Clinical trial Recruiting at 1 site Interventional Ages 18 and up

FearLess for adults with malignant brain tumors and their caregivers

Official title: FearLess in Neuro-Oncology

Run by Virginia Commonwealth University · NCT06989086 · Data updated 2026-11-12

This project will test whether the FearLess psychological program can reduce fear of cancer recurrence in adults with primary malignant brain tumors and their nonprofessional caregivers.

More Caregiver trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment112 (estimated)
SponsorVirginia Commonwealth University
Academic / other
Locations1 site (Richmond, Virginia)
StatusRecruiting
StartedJune 24, 2025
Main results expectedDecember 31, 2028
Study endsDecember 31, 2028
Registry record updatedSeptember 9, 2026
Trial IDNCT06989086 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with a self-reported primary malignant brain tumor (grade II-IV) more than two weeks after cranial resection/biopsy, or their nonprofessional caregivers, who report elevated fear of recurrence, speak English, can consent, and can attend virtual sessions.

Probably not a fit

People with cognitive impairment preventing active engagement, those who cannot provide informed consent, or those without a reliable internet connection for virtual sessions are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized feasibility trial will enroll 112 adults with primary malignant brain tumors (grade II-IV) and their caregivers to test recruitment methods, the target population, and a waitlist control design for the FearLess intervention. Participants are randomized to immediate intervention or delayed treatment (waitlist) and complete assessments at baseline, Week 12, and Week 26. The study will measure feasibility, acceptability, and appropriateness of the procedures to finalize the intervention protocol. Sessions require the ability to participate virtually and exclude people with cognitive impairment that prevents engagement.

Why it matters

Potential benefit: If successful, the program could reduce fear of cancer recurrence and improve coping and quality of life for patients and caregivers.

How similar studies have gone: Related cognitive-behavioral and psychosocial interventions have reduced fear of cancer recurrence in other cancer populations, but neuro-oncology-specific evidence is limited, so this approach is partly evidence-based but not well tested in brain tumor patients.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Patients:

* Self-report a diagnosis of a primary malignant brain tumor (grade II-IV)
* \>2 weeks post-cranial resection or biopsy
* Elevated Fear of Recurrence Distress Rating
* Primarily English speaking
* \>/= 18 years of age at the time of enrollment

Caregivers:

* nonprofessional caregiver to a patient with a primary malignant brain tumor (grade II-IV)
* Elevated Fear of Recurrence Distress Rating
* Primarily English speaking
* \>/= 18 years of age at the time of enrollment

Exclusion Criteria:

Patient / Caregiver Exclusion:

* Cognitive impairment that might prohibit active intervention engagement
* Inability to understand and provide informed consent
* Inability to attend virtual sessions due to unstable or no internet connection

Where it's running

  • Virginia Commonwealth University
    Richmond, Virginia, United States
    Recruiting

Study contacts

  • Principal investigator: Ashlee R Loughan, Ph.D — Virginia Commonwealth University
  • Study coordinator: Mary Bridgman
  • Email: LiveNOW@vcu.edu
  • Phone: 804-628-6799

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.