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Early Palliative Care in Metastatic Lung Cancer in Northern France

Not Applicable
Terminated
Conditions
Lung Cancer Metastatic
Interventions
Other: multi disciplinary palliative care monthly consultations
Registration Number
NCT02308865
Lead Sponsor
University Hospital, Lille
Brief Summary

Single-center, prospective, controlled, open-label, randomized, two parallel arms comparing early Palliative care versus Standard care in patients with non-small-cell metastatic lung cancer

Detailed Description

144 patients will be included; 72 per arm.

* "Standard" Control arm: patient supported by the onco-respiratory service.

* Intervention arm: patients benefit from early palliative care in addition to standard onco-pneumologic care.

The main criterion of judgment is the TOI score measured at 12 weeks.

FACTL questionnaires, HADS and PHQ-9 will be filled out before randomization , at 12 weeks and 21 weeks

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
71
Inclusion Criteria
  • Being diagnosed with non-small cell lung cancer

    • Proven histologically
    • Metastatic proven imaging (MRI, CT Scanner, PET scan)
    • Stage IV (any T, any N, M1)
  • prior to secondary chemotherapy treatment.

  • Age> 18 years

  • PS ≤2

  • Patient able to understand the nature, purpose and methodology of the study

  • signed Informed consent

Exclusion Criteria
  • Age <18 years
  • Patient already supported by palliative care
  • Patient with an activating EGFR mutation or EML4-ALK rearrangement or ROS1 gene translocation
  • Patient under trusteeship / guardianship

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
intervention armmulti disciplinary palliative care monthly consultationsMulti disciplinary palliative care monthly consultations with a doctor, a nurse, a psychologist and posibility of a physical therapist and a chaplain in addition to standard onco-pneumologic care.
Primary Outcome Measures
NameTimeMethod
quality of life12 weeks

quality of life is measured at 12 weeks by the TOI score

Secondary Outcome Measures
NameTimeMethod
EVENTS14 days before deaths

presence of any of the following: chemotherapy, use of resuscitation or no treatment limiting decision 14 days before deaths

QUALITY OF LIFE12 and 21 weeks

quality of life is measured by the score TOI at 12 weeks and by the Echelle SCNS - SF34 scale, FACTL, PHQ-9 and HADS questionnaires at 12 and 21 weeks

SURVIVALfrom baseline

Trial Locations

Locations (1)

CHRU, Hôpital Claude Huriez

🇫🇷

Lille, France

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