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Breast CancerREBECCA IINCT03254875

Rehabilitation After Breast Cancer

A study testing Individually tailored nurse navigation in people with Breast Cancer, run by Danish Cancer Society at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of the study is to evaluate whether a screening-based individually tailored nurse navigator intervention compared to standard care significantly reduce psychological and physical symptoms among women being treated for breast cancer who had moderate-to-severe distress (score ≥ 7 on the distress thermometer). Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Cancer
What is being tested?
Individually tailored nurse navigation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
309 participants
Where
1 siteDenmark
Study dates
15 Aug 2017to 31 Mar 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Newly diagnosed with breast cancer (i.e. prior to surgery), scheduled for breast cancer surgery at Section of Breast Surgery at Rigshospitalet, 18 years or above, Danish citizen, read, understand and speak Danish, female gender,signed written informed consent. Those who experience high psychological distress (score ≥ 7 on the distress thermometer) will enter the RCT whereas those who experience low psychological distress (score < 7 on the distress thermometer) will be followed in an observational questionnaire study.

Who cannot join

  • no severe cognitive problems or dementia, no severe psychiatric disease requiring treatment, e.g. schizophrenia, alcohol or narcotic dependence,

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Rigshospitalet

    Copenhagen, DK-2100

Other trials in Denmark

About this study

Official title: Individually Tailored Rehabilitation After Breast Cancer

The aim of the study is to evaluate whether a screening-based individually tailored nurse navigator intervention compared to standard care significantly reduce psychological and physical symptoms among women being treated for breast cancer who had moderate-to-severe distress (score ≥ 7 on the distress thermometer).

Read the detailed description

During a 2-year period, 758 patients newly diagnosed with breast cancer will be screened for inclusion at the Section of Breast Surgery at Rigshospitalet, Copenhagen. Of these 324 participants enter the randomized controlled trial (RCT) and are randomized in a computer-generated sequence of 1:1 to the intervention (nurse-navigation) or control group (standard care). A total of 432 participants will enter an observational questionnaire study. All participants are followed for 1,5 years.

Conditions
Breast Cancer
Being tested
Individually tailored nurse navigation
Keywords
Breast cancer, Psychosocial intervention
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Individually tailored nurse navigationBehavioural

    The intervention consists of systematic report of symptoms to the nurse and up to six individual, manual-based, face-to-face or telephone nurse navigator sessions depending on individual needs.

Study groups in NCT03254875
Study groupRoleWhat they receive
InterventionExperimentalIndividually tailored nurse navigation
Receives: Behavioral: Individually tailored nurse navigation
ControlNo interventionUsual care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Distress

    Distress Thermometer

    Measured: Change from baseline and to 6,12 months (mixed models)

Secondary outcomes (72)
  1. Distress

    Distress Thermometer

    Measured: Change from baseline to 6 months

  2. Distress

    Distress Thermometer

    Measured: Change from baseline to 12 months

  3. Distress

    Distress Thermometer

    Measured: Change from baseline to 18 months

  4. Depression

    The Patient Health Questionnaire (PHQ9)

    Measured: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

  5. Depression

    The Patient Health Questionnaire (PHQ9)

    Measured: Change from baseline and to 6 months

  6. Depression

    The Patient Health Questionnaire (PHQ9)

    Measured: Change from baseline and to 12 months

  7. Depression

    The Patient Health Questionnaire (PHQ9)

    Measured: Change from baseline and to 18 months

  8. Anxiety

    Generalized Anxiety Disorder (GAD7)

    Measured: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

  9. Anxiety

    Generalized Anxiety Disorder (GAD7)

    Measured: Change from baseline and to 6 months

  10. Anxiety

    Generalized Anxiety Disorder (GAD7)

    Measured: Change from baseline and to 12 months

  11. Anxiety

    Generalized Anxiety Disorder (GAD7)

    Measured: Change from baseline and to 18 months

  12. Health related quality of life summary index

    The Trial Outcome Index-Physical/Functional/Breast (TOI-PFB) score including Domains:

    • Physical well-being (PWB)
    • Functional wellbeing (FWB)
    • BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

  13. Health related quality of life summary index

    The Trial Outcome Index-Physical/Functional/Breast (TOI-PFB) score including Domains:

    • Physical well-being (PWB)
    • Functional wellbeing (FWB)
    • BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 6 months

  14. Health related quality of life summary index

    The Trial Outcome Index-Physical/Functional/Breast (TOI-PFB) score including Domains:

    • Physical well-being (PWB)
    • Functional wellbeing (FWB)
    • BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 12 months

  15. Health related quality of life summary index

    The Trial Outcome Index-Physical/Functional/Breast (TOI-PFB) score including Domains:

    • Physical well-being (PWB)
    • Functional wellbeing (FWB)
    • BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 18 months

  16. Breast cancer related quality of life summary index

    BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

  17. Breast cancer related quality of life summary index

    BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 6 months

  18. Breast cancer related quality of life summary index

    BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 12 months

  19. Breast cancer related quality of life summary index

    BC symptoms (BCS) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 18 months

  20. Functional related quality of life summary index

    Functional wellbeing (FWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

  21. Functional related quality of life summary index

    Functional wellbeing (FWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 6 months

  22. Functional related quality of life summary index

    Functional wellbeing (FWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 12 months

  23. Functional related quality of life summary index

    Functional wellbeing (FWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 18 months

  24. Physical health related quality of life

    Physical well-being (PWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

  25. Physical health related quality of life

    Physical well-being (PWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 6 months

  26. Physical health related quality of life

    Physical well-being (PWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 12 months

  27. Physical health related quality of life

    Physical well-being (PWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 18 months

  28. Social health related quality of life

    Social/Family well-being (SWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

  29. Social health related quality of life

    Social/Family well-being (SWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 6 months

  30. Social health related quality of life

    Social/Family well-being (SWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 12 months

  31. Social health related quality of life

    Social/Family well-being (SWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 18 months

  32. Emotional health related quality of life

    Emotional well-being (EWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 3, 10, 18 weeks, 6,12,18 months (mixed models)

  33. Emotional health related quality of life

    Emotional well-being (EWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 6 months

  34. Emotional health related quality of life

    Emotional well-being (EWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 12 months

  35. Emotional health related quality of life

    Emotional well-being (EWB) from the Functional Assessment of Chronic Illness Therapy - Breast (FACT-B)

    Measured: Change from baseline and to 18 months

  36. Self-efficacy

    Patient Activation Measure (PAM)

    Measured: Change from baseline and to 6,12,18 months (mixed models)

  37. Self-efficacy

    Patient Activation Measure (PAM)

    Measured: Change from baseline and to 6 months

  38. Self-efficacy

    Patient Activation Measure (PAM)

    Measured: Change from baseline and to 12 months

  39. Self-efficacy

    Patient Activation Measure (PAM)

    Measured: Change from baseline and to 18 months

  40. Fear of recurrence

    Concerns About Recurrence Questionnaire (CARQ)

    Measured: 6 months

  41. Fear of recurrence

    Concerns About Recurrence Questionnaire (CARQ)

    Measured: 12 months

  42. Fear of recurrence

    Concerns About Recurrence Questionnaire (CARQ)

    Measured: 18 months

  43. Pain in the breast surgery area (side of chest, armpit or arm)

    Self-developed scale

    Measured: Change from baseline and to 6,12,18 months (mixed models)

  44. Pain in the breast surgery area (side of chest, armpit or arm)

    Self-developed scale

    Measured: Change from baseline and to 6 months

  45. Pain in the breast surgery area (side of chest, armpit or arm)

    Self-developed scale

    Measured: Change from baseline and to 12 months

  46. Pain in the breast surgery area (side of chest, armpit or arm)

    Self-developed scale

    Measured: Change from baseline and to 18 months

  47. Neuropathy in the breast surgery area (side of chest, armpit or arm)

    Self-developed scale

    Measured: Change from baseline and to 6,12,18 months (mixed models)

  48. Neuropathy in the breast surgery area (side of chest, armpit or arm)

    Self-developed scale

    Measured: Change from baseline and to 6 months

  49. Neuropathy in the breast surgery area (side of chest, armpit or arm)

    Self-developed scale

    Measured: Change from baseline and to 12 months

  50. Neuropathy in the breast surgery area (side of chest, armpit or arm)

    Self-developed scale

    Measured: Change from baseline and to 18 months

  51. Sleep quality

    Pittsburgh Sleep Quality Index (PSQI)

    Measured: Change from baseline and to 6,12,18 months (mixed models)

  52. Sleep quality

    Pittsburgh Sleep Quality Index (PSQI)

    Measured: Change from baseline and to 6 months

  53. Sleep quality

    Pittsburgh Sleep Quality Index (PSQI)

    Measured: Change from baseline and to 12 months

  54. Sleep quality

    Pittsburgh Sleep Quality Index (PSQI)

    Measured: Change from baseline and to 18 months

  55. Cognitive function - Perceived cognitive impairments

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale Perceived cognitive impairments

    Measured: Change from baseline and to 6,12,18 months (mixed models)

  56. Cognitive function - Perceived cognitive impairments

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale Perceived cognitive impairments

    Measured: Change from baseline and to 6 months

  57. Cognitive function- Perceived cognitive impairments

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale Perceived cognitive impairments

    Measured: Change from baseline and to 12 months

  58. Cognitive function - Perceived cognitive impairments

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale Perceived cognitive impairments

    Measured: Change from baseline and to 18 months

  59. Cognitive function - Impact of Perceived cognitive impairments on quality of life

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Impact of Perceived cognitive impairments on quality of life

    Measured: Change from baseline and to 6,12,18 months (mixed models)

  60. Cognitive function - Impact of Perceived cognitive impairments on quality of life

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Impact of Perceived cognitive impairments on quality of life

    Measured: Change from baseline and to 6 months

  61. Cognitive function - Impact of Perceived cognitive impairments on quality of life

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Impact of Perceived cognitive impairments on quality of life

    Measured: Change from baseline and to 12 months

  62. Cognitive function - Impact of Perceived cognitive impairments on quality of life

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Impact of Perceived cognitive impairments on quality of life

    Measured: Change from baseline and to 18 months

  63. Cognitive function - Perceived cognitive abilities

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Perceived cognitive abilities

    Measured: Change from baseline and to 6,12,18 months (mixed models)

  64. Cognitive function - Perceived cognitive abilities

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Perceived cognitive abilities

    Measured: Change from baseline and to 6 months

  65. Cognitive function - Perceived cognitive abilities

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Perceived cognitive abilities

    Measured: Change from baseline and to 12 months

  66. Cognitive function - Perceived cognitive abilities

    Functional Assessment of Chronic Illness Therapy - Cognitive function (FACT-cog) - Sub-scale - Perceived cognitive abilities

    Measured: Change from baseline and to 18 months

  67. Need for support

    Single self-developed items

    Measured: Change from baseline and to 6,12,18 months (mixed models)

  68. Need for support

    Single self-developed items

    Measured: Change from baseline and to 6 months

  69. Need for support

    Single self-developed items

    Measured: Change from baseline and to 12 months

  70. Need for support

    Single self-developed items

    Measured: Change from baseline and to 18 months

  71. Health care costs

    Costs will be obtained through registries on health care services and combined with information on health status using the 5Q-5D from the EuroQol Research Foundation's

    Measured: Cumulative from baseline to 18 months

  72. Acceptability

    Single self-developed items

    Measured: 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2017
  2. Study start15 Aug 2017
  3. Primary completion31 Mar 2021
  4. Study completion31 Mar 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
During a 2-year period, 758 patients newly diagnosed with breast cancer will be screened for inclusion at the Section of Breast Surgery at Rigshospitalet, Copenhagen. Of these 324 participants enter the RCT and are randomized in a computer-generated sequence of 1:1 to the intervention (nurse-navigation) or control group (standard care). A total of 432 participants will enter an observational questionnaire study. All participants are followed for 1,5 years.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
309 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03254875
Sponsor's protocol ID
REBECCA II
Acronym
REBECCA II
Status last verified
Aug 2021
First submitted
31 Jul 2017
Last updated
27 Aug 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bidstrup PE, Johansen C, Kroman N, Belmonte F, Duriaud H, Dalton SO, Andersen KG, Mertz B. Effect of a Nurse Navigation Intervention on Mental Symptoms in Patients With Psychological Vulnerability and Breast Cancer: The REBECCA Randomized Clinical Trial. JAMA Netw Open. 2023 Jun 1;6(6):e2319591. doi: 10.1001/jamanetworkopen.2023.19591.

    PubMed 37351885

Questions about this trial

What is this clinical trial studying?

A study testing Individually tailored nurse navigation in people with Breast Cancer, run by Danish Cancer Society at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Distress (time frame: Change from baseline and to 6,12 months (mixed models)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03254875, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2021.

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