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Palliative Care Consultation to Improve Communication for Patients Considering Surgery for a Pancreatic Neoplasm


2025-05-01


2026-01-01


2026-01-01


40

Study Overview

Palliative Care Consultation to Improve Communication for Patients Considering Surgery for a Pancreatic Neoplasm

This clinical trial evaluates a palliative care consultation for improving communication between providers and patients considering surgery for a pancreatic neoplasm. Pancreatic operations have known complications that can affect quality of life. Palliative care has been shown to improve patient reported quality of life and functional outcomes. Receiving a palliative care consultation may improve communication and decision making for patients considering surgery for a pancreatic neoplasm.

OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients receive usual care and undergo evaluation by a tumor board within 14 days of baseline. ARM II: Patients attend a palliative care visit over 60 minutes to discuss their illness, quality of life, fears and concerns and communication preferences within 7 days of baseline. Patients also undergo evaluation by a tumor board within 14 days of baseline. After completion of study intervention, patients are followed up 7 days after the tumor board visit and 90 days after initiation of treatment.

  • Pancreatic Neoplasm
  • OTHER: Best Practice
  • PROCEDURE: Palliative Care Consultation
  • OTHER: Survey Administration
  • OTHER: Tumor Board Review
  • RG1124214
  • NCI-2024-05662 (REGISTRY Identifier) (REGISTRY: CTRP (Clinical Trial Reporting Program))
  • 20350 (OTHER Identifier) (OTHER: Fred Hutch/University of Washington Cancer Consortium)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2024-07-22  

N/A  

2025-03-06  

2024-08-07  

N/A  

2025-03-07  

2024-08-09  

N/A  

2024-12  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Supportive Care


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: Arm I (Usual care)

Patients receive usual care and undergo evaluation by a tumor board within 14 days of baseline.

OTHER: Best Practice

  • Receive usual care

OTHER: Survey Administration

  • Ancillary studies

OTHER: Tumor Board Review

  • Undergo evaluation by tumor board
EXPERIMENTAL: Arm II (Palliative care visit)

Patients attend a palliative care visit over 60 minutes to discuss their illness, quality of life, fears and concerns and communication preferences within 7 days of baseline. Patients also undergo evaluation by a tumor board within 14 days of baseline.

PROCEDURE: Palliative Care Consultation

  • Attend a palliative care visit

OTHER: Survey Administration

  • Ancillary studies

OTHER: Tumor Board Review

  • Undergo evaluation by tumor board
Primary Outcome MeasuresMeasure DescriptionTime Frame
Percentage of recruited patients that consent (acceptability)Acceptability will be defined as ≥ 60% of recruited patients consented.At time of consent
Percentage of patients randomized to the interventional arm who complete the palliative care consult prior to tumor board (feasibility)Feasibility will be defined as ≥ 60% of patients randomized to interventional arm who complete palliative care consult prior to pancreatic cancer specialty clinic tumor board.At time of multidisciplinary tumor board discussion (No more than 14 days after baseline)
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Percentage of participants who complete the decisional conflict scaleAt completion of 7 day follow-up timepoint
Percentage of participants who complete study measures within the first 90 daysAt completion of 90 day follow-up timepoint
Percentage of participants randomized to usual care who go on to receive palliative care within the active study periodAt 90 day follow-up timepoint

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Elizabeth Loggers

Phone Number: 206-667-7442

Email: eloggers@fredhutch.org

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Adults (18 years or older)
  • Pancreatic neoplasm pathology
  • Ability to read, write, and speak in English
  • Has decisional capacity
  • Expected to be seen and discussed at PCSC and seeing a surgeon as part of their tumor board evaluation

  • Exclusion Criteria:

  • Metastatic pancreatic neoplasm
  • Currently incarcerated
  • Currently is or previously has received palliative care, or are unwilling to forego palliative care for the first 90 days post randomization
  • Evidence of any behavior, condition, or circumstance (including, but not limited to: blindness, deafness, serious behavior or mental health conditions, discontinuing curative treatment, lack of access to technology, etc) that would interfere with their ability to complete study procedures as noted within the chart

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Elizabeth Loggers, Fred Hutch/University of Washington Cancer Consortium

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available