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ADOPT-PRESTAGE: Study Evaluating the Impact of the Program PRESTAGE (ADOPT-PRESTAGE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03296150
Recruitment Status : Recruiting
First Posted : September 28, 2017
Last Update Posted : March 15, 2019
Information provided by (Responsible Party):
Hospices Civils de Lyon

Brief Summary:

As the proportion of oral anticancer treatments is continuously increasing, adherence appears as a major issue for patients' outcomes. Poor adherence affects particularly geriatric patients due among others to polypharmacy or cognitive impairment. Thus, the need for educational programs in this population has been regularly emphasized.

PRESTAGE educational program was built after an external and internal analysis of educational needs in elderly patients treated with oral cancer treatments. It implicates a multidisciplinary educational team (nurses, physicians, pharmacists, psychologists, physiologists, social workers...). Six educational workshops were designed with the following endpoints: disease and treatment understanding, treatment management, nutrition and psychological as well as physical well being.

ADOPT-PRESTAGE is a clinical, prospective, interventional, open-label, multicenter, randomized, controlled trial designed to evaluate the impact of PRESTAGE program. It is, to the investigators' knowledge, the first randomized controlled trial evaluating the acceptability and impact (adherence, clinical benefit) of an educational program in an elderly cancer population. The primary endpoint of this trial will be to evaluate adherence using an indirect objective adherence measure: the Medication Event Monitoring System (MEMS). Secondary endpoints include quality of life, evaluation of changes in patients' behaviors and economic evaluation.

Condition or disease Intervention/treatment Phase
Cancer Oral Anticancer Drugs Behavioral: PRESTAGE Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 184 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: ADOPT-PRESTAGE: Randomized Controlled Trial on Acceptability, Diffusion and Impact on Treatment Adherence and Persistence of the PRESTAGE Program (Program for Education and Support for Oral Cancer Treatments in the Elderly) - Randomized Controlled Study Evaluating the Impact of the Program PRESTAGE
Actual Study Start Date : March 29, 2018
Estimated Primary Completion Date : March 2020
Estimated Study Completion Date : March 2021

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
No Intervention: Control arm : Information
Patients will receive the usual standard information delivered to patients
Experimental: Intervention arm : Therapeutic educational program
Patients will receive the therapeutic educational program "PRESTAGE"
Behavioral: PRESTAGE
PRESTAGE educational program targets the acquisition by the patients and their caregivers of competencies in (1) a better understanding of their disease and (2) their treatment, (3) a better drug management, including both anticancer and supportive treatments, (4) maintenance of a good nutritional status, (5) general health and psychological well being and (6) physical well being. After an individual educational diagnosis, each patient will be proposed an individualized educational program consisting in 1 to 6 of these workshops. An individualized final interview - entitled educational synthesis - will assess patient's skills and satisfaction.

Primary Outcome Measures :
  1. Adherence evaluated by MicroElectronic Monitoring System [ Time Frame: at 4 months (after intervention or information) ]
    Adherence will be evaluated with MicroElectronic Monitoring System. A composite score such as described by Thivat et al. in 2013 will be used.

Secondary Outcome Measures :
  1. Adherence evaluated by Morisky questionnaires [ Time Frame: 4 months to 12 months ]
    Results to Morisky questionnaires will be evaluated such as adherence with MEMS, until 12 months.

  2. Adherence evaluated by pharmacy medication refill -based adherence [ Time Frame: 4 months to 12 months ]
    Results to pharmacy medication refill -based adherence will be evaluated such as adherence with MEMS, until 12 months.

  3. Health-related quality of life evaluated by QLQ-C30 quality of life questionnaire [ Time Frame: 4 months to 12 months ]
  4. Health-related quality of life evaluated by the QLQ-ELD14 quality of life questionnaire [ Time Frame: 4 months to 12 months ]
  5. Health-related quality of life evaluated by the EORTC quality of life questionnaire [ Time Frame: 4 months to 12 months ]
  6. Changes in patients' behaviors evaluated by questionnaires [ Time Frame: 4 months to 12 months ]
    Beliefs about Medication questionnaire and satisfaction with medication questionnaires

  7. Costs by micro-costing method [ Time Frame: 12 months ]
  8. planned and unplanned hospitalization rates [ Time Frame: 12 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   70 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients older than 70 years,
  • For which oral anticancer therapy has been initiated within the previous 45 days or will be started within 45 days
  • For any type of cancer, solid or hematologic, any stage
  • Estimated life expectancy> 6 months
  • Affiliation to social security or equivalent
  • Patients who can answer questionnaires and protocol evaluations
  • Informed consent signed by patients
  • Domiciled within 50 km around the investigating center

Exclusion Criteria:

  • For patients with breast cancer, exclusive treatment with hormone therapy
  • First-generation Hormone Therapy in Prostate Cancer
  • Patient not available for regular follow-up whatever the cause (geographic, family, social, psychological)
  • Any serious condition, ie serious physical or mental, leading to a disability permanent and likely to prevent the proper course of treatment
  • Patient deprived of liberty or under guardianship

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03296150

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Contact: Olivia LE SAUX 04 78 86 37 75 ext +33
Contact: Claire FALANDRY, MD 04 78 86 15 80 ext +33

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Service de neuro-oncologie, Hôpital Pierre Wertheimer, HCL Recruiting
Bron, France, 69500
Contact: François DUCRAY, MD   
Principal Investigator: François DUCRAY, MD         
Service de Gériatrie, Centre Hospitalier de Givors Recruiting
Givors, France, 69700
Contact: Youri CHAULEUR, MD   
Principal Investigator: Youri CHAULEUR, MD         
Service d'oncologie médicale, Centre Hospitalier Universitaire de Grenbole Recruiting
La Tronche, France, 38700
Contact: Hervé CURE, MD   
Principal Investigator: Hervé CURE, MD         
Service de Médecine du vieillissement, Hôpital Edouard Herriot, HCL Recruiting
Lyon, France, 69003
Contact: Elisabeth CASTEL-KREMER, MD   
Principal Investigator: Elisabeth CASTEL-KREMER, MD         
Sub-Investigator: Catherine LOMBARD-BOHAS, MD         
Sub-Investigator: Thomas WALTER, MD         
Service de médecine du vieillissement, Hôpital de la Croix-Rousse, HCL Recruiting
Lyon, France, 69004
Contact: Amandine BRUYAS, MD   
Service d'oncologie médicale, Cnetre Léon Bérard Recruiting
Lyon, France, 69373 cedex 08
Contact: Olivier TREDAN, MD   
Principal Investigator: Olivier TREDAN, MD         
Service d'oncologie, Centre Hospitalier Annecy Genevois Recruiting
Metz-Tessy, France, 74370
Contact: Laëtitia STEFANI, MD   
Principal Investigator: Laëtitia STEFANI, MD         
Service de Médecine du vieillissement, Centre Hospitalier Lyon Sud (Hospices Civils de Lyon) Recruiting
Pierre-Bénite, France, 69310
Contact: Olivia LE SAUX   
Contact: Claire FALANDRY, MD   
Principal Investigator: Claire FALANDRY, MD         
Sub-Investigator: Benoît YOU, MD         
Sub-Investigator: Denis MAILLET, MD         
Sub-Investigator: Nathalie BONNIN, MD         
Sub-Investigator: Véronique TRILLET-LENOIR, MD         
Sub-Investigator: Salima HAMIZI, MD         
Sub-Investigator: Sophie TARTAS, MD         
Sub-Investigator: Julien PERON, MD         
Sub-Investigator: Gilles FREYER, MD         
Sub-Investigator: Stéphane DALLE, MD         
Sub-Investigator: Phelip GILDAS, MD         
Sub-Investigator: Pierre-Jean SOUQUET, MD         
service de gériatrie, Hôpital de la Charité, Centre Hospitalier Universitaire de St-Etienne Recruiting
Saint-Étienne, France, 42100
Contact: Ana-Maria DASCALITA, MD         
Principal Investigator: Ana-MAria DASCALITA, MD         
Sponsors and Collaborators
Hospices Civils de Lyon
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Study Chair: Olivia LE SAUX Hospices Civils de Lyon

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Responsible Party: Hospices Civils de Lyon Identifier: NCT03296150     History of Changes
Other Study ID Numbers: 69HCL16_0149
First Posted: September 28, 2017    Key Record Dates
Last Update Posted: March 15, 2019
Last Verified: March 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Hospices Civils de Lyon:
therapeutic educational program
quality of life