Quality of LifeNCT05112198
Digital Symptom Tracking, Patient Engagement and Quality of Life in Advanced Cancer
A study testing Use of Noona web- based symptom tracking tool in people with Quality of Life, run by Stanford University at 2 sites in United States.
Trial summary
The purpose of this study is to (1) describe patient and clinician engagement in web-based symptom self-monitoring, (2) identify differences in symptom management between intervention and usual care groups, and (3) identify potential outcomes of real-time symptom tracking and management. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Quality of Life
- What is being tested?
- Use of Noona web- based symptom tracking tool
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 190 participants
- Where
- 2 sitesUnited States
- Study dates
- 1 Mar 2018to 23 Aug 2024
- 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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Individuals (men and women) aged 18 years or older
- Biopsy proven (recurrent or metastatic) advanced lung or gastrointestinal cancer
- No limit on prior lines of therapy in the metastatic setting
- ECOG performance status of 0-2
- Estimated life expectancy of at least 6 months
- Access to smartphone, tablet or computer with capability to utilize symptom tracking application
- Willing and able to provide written, signed informed consent after the nature of the study has been explained, and prior to any research-related procedures
- Willing and able to comply with all study procedures
Who cannot join
- Concurrent disease or condition that interferes with participation or safety
- Non-english speaking, as the application is developed in the english language
- Non-castrate resistant prostate cancer
- Enrolled in other non-therapeutic or therapeutic clinical trials
Trial locations and contacts
2 sites in 1 country.
United States2 sites
Stanford Cancer Institute
Palo Alto, California, 94305
UCSF Helen Diller Medical Center
San Francisco, California, 94115
About this study
The purpose of this study is to (1) describe patient and clinician engagement in web-based symptom self-monitoring, (2) identify differences in symptom management between intervention and usual care groups, and (3) identify potential outcomes of real-time symptom tracking and management.
With the assistance of the study coordinator, participants randomized to the intervention will create an account with Noona. Patients will be instructed to log symptoms as often as relevant using their own personal devices. Patients will also be prompted once per week for 24 weeks to log any recent symptoms. These participants will be sent a Symptom Questionnaire (SQ) via the Noona tool that summarizes their symptoms and distress one week prior to each oncology clinic visit. Symptoms designated as clinically severe either during regular symptom logging or via the SQ will trigger a prompt to contact the clinical team for immediate follow-up.
Read the detailed description
New patients from three cancer care programs (thoracic oncology, gastrointestinal oncology, and palliative care) at two academic institutions (Stanford and UCSF) will be screened for demographic and disease stage data within the patient medical record. Eligible patients will be asked by their oncology team whether they would be interested in participating a study of symptom management in oncology care.
Patients who express interest and ability to participate will be interviewed to determine eligibility.
- Conditions
- Quality of Life
- Being tested
- Use of Noona web- based symptom tracking tool
- Keywords
- Patient and clinician engagement, Digital Symptom Tracking
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Use of Noona web- based symptom tracking toolOther
Noona patient reported outcome (PRO) platform tool that summarizes symptoms and distress
| Study group | Role | What they receive |
|---|---|---|
| Noona web-based symptom tracking tool | Experimental | In addition to usual care for their disease, patients interact with Noona system and system questioners to record their symptoms over a period of 6 months. Receives: Other: Use of Noona web- based symptom tracking tool |
| Usual Care | No intervention | Participants will receive the standard of care for their disease |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients with at least one symptom questionnaire (SQ) completed after enrollment using the PROMIS platform
Measured: 6 months
Change in PROMIS-G (Patient-Reported Outcomes Measurement Information System-Global) physical subscale score
Scores goes from (1-5). 5=Excellent and 1=Poor
Measured: baseline, 6 months
Change in PROMIS-G (Patient-Reported Outcomes Measurement Information System-Global) mental subscale score
Scores goes from (1-5). 5=Excellent and 1=Poor
Measured: baseline, 6 months
Secondary outcomes (6)
Rate of SQ adherence
Rate of SQ adherence is defined as completing at least 70% of requested SQs
Measured: 6 months
Average number of diary encounters
A Noona system log in is recorded as a diary encounter
Measured: 6 months
Change in overall Functional Assessment of Cancer Therapy-General (FACT-G) score
Scores goes from (0-4). 4=Very Much and 0=Not at all
Measured: baseline, 6 months
Symptom experience
Number of patient-reported symptoms by type and severity
Measured: 6 months
Proportion of clinicians that report satisfactory use of the Noona system
Measured: 6 months
Tabulated responses from Noona Patient Feedback questionnaire
Questions include patient response to question about getting started with the Noona system and ease of use and user experience.
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Nov 2021
- Study start1 Mar 2018
- Primary completion23 Aug 2024
- Study completion23 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Quality of LifeStudies of the same condition, open and under way.
- More trials run by Stanford UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 190 participants (actual)
Sponsor and investigators
- Lead sponsor
- Stanford University
- Sponsor type
- University, hospital or other
- Collaborators
- Varian Medical Systems, Noona Healthcare
- Responsible party
- Principal investigator, Kavitha Ramchandran, Stanford University
- Investigators
- Kavitha Ramchandran, MD, Principal investigator, Stanford University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05112198
- Sponsor's protocol ID
- IRB-38423
- Other IDs
- NCI-2021-12414
- Status last verified
- Mar 2026
- First submitted
- 27 Oct 2021
- Last updated
- 30 Mar 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Digital Symptom Tracking, Patient Engagement and Quality of Life in Advanced Cancer
- ClinicalTrials.gov ID
- NCT05112198
- Acronym / sponsor ID
- IRB-38423
- Conditions
- Quality of Life
- Keywords
- Patient and clinician engagement, Digital Symptom Tracking
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 190 participants (actual)
- Lead sponsor
- Stanford UniversityUniversity, hospital or other
- Collaborators
- Varian Medical Systems, Noona Healthcare
- Study start
- 1 Mar 2018 (actual)
- Primary completion
- 23 Aug 2024 (actual)
- Study completion
- 23 Aug 2024 (actual)
- First posted
- 8 Nov 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to (1) describe patient and clinician engagement in web-based symptom self-monitoring, (2) identify differences in symptom management between intervention and usual care groups, and (3) identify potential outcomes of real-time symptom tracking and management.
With the assistance of the study coordinator, participants randomized to the intervention will create an account with Noona. Patients will be instructed to log symptoms as often as relevant using their own personal devices. Patients will also be prompted once per week for 24 weeks to log any recent symptoms. These participants will be sent a Symptom Questionnaire (SQ) via the Noona tool that summarizes their symptoms and distress one week prior to each oncology clinic visit. Symptoms designated as clinically severe either during regular symptom logging or via the SQ will trigger a prompt to contact the clinical team for immediate follow-up.
Detailed description
New patients from three cancer care programs (thoracic oncology, gastrointestinal oncology, and palliative care) at two academic institutions (Stanford and UCSF) will be screened for demographic and disease stage data within the patient medical record. Eligible patients will be asked by their oncology team whether they would be interested in participating a study of symptom management in oncology care.
Patients who express interest and ability to participate will be interviewed to determine eligibility.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Noona web-based symptom tracking tool | Experimental | Other: Use of Noona web- based symptom tracking toolIn addition to usual care for their disease, patients interact with Noona system and system questioners to record their symptoms over a period of 6 months. |
| Usual Care | No intervention | –Participants will receive the standard of care for their disease |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Individuals (men and women) aged 18 years or older
- Biopsy proven (recurrent or metastatic) advanced lung or gastrointestinal cancer
- No limit on prior lines of therapy in the metastatic setting
- ECOG performance status of 0-2
- Estimated life expectancy of at least 6 months
Key exclusion criteria (4 listed)
- Concurrent disease or condition that interferes with participation or safety
- Non-english speaking, as the application is developed in the english language
- Non-castrate resistant prostate cancer
- Enrolled in other non-therapeutic or therapeutic clinical trials
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Use of Noona web- based symptom tracking toolNoona patient reported outcome (PRO) platform tool that summarizes symptoms and distress | Other | Noona web-based symptom tracking tool |
Primary outcome
Proportion of patients with at least one symptom questionnaire (SQ) completed after enrollment using the PROMIS platform
Time frame: 6 months
Change in PROMIS-G (Patient-Reported Outcomes Measurement Information System-Global) physical subscale score
Time frame: baseline, 6 months
Scores goes from (1-5). 5=Excellent and 1=Poor
Change in PROMIS-G (Patient-Reported Outcomes Measurement Information System-Global) mental subscale score
Time frame: baseline, 6 months
Scores goes from (1-5). 5=Excellent and 1=Poor
6 secondary outcomes
Rate of SQ adherence
Time frame: 6 months
Average number of diary encounters
Time frame: 6 months
Change in overall Functional Assessment of Cancer Therapy-General (FACT-G) score
Time frame: baseline, 6 months
Symptom experience
Time frame: 6 months
Proportion of clinicians that report satisfactory use of the Noona system
Time frame: 6 months
Tabulated responses from Noona Patient Feedback questionnaire
Time frame: 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Mar 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kavitha Ramchandran, MD principal investigator
Stanford University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Use of Noona web- based symptom tracking tool in people with Quality of Life, run by Stanford University at 2 sites 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 8 inclusion and 4 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 30 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites 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?
Proportion of patients with at least one symptom questionnaire (SQ) completed after enrollment using the PROMIS platform (time frame: 6 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 30 Mar 2026.