About this trial
The goal of this study is to test whether providing various social resources (transportation support through Lyft rides, housing support through Hyatt House LA, and meal support through Project Angel Food LA) will reduce treatment delays and increase treatment uptake for patients with liver cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults (18 years or older)
Diagnosis of HCC (BCLC Stage A-C)
Uninsured or underinsured (i.e., Medicaid as primary or secondary insurance)
Able to provide informed consent
Disqualifiers
Non-HCC liver tumors
BCLC Stage D and/or Child Pugh C cirrhosis (latter unable to receive treatment due to poor liver function)
No plans for cancer treatment for any reason including patient refusal (best supportive care only)
Only oral systemic therapy planned (i.e., tyrosine kinase inhibitors)
Trial design
Parallel
Treatments tested in this trial
Social Determinants of Health Program
Other interventionSocial resources to be offered under our SDOH program will include 1) rideshares to treatment-related visits, 2) hotel stays for treatment-related visits, and/or 3) a 12-week meal delivery program.
Patient Navigation
Other interventionUsual clinic-provided patient navigation to appointments, scheduling, social resources, financial challenges, etc.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of participants with treatment uptake within 90 days
The primary outcome is receipt of timely treatment for HCC defined as within 90 days of randomization
Secondary outcomes
Proportion receiving treatment
The secondary endpoint will evaluate the proportion of participants receiving treatment at any timepoint after randomization until end of study
Number of acute care visits
Utilization of acute care settings such as emergency room visits or hospital admissions during the study period
Patient-reported outcome - FACIT-COST Survey
Differences in financial toxicity as measured by the COST: A FACIT Measure of Financial Toxicity (FACIT-COST) Survey at the end of the intervention period (range 0-48; higher score means better financial well-being)
Patient reported outcome - FACT-HEP Survey
Comparison of difference in health-related quality of life based on the Functional Assessment of Cancer Therapy - Hepatobiliary (FACT-HEP) Survey score (range 0-180; higher score means better quality of life)
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: