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Completed

NCT Number: NCT06484595

Clinical Trial Navigation to Increase Participation and Diversity in Cancer Clinical Trials

This clinical trial evaluates a clinical trial navigation intervention to help increase participation and diversity in cancer clinical trials. Cancer clinical trials are an important part of the development of treatments, and improved patient care and outcomes. Despite this, only a small number of cancer patients participate in clinical trials. There are many different items that contribute to low clinical trial participation, including health-related social needs (HRSN) and financial burden. Guiding participation toward understanding, inclusion, diversity, and equity for cancer clinical trials (GUIDE), is a program that uses a trained clinical trial navigator, or "Guide", to work with identified potential cancer clinical trial patients to help them recognize and remove HRSN and financial barriers preventing clinical trial participation. A clinical trial navigation intervention, like GUIDE, may help increase participation and diversity in cancer clinical trials.

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Key information

Conditions

Hematopoietic and Lymphatic System Neoplasm Malignant Solid Neoplasm

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, 98109, United States

About this study

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients meet with a clinical trial navigator to understand activities involved with clinical trials, identify financial barriers to clinical trial participation, and review available financial resources. Patients receive ongoing access to the Guide for up to 6 months. Patients also receive standard of care (SOC) supportive care services.

ARM II: Patients receive SOC supportive care services.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients ≥ 18 years of age
  • Identified as potentially eligible for an open clinical trial by clinical trial pre-screening
  • Have ≥ 1 health related social need, defined by
  • Food insecurity, housing instability, transportation challenges, or financial instability documented in the Supportive Cancer Care Questionnaire in Epic Electronic Medical Record (EPIC), OR
  • Concerns about insurance, cost of trial, additional trial visits, travel, transportation, childcare/eldercare, OR unable to take time off work, etc., as documented by clinical trial pre-screening (CTPS) or provider, OR
  • Medicaid insurance (including Medicaid pending) documented in EPIC, OR
  • Respond affirmatively (yes, maybe, possibly, I think so, etc.) to the social needs screening question asked by our Research Coordinator: "During your cancer treatment, are you interested in assistance with transportation, food, housing, financial resources, or other barriers to treatment?"
  • Able to speak English

Exclusion criteria

  • Unable to speak English
  • Children, adolescents, and teens under the age of 18 years
  • Patients participating on clinical trials providing financial navigation, such as clinicaltrials.gov identifier (CT ID): NCT04960787
  • Patients refusing to sign Health Insurance Portability and Accountability Act (HIPAA) authorization

Treatment and study plan

Best Practice

Other

Receive SOC supportive care services

Other names: standard of care, standard therapy

Patient Navigation

Behavioral

Receive clinical trial navigator guide services

Other names: Patient Navigator Program

Primary outcomes

  1. Participant perceptions of the intervention (acceptability, appropriateness, feasibility)

    Time frame: At 6 months

    Acceptability, appropriateness, and feasibility of the intervention will be assessed as potential themes in the qualitative interviews with patients in the GUIDE intervention arm of the trial.

Secondary outcomes

  1. Staff time and effort to deliver intervention

    Time frame: At 6 months

    This is the time spent by the Guide with patients, preparing for patient visits, and delivering the intervention.

  2. Participant time costs

    Time frame: At 6 months

    This is the time spent by patients on all activities related to the cancer clinical trial and with the Guide.

  3. Overhead

    Time frame: At 6 months

    Overhead costs are defined as the indirect expenses associated with delivering the GUIDE intervention. This includes the facility costs, measured using the facilities and administration rate, as well as non-clinical equipment and supplies needed to deliver the intervention. Observation-based costs accrued over the intervention delivery period will be averaged and standardized to US 2024 dollars.

  4. Amount of money provided to participants for reimbursement of trial-related expenses

    Time frame: At 6 months

    The amount of money provided to participants for reimbursement of trial-related expenses.

Other outcomes

  1. Proportion of patients in each arm that enroll in a clinical trial

    Time frame: 6 months post-baseline

    Will use descriptive statistics to characterize and compare by pilot trial arm all patients enrolled versus not enrolled in clinical trials. Will be comparing X% of individuals enrolled in a cancer clinical trial (x/50) in the intervention arm and Y% of individuals enrolled in a cancer clinical trial (y/50) in the usual care arm. Information about trial enrollment and retention at 6 months will be abstracted from Online Collaborative Research Environment (OnCore) Clinical Management System.

  2. Proportion of patients in each arm retained to a clinical trial

    Time frame: 6 months post-baseline

    Will use descriptive statistics to characterize and compare by pilot trial arm all patients retained versus not retained in clinical trials. Assessment of trial retention will be restricted to the denominator of patients who enroll in a cancer clinical trial. Information about trial enrollment and retention at 6 months will be abstracted from OnCore Clinical Management System.

  3. Patient trust

    Time frame: 6 months post-baseline

    Will be measured by the 12-item Trust in Medical Researchers scale. Each item will be answered on a 5-point Likert scale and scored accordingly (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree).

  4. Health related quality of life

    Time frame: 6 months post-baseline

    Will be measured using the Patient Reported Outcomes Measurement Information System (PROMIS) Global Health Score. The PROMIS Global Health instruments generate scores that are converted to T-scores, with a mean of 50 and a standard deviation of 10 in the US general population, allowing for comparison to a reference group. Higher T-scores indicate better health outcomes.

  5. Resilience

    Time frame: 6 months post-baseline

    Will be assessed using the Brief Connor-Davidson Resilience Scale to assess the ability to recover or bounce back from stress.

  6. Resolution of health-related social needs

    Time frame: 6 months post-baseline

    Will be measured by comparing the responses to the Health Related Social Needs (HRSN) questions (food insecurity, housing instability, transportation challenges, financial distress).

  7. Financial burden

    Time frame: 6 months post-baseline

    Will be measured from the patient perspective using the Functional Assessment of Chronic Illness Therapy-Comprehensive Score for financial Toxicity (FACIT-COST) scale. FACIT-COST Includes 12 items with responses on a 5-point Likert type scale. The maximum and minimum total scores range from 0-44 with higher scores representing better financial wellbeing.

Sponsors and collaborators

Lead sponsor

Fred Hutchinson Cancer Center

Other

Collaborators

  • Andy Hill Cancer Research Endowment (CARE) Fund
  • National Cancer Institute (NCI)

Registry information

Official study title

Guiding Participation Toward Understanding, Inclusion, Diversity, and Equity for Cancer Clinical Trials (GUIDE) Pilot Trial

Acronym: GUIDE

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jul 3, 2024
Registry last updated
May 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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