet capable of running iOS or Android software.
Exclusion Criteria
  • Previous history of cancer;
  • <2-yr survival prognosis as determined by treating clinician;
  • Currently participating in investigative CBT trial for treatment of anxiety or depression;
  • Participant is unable to complete training, has cognitive deficits, more severe psychiatric conditions, lack of access to internet accessible device or psycho-social conditions (e.g., other social conditions, that would interfere with adherence to self-directed care), such that in investigator's opinion the participant would be unable to complete the study;
  • Recently completed use of Blue Note Therapeutics Covid Cancer Care Program or other Blue Note Therapeutics-sponsored study; and
  • PHQ-9 Q9 response >0 AND Columbia Suicide Severity Risk Scale (or equivalent) score of Category 2- "suicidal ideation" at screening.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Attune™Attune™Attune™ is a completely digital, 10-session, cognitive behavioral therapeutic intervention.
Cerena™Cerena™Cerena™ is a completely digital, 10-session, health education and wellness intervention.
Primary Outcome Measures
NameTimeMethod
Cancer-related symptoms of anxiety (1)Baseline up to Week 10

Percent reduction in PROMIS-A scores, reduction indicates reduced anxiety

Secondary Outcome Measures
NameTimeMethod
Cancer-related symptoms of anxiety (2)Baseline up to Week 12

Percent reduction in PROMIS-A scores, reduction indicates reduced anxiety

Cancer-related symptoms of anxiety (3)Baseline up to Week 10

Percent reduction in Clinical Global Impression Scale and Improvement scores, reduction indicates reduced anxiety

Cancer-related symptoms of depression (4)Baseline up to Week 12

Percent reduction in Clinical Global Impression Scale and Improvement scores, reduction indicates reduced depression

Mean mHealth App Usability Questionnaire (MAUQ) for Standalone mHealth Apps Used by PatientsBaseline up to Week 10

Higher scores indicate higher ease of use / easier to use applications

Cancer-related symptoms of depression (1)Baseline up to Week 10

Percent reduction in PROMIS-D scores, reduction indicates reduced depression

Trial Locations

Locations (13)

Oncology Physicians Network Healthcare

🇺🇸

Los Alamitos, California, United States

Redlands Oncology

🇺🇸

Redlands, California, United States

Eastern CT Hematology and Oncology Associates

🇺🇸

Norwich, Connecticut, United States

Illinios Cancer Care

🇺🇸

Peoria, Illinois, United States

Rogel Cancer Center | University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

MD Anderson

🇺🇸

Houston, Texas, United States

Northwest Medical Specialty

🇺🇸

Tacoma, Washington, United States

OPN Healthcare

🇺🇸

Glendale, California, United States

New York Cancer & Blood Specialists

🇺🇸

Port Jefferson Station, New York, United States

SCL Health

🇺🇸

Billings, Montana, United States

New Jersey Center for Cancer Research

🇺🇸

Brick, New Jersey, United States

Tri-County Hematology and Oncology-Massillon

🇺🇸

Massillon, Ohio, United States

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