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CommunicationNCT03656276

The "ToPIC" Study = Tool to Improve Participation In Clinical Trials

An observational study of Communication and Physician-Patient Relations, run by University of Wisconsin, Madison at 1 site in United States.

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 purpose of this study is to pilot the "ToPIC" tool, a communication tool to facilitate clinical trial decision making conversations between oncologists and patients. Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Communication, Physician-Patient Relations
What is being tested?
Tool to improve Participation In Clinical Trials (ToPIC)
How many people
35 participants
Where
1 siteUnited States
Study dates
10 Mar 2017to 31 Dec 2018
Phase
Observational
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 19 years and older
  • All sexes
  • Adult, Older adult

Study population: UW Health Oncologists and their Patients

Who may be able to join

  • (Oncologists) - All UW Health oncologists who engage with patients about treatment decisions which involve therapeutic clinical trials. Eligible oncologists may work at UW Hospital and 1 South Park and include all medical, radiation and surgical oncologists. Participation by oncologists is completely voluntary.
  • (Patients)
  • Any adults (over age 18)
  • Seen in any UW oncology clinic
  • Participated in a discussion with a participating oncologist about treatment options that included a therapeutic clinical trial.

Who cannot join

  • (Oncologists) ToPIC Study PI
  • (Patients) Non-English speaking patients. We exclude non-english speakers due to the unpredictable impacts of the translation/interpreter dynamic and the lack of a pen/paper diagram in the patient's native language. This would include deaf patients.
  • Blind patients (or someone who cannot see the pen/paper diagram)
  • Those who do not have capacity for decision making.
  • Those offered participation in non-therapeutic intent clinical trials. This would include Phase 1 clinical trials due to the non-therapeutic intent.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Wisconsin Carbone Cancer Center

    Madison, Wisconsin, 53705

Other trials in United States

About this study

The purpose of this study is to pilot the "ToPIC" tool, a communication tool to facilitate clinical trial decision making conversations between oncologists and patients.

Read the detailed description

The ToPIC tool is a structured delivery of important treatment-related information. The oncologist remains entirely in charge of the information delivered (e.g. what are the treatment options, what are the potential benefits) and uses the ToPIC framework to organize the information and create a pen and paper diagram for the patient to assist in their processing and deliberation. The tool creates a forum for a clear presentation of options and facilitates a patient's ability to express their individual preferences.

Oncologists are the intervention population and will be trained in how to use the ToPIC communication tool. Volunteer oncologists will be randomly assigned to immediate training or wait list control. Oncologists who are randomly assigned to the intervention group will receive training, and once they have demonstrated competence with the tool, they will begin using the tool with their patients. Data collection for any patient whom they present treatment options which include a clinical trial will be included for the primary analysis related to recruitment for clinical trials. This collection will begin once the oncologist, regardless of their assigned group, has signed consent and been randomized.

Being tested
Tool to improve Participation In Clinical Trials (ToPIC)
Medical subject headings
Communication

What participants receive

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

  • Tool to improve Participation In Clinical Trials (ToPIC)Behavioural

    The Tool to improve Participation In Clinical Trials (ToPIC) is a communication tool to facilitate clinical trial decision making conversations between oncologists and patients.

Study groups in NCT03656276
Study groupRoleWhat they receive
Group A: Oncologists (wait list control)Oncologists will be wait-listed for training on the Tool to improve Participation In Clinical Trials (ToPIC)
Group B: Oncologists (training)Oncologists will receive immediate training on the Tool to improve Participation In Clinical Trials (ToPIC)
Receives: Behavioral: Tool to improve Participation In Clinical Trials (ToPIC)

What is being measured

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

  1. Number of patients that consent to a therapeutic trial.

    Number of patients that consent to a therapeutic trial in the wait-list control vs. the trained oncologist groups. Per protocol, there is no timeframe within which patients need to consent. Due to the nature of oncology care, some patients are presented with the trial months before they are eligible, and the team follows up to see if they choose to consent if/when they are eligible.

    Measured: may be up to 4 months following appointment with Oncologist

Secondary outcomes (3)
  1. Number of oncologists that can learn the ToPIC tool after 3 hours of training.

    Oncologists will demonstrate their post-training competence with a standardized patient-actor encounter. Competency is assessed by a 4-person panel using a 20-point scoring system. A consensus score of 14 or above indicates competency.

    Measured: At completion of 3-hour training

  2. Number of patients that enroll in a therapeutic trial.

    Number of patients that enroll in a therapeutic trial in the wait-list control vs. the trained oncologist groups. Per protocol, there is no timeframe within which patients need to enroll. Enrollment in the trial may be prolonged due to extensive screening requirements.

    Measured: may be up to 6 months following consent

  3. Number of patients that agree to hear about therapeutic trial.

    Number of patients that agree to hear about therapeutic trial in the wait-list control vs. the trained oncologist groups. Physicians will be on study for up to 18 months once they are trained (ToPIC trained group) or enrolled (waitlist control group). The number of patients who agree to hear about the trial will be collected during the 18 month period.

    Measured: up to 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 posted4 Sep 2018
  2. Study start10 Mar 2017
  3. Primary completion31 Dec 2018
  4. Study completion31 Dec 2018

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03656276
Sponsor's protocol ID
UW16060
Other IDs
2016-1579, A534260, SMPH\MEDICINE\HEM-ONC, P30CA014520
Status last verified
Feb 2020
First submitted
28 Aug 2018
Last updated
11 Feb 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Campbell TC, Gedeon C, Qudah B, Jasicki M, Kwekkeboom KL, Zelenski A. Improving cancer clinical trial enrollment and patient understanding using TrialTalk, a structured communication method: a pilot randomized controlled trial. Support Care Cancer. 2026 Mar 24;34(4):359. doi: 10.1007/s00520-026-10505-4.

    PubMed 41874721

Questions about this trial

What is this clinical trial studying?

An observational study of Communication and Physician-Patient Relations, run by University of Wisconsin, Madison at 1 site in United States.

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 5 inclusion and 5 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 11 Feb 2020. 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 United States. 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?

Number of patients that consent to a therapeutic trial. (time frame: may be up to 4 months following appointment with Oncologist). 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 NCT03656276, 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 11 Feb 2020.

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