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CancerNCT06077110

Precision Care Initiative: Integrating Precision Oncology Into Clinical Programs

A study testing Precision Care Clinic services in people with Cancer, run by The University of New South Wales.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to drive integration of precision medicine into routine oncology healthcare. It is hoped that this research will not only optimise the newly established Precision Care Clinic within the Prince of Wales Hospital, but also prime it for use within other health care sites. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cancer
What is being tested?
Precision Care Clinic services
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
No sites listed yet
Study dates
May 2025to Mar 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • have been referred to the Precision Care Clinic at POWH
  • speak English
  • are aged 18 years or over
  • are able to provide informed consent

Who cannot join

  • aged under 18 years
  • non-English speaking
  • are unable to provide informed consent

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Developing a Novel Precision Medicine Clinic to Drive Integration of Research Into Routine Healthcare: Precision Care Initiative

The purpose of this study is to drive integration of precision medicine into routine oncology healthcare. It is hoped that this research will not only optimise the newly established Precision Care Clinic within the Prince of Wales Hospital, but also prime it for use within other health care sites. The multidisciplinary team will work to achieve the following three objectives:

  1. Co-design a Precision Care Clinic, its implementation platform and suite of outcome measures (Phase 1)
  2. Test the implementation-, service-, clinical, and cost-effectiveness of a Precision Care Clinic (Phase 2)
  3. Develop and pilot test a Precision Care scale-up model and toolkit (Phase 3)
Read more

A mixed-methods approach will be used to develop and evaluate an implementation platform to support the integration of precision medicine into the routine oncology setting at a single hospital site. In the first study phase, interviews and focus-groups will be used to develop the implementation platform, which involves a co-designed model of care supported by a Learning Health System. A Type II Hybrid effectiveness-implementation trial design will then be used to test the implementation, clinical, and cost-effectiveness of this novel model of care (phase 2). A combination of patient surveys and interviews will be used to measure patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs); stakeholder and patient interviews, surveys and focus-groups will be used to measure implementation outcomes; and cost data will be collected to inform an economic evaluation. These data will be collected at various stages of implementation to evaluate the effectiveness of the model of care over time. In the final study phase (phase 3), a scale-up model will be developed to support implementation of the new model of care across a wider range of clinical contexts. (Phase 3 will be detailed in a separate ethics amendment)

It is hoped that this research will not only optimise the newly established model of care within The Prince of Wales Hospital, but also prime it for use within other health care sites.

Conditions
Cancer
Being tested
Precision Care Clinic services
Keywords
precision medicine, oncology
Medical subject headings
Neoplasms

What participants receive

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

  • Precision Care Clinic servicesOther

    The Service Intervention is the Precision Care Clinic being delivered at the Prince of Wales Hospital. This clinic provides a streamlined, multidisciplinary model to seamlessly integrate research-led precision medicine into the routine oncology setting.

Study groups in NCT06077110
Study groupRoleWhat they receive
Precision Care Clinic patientsExperimentalNot described
Receives: Other: Precision Care Clinic services

What is being measured

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

  1. Implementation Outcomes

    appropriateness (e.g., perceived fit); qualitative measurement collected via interviews/focus groups/questionnaires

    Measured: 3 months post-referral

  2. Implementation Outcomes

    acceptability (clinician satisfaction); qualitative measurement collected via interviews/focus groups/questionnaires

    Measured: 3 months post-referral

  3. Implementation Outcomes

    feasibility; qualitative measurement collected via interviews/focus groups/questionnaires

    Measured: 3 months post-referral

  4. Implementation Outcomes

    adoption (e.g., telehealth uptake); qualitative measurement collected via interviews/focus groups/questionnaires

    Measured: 3 months post-referral

  5. Implementation Outcomes

    fidelity (care model adopted as intended); qualitative measurement collected via interviews/focus groups/questionnaires

    Measured: 3 months post-referral

  6. Implementation Outcomes

    cost (e.g., immediate versus ongoing implementation resource); qualitative measurement collected via interviews/focus groups/questionnaires

    Measured: 3 months post-referral

  7. Implementation Outcomes

    penetration (e.g., research enrolment numbers including culturally and linguistically diverse, remote/regional); qualitative measurement collected via interviews/focus groups/questionnaires

    Measured: 3 months post-referral

  8. Implementation Outcomes

    sustainability [industry engagement, grant support; clinical trial \& access options, research links (e.g., sub-studies) generated]; qualitative measurement collected via interviews/focus groups/questionnaires

    Measured: 3 months post-referral

  9. Service Outcomes

    Upstream indicators of clinical effectiveness: intervals between time from referral to treatment; captured via audit data; measured in days; a smaller value indicates a preferred outcome.

    Measured: 3 months post-referral

  10. Service Outcomes

    Upstream indicators of clinical effectiveness that include: uptake of precision oncology treatment recommendations; captured via audit data; measured in percentages; a higher value indicates a preferred outcome.

    Measured: 3 months post-referral

  11. Service Outcomes

    Upstream indicators of clinical effectiveness that include: time from identification of germline research result to familial cancer clinic referral; captured via audit data, measured in days; a smaller value indicates a preferred outcome.

    Measured: 3 months post-referral

  12. Service Outcomes

    Upstream indicators of clinical effectiveness that include: time from identification of germline research result to clinical confirmation; captured via audit data, measured in days; a smaller value indicates a preferred outcome.

    Measured: 3 months post-referral

  13. Clinical Outcomes

    Patient reported experience of coordinated care; collected via questionnaires adapted for the precision medicine context; measured as ratings; a higher rating indicates a preferred outcome.

    Measured: 3 months post-referral

Secondary outcomes (4)
  1. Clinical Outcome: Quality of life improvement (EQ-5D-5L, EuroQol-5 Dimension-5 Level)

    Each dimension in the EQ-5D-5L has five response levels: no problems (Level 1); slight; moderate; severe; and extreme problems (Level 5). There are 3,125 possible health states defined by combining one level from each dimension, ranging from 11111 (full health) to 55555 (worst health).

    Measured: 3, 6, 9 months post-referral

  2. Clinical Outcome: Views and attitudes (patient-perceived benefits and drawbacks of process and care model), result return preferences, knowledge, perceived importance of genomic profiling

    qualitative measures captured via interviews/questionnaires

    Measured: 3, 6, 9 months post-referral

  3. Clinical Outcome: Psychological outcomes (e.g., anxiety and depression, coping with uncertainty)

    qualitative measures captured via interviews/questionnaires

    Measured: 3, 6, 9 months post-referral

  4. Clinical Outcome: Decisional outcomes (e.g., decisional regret regarding personalised treatment, decisional satisfaction)

    qualitative measures captured via interviews/questionnaires

    Measured: 3, 6, 9 months post-referral

Timeline

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

  1. First posted11 Oct 2023
  2. Study startMay 2025 (estimated)
  3. Primary completionJan 2027 (estimated)
  4. Study completionMar 2027 (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
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06077110
Sponsor's protocol ID
RG214257
Other IDs
RARUR000125
Status last verified
Jun 2024
First submitted
21 Sep 2023
Last updated
28 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Liang S, McKay S, Lin F, Zaheed M, Morrow A, Douglas B, Chan J, Monaghan H, Chan P, Kennedy E, Tyedmers E, Walker S, Leaney K, Napier CE, Middleton S, Butow P, Williams R, Parkinson B, Ballinger ML, Tucker K, Goldstein D, Thomas D, Taylor N. Integration of precision medicine into routine cancer care-protocol for the Precision Care Initiative: a research programme of effectiveness-implementation hybrid trials. BMJ Open. 2025 Oct 15;15(10):e090270. doi: 10.1136/bmjopen-2024-090270.

    PubMed 41093322

Questions about this trial

What is this clinical trial studying?

A study testing Precision Care Clinic services in people with Cancer, run by The University of New South Wales.

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 4 inclusion and 3 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: opening soon, as of the sponsor's last update on 28 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Shuang Liang, PhD (+61 2 9348 1126, shuang.liang4@unsw.edu.au), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Implementation Outcomes (time frame: 3 months post-referral). The study lists 13 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 NCT06077110, 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 28 Mar 2025.

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