MedPath

S1105: Text-Messaging Intervention to Reduce Early Discontinuation of AI Therapy in Women With Early-Stage Breast Cancer

Not Applicable
Completed
Conditions
Breast Cancer
Interventions
Behavioral: Text message reminder
Registration Number
NCT01515800
Lead Sponsor
SWOG Cancer Research Network
Brief Summary

RATIONALE: Measuring how text-message affects treatment compliance in women with breast cancer may help doctors plan the best treatment.

PURPOSE: This randomized trial studies how well text-message works in reducing early discontinuation of aromatase inhibitor therapy in patients with early-stage breast cancer who underwent breast surgery.

Detailed Description

OBJECTIVES:

Primary

* To determine the efficacy of a reminder message, sent by text message to mobile phones twice weekly, to improve adherence to adjuvant aromatase inhibitor (AI) therapy as determined by urinary AI levels in women with early-stage hormone-sensitive breast cancer versus usual care.

Secondary

* To compare the effect of a reminder message sent twice weekly to mobile phones as compared to usual care to improve adherence to adjuvant AI therapy according to self-report.

* To explore the efficacy of the text message intervention for reducing early discontinuation as compared to usual care at 12, 24, and 36 months of adjuvant AI therapy in subgroups of breast cancer patients as defined by age group, stage, year of therapy, education, race/ethnicity, teaching hospital versus community hospital, AI-related side effects (as determined by serial questionnaires), insurance status, and prescription co-pay status.

* To explore the reasons for early discontinuation of AI therapy in those who do discontinue in the intervention and control group by querying quality of life as assessed by the Functional Assessment of Cancer Therapy-Endocrine Subscales (FACT-ES) and symptoms and other issues related to hormonal therapy at each follow-up visit, using the Brief Pain Inventory (BPI-SF), and at annual visits the Beliefs about Medicine Questionnaire (BQM) and the Treatment Satisfaction Questionnaire for Medication (TSQM).

* To conduct a sensitivity analysis assessing time to last evidence of adherence.

OUTLINE: This is a multicenter study. Patients are stratified according to length of time on aromatase inhibitor (AI) (\< 12 months vs 12-24 months), and type of AI (anastrozole vs letrozole vs exemestane). Patients are randomized to 1 of 2 intervention arms.

* Arm I: Patients undergo a text message education checklist involving confirmation of cellular telephone capability to receive text messages, how to retrieve and read messages, including a confirmation evaluation, at baseline and at any time a patient obtains a new cellular telephone. Patients then receive a text message twice a week at 8 o'clock in the morning (for each time zone) for up to 3 years.

* Arm II: Patients receive standard follow-up care. Patients undergo urine sample collection at baseline and periodically during study for aromatase inhibitor level analysis and future translational studies.

Patients complete the Functional Assessment of Cancer Therapy-Endocrine Subscales (FACT-ES), the Brief Pain Inventory (BPI-SF), Beliefs about Medicine Questionnaire (BQM), and the Treatment Satisfaction Questionnaire for Medication (TSQM) questionnaires at baseline and periodically during study. Patients in arm I also complete the Cell Phone and Text Messaging Use Questionnaire at baseline and periodically during study.

In both arms, patients are followed up every 3 months for up to 3 years from registration.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
724
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Text message reminderText message reminderPatients undergo a text message education checklist involving confirmation of cellular telephone capability to receive text messages, how to retrieve and read messages, including a confirmation evaluation, at baseline and at any time a patient obtains a new cellular telephone. Patients then receive a text message twice a week at 8 o'clock in the morning (for each time zone) for up to 3 years. Additionally, patients receive standard follow-up care.
Primary Outcome Measures
NameTimeMethod
Time to first evidence of adherence failure (discontinuation)Every 3 months after randomization
Secondary Outcome Measures
NameTimeMethod
Adherence effect of text message compared to usual care using the patient self-report responses to AI Usage formEvery 3 months after randomization
Relationship between randomized arm and various participant, site and health insurance characteristicsEvery 3 months after randomization

Relationship between randomized arm and the following factors: age group, stage, years of therapy, education, race/ethnicity, teaching hospital versus community hospital, AI-related side effects, insurance status, and prescription co-pay status.

Reasons for early discontinuation of AI therapy among intervention arm and control arm as assessed by quality-of-life questionnairesEvery 3 months after randomization
Time to last evidence of adherenceEvery 3 months after randomization

Trial Locations

Locations (204)

CCOP - Dayton

🇺🇸

Dayton, Ohio, United States

Hembree Mercy Cancer Center at St. Edward Mercy Medical Center

🇺🇸

Fort Smith, Arkansas, United States

Cardinal Bernardin Cancer Center at Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

Kaiser Permanente Medical Center - Redwood City

🇺🇸

Redwood City, California, United States

Kaiser Foundation Hospital - San Rafael

🇺🇸

San Rafael, California, United States

Kaiser Permanente Medical Center - Vallejo

🇺🇸

Vallejo, California, United States

Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center

🇺🇸

Hartford, Connecticut, United States

Glacier Oncology, PLLC

🇺🇸

Kalispell, Montana, United States

Waverly Hematology Oncology

🇺🇸

Cary, North Carolina, United States

Gibbs Regional Cancer Center at Spartanburg Regional Medical Center

🇺🇸

Spartanburg, South Carolina, United States

Riverside Methodist Hospital Cancer Care

🇺🇸

Columbus, Ohio, United States

Clackamas Radiation Oncology Center

🇺🇸

Clackamas, Oregon, United States

Cancer Centers of the Carolinas - Spartanburg

🇺🇸

Spartanburg, South Carolina, United States

Wayne Hospital

🇺🇸

Greenville, Ohio, United States

Val and Ann Browning Cancer Center at McKay-Dee Hospital Center

🇺🇸

Ogden, Utah, United States

Wenatchee Valley Medical Center

🇺🇸

Wenatchee, Washington, United States

Harborview Medical Center

🇺🇸

Seattle, Washington, United States

Minor and James Medical, PLLC

🇺🇸

Seattle, Washington, United States

Fred Hutchinson Cancer Research Center

🇺🇸

Seattle, Washington, United States

University Cancer Center at University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Group Health Central Hospital

🇺🇸

Seattle, Washington, United States

Swedish Cancer Institute at Swedish Medical Center - First Hill Campus

🇺🇸

Seattle, Washington, United States

LDS Hospital

🇺🇸

Salt Lake City, Utah, United States

Cancer Center of Kansas, PA - Medical Arts Tower

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, PA - Salina

🇺🇸

Salina, Kansas, United States

Cancer Center of Kansas, PA - Pratt

🇺🇸

Pratt, Kansas, United States

Cancer Center of Kansas, PA - Dodge City

🇺🇸

Dodge City, Kansas, United States

Cancer Center of Kansas - Fort Scott

🇺🇸

Fort Scott, Kansas, United States

Montana Cancer Center at St. Patrick Hospital and Health Sciences Center

🇺🇸

Missoula, Montana, United States

Sletten Cancer Institute at Benefis Healthcare

🇺🇸

Great Falls, Montana, United States

CCOP - Montana Cancer Consortium

🇺🇸

Billings, Montana, United States

Montana Cancer Specialists at Montana Cancer Center

🇺🇸

Missoula, Montana, United States

St. Peter's Hospital

🇺🇸

Helena, Montana, United States

Kalispell Regional Medical Center

🇺🇸

Kalispell, Montana, United States

St. Vincent Healthcare Cancer Care Services

🇺🇸

Billings, Montana, United States

Arkansas Cancer Research Center at University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Decatur Memorial Hospital Cancer Care Institute

🇺🇸

Decatur, Illinois, United States

Kaiser Permanente Medical Center - Walnut Creek

🇺🇸

Walnut Creek, California, United States

Castle Medical Center

🇺🇸

Kailua, Hawaii, United States

California Cancer Center - Woodward Park Office

🇺🇸

Fresno, California, United States

Kaiser Permanente Medical Center - Hayward

🇺🇸

Hayward, California, United States

Regional Cancer Center at Memorial Medical Center

🇺🇸

Springfield, Illinois, United States

Kaiser Permanente - Fremont

🇺🇸

Fremont, California, United States

Kaiser Permanente Medical Center - Santa Teresa

🇺🇸

San Jose, California, United States

Cancer Center of Kansas, PA - Chanute

🇺🇸

Chanute, Kansas, United States

Cotton-O'Neil Cancer Center

🇺🇸

Topeka, Kansas, United States

Kaiser Permanente Medical Facility - Stockton

🇺🇸

Stockton, California, United States

Kaiser Permanente Fresno Medical Center

🇺🇸

Fresno, California, United States

Oncare Hawaii, Incorporated - Pali Momi

🇺🇸

'Aiea, Hawaii, United States

Kapiolani Medical Center at Pali Momi

🇺🇸

'Aiea, Hawaii, United States

Kaiser Permanente Medical Center - Santa Rosa

🇺🇸

Santa Rosa, California, United States

Kaiser Permanente Medical Center - Santa Clara Kiely Campus

🇺🇸

Santa Clara, California, United States

Cancer Center of Kansas, PA - Kingman

🇺🇸

Kingman, Kansas, United States

Good Samaritan Regional Health Center

🇺🇸

Mount Vernon, Illinois, United States

Associates in Womens Health, PA - North Review

🇺🇸

Wichita, Kansas, United States

Kaiser Permanente Medical Center - South San Francisco

🇺🇸

South San Francisco, California, United States

St. Francis Hospital and Health Centers - Beech Grove Campus

🇺🇸

Beech Grove, Indiana, United States

Cancer Center of Kansas, PA - Newton

🇺🇸

Newton, Kansas, United States

Cancer Center of Kansas, PA - Winfield

🇺🇸

Winfield, Kansas, United States

Falck Cancer Center at Arnot Ogden Medical Center

🇺🇸

Elmira, New York, United States

Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center

🇺🇸

Boise, Idaho, United States

Presbyterian Cancer Treatment Center at Presbyterian Kaseman Hospital

🇺🇸

Albuquerque, New Mexico, United States

Butterworth Hospital at Spectrum Health

🇺🇸

Grand Rapids, Michigan, United States

Genesis Regional Cancer Center at Genesis Medical Center

🇺🇸

Davenport, Iowa, United States

Cancer Center of Kansas, PA - Wellington

🇺🇸

Wellington, Kansas, United States

St. Mary Mercy Hospital

🇺🇸

Livonia, Michigan, United States

CCOP - Wichita

🇺🇸

Wichita, Kansas, United States

Reid Hospital & Health Care Services

🇺🇸

Richmond, Indiana, United States

Mecosta County Medical Center

🇺🇸

Big Rapids, Michigan, United States

Highland Clinic

🇺🇸

Shreveport, Louisiana, United States

Providence Cancer Institute at Providence Hospital - Southfield Campus

🇺🇸

Southfield, Michigan, United States

Lawrence Memorial Hospital

🇺🇸

Lawrence, Kansas, United States

St. Joseph Mercy Oakland

🇺🇸

Pontiac, Michigan, United States

Cancer Center of Kansas, PA - Liberal

🇺🇸

Liberal, Kansas, United States

Cancer Center of Kansas, PA - Parsons

🇺🇸

Parsons, Kansas, United States

Oakwood Cancer Center at Oakwood Hospital and Medical Center

🇺🇸

Dearborn, Michigan, United States

Genesys Hurley Cancer Institute

🇺🇸

Flint, Michigan, United States

Mercy General Health Partners

🇺🇸

Muskegon, Michigan, United States

Sparrow Regional Cancer Center

🇺🇸

Lansing, Michigan, United States

Bozeman Deaconess Cancer Center

🇺🇸

Bozeman, Montana, United States

Hematology-Oncology Centers of the Northern Rockies - Billings

🇺🇸

Billings, Montana, United States

Hulston Cancer Center at Cox Medical Center South

🇺🇸

Springfield, Missouri, United States

Great Falls Clinic - Main Facility

🇺🇸

Great Falls, Montana, United States

Billings Clinic - Downtown

🇺🇸

Billings, Montana, United States

Lovelace Medical Center - Downtown

🇺🇸

Albuquerque, New Mexico, United States

University of New Mexico Cancer Center

🇺🇸

Albuquerque, New Mexico, United States

Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center

🇺🇸

New York, New York, United States

New Mexico Cancer Care Associates

🇺🇸

Santa Fe, New Mexico, United States

UVMC Cancer Care Center at Upper Valley Medical Center

🇺🇸

Troy, Ohio, United States

Wayne Memorial Hospital, Incorporated

🇺🇸

Goldsboro, North Carolina, United States

Community Hospital of Springfield and Clark County

🇺🇸

Springfield, Ohio, United States

Licking Memorial Cancer Care Program at Licking Memorial Hospital

🇺🇸

Newark, Ohio, United States

Knox Community Hospital

🇺🇸

Mount Vernon, Ohio, United States

Southern Ohio Medical Center Cancer Center

🇺🇸

Portsmouth, Ohio, United States

Doctors Hospital at Ohio Health

🇺🇸

Columbus, Ohio, United States

United States Air Force Medical Center - Wright-Patterson

🇺🇸

Wright-Patterson Air Force Base, Ohio, United States

Cancer Centers of the Carolinas - Faris Road

🇺🇸

Greenville, South Carolina, United States

Southwest Washington Medical Center Cancer Center

🇺🇸

Vancouver, Washington, United States

Rocky Mountain Oncology

🇺🇸

Casper, Wyoming, United States

Sandra L. Maxwell Cancer Center

🇺🇸

Cedar City, Utah, United States

Logan Regional Hospital

🇺🇸

Logan, Utah, United States

CCOP - Upstate Carolina

🇺🇸

Spartanburg, South Carolina, United States

American Fork Hospital

🇺🇸

American Fork, Utah, United States

Cancer Care Northwest - Spokane South

🇺🇸

Spokane, Washington, United States

Polyclinic First Hill

🇺🇸

Seattle, Washington, United States

Tucker Center for Cancer Care at Orange Regional Medical Center

🇺🇸

Middletown, New York, United States

Kaiser Permanente Medical Center - Roseville

🇺🇸

Roseville, California, United States

Kaiser Permanente Medical Center - San Francisco Geary Campus

🇺🇸

San Francisco, California, United States

Feist-Weiller Cancer Center at Louisiana State University Health Sciences

🇺🇸

Shreveport, Louisiana, United States

Mount Carmel St. Ann's Cancer Center

🇺🇸

Westerville, Ohio, United States

Ruth G. McMillan Cancer Center at Greene Memorial Hospital

🇺🇸

Xenia, Ohio, United States

CCOP - Greenville

🇺🇸

Greenville, South Carolina, United States

Cancer Centers of the Carolinas - Seneca

🇺🇸

Seneca, South Carolina, United States

Spectrum Health Reed City Hospital

🇺🇸

Reed City, Michigan, United States

Providence Newberg Medical Center

🇺🇸

Newberg, Oregon, United States

St. John Macomb Hospital

🇺🇸

Warren, Michigan, United States

Kaiser Permanente Medical Center - Richmond

🇺🇸

Richmond, California, United States

Kauai Medical Clinic

🇺🇸

Lihue, Hawaii, United States

Willamette Falls Hospital

🇺🇸

Oregon City, Oregon, United States

Bon Secours St. Francis Health System

🇺🇸

Greenville, South Carolina, United States

South Sacramento Kaiser-Permanente Medical Center

🇺🇸

Sacramento, California, United States

Kaiser Permanente Medical Center - Sacramento

🇺🇸

Sacramento, California, United States

CCOP - Michigan Cancer Research Consortium

🇺🇸

Ann Arbor, Michigan, United States

Forsyth Regional Cancer Center at Forsyth Medical Center

🇺🇸

Winston-Salem, North Carolina, United States

Providence Cancer Center at Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

CCOP - Columbia River Oncology Program

🇺🇸

Portland, Oregon, United States

Providence St. Vincent Medical Center

🇺🇸

Portland, Oregon, United States

Kaiser Permanente Health Care - Portland

🇺🇸

Portland, Oregon, United States

Alaska Regional Hospital Cancer Center

🇺🇸

Anchorage, Alaska, United States

Kaiser Permanente Medical Center - Oakland

🇺🇸

Oakland, California, United States

Kaiser Permanente - Deer Valley

🇺🇸

Antioch, California, United States

Kaiser Permanente Medical Center - Vacaville

🇺🇸

Vacaville, California, United States

Cancer Center of Kansas-Independence

🇺🇸

Independence, Kansas, United States

Sherman Hospital

🇺🇸

Elgin, Illinois, United States

Cancer Center of Kansas, PA - Wichita

🇺🇸

Wichita, Kansas, United States

Boston University Cancer Research Center

🇺🇸

Boston, Massachusetts, United States

Saint Joseph Mercy Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

Via Christi Cancer Center at Via Christi Regional Medical Center

🇺🇸

Wichita, Kansas, United States

Battle Creek Health System Cancer Care Center

🇺🇸

Battle Creek, Michigan, United States

Hurley Medical Center

🇺🇸

Flint, Michigan, United States

Josephine Ford Cancer Center at Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Foote Memorial Hospital

🇺🇸

Jackson, Michigan, United States

CCOP - Grand Rapids

🇺🇸

Grand Rapids, Michigan, United States

Van Elslander Cancer Center at St. John Hospital and Medical Center

🇺🇸

Grosse Pointe Woods, Michigan, United States

Munson Medical Center

🇺🇸

Traverse City, Michigan, United States

Mercy Regional Cancer Center at Mercy Hospital

🇺🇸

Port Huron, Michigan, United States

Lacks Cancer Center at Saint Mary's Health Care

🇺🇸

Grand Rapids, Michigan, United States

Mercy Clinic Cancer and Hematology - Rolla

🇺🇸

Rolla, Missouri, United States

Seton Cancer Institute at Saint Mary's - Saginaw

🇺🇸

Saginaw, Michigan, United States

Midwest Hematology Oncology Group, Incorporated

🇺🇸

Saint Louis, Missouri, United States

David C. Pratt Cancer Center at St. John's Mercy

🇺🇸

Saint Louis, Missouri, United States

CCOP - Cancer Research for the Ozarks

🇺🇸

Springfield, Missouri, United States

St. John's Regional Health Center

🇺🇸

Springfield, Missouri, United States

Saint Francis Medical Center

🇺🇸

Cape Girardeau, Missouri, United States

CCOP - St. Louis-Cape Girardeau

🇺🇸

Saint Louis, Missouri, United States

Hematology Oncology Associates, PC

🇺🇸

Albuquerque, New Mexico, United States

Good Samaritan Cancer Center at Good Samaritan Hospital

🇺🇸

Kearney, Nebraska, United States

Highland Hospital of Rochester

🇺🇸

Rochester, New York, United States

James P. Wilmot Cancer Center at University of Rochester Medical Center

🇺🇸

Rochester, New York, United States

Pardee Memorial Hospital

🇺🇸

Hendersonville, North Carolina, United States

Iredell Memorial Hospital

🇺🇸

Statesville, North Carolina, United States

Adena Regional Medical Center

🇺🇸

Chillicothe, Ohio, United States

McDowell Cancer Center at Akron General Medical Center

🇺🇸

Akron, Ohio, United States

Mount Carmel Health - West Hospital

🇺🇸

Columbus, Ohio, United States

CCOP - Columbus

🇺🇸

Columbus, Ohio, United States

Grant Medical Center Cancer Care

🇺🇸

Columbus, Ohio, United States

Grandview Hospital

🇺🇸

Dayton, Ohio, United States

Good Samaritan Hospital

🇺🇸

Dayton, Ohio, United States

Grady Memorial Hospital

🇺🇸

Delaware, Ohio, United States

David L. Rike Cancer Center at Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

Samaritan North Cancer Care Center

🇺🇸

Dayton, Ohio, United States

Middletown Regional Hospital

🇺🇸

Franklin, Ohio, United States

Charles F. Kettering Memorial Hospital

🇺🇸

Kettering, Ohio, United States

Blanchard Valley Medical Associates

🇺🇸

Findlay, Ohio, United States

Fairfield Medical Center

🇺🇸

Lancaster, Ohio, United States

Strecker Cancer Center at Marietta Memorial Hospital

🇺🇸

Marietta, Ohio, United States

Genesis - Good Samaritan Hospital

🇺🇸

Zanesville, Ohio, United States

Providence Milwaukie Hospital

🇺🇸

Milwaukie, Oregon, United States

Jon and Karen Huntsman Cancer Center at Intermountain Medical Center

🇺🇸

Murray, Utah, United States

Cancer Centers of the Carolinas - Greer Medical Oncology

🇺🇸

Greer, South Carolina, United States

Cancer Centers of the Carolinas - Grove Commons

🇺🇸

Greenville, South Carolina, United States

Brooke Army Medical Center

🇺🇸

Fort Sam Houston, Texas, United States

Highline Medical Center Cancer Center

🇺🇸

Burien, Washington, United States

Island Hospital Cancer Care Center at Island Hospital

🇺🇸

Anacortes, Washington, United States

Skagit Valley Hospital Cancer Care Center

🇺🇸

Mount Vernon, Washington, United States

Dixie Regional Medical Center - East Campus

🇺🇸

Saint George, Utah, United States

Columbia Basin Hematology

🇺🇸

Kennewick, Washington, United States

St. Joseph Cancer Center

🇺🇸

Bellingham, Washington, United States

Swedish Medical Center - Issaquah Campus

🇺🇸

Issaquah, Washington, United States

Olympic Hematology and Oncology

🇺🇸

Bremerton, Washington, United States

Harrison Poulsbo Hematology and Onocology

🇺🇸

Poulsbo, Washington, United States

North Puget Oncology at United General Hospital

🇺🇸

Sedro-Woolley, Washington, United States

Evergreen Hematology and Oncology, PS

🇺🇸

Spokane, Washington, United States

Cancer Research Center of Hawaii

🇺🇸

Honolulu, Hawaii, United States

OnCare Hawaii, Incorporated - Lusitana

🇺🇸

Honolulu, Hawaii, United States

Queen's Cancer Institute at Queen's Medical Center

🇺🇸

Honolulu, Hawaii, United States

Straub Clinic and Hospital, Incorporated

🇺🇸

Honolulu, Hawaii, United States

OnCare Hawaii, Incorporated - Kuakini

🇺🇸

Honolulu, Hawaii, United States

Kuakini Medical Center

🇺🇸

Honolulu, Hawaii, United States

Kaiser Permanente - Moanalua Medical Center and Clinic

🇺🇸

Honolulu, Hawaii, United States

Kapiolani Medical Center for Women and Children

🇺🇸

Honolulu, Hawaii, United States

Tripler Army Medical Center

🇺🇸

Honolulu, Hawaii, United States

Utah Valley Regional Medical Center - Provo

🇺🇸

Provo, Utah, United States

Winthrop University Hospital

🇺🇸

Mineola, New York, United States

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