Helping rural cancer patients manage financial burdens

Addressing Cancer-Related Financial Toxicity in Rural North Carolina Oncology Care Settings

Not applicable Interventional UNC Lineberger Comprehensive Cancer Center · NCT04931251

This study is testing a program that helps cancer patients in rural areas manage their financial struggles by connecting them with resources and support.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment255 (estimated)
Ages18 Years and up
SexAll
SponsorUNC Lineberger Comprehensive Cancer Center Academic / other
Locations9 sites (Chapel Hill, North Carolina and 8 other locations)
Trial IDNCT04931251 on ClinicalTrials.gov

What this trial studies

This study evaluates a financial navigation program aimed at reducing the financial toxicity experienced by cancer patients in rural and non-rural oncology settings in North Carolina. It involves screening patients for financial toxicity using the COST measure and enrolling those with moderate to severe financial toxicity into a comprehensive support program. Patients will receive assistance from financial navigators to explore available financial resources and benefits over a series of visits. The study will assess the impact of this intervention on patients' financial burdens and health-related quality of life.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older with any type of cancer diagnosed within the last 5 years who experience high financial toxicity.

Not a fit: Patients without a cancer diagnosis or those diagnosed more than 5 years ago without advanced disease will not benefit from this study.

Why it matters

Potential benefit: If successful, this program could significantly alleviate the financial stress associated with cancer treatment for rural patients.

How similar studies have performed: While financial navigation is a growing area of interest, this specific approach targeting rural oncology settings is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients 18 years of age and older
* Patients with any type of cancer diagnosed within 5 years and/or living with advanced disease
* Patients who score 22 or lower on the COST measure indicating high FT
* Patients must be able to read and speak English

Exclusion Criteria:

* Participants without a cancer diagnosis
* Patients diagnosed more than 5 years ago without advanced disease
* Patients or caregivers under the age of 18
* Patients who do not sign the consent form
* Patients who do not complete the baseline COST survey
* Patients who cannot read and speak English

Where this trial is running

Chapel Hill, North Carolina and 8 other locations

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 NeoplasmsCarcinomaFinancial ToxicityCancerFinancial Navigation
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.