About this trial
Einstein Medical Center in Philadelphia serves a diverse group of the patient population. The majority of patients have a diverse cultural background, low literacy, and poor social-economic status. Medication adherence for chronic medical problems is in a range of 40-70%. Medication adherence among patients on oral anti-cancer therapy is not studied in detail. The main objective is to study medication adherence to oral anticancer agents in patients with low literacy and poor socio-economic status.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All patients on oral chemotherapeutic agents
Clinical diagnosis of stage IV breast cancer
Clinical diagnosis of stage III and IV colorectal cancer (not receiving concurrent radiation therapy)
Clinical diagnosis of stage IV non-small cell lung cancer
Disqualifiers
ECOG Performance Status of 3 and above
Concurrent chemo radiation
Non-English speaker
Clinical diagnosis of dementia, or otherwise unable to give informed consent.
Trial design
Parallel
Treatments tested in this trial
Intervention
BehavioralAll participants in this group will receive the standard of care intervention provided by the RN. This includes:Education in the clinic setting,Printed information about the chemotherapy drug and chemotherapy side effects. The RN will be blinded to the arm of study to which each patient is allocated.
Treatment groups
Trial outcomes
Primary outcomes
Adherence to oral chemotherapy
Frequency of missed chemotherapy doses post randomization (based on interviews)
Secondary outcomes
Frequency of medication refills
Prescription refills, based on pharmacy records
Adherence to scheduled follow-up medical care visits
Frequency and adherence to schedule follow up visit
Healthcare utilization
Any unscheduled visit (office Visit, ED Visits, Hospitalization, use of preventive care)
Sponsors and contacts
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Thomas Jefferson University
Lead sponsor
Merck Sharp & Dohme LLC
Collaborator