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Anatomic Stage I Breast Cancer AJCC v8NCT07741968

A Blended e-Health Intervention to Improve Fear of Progression in Women With Gynecologic or Breast Cancer

A study testing Best Practice, Interview and Supportive Care in people with Anatomic Stage I Breast Cancer AJCC v8 and Anatomic Stage II Breast Cancer AJCC v8, run by City of Hope Medical Center at 11 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This clinical trial studies whether an intervention supported by technology (blended e-health intervention) works to improve fear of progression (FOP) in women with gynecologic or breast cancer. FOP is the fear patients experience from the possibility that their cancer could grow, spread, or get worse. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Best Practice, Interview and Supportive Care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
126 participants
Where
11 sitesUnited States
Study dates
9 Sep 2026to 6 Aug 2028
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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women with stage III or IV GYN (ovarian, endometrial, cervical, vulvar/vaginal) or breast cancer who are at least 2 months from initial diagnosis OR Women with stage I or II endometrial, ovarian, or breast cancer with carcinosarcoma histology OR Women with stage I or II triple negative breast cancer
  • Score ≥ 34 on the Fear of Progression Short-Form, indicating dysfunctional levels
  • Age 18 or older; able to read and understand English
  • Patients can be on active treatment or surveillance. They can be no evidence of disease (NED), recurrent or with progressive disease

Who cannot join

  • Enrolled in hospice
  • Ongoing uncontrolled active psychiatric condition that, in the opinion of the investigator, would interfere in the conduct of the study (e.g., mood disorders, psychosis disorders, or substance use), Major depression as assessed by Patient Health Questionnaire-9 (PHQ-9)
  • Non-English speaking
  • Prospective participants who, in the opinion of the investigator, may not be able to comply with all study procedures (including compliance issues related to feasibility/logistics)
  • Current participation in a mind-body or mindfulness education program within the past six weeks

Trial locations and contacts

11 sites in 1 country. Contact the study team or a site near you to ask about taking part.

11 sites in 1 country

United States11 sites, 11 recruiting
  • City of Hope at Arcadia

    Arcadia, California, 91007

    Anne Reb, MD, 6262184673, areb@coh.org

    Recruiting
  • City of Hope Medical Center

    Duarte, California, 91010

    Anne Reb, 6262184673, areb@coh.org

    Anne Reb

    Recruiting
  • City of Hope at Seacliff

    Huntington Beach, California, 92648

    Anne Reb, MD, 6262184673, areb@coh.org

    Recruiting
  • City of Hope at Irvine Lennar

    Irvine, California, 92618

    Anne Reb, 6262184673, areb@coh.org

    Anne Reb

    Recruiting
  • City of Hope Antelope Valley

    Lancaster, California, 93534

    Anne Reb, 6262184673, areb@coh.org

    Recruiting
  • City of Hope at Long Beach Elm

    Long Beach, California, 90813

    Anne Reb, MD, 6262184673, areb@coh.org

    Recruiting
  • City of Hope at Santa Clarita

    Santa Clarita, California, 91355

    Anne Reb, MD, 6262184673, areb@coh.org

    Recruiting
  • City of Hope at Simi Valley

    Simi Valley, California, 93065

    Anne Reb, 6262184673, areb@coh.org

    Recruiting
  • City of Hope at South Pasadena

    South Pasadena, California, 91030

    Anne Reb, MD, 6262184673, areb@coh.org

    Recruiting
  • City of Hope at Upland

    Upland, California, 91786

    Anne Reb, MD, 6262184673, areb@coh.org

    Recruiting
  • City of Hope at West Covina

    West Covina, California, 91790

    Anne Reb, MD, 6262184673, areb@coh.org

    Recruiting

Other trials in United States

About this study

Official title: An e-Health Intervention for Fear of Progression in Women With Gynecologic or Breast Cancer

This clinical trial studies whether an intervention supported by technology (blended e-health intervention) works to improve fear of progression (FOP) in women with gynecologic or breast cancer. FOP is the fear patients experience from the possibility that their cancer could grow, spread, or get worse. Managing FOP is a leading unmet concern of cancer patients. High levels of FOP are associated with distress, depression, and increased health care costs, despite this, access to resources to address FOP remain limited. The blended e-health intervention in this trial offers remote group sessions along with online sessions to help patients access the information. Session content incorporates values-based goal setting and skills practices to manage unhelpful beliefs about worry and promote helpful coping behaviors. The sessions may help patients recognize unhelpful thoughts and behaviors which reinforce worry. A blended e-health intervention may be an effective way to improve FOP in women with gynecologic or breast cancer.

Read the detailed description

PRIMARY OBJECTIVE:

  1. To determine the feasibility and acceptability of a blended e-health intervention to manage FOP in patients with stage III or IV gynecologic (GYN) or breast cancer.

SECONDARY (EXPLORATORY) OBJECTIVE:

  1. To determine the effects of the intervention on reducing fear of cancer progression (FOP) (primary outcome) and improving secondary outcomes of distress, anxiety, metacognitions, and mindfulness.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients participate in the Mindful Living Program over 6 weeks consisting of group sessions over 60 minutes each during weeks 1, 3, and 6 and online sessions during weeks 2, 4, and 5. Patients also practice skills related to attention training, detached mindfulness, worry postponement, guided imagery, and other mindfulness practices 10-12 minutes daily for 6 days a week. Additionally, patients receive a check-in call over 15-20 minutes at week 3-4 and access to videos as well as a website containing a journal, community forum, and resource library on study.

ARM II: Patients participate in the Navigating Cancer Program over 6 weeks consisting of group sessions over 60 minutes each during weeks 1, 3, and 6 and online sessions during weeks 2, 4, and 5. Patients also receive a check-in call over 15-20 minutes at week 3-4.

After completion of study intervention, patients are followed up at week 12.

Being tested
Best Practice, Interview, Supportive Care, Survey Administration, Telephone-Based Intervention
Medical subject headings
Breast Neoplasms, Endometrial Neoplasms, Ovarian Neoplasms, Uterine Cervical Neoplasms, Vaginal Neoplasms, Vulvar Neoplasms, Triple Negative Breast Neoplasms

What participants receive

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

  • Best PracticeOther

    Also called standard of care, standard therapy

    Participate in Navigating Cancer Program

  • InterviewOther

    Ancillary studies

  • Supportive CareOther

    Also called Supportive Therapy, Symptom Management, Therapy, Supportive

    Participate in Mindful Living Program

  • Supportive CareOther

    Also called Supportive Therapy, Symptom Management, Therapy, Supportive

    Complete skills practice

  • Supportive CareOther

    Also called Supportive Therapy, Symptom Management, Therapy, Supportive

    Receive access to videos and website

  • Survey AdministrationOther

    Ancillary studies

  • Telephone-Based InterventionBehavioural

    Receive check-in call

Study groups in NCT07741968
Study groupRoleWhat they receive
Arm I (Mindful Living Program)ExperimentalPatients participate in the Mindful Living Program over 6 weeks consisting of group sessions over 60 minutes each during weeks 1, 3, and 6 and online sessions during weeks 2, 4, and 5. Patients also practice skills related to attention training, detached mindfulness, worry postponement, guided imagery, and other mindfulness practices 10-12 minutes daily for 6 days a week. Additionally, patients receive a check-in call over 15-20 minutes at week 3-4 and access to videos as well as a website containing a journal, community forum, and resource library on study.
Receives: Other: Interview; Other: Supportive Care; Other: Survey Administration; Behavioral: Telephone-Based Intervention
Arm II (Navigating Cancer Program)Active comparatorPatients participate in the Navigating Cancer Program over 6 weeks consisting of group sessions over 60 minutes each during weeks 1, 3, and 6 and online sessions during weeks 2, 4, and 5. Patients also receive a check-in call over 15-20 minutes at week 3-4.
Receives: Other: Best Practice; Other: Interview; Other: Survey Administration; Behavioral: Telephone-Based Intervention

What is being measured

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

  1. Recruitment rate (Feasibility of enrollment)

    Recruitment rate will be sufficient if at least 45% of invited patients complete the screening questionnaire and are enrolled. Descriptive statistics will be used to analyze feasibility measures.

    Measured: Up to 18 months

  2. Attrition rate (Intervention feasibility)

    Attrition will be acceptable if the percentage of enrolled subjects who drop out does not exceed 30% by week 6. Descriptive statistics will be used to analyze feasibility measures.

    Measured: Up to 6 weeks

  3. Percentage of Attendance/Sessions Completed

    Percentage of Attendance: Defined as the proportion of enrolled participants who attend the intervention sessions according to the study protocol. Feasibility will be evaluated based on participant attendance and will be considered successful if predefined feasibility criteria are met.

    Sessions Completed: Defined as the average number of intervention sessions completed by participants during the study period. This measure will be used to assess participant engagement with the intervention. Feasibility will be considered successful if predefined feasibility criteria are met.

    Measured: Up to 6 weeks

  4. System Usability Scale survey (Acceptability)

    The System Usability Scale is a validated measure of system usability with scores ranging from 0 to 100, where higher scores indicate greater perceived usability. The mean score will be calculated among participants who complete the assessment. Acceptability and usability will be considered successful if the mean score meets predefined study criteria.

    Measured: At week 6 (T2)

  5. Engagement measures

    Number of Log-ins: Defined as the average number of times participants log in to the study website during the study period.

    Page Views: Defined as the average number of website pages viewed by participants during the study period.

    Total Time on Site: Defined as the average total time participants spend on the study website during the study period.

    Skills Video Access: Defined as the average number of times participants access skills practice videos during the study period.

    Time Spent Viewing Skills Videos: Defined as the average total time participants spend viewing skills practice videos during the study period.

    Most Frequently Visited Content: Defined as the website content or pages accessed most frequently by participants during the study period, measured by access frequency.

    Measured: Up to 6 weeks

  6. Themes From Open-Ended System Usability Scale Responses and Open-Ended Exit Interview Questions

    Defined as themes identified from participants' responses to open-ended System Usability Scale questions. Qualitative data will be analyzed using conventional content analysis to identify common perceptions, experiences, and suggestions regarding website usability.

    Defined as themes identified from participants' responses to open-ended exit interview questions. Qualitative data will be analyzed using conventional content analysis to identify participants' experiences, perceived benefits, barriers to engagement, and recommendations for improvement.

    Measured: Up to 14 months

  7. Change in fear of progression

    Measured using the Fear of Progression Questionnaire. Total scores range from 12 to 60, with higher scores indicating greater fear of cancer progression. Change from baseline will be assessed.

    Measured: At baseline (T1), 6 weeks (T2), and 12 weeks (T3)

Secondary outcomes (4)
  1. Change in cancer-specific distress

    Measured using a cancer-specific distress instrument. Total scores range from 0 to 88, with higher scores indicating greater cancer-related distress. Change from baseline will be assessed.

    Measured: At baseline (T1), 6 weeks (T2) and 12 weeks (T3).

  2. Change in Anxiety (PROMIS Anxiety 8a):

    Measured using the PROMIS Anxiety 8a scale. Scores range from 37.1 to 83.1, with higher scores indicating greater anxiety. Change from baseline will be assessed.

    Measured: At Baseline (T1), 6 weeks (T2) and 12 weeks (T3).

  3. Change in metacognitions

    Measured using the Metacognitions Questionnaire. Subscale scores range from 6 to 24, with higher scores indicating more dysfunctional beliefs about worry and metacognitive processes. Change from baseline will be assessed

    Measured: At Baseline (T1), 6 weeks (T2) and 12 weeks (T3).

  4. Change in mindfulness

    Measured using the Five Facet Mindfulness Questionnaire (FFMQ). Total scores range from 12 to 60, with higher scores indicating greater engagement with mindfulness skills and mindful awareness. Change from baseline will be assessed.

    Measured: At Baseline T1, 6 weeks (T2) and 12 weeks (T3)

Timeline

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

  1. First posted3 Aug 2026
  2. Study start9 Sep 2026
  3. Primary completion6 Aug 2028 (estimated)
  4. Study completion6 Aug 2028 (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
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
126 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07741968
Sponsor's protocol ID
260057
Other IDs
NCI-2026-04005, 260057, P30CA033572, R21CA293326
Status last verified
Oct 2026
First submitted
10 Jun 2026
Last updated
16 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Best Practice, Interview and Supportive Care in people with Anatomic Stage I Breast Cancer AJCC v8 and Anatomic Stage II Breast Cancer AJCC v8, run by City of Hope Medical Center at 11 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 4 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: looking for participants now, as of the sponsor's last update on 16 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 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?

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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recruitment rate (Feasibility of enrollment) (time frame: Up to 18 months). The study lists 7 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 16 Oct 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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