AzTrials
AzTrials

Breast NeoplasmsPACHANCT05887102

Pilot Study of PACHA Program to Enhance Adherence to Adjuvant Endocrine Therapy Among Breast Cancer Survivors

A study testing PACHA Program in people with Breast Neoplasms and Breast Cancer, run by CHU de Quebec-Universite Laval at 1 site in Canada.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The goal of this randomized controlled pilot study is to assess the feasibility, acceptability, and preliminary effects of the PACHA program designed for women having an adjuvant endocrine therapy (AET) after hormone-sensitive breast cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Neoplasms, Breast Cancer
What is being tested?
PACHA Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
66 participants
Where
1 siteCanada
Study dates
7 Jun 2023to Mar 2025
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

  • For pharmacies :
  • In the province of Quebec, Canada
  • At least one pharmacist agrees to take charge of the project in their pharmacy
  • At least one women has initiated adjuvant endocrine therapy (AET) in the last 6 months in the pharmacy
  • For pharmacists :
  • Practicing in a pharmacy in the province of Quebec
Show all 14Show fewer
  • Provide consent
  • For women :
  • 18 years old or older
  • Were diagnosed with a first non-metastatic, hormone-sensitive breast cancer
  • Received and AET prescription for the first time in the last 6 months
  • Are fluent in French
  • Have internet access
  • Provide consent

Who cannot join

  • For women :
  • Live in a residential facility where AET is not self-managed

Trial locations and contacts

1 site in 1 country.

Canada1 site, 1 recruiting
  • Centre de recherche du CHU de Québec

    Québec, Quebec, G1S 4L8

    Julie Lapointe, Ph.D., 418-682-7511 ext. 84556, etudepacha@crchudequebec.ulaval.ca

    Recruiting

Other trials in Canada

About this study

Official title: Pilot Study of a Community Pharmacy-Based Program to Enhance Adherence to Adjuvant Endocrine Therapy Among Breast Cancer Survivors

The goal of this randomized controlled pilot study is to assess the feasibility, acceptability, and preliminary effects of the PACHA program designed for women having an adjuvant endocrine therapy (AET) after hormone-sensitive breast cancer. PACHA (programme en Pharmacie pour l'ACcompagnement des femmes ayant de l'Hormonothérapie Adjuvante) is a community pharmacy-based program aimed at optimizing the experience of AET and its use. The main questions it aims to answer are :

  • Does the program have an effect on factors expected to influence AET adherence?
  • Is the program acceptable?
  • Is the implementation of the program feasible?
  • What is the feasibility of procedures for carrying out a full-scale study?

Participating community pharmacies will be randomized. Pharmacists working in pharmacies assigned to the PACHA group (33 pharmacies) will receive web-based training and manuals to use during their consultations with women having an AET. Recruited women attending these pharmacies will also have access to information and resources about AET (videos, evidence-based booklet). Pharmacists practicing in pharmacies assigned to the control group (33 pharmacies) will provide usual care.

Read the detailed description

This is a cluster randomized controlled pilot trial using mixed methods (quantitative and qualitative). A cluster consists of a pharmacy, its pharmacists and its patients with adjuvant endocrine therapy (AET) prescription who have agreed to participate. Participating pharmacies will be randomly assigned to two groups. In the first group, pharmacists will provide usual services to women (control group). In the second group, pharmacist and women will have access to the PACHA program in addition to the usual services (intervention group).

The PACHA program consists, for the pharmacists, of:

  • A 85-minutes web-based training to prepare the pharmacists for delivery of the intervention. The program comprises three main sections led by experts: 1) a review of AET pharmacotherapy; 2) information on AET consultation based on the principles of motivational interviewing and video simulations of AET consultations according to program tools and expert feedback of these simulations, and 3) access to materials geared to participating women (web-video capsules about AET, self-management strategies for coping with specific AET side effects and list of resources). The web-based training can be completed in one or more sessions. Pharmacists who complete the program will receive continuing education credits. The PACHA pharmacists will have to complete this program in the weeks after randomization.
  • Standardized consultation guide based on motivational interviewing to guide AET consultations (by phone or in person). This standardized consultation guide outlines the key steps that the pharmacist must cover during the AET consultation and follows the usual sequence of consultation in pharmacy. This consultation guide is to be used in the first month and 4 months after randomization, or more frequently according to a woman's situation.
  • Evidence-based web sheets describing (non)pharmacological strategies to cope with side effects (e.g. hot flashes) and other AET-related concerns (e.g. sexuality) and to guide the consultation.

For the women, the PACHA program consists of:

  • Web video capsules to inform women about AET. These video capsules cover how to and why take tamoxifen or an aromatase inhibitor, the possible side effects and strategies to cope with these side effects and, finally, medication intake and daily activities (e.g. diet). This also includes testimonies of women who had breast cancer and an AET.
  • Evidence-based web sheets describing (non)pharmacological strategies to cope with side effects (e.g. hot flashes) and other AET-related concerns (e.g. sexuality) in a version adapted for the woman.
  • List of web resources available for women to help cope with side effects and other AET-related concerns.

Participation in the study will take place over a period of 6 months. The study will be carried out in approximately 66 pharmacies in the Quebec province (33 will be assigned to the control group and 33 to the intervention group), which include approximately 132 women (66 in the control group and 66 in the intervention group). At the end of the follow-up, pharmacists and women in the control group can, if desired, receive certain tools offered in the intervention group.

Pharmacists and participating women will be asked to completed two questionnaires: the first before randomization and the second at the end of the follow-up 6 months later.

At the end of the study, 20-30 pharmacists and 20-30 patients will be invited to take part in a semi-directed individual interview (qualitative component) in order to gather their point of view and their experience with the care and services received in relation to AET.

The characteristics of pharmacies, pharmacists and patients in the intervention and control groups will be compared. Indicators of acceptability and feasibility will be measured (e.g. recruitment and participation and retention rates). Generalized Estimating Equation (GEE) regression models will be used to compare patterns of changes in scores of factors expected to influence AET experience and adherence in the two groups and between study entry and 6 months later. The main analyzes will be performed on a intention-to-treat basis. For the qualitative component, a thematic analysis will be carried out based on the transcriptions of the semi-structured interviews. The quantitative and qualitative results will be used to optimize the PACHA program, its implementation and to design, if the results support this, a large-scale randomized controlled trial.

Being tested
PACHA Program
Keywords
Breast Cancer, Adjuvant Endocrine Therapy, Adherence to Treatment, Community Pharmacy, Support, Survivorship, Intervention Evaluation, Pilot Study, Randomized Controlled Trial, Feasibility Study, Mixed-Methods
Medical subject headings
Breast Neoplasms, Treatment Adherence and Compliance

What participants receive

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

  • PACHA ProgramBehavioural

    Pharmacists in this group will complete the 85-minutes web-based training, schedule and realize at least 2 telephone consultations with participating women in their pharmacy (in the first month and 4 months after randomization) using standardized consultation guides based on the principles of motivational interviewing and, if necessary, the evidence-based web sheets about strategies to cope with side effects and other AET-related concerns. Women in this group will have access to a web site that includes video capsules to inform women about AET, evidence-based web sheets describing strategies to cope with side effects and other AET-related concerns, testimonies of women who had breast cancer and an AET and a list of resources available for women.

Study groups in NCT05887102
Study groupRoleWhat they receive
PACHA program groupExperimentalPharmacists and women in the PACHA program group will receive the PACHA program component's.
Receives: Behavioral: PACHA Program
Usual care groupNo interventionPharmacists and women in the Usual care group will provide/receive usual care.

What is being measured

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

  1. Mean change from baseline to the end of 6-month follow-up in intention to adhere to adjuvant endocrine therapy

    Measured by a questionnaire developed and validated by our team (4 items, score range: 1-7), higher score means higher intention to adhere

    Measured: Baseline and 6-month post-randomisation

  2. Mean change from baseline to the end of 6-month follow-up in adjuvant endocrine therapy knowledge

    Measured by a questionnaire developed and validated by our team (17 items, score range: 0-17), higher score means higher level of knowledge

    Measured: Baseline and 6-month post-randomisation

  3. Mean change from baseline to the end of 6-month follow-up in attitude towards adjuvant endocrine therapy

    Measured by a questionnaire developed and validated by our team (4 items, score range: 1-7), higher score means more positive attitude

    Measured: Baseline and 6-month post-randomisation

  4. Mean change from baseline to the end of 6-month follow-up in perceived social support

    Measured by a questionnaire developed and validated by our team (3 items, score range: 1-7), higher score means higher level of perceived social support

    Measured: Baseline and 6-month post-randomisation

  5. Mean change from baseline to the end of 6-month follow-up in perceived behavioural control

    Measured by a questionnaire developed and validated by our team (4 items, score range: 1-7), higher score means higher level of perceived behavioural control

    Measured: Baseline and 6-month post-randomisation

  6. Mean change from baseline to the end of 6-month follow-up in anticipated regret

    Measured by a questionnaire developed and validated by our team (6 items, score range: 1-7), higher score means higher level of anticipated regret

    Measured: Baseline and 6-month post-randomisation

  7. Mean change from baseline to the end of 6-month follow-up in coping planning

    Measured by a questionnaire developed and validated by our team (6 items, score range: 1-7), higher score means higher level of coping planning

    Measured: Baseline and 6-month post-randomisation

  8. Mean change from baseline to the end of 6-month follow-up in fear of recurrence

    Measured by the Fear of cancer recurrence inventory (FCRI) severity scale (9 items, score range: 0-36), higher score means higher level of fear of recurrence

    Measured: Baseline and 6-month post-randomisation

  9. Mean change from baseline to the end of 6-month follow-up in side effects

    Measured by the Functional Assessment of Cancer Therapy - Endocrine Symptoms (FACT-ES) questionnaire (19 items, score range: 0-100), higher score means higher level of side effects

    Measured: Baseline and 6-month post-randomisation

  10. Mean change from baseline to the end of 6-month follow-up in the cognitive representations of medication

    Measured by the Beliefs about Medicines Questionnaire (BMQ) (5 items for specific necessity, 5 items for specific concerns, score range: 5-25, higher score means higher level of necessity or concerns

    Measured: Baseline and 6-month post-randomisation

  11. Percentage of pharmacists who used PACHA tools in the intervention group

    Measured by a questionnaire developed by our team and collected automatically by the study website

    Measured: From Baseline to 6-month post-randomisation

  12. Percentage of women who used PACHA tools

    Measured by a questionnaire developed by our team and collected automatically by the study website

    Measured: From Baseline to 6-month post-randomisation

  13. Mean number of interventions dispensed by the pharmacists to the participating women

    Measured by a questionnaire developed by our team and collected automatically by the study website

    Measured: From Baseline to 6-month post-randomisation

  14. Percentage of eligible and enrolled pharmacists

    Percentage

    Measured: Baseline

  15. Percentage of eligible and enrolled women

    Percentage

    Measured: Baseline

  16. Percentage of pharmacies randomized

    Measured: Baseline

  17. Cluster size

    Size

    Measured: Baseline

Secondary outcomes (4)
  1. Proportion of days covered by an Adjuvant Endocrine Therapy (AET)

    Measured by a questionnaire developed by our team and analysis of AET dispensing collected via pharmacy records

    Measured: From Baseline to 5 years post-randomisation

  2. Proportion of women having an AET

    Measured by a questionnaire developed by our team and analysis of AET dispensing collected via pharmacy records

    Measured: From Baseline to 5 years post-randomisation

  3. Mean change from baseline to the end of 6-month follow-up in quality of life

    Measured by the Short-Form-12 (SF-12) questionnaire

    Measured: From Baseline to 6-month post-randomisation

  4. Program Acceptability and Feasibility

    Measured by semi-structured interviews conducted with pharmacists and participating women on the relevance, acceptability and perceived benefits of each program component (intervention group only).

    Measured: At the end of 6-month follow-up (post-randomisation)

Timeline

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

  1. First posted2 Jun 2023
  2. Study start7 Jun 2023
  3. Primary completionMar 2025 (estimated)
  4. Study completionMar 2025 (estimated)

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
This is a cluster randomized controlled pilot trial using mixed methods (quantitative and qualitative). A cluster consists of a pharmacy, its pharmacists and its patients with adjuvant endocrine therapy (AET) prescription who have agreed to participate. Participating pharmacies will be randomly assigned to two groups. In the first group, pharmacists will provide usual services to women (control group). In the second group, pharmacist and women will have access to the PACHA program in addition to the usual services (intervention group).
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
66 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05887102
Sponsor's protocol ID
number CIHR 420809
Acronym
PACHA
Status last verified
Aug 2024
First submitted
24 May 2023
Last updated
22 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lapointe J, Guillaumie L, Dionne A, Lalonde L, Lemieux J, Dorval M, Nabi H, Lemay M, Guenette L, Guertin JR, Masse B, Lauzier S. A community pharmacy-based program to enhance adherence to adjuvant endocrine therapy among breast cancer survivors (PACHA): protocol for a pilot cluster-randomized controlled trial. Pilot Feasibility Stud. 2025 Jul 14;11(1):98. doi: 10.1186/s40814-025-01676-8.

    PubMed 40660375

Questions about this trial

What is this clinical trial studying?

A study testing PACHA Program in people with Breast Neoplasms and Breast Cancer, run by CHU de Quebec-Universite Laval at 1 site in Canada.

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 14 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 22 Aug 2024. 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 Canada. 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?

Results are not available in the source record.

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

Contact Sophie Lauzier, Ph.D. (418-682-7547 ext. 87547, sophie.lauzier@crchudequebec.ulaval.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean change from baseline to the end of 6-month follow-up in intention to adhere to adjuvant endocrine therapy (time frame: Baseline and 6-month post-randomisation). The study lists 17 primary outcomes in all. 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 NCT05887102, 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 22 Aug 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in