Telemedicine support for older cancer patients in underserved communities
Official title: Geriatric Assessment (GA)-Driven Interventions With Supportive Care (The GAIN-S Trial): Telemedicine to Increase Goal Concordant Care for Older Adults With Cancer in the Community
Run by City of Hope Medical Center · NCT06022965 · Data updated 2026-11-12
This study tests whether using telemedicine to provide extra support can help older cancer patients in underserved communities feel better and have fewer hospital visits compared to standard care.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 216 (estimated) |
| Sponsor | City of Hope Medical Center Academic / other |
| Drugs / interventions | chemotherapy, immunotherapy |
| Locations | 3 sites (Duarte, California and 2 other locations) |
| Status | Recruiting |
| Started | August 10, 2023 |
| Main results expected | January 24, 2027 |
| Study ends | January 24, 2027 |
| Registry record updated | October 19, 2026 |
| Trial ID | NCT06022965 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are older adults aged 65 and above who have been diagnosed with stage I-IV cancer and are scheduled to start a new therapy.
✕Probably not a fit
Patients who are unable to comply with study procedures or have significant logistical issues may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the effectiveness of geriatric assessment-driven interventions using telemedicine to support older adults with cancer in underserved communities. The GAIN-S approach aims to identify vulnerabilities in patients and enhance communication between healthcare providers and caregivers. Participants will be randomized into two groups: one receiving telemedicine-based supportive care and the other receiving standard care. The study will assess outcomes such as treatment toxicity, hospitalizations, and patient satisfaction over a six-month period.
Why it matters
Potential benefit: If successful, this approach could significantly improve the quality of care and treatment outcomes for older cancer patients in underserved areas.
How similar studies have gone: Other studies have shown promise in using telemedicine for geriatric care, but this specific approach is novel in its focus on cancer care for older adults in underserved communities.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Documented informed consent of the participant. * Patient's physician must agree for patient participation. * Ability to read English, Spanish, or Chinese. Other languages will be acceptable with site principal investigator (PI) agreement if surveys are available, and language does not preclude completing study procedures. * Age: \>=65 years at the time of enrollment. * Diagnosis of stage I-IV cancer. * Scheduled to start a new therapy (chemotherapy, immunotherapy, or targeted therapy). Exclusion Criteria: * Prospective participants who, in the opinion of the investigator, may not be able to comply with all study procedures (including compliance issues related to feasibility/logistics).
Where it's running
-
City of Hope Medical Center
Duarte, California, United States Recruiting -
City of Hope Antelope Valley
Lancaster, California, United States Recruiting -
City of Hope Upland
Upland, California, United States Recruiting
Study contacts
- Principal investigator: William Dale — City of Hope Medical Center
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.