About this trial
The goal of this clinical trial is to test the utility of patient navigation by comparing high intensity patient navigation to low intensity navigation approaches to improving cancer trial enrollment of patients treated in academic and community cancer centers. Patient navigation is a strategy for increasing patients access to cancer care by helping the participant overcome barriers in the participants communities and within the health care system by providing a bridge between the patient and the health care system. The primary objective of this study is to determine if a high intensity patient navigation program will improve patients enrollment on clinical trial in comparison to a low intensity patient navigation. Participants who agree to participate and are eligible will be randomly assigned to either the high intensity or low intensity approach.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Patient with a current diagnosis of a primary solid tumor including: prostate cancer and kidney cancer
Being seen at the Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins University (JHU) or Wellspan Health Center
Available therapeutic trial for the patient as determined through pre-screening/medical record review
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
High intensity approach
BehavioralPEM, cancer center support services material, and community resources and services available to cancer patients material. The PEM will be reviewed with the patient navigator before the participants appointment with the medical oncologist. If enrolled in a clinical trial, the patient navigator will call the participant biweekly, or more often if they are working to resolve any needs identified in the needs assessment) until the participant is successfully enrolled in the therapeutic clinical trial. The patient navigator will call the participant once weekly for 4 weeks, or less than 4 weeks in other cases including withdrawal from the clinical trial or this navigation study, disease progression, or death. The participant will receive a call 3 months after enrollment on the therapeutic clinical trial to complete the Exit Questionnaire
Low intensity approach
BehavioralThe participant will receive PEM, and community resources and services available to cancer patients material. The PEM will be reviewed with the patient navigator before the appointment with the medical oncologist. The patient navigator will call the participant 4 weeks after enrollment on the trial. The participant will receive a call 3 months after enrollment on the therapeutic clinical trial to complete the Exit Questionnaire
Treatment groups
Trial outcomes
Primary outcomes
Number of patients from high intensity navigation program that enroll in clinical trials
Number of patients from high intensity patient navigation program that enroll in clinical trials versus the number of patients from low intensity patient navigation program that enroll in clinical trials.
Secondary outcomes
Acceptance rate
Acceptance rate of patients on the navigation study.
Retention rate
Retention rate of patients on the navigation study
Other outcomes
Number of different types of barriers to enrollment
To identify type of potential barriers and total quantity of each type to enrollment on clinical trial reported by patients.
Sponsors and contacts
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Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Lead sponsor
WellSpan Health
Collaborator