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Behavioural Intervention
Pharmacist-Led Medication Review for Cancer
Phase 1 & 2
Recruiting
Research Sponsored by University of Rochester
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be age ≥65 years
Be initiating chemotherapy, alone or in combination with other systemic antineoplastic agents, for a period of at least 3 months within 4 weeks of enrollment
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2 years
Awards & highlights
Study Summary
This trial will test whether a pharmacist-led intervention can help reduce the number of medications older adults with cancer and polypharmacy take.
Who is the study for?
This trial is for adults aged 65 or older with certain types of curable cancers (like aggressive lymphoma, breast, colon, pancreas, or lung cancer) who are starting chemotherapy and take more than 10 medications. They must be able to read/write English and give consent. Excluded are those planning surgery/radiation within 3 months or referred to a specific clinic soon.Check my eligibility
What is being tested?
The study compares two approaches: one where pharmacists help reduce the number of medicines patients take ('deprescribing'), and another focused on educating patients about their medications. Oncologists will randomly assign patients to either group to see which method is more effective during chemotherapy.See study design
What are the potential side effects?
Since this trial focuses on reducing medication use rather than testing new drugs, side effects may include withdrawal symptoms from stopping some medications or potential interactions as drug regimens change.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 65 years old or older.
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I am starting chemotherapy within 4 weeks for at least 3 months.
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I have been diagnosed with cancer in the breast, stomach, urinary system, or lung.
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I take more than 10 medications or some that may not be suitable for me.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 2 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Change between arms in Relative dose intensity (RDI) of chemotherapy
Secondary outcome measures
Change between arms in Changes in functional status
Change between arms in Grade 3-5 chemotherapy toxicity
Hospitalizations
+2 moreOther outcome measures
Change between arms in implementation
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Arm 1: Pharmacist-led deprescribing interventionExperimental Treatment1 Intervention
Pharmacists will complete a comprehensive medication assessment with the participant via telemedicine and discuss tailored recommendations for discontinuations of potentially inappropriate medications. The pharmacist will document the evaluation and recommendations and communicate to the participant and care team members. The pharmacist will telephone each participant at least one time after the initial intervention to assess adherence to instructions and recommendations, and to assess any symptoms potentially related to medication discontinuation.
Group II: Arm 2: Patient education brochureActive Control1 Intervention
Participants will receive a brochure discussing medication appropriateness and deprescribing in general terms
Find a Location
Who is running the clinical trial?
National Cancer Institute (NCI)NIH
13,663 Previous Clinical Trials
40,925,825 Total Patients Enrolled
University of RochesterLead Sponsor
838 Previous Clinical Trials
518,487 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I cannot make decisions for myself and do not have someone to do this for me.I am 65 years old or older.I can make my own medical decisions or have someone legally appointed to do so.I will visit a senior cancer care clinic within a month of starting treatment.My cancer treatment plan does not include traditional chemotherapy.I am starting chemotherapy within 4 weeks for at least 3 months.I am scheduled for surgery or radiation without chemotherapy within the next 3 months.I have been diagnosed with cancer in the breast, stomach, urinary system, or lung.I take more than 10 medications or some that may not be suitable for me.
Research Study Groups:
This trial has the following groups:- Group 1: Arm 1: Pharmacist-led deprescribing intervention
- Group 2: Arm 2: Patient education brochure
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
What is the approximate number of individuals who are participating in this experiment?
"Affirmative. The information on clinicaltrials.gov shows that this medical experiment, which was initially advertised on March 1st 2022, is actively seeking volunteers. Approximately 80 applicants need to be sourced from one clinical centre."
Answered by AI
Is this experimental research currently recruiting participants?
"According to clinicaltrials.gov, this experiment is currently searching for participants and has been since March 1st of 2022 with the latest update occuring on June 8th 2021."
Answered by AI
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