Real-time Activity Monitoring to Prevent Admissions During RadioTherapy

Purpose

This study will aim to demonstrate that implementation of a rapid, multidisciplinary supportive care program for patients receiving chemoradiotherapy who are deemed to be at high risk for hospitalization based on real-time pedometer data will reduce the rate of hospitalization during chemoradiotherapy or within four weeks of radiotherapy completion.

Conditions

  • Cancer of the Head and Neck
  • Cancer of Lung
  • Cancer of Esophagus
  • Cancer of Stomach

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Criteria


Inclusion Criteria:

- Age > 18

- ECOG performance status 0-2

- Able to ambulate independently (without the assistance of a cane or walker)

- Diagnosis of invasive malignancy of the head and neck region, lung, esophagus, or
stomach

- Planned treatment with fractionated (≥15 treatments) external beam radiotherapy with
concurrent chemotherapy (or cetuximab) with curative intent (including preoperative or
postoperative treatment)

- Women of childbearing potential must:

- Have a negative serum or urine pregnancy test within 72 hours prior to the start
of study therapy

- Agree to utilize an adequate method of contraception throughout treatment and for
at least 4 weeks after study therapy is completed

- Be advised of the importance of avoiding pregnancy during trial participation and
the potential risks of an unintentional pregnancy

- All patients must sign study specific informed consent prior to study entry.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Activity Monitoring
Enhanced Supportive Care - Status Checks Would occur everyday during treatment when a patient is deemed high-risk based on activity level. Other Names: •Daily Status Checks Enhanced Supportive Care - Referrals On an as-need basis, high risk patients can be referred to our nutritionist or palliative care doctor. Other Names: •Referrals
  • Other: Enhanced Supportive Care - Status Checks
    Would occur everyday during treatment when a patient is deemed high-risk.
    Other names:
    • Daily Status Checks
  • Other: Enhanced Supportive Care - Referrals
    On an as-need basis, high risk patients can be referred to our nutritionist or palliative care doctor.
    Other names:
    • Referrals

More Details

Status
Completed
Sponsor
Albert Einstein College of Medicine

Study Contact

Detailed Description

Primary Objective - To demonstrate that implementation of a rapid, multidisciplinary supportive care program for patients receiving chemoradiotherapy who are deemed to be at high risk for hospitalization based on real-time pedometer data will reduce the rate of hospitalization during chemoradiotherapy or within four weeks of radiotherapy completion. Secondary Objectives - To demonstrate the feasibility of a program of rapid, multidisciplinary supportive care triggered by real-time pedometer data. - To characterize the interventions enacted by our multidisciplinary supportive care team. - To explore if interventions enacted by our multidisciplinary team for patients with low recent step counts lead to increased step counts in subsequent weeks compared to historical controls. - To collect biospecimens for future correlative studies examining associations between blood/urine biomarkers and patient activity levels.