About this trial
The goal of this clinical trial is to investigate patient harm/ adverse events, overall survival and health related quality of life under treatment with immunotherapy medication in cancer patients when they are followed up by a personalized digital program where the patients report symptoms directly to health care personnel.
The main questions the clinical trial aims to answer are:
* How often and how severe are immunotherapy related adverse events/ side effects when patients are followed up by a digital personalized patient-reporting system compared to standard follow-up? * How are life quality and survival affected for patients followed up by a digital personalized patient-reporting system compared to follow-up standard follow-up??
Participants under immunotherapy cancer treatment will be followed up by a digital patient reporting program in one group, and compared to a group of cancer patients receiving the same treatment, but with standard follow-up without a digital program in another group. Researchers will compare the two groups to see if there any differences in how many patients who develop immunotherapy related patient harm and how long the patients live.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Above 18 years of age
Cancer diagnosis as primary or secondary diagnosis according to the ICD-10 classification
Receiving immunotherapy as systemic anticancer treatment reported with ATC codes for medications.
Disqualifiers
Hematological cancer
Gynecological cancer
Trial design
Parallel
Treatments tested in this trial
Kaiku Health
DeviceDigital follow-up with Kaiku Health as medical device
Treatment groups
Trial outcomes
Primary outcomes
Incidence and severity of immunotherapy related adverse events (irAEs)
Incidence of irAEs per 100 patients and per patient, and severity of irAEs graded by Common Terminology Critera for Adverse Events (CTCAE) 0-5 where 0 is no harm, and 5 is death. Consequence of the irAEs are graded by National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) Index category E-I where E is an error contributing to or resulted in temporary harm and required intervention. I is the maximum value, where an error occurred that may have contributed to or resulted in a patient death.
Secondary outcomes
Overall survival
Implement personalised ePRO immunotherapy follow-up and investigate overall survival compared to standard of care from cancer diagnosis to death, and from start of immunotherapy treatment and intervention to death in the two comparing groups.
Health related quality of life
Implement personalised ePRO immunotherapy follow-up and investigate QoL in intervention group by EORTC QLQ-C30 version 3.0 including global health status, functional scales (physical, role, emotional, cognitive, social) and symptom scales at baseline ( at start cancer treatment), 3, 6 and 12 months under cancer treatment. All of the scales and single-item measures range in score from 0 to 100. A high score for a functional scale represents a high / healthy level of functioning, a high score for the global health status / QoL represents a high QoL but a high score for a symptom scale represents a high level of symptomatology / problems. Firstly an estimate of the average of the items that contribute to the scale; this is the raw score. Then a linear transformation is used to standardise the raw score, so that scores range from 0 to 100; a higher score represents a higher ("better") level of functioning, or a higher ("worse") level of symptoms.
Sponsors and contacts
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Nordlandssykehuset HF
Lead sponsor
University of Tromso
Collaborator
Helgeland Hospital Trust
Collaborator
University Hospital of North Norway
Collaborator