Study of Impact of Routine "Clinical Cancer Department/Supportive Care Department" Consultation on the Prescription of an Additional Line of Chemotherapy

Léon Bérard Center

Status

Completed

Conditions

Metastatic Breast Cancer

Treatments

Other: Action Group

Other: Standard care

Study type

Interventional

Funder types

Other

Identifiers

NCT00905281

OSS

ET 2007-037

Details and patient eligibility

About

The purpose of this study is to assess the impact of systematic "clinical cancer department/supportive care department" consultation meetings, versus standard care, on the prescription of an additional line of chemotherapy in patients with metastatic breast cancer and visceral involvement after 3 or 4 lines of chemotherapy.

This is a prospective paucicentric open label randomized controlled study with 2 parallel arms.

Eligible patients will be randomly assigned to either arm "Study group" or "Standard care".

The number of patients required to demonstrate a 30% reduction of the number of prescriptions for an additional line chemotherapy, assuming an alpha risk of 5% and 80% power, is 100 (50 in each arm).

Full description

The hypothesis tested is that systematic routine consultation between the supportive care team and clinical oncologists will allow more efficient utilization of supportive care by metastatic breast cancer patients, and will reduce the isolation of physicians involved in the management of these patients. Physicians will then be able to help the patients make realistic decisions for the best possible quality of life and in full accordance with their preferences.

The DISSPO (Department of Interdisciplinary Supportive Care for Cancer Patients) focuses on psycho-oncology, pain evaluation and treatment, palliative care, social service, dietary guidance and physiotherapy. Usually, visits with the DISSPO are arranged when the patients need supportive care but are not included in routine care. In this study, contacts between clinical oncologists and supportive care staff will be formalized and systematized. A specific visit called "supportive care visit" will be organized to investigate the needs of the patient so that a personalized care plan can be proposed. Moreover, a consultation between the referring oncologist and the DISSPO will be organized at least once a month.

Besides the main objective of this study (see brief summary), there are secondary objectives which are to evaluate the impact of systematic "Clinical cancer department/Supportive care department" consultation meetings versus standard care on:

the use of supportive care
symptom control
anxiety-depression levels
quality of life
patient representations (adaptation to the disease and locus of control)
patient perception of social support
patient satisfaction with the care
impact of disease on the family
satisfaction of the referring oncologist

Enrollment

100 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Woman aged >= 18 years
Metastatic breast cancer with visceral involvement
Patient requiring a 3rd or a 4th line of chemotherapy
Patient followed at Léon Bérard Cancer Center
Patient affiliated with social security
Patient able to read and write French
Written, voluntary, informed consent

Exclusion criteria

Ongoing chemotherapy other than third or fourth line
Only skin or bone metastasis
Follow-up impossible for social, geographical, familial or psychological reasons
Patient deprived of freedom
Pregnant or lactating woman