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Lung CancerLePaLuMoNCT06252233

Improvement of Quality of Life (QoL) Using Preference-Oriented QoLMonitoring in Patients with Lung Cancer

A study testing patient- and physician-centered QoL monitoring in people with Lung Cancer and Quality of Life, run by University of Bayreuth at 8 sites in Germany.

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

The purpose of the study is to determine whether a preference-oriented quality of life monitoring with defined diagnostic and therapeutic options improves quality of life in patients with lung cancer during routine follow-up care. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lung Cancer, Quality of Life
What is being tested?
patient- and physician-centered QoL monitoring
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
220 participants
Where
8 sitesGermany
Study dates
15 Feb 2024to 15 Aug 2025
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

  • primary diagnosis of lung cancer (ICD C33/C34, all stages)
  • treatment in one of six recruiting hospitals treating patients with lung cancer (University Hospital Regensburg, Hospital Barmherzige Brüder Regensburg, Hospital Bayreuth, Hospital Coburg, Hospital Kulmbach, Hospital Bamberg);
  • difference between date of histology and date of study entry not exceeding 2 months;
  • informed consent;

Who cannot join

  • unavailability of a study clinician for patient recruitment;
  • patient misclassified in the candidate list (no primary diagnosis, no lung tumour);
  • coordinating practitioner refuses trial participation;
  • patient outside the defined study region (Germany, Bavaria: Upper Palatinate, Lower Bavaria, Upper Franconia);
  • age under 18 years;
  • pregnancy/ breastfeeding;
  • patient unable to fill out the QoL questionnaire (physical, psychological, cognitive, language reasons);
  • patient refuses trial participation

Trial locations and contacts

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

Martin Emmert, PhD, Prof. contact

+49 160 92203562

martin.emmert@uni-bayreuth.de

Monika Klinkhammer-Schalke, MD, Prof. contact

+49-941-943-1803

monika.klinkhammer-schalke@ur.de

8 sites in 1 country

Germany8 sites, 8 recruiting
  • Klinikum Bamberg

    Bamberg, 96049

    Rumo Leistner, MD, Dr.

    Recruiting
  • Hospital Bayreuth

    Bayreuth, 95445

    Alexander Kiani, MD, Prof.

    Recruiting
  • Klinikum Coburg GmbH

    Coburg, 96450

    Claus Steppert, MD, Dr.

    Recruiting
  • Caritas Krankenhaus St. Maria Donaustauf

    Donaustauf, 93093

    Maximilian Malfertheiner, MD, Prof.

    Recruiting
  • Klinikum Kulmbach

    Kulmbach, 95326

    Thomas Bohrer, MD, Prof.

    Joseph Alhanna, MD, Dr.

    Recruiting
  • Krankenhaus Barmherzige Brüder

    Regensburg, 93049

    Hans-Stefan Hofmann, MD, Prof.

    Michael Pfeifer, MD, Prof.

    Recruiting
  • Universitätsklinikum Regensburg

    Regensburg, 93053

    Hans-Stefan Hofmann, MD, Prof.

    Christian Schulz, MD, Prof.

    Recruiting
  • Klinikum St. Elisabeth Straubing

    Straubing, 94315

    Jorge Fernando Gamarra, MD, Dr.

    Jochen Grassinger, MD, Prof.

    Recruiting

Other trials in Germany

About this study

Official title: Improvement of Quality of Life (QoL) Using Preference-Oriented QoLMonitoring and Linkage with Clinical Registry Data: Randomised Clinical Trial in Patients with Lung Cancer

The purpose of the study is to determine whether a preference-oriented quality of life monitoring with defined diagnostic and therapeutic options improves quality of life in patients with lung cancer during routine follow-up care.

Read the detailed description

A pathway with quality of life (QoL) diagnosis and therapeutic options for patients with breast cancer and colorectal cancer has been successfully designed, implemented, and evaluated as guided by the Medical Research Council framework for developing and testing complex interventions. In two randomised controlled trials the investigators could demonstrate that patients with breast cancer and colorectal cancer had a benefit from the diagnosis of QoL deficits and tailored therapeutic options in their treatment in terms of a decrease in QoL deficits.

The next step is to extend usability of the QoL system so that it can be as well used by patients with other cancer diagnoses and in other study regions. Therefore, QoL will be assessed using an electronic patient- and physician-centered QoL monitoring system which is based on previous work of the research group. The QoL monitoring system is adapted based on results of a preliminary study using discrete choice experiments (DCE) identifying preferences of lung cancer patients and their physicians regarding the importance of individual QoL dimensions.

In this two-arm randomised, controlled, prospective, pragmatic, multicentre clinical trial with one intervention group and one control group QoL of primary lung cancer patients will be assessed with an electronic patient- and physician-centered QoL monitoring system using the quality of life questionnaires (QLQ) of the European Organisation for Research and Treatment of Cancer EORTC QLQ-C30 (core module) and QLQ-LC29 (lung cancer module) at study entry and at 1, 2, 3, 4, 5, and 6 months during follow-up care. Data of each patient's QoL will be linked with clinical data from the Bavarian Cancer Registry for the purpose of data analysis.

In the intervention group results of QoL monitoring are automatically transferred to a preference-based QoL profile including 8 dimensions on scales of 0-100 (cutoff of a "need for QoL therapy" <50). Patients and their treating physicians receive the results of their QoL monitoring in real-time. In order to be able to treat QoL deficits a multi-professional network of therapists is established (e.g. pain therapy, psychotherapy, social support, nutrition counselling, physiotherapy, fitness, respiratory therapy, palliative care). In the intervention group patients and their physicians receive complete lists of QoL healthcare professionals of this network practicing in their region.

In the control group QoL is also measured but neither patients nor treating physicians have access to the results of QoL monitoring, but the therapist network is also available for this study arm.

The investigators expect that the proportion of patients in both groups with a need for QoL therapy (<50 points in at least one dimension of the QoL profile) will be lower in intervention group patients compared with control group patients at the primary endpoint 6 months after study entry.

Being tested
patient- and physician-centered QoL monitoring, Placebo
Keywords
quality of life, lung cancer, definitive randomised controlled trial, patient empowerment, quality of life monitoring, patient and physician preferences
Medical subject headings
Lung Neoplasms, Patient Participation

What participants receive

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

  • patient- and physician-centered QoL monitoringBehavioural

    Electronic QoL monitoring including QoL diagnosis and therapy (pain therapy, psychotherapy, social support, nutrition, physiotherapy, fitness, respiratory counselling, palliative care). Patients and treating physicians have access to the results of their QoL monitoring and to a network of local healthcare providers.

  • PlaceboOther

    Electronic QoL monitoring without QoL diagnosis and therapy. Patients and treating physicians have no access to the results of their QoL monitoring. The therapist network is also available for control arm.

Study groups in NCT06252233
Study groupRoleWhat they receive
Patient- and physician-centered QoL monitoringExperimentalQuality of life (QoL) of patients is assessed with an electronic patient- and physician-centered QoL monitoring system using the questionnaires EORTC QLQ-C30 and QLQ-LC29 at study entry and at 1, 2, 3, 4, 5, and 6 months during follow-up care. Results of QoL monitoring are automatically transferred to a QoL profile. Patients and their treating physicians receive the results of their QoL monitoring in real-time. In order to be able to treat QoL deficits a multiprofessional network of therapists is established (e.g. pain therapy, psychotherapy, social support, nutrition counselling, physiotherapy, fitness, respiratory therapy). Intervention group physicians and patients receive complete lists of QoL healthcare professionals of this network practicing in their region. To provide continuous medical education, quality circles for therapy options have been founded.
Receives: Behavioral: patient- and physician-centered QoL monitoring
Routine carePlacebo comparatorQoL of patients is also assessed with the same QoL monitoring system used in the intervention group at study entry and at 1, 2, 3, 4, 5, and 6 months but neither patients nor treating physicians have access to the QoL profiles. The therapist network is also available for control arm.
Receives: Other: Placebo

What is being measured

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

  1. Proportion of patients with a need for QoL therapy in at least one dimension of the QoL profile at 6 months

    proportion of patients in both groups with a need for QoL therapy (<50 points) in at least one of eight dimensions of the QoL profile: global quality of life, shortness of breath, physical functioning, social functioning, fear of progression, emotional functioning, pain, financial impact

    Measured: 6 months after study entry

Secondary outcomes (1)
  1. Proportion of patients with a need for QoL therapy in each dimension of the QoL profile at 1, 2, 3, 4, 5, and 6 months

    proportions of patients with a need for QoL therapy (<50 points) in each single dimension of the QoL profile: global quality of life, shortness of breath, physical functioning, social functioning, fear of progression, emotional functioning, pain, financial impact

    Measured: 1, 2, 3, 4, 5, 6 months after study entry

Timeline

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

  1. First posted9 Feb 2024
  2. Study start15 Feb 2024
  3. Primary completion15 Feb 2025 (estimated)
  4. Study completion15 Aug 2025 (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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
220 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06252233
Sponsor's protocol ID
LePaLuMo_2023
Acronym
LePaLuMo
Status last verified
Dec 2024
First submitted
1 Feb 2024
Last updated
16 Dec 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Anonymized individual participant data (IPD) that underlie the results in a publication are planned to be made available upon request of scientists.

Publications

  • Klinkhammer-Schalke M, Steinger B, Koller M, Zeman F, Furst A, Gumpp J, Obermaier R, Piso P, Lindberg-Scharf P; Regensburg QoL Study Group. Diagnosing deficits in quality of life and providing tailored therapeutic options: Results of a randomised trial in 220 patients with colorectal cancer. Eur J Cancer. 2020 May;130:102-113. doi: 10.1016/j.ejca.2020.01.025. Epub 2020 Mar 13.

    PubMed 32179445
  • Klinkhammer-Schalke M, Koller M, Steinger B, Ehret C, Ernst B, Wyatt JC, Hofstadter F, Lorenz W; Regensburg QoL Study Group. Direct improvement of quality of life using a tailored quality of life diagnosis and therapy pathway: randomised trial in 200 women with breast cancer. Br J Cancer. 2012 Feb 28;106(5):826-38. doi: 10.1038/bjc.2012.4. Epub 2012 Feb 7.

    PubMed 22315052
  • Lindberg-Scharf P, Steinger B, Koller M, Hofstadter A, Ortmann O, Kurz J, Sasse J, Klinkhammer-Schalke M. Long-term improvement of quality of life in patients with breast cancer: supporting patient-physician communication by an electronic tool for inpatient and outpatient care. Support Care Cancer. 2021 Dec;29(12):7865-7875. doi: 10.1007/s00520-021-06270-1. Epub 2021 Jun 27.

    PubMed 34176020
  • Lindberg-Scharf P, Emmert M, Koller M, Gurtler F, Steinger B, Muller-Nordhorn J, Zeman F, Friebel S, Ibler K, Kurz J, Stangl T, Klinkhammer-Schalke M, Volkel V. Preference-oriented quality of life monitoring and linkage with clinical registry data: study protocol of a randomised clinical trial in patients with lung cancer (LePaLuMo Study). Trials. 2025 Sep 16;26(1):339. doi: 10.1186/s13063-025-09102-3.

    PubMed 40958112

Questions about this trial

What is this clinical trial studying?

A study testing patient- and physician-centered QoL monitoring in people with Lung Cancer and Quality of Life, run by University of Bayreuth at 8 sites in Germany.

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 8 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 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Germany. 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. Some participants in this study may receive a placebo. 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 Martin Emmert, PhD, Prof. (+49 160 92203562, martin.emmert@uni-bayreuth.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of patients with a need for QoL therapy in at least one dimension of the QoL profile at 6 months (time frame: 6 months after study entry). 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 NCT06252233, which also lists 4 linked publications.

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 Dec 2024.

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