City of Hope Medical Center
This clinical trial evaluates whether geriatric assessment-driven interventions with supportive care (GAIN-S) using telemedicine can be used to identify areas of vulnerability (weakness) in older adults with cancer and guide interventions to assist the patient and the healthcare team in the underserved community. The majority of patients diagnosed with cancer are over age 65 years, yet most cancer treatments are developed and tested in a younger population. Therefore, older patients with cancer are less likely to be offered standard treatments because of the concern regarding side effects. Geriatric assessment (GA) is a multi-dimensional health assessment tool combining patient reported and objective (unbiased) results. There is no standard tool that can identify which older adults will be more likely to have side effects from cancer treatment. Telemedicine is a way to provide healthcare services (including consultations, education, care management and treatment) in which the health care provider is at a distant site. The goal of this project is to use telemedicine to identify areas of vulnerability/weakness in older adults with cancer using a patient assessment, and to identify the potential referrals to a multi-specialty team based on patient assessment results. Information gathered from this study may help researchers learn whether GAIN-S can be performed using telemedicine and lead to improvement in care for older adults compared to standard of care (SOC) in the underserved community.
Hematopoietic and Lymphoid System Neoplasm
Malignant Solid Neoplasm
Best Practice
Comprehensive Geriatric Assessment
Electronic Health Record Review
Questionnaire Administration
Supportive Care
Telemedicine
NA
PRIMARY OBJECTIVES: I. To implement Geriatric Assessment-driven interventions with supportive care (GAIN-S) through telemedicine to: Ia. To improve communication between the primary care team (oncologist, nurses) and patients and caregivers in a remote community setting to increase prognostic discussions and goal concordant care; Ib. To improve cost-saving in older patients with cancer. SECONDARY OBJECTIVES: I. Determine whether GAIN-S implemented in a community setting will lead to a decrease in treatment toxicity. II. To examine whether GAIN-S intervention will lead to improvement in hospitalizations, dose delays, dose reduction and discontinuation. III. To compare patient satisfaction using the "Was It Worth It" (WIWI) between the 2 arms at the 3 and/or 6-month timepoint. IV. To compare patient preferences at baseline, using the validated patient-defined treatment preference and goals measures between the 2 arms and longitudinal change, at 3 and/or 6-month timepoint. OUTLINE: Patients are randomized to 1 of 2 arms. ARM I (GAIN-S): Patients complete the Cancer and Aging Research Group-Geriatric Assessment (CARG-GA) at baseline and 3 months and receive GA-based interventions using telemedicine over 6 months. ARM II (SOC): Patients complete the CARG-GA at baseline and 3 months and receive SOC over 6 months.
| Study Type : | INTERVENTIONAL |
| Estimated Enrollment : | 216 participants |
| Masking : | NONE |
| Primary Purpose : | SUPPORTIVE_CARE |
| Official Title : | Geriatric Assessment (GA)-Driven Interventions With Supportive Care (The GAIN-S Trial): Telemedicine to Increase Goal Concordant Care for Older Adults With Cancer in the Community |
| Actual Study Start Date : | 2023-07-24 |
| Estimated Primary Completion Date : | 2027-01-24 |
| Estimated Study Completion Date : | 2027-01-24 |
Information not available for Arms and Intervention/treatment
| Ages Eligible for Study: | 65 Years |
| Sexes Eligible for Study: | ALL |
| Accepts Healthy Volunteers: |
Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.
RECRUITING
City of Hope Medical Center
Duarte, California, United States, 91010
RECRUITING
City of Hope Antelope Valley
Lancaster, California, United States, 93534
RECRUITING
City of Hope Upland
Upland, California, United States, 91786