FearLess for adults with malignant brain tumors and their caregivers

FearLess in Neuro-Oncology

Not applicable Interventional Virginia Commonwealth University · NCT06989086

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.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment112 (estimated)
Ages18 Years and up
SexAll
SponsorVirginia Commonwealth University Academic / other
Locations1 site (Richmond, Virginia)
Trial IDNCT06989086 on ClinicalTrials.gov

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.

Who should consider this trial

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.

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.

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 performed: 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.

Eligibility criteria

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 this trial is running

Richmond, Virginia

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Primary Malignant Brain TumorGlioblastomaAstrocytomaOligodendrogliomaCaregiverbrain tumor
Last reviewed 2026-06-13 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.