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Last Modified: 11/15/2009     First Published: 8/24/2003  
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Study of Chemotherapy Decisions and Outcomes in Women Age 65 and Over With Operable, Newly Diagnosed Breast Cancer

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outline
Published Results
Trial Contact Information
Registry Information

Alternate Title

Chemotherapy Decisions and Outcomes in Older Women With Newly Diagnosed Breast Cancer

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
No phase specifiedEducational/Counseling/TrainingActive65 and overNCICALGB-369901
NCT00068328

Objectives

  1. Determine the relationship between preferences and chemotherapy decisions in women age 65 and over with operable, newly diagnosed breast cancer.
  2. Determine how factors that could be targets for intervention affect the relationship between preferences and chemotherapy decisions in these patients.
  3. Determine the relationships between preference-based chemotherapy decisions, quality of life, and satisfaction with treatment decisions in these patients.
  4. Determine the disease-free survival and competing causes of mortality of these patients.
  5. Determine the types of physician providers who care for older breast cancer survivors after initial cancer treatment is completed and explore how women decide about which physicians to see.
  6. Measure quality indicators for the survivorship phase of care and evaluate if quality varies by type of physician provider model.
  7. Determine if long-term patient-reported satisfaction varies as a function of physician model for providing follow-up care post-treatment.
  8. Determine whether physician-patient communication and coordination of care after treatment ends mediate follow-up quality and outcomes post-treatment.

Entry Criteria

Disease Characteristics:

  • Histologically confirmed primary adenocarcinoma of the breast
    • Operable disease
    • Invasive and unilateral tumor
    • No more than 20 weeks since diagnosis
    • T1-4 (tumor size ≥ 1 cm), N0, M0

      OR

    • T1-4, N1-3, M0
  • No prior carcinoma in situ, lobular carcinoma in situ, ductal carcinoma in situ, or invasive breast cancer
  • Hormone receptor status:
    • Any estrogen receptor status

Prior/Concurrent Therapy:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified

Patient Characteristics:

Age

  • 65 and over

Sex

  • Female

Menopausal status

  • Not specified

Performance status

  • Any performance status

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • No other malignancy except those for which the patient has completed treatment AND is considered to be at less than 30% risk of recurrence
  • History of non-melanoma skin cancer allowed
  • Sufficient cognitive function to consent to and complete interviews
  • English or Spanish speaking

Expected Enrollment

1360

A total of 1,296 patients will be accrued for this study within 18-24 months.

Outline

This is a cohort study.

Patients participate in interviews over 30-45 minutes at baseline, at 6 months, and at 1 and 2 years.

Patients are followed annually for at least 5 years.

Published Results

Mandelblatt J, Sheppard V, Hurria A, et al.: Patient preference as a determinant of breast cancer adjuvant chemotherapy use in older women: CALGB #369901. [Abstract] J Clin Oncol 27 (Suppl 15): A-9544, 2009.

Kreling B, Figueiredo MI, Sheppard VL, et al.: A qualitative study of factors affecting chemotherapy use in older women with breast cancer: barriers, promoters, and implications for intervention. Psychooncology 15 (12): 1065-76, 2006.[PUBMED Abstract]

Trial Contact Information

Trial Lead Organizations

Cancer and Leukemia Group B

Jeanne Mandelblatt, MD, MPH, Protocol chair
Ph: 202-687-0812
Alice Kornblith, PhD, Protocol co-chair
Ph: 617-632-2640; 866-790-4500
Hyman Muss, MD, Protocol co-chair
Ph: 802-847-3827
Stephen Edge, MD, Protocol co-chair
Ph: 716-845-2918; 800-685-6825

Trial Sites

U.S.A.
California
  Arroyo Grande
 Arroyo Grande Community Hospital
 David Palchak, MD
Ph: 805-773-7127
  Pismo Beach
 David Palchak, MD
Ph: 805-773-7127
District of Columbia
  Washington
 Walter Reed Army Medical Center
 Clinical Trials Office - Walter Reed Army Medical Center
Ph: 202-782-7840
 Washington Cancer Institute at Washington Hospital Center
 Clinical Trials Office - Washington Cancer Institute
Ph: 202-877-8839
Illinois
  Chicago
 University of Chicago Cancer Research Center
 Clinical Trials Office - University of Chicago Cancer Research Center
Ph: 773-834-7424
  La Grange
 La Grange Memorial Hospital
 Clinical Trials Office - La Grange Memorial Hospital
Ph: 630-856-7526
  Rockford
 Center for Cancer Care at OSF Saint Anthony Medical Center
 Clinical Trials Office - Center for Cancer Care at OSF Saint Anthony Medical Center
Ph: 815-227-2633
Indiana
  Elkhart
 Elkhart General Hospital
 Rafat Ansari, MD, FACP
Ph: 574-234-5123
  Kokomo
 Howard Community Hospital
 Rafat Ansari, MD, FACP
Ph: 574-234-5123
  La Porte
 Center for Cancer Therapy at LaPorte Hospital and Health Services
 Rafat Ansari, MD, FACP
Ph: 574-234-5123
  Merrillville
 Suniti Medical Corporation
 Bharat Barai, MD
Ph: 219-736-2800
  South Bend
 CCOP - Northern Indiana CR Consortium
 Rafat Ansari, MD, FACP
Ph: 574-234-5123
 Memorial Hospital of South Bend
 Clinical Trials Office - Memorial Hospital of South Bend
Ph: 800-284-7370
 Saint Joseph Regional Medical Center
 Rafat Ansari, MD, FACP
Ph: 574-234-5123
 South Bend Clinic
 Rafat Ansari, MD, FACP
Ph: 574-234-5123
Maine
  Scarborough
 Maine Center for Cancer Medicine and Blood Disorders - Scarborough
 Tracey Weisberg, MD
Ph: 207-885-7634
Maryland
  Baltimore
 Harry & Jeanette Weinberg Cancer Institute at Franklin Square Hospital Center
 Clinical Trials Office - Harry & Jeanette Weinberg Cancer Institute at Franklin Square Hospital Center
Ph: 443-777-7364
Massachusetts
  Attleboro
 Sturdy Memorial Hospital
 Michael Vasconcelles, MD
Ph: 617-632-5301
  Boston
 Dana-Farber/Brigham and Women's Cancer Center
 Clinical Trials Office
Ph: 617-724-5200
 Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
 Contact Person
Ph: 617-632-3474
866-790-4500
 Massachusetts General Hospital
 Clinical Trials Office - Massachusetts General Hospital
Ph: 877-726-5130
  Gloucester
 Addison Gilbert Hospital
 Angus McIntyre, MD
Ph: 978-927-6850
  Hyannis
 Cape Cod Hospital
 Contact Person
Ph: 508-771-1800
  Lowell
 Lowell General Hospital
 Contact Person
Ph: 978-937-6000
  South Weymouth
 South Shore Hospital
 Contact Person
Ph: 781-340-8000
Michigan
  Battle Creek
 Battle Creek Health System Cancer Care Center
 Martin Bury
Ph: 616-966-8000
  Big Rapids
 Mecosta County Medical Center
 Martin Bury
Ph: 231-796-8691
  Grand Rapids
 Butterworth Hospital at Spectrum Health
 Martin Bury
Ph: 616-391-2799
 CCOP - Grand Rapids
 Martin Bury
Ph: 616-391-1230
 Lacks Cancer Center at Saint Mary's Health Care
 Martin Bury
Ph: 616-752-5222
  Muskegon
 Mercy General Health Partners
 Martin Bury
Ph: 231-672-2000
  St. Joseph
 Lakeland Regional Cancer Care Center - St. Joseph
 Rafat Ansari, MD, FACP
Ph: 574-234-5123
  Traverse City
 Munson Medical Center
 Martin Bury
Ph: 231-935-6202
  Wyoming
 Metro Health Hospital
 Martin Bury
Ph: 616-252-7200
Missouri
  Chesterfield
 Saint Luke's Hospital
 Donald Busiek, MD
Ph: 314-205-6737
  Columbia
 Ellis Fischel Cancer Center at University of Missouri - Columbia
 Clinical Trial Office - Ellis Fischel Cancer Center
Ph: 573-882-7440
  Saint Louis
 Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
 Michael Naughton, MD
Ph: 314-996-8872
 St. Anthony's Cancer Center
 R. William Morris, MD
Ph: 314-849-6066
Nebraska
  Grand Island
 Saint Francis Cancer Treatment Center at Saint Francis Memorial Health Center
 Elizabeth Reed, MD
Ph: 402-559-5388
  North Platte
 Callahan Cancer Center at Great Plains Regional Medical Center
 Clinical Trials Office - Callahan Cancer Center at Great Plains Regional Medical Center
Ph: 308-696-7864
  Omaha
 UNMC Eppley Cancer Center at the University of Nebraska Medical Center
 Clinical Trials Office - UNMC Eppley Cancer Center at the University of Nebraska Medical Center
Ph: 800-999-5465
Nevada
  Las Vegas
 CCOP - Nevada Cancer Research Foundation
 John Ellerton, MD, CM
Ph: 702-384-0013
 University Medical Center of Southern Nevada
 John Ellerton, MD, CM
Ph: 702-384-0013
New Hampshire
  Concord
 New Hampshire Oncology - Hematology, PA at Payson Center for Cancer Care
 Frederick Briccetti, MD
Ph: 603-224-2556
  Exeter
 Center for Cancer Care at Exeter Hospital
 Danny Sims
Ph: 603-580-6636
  Hooksett
 New Hampshire Oncology - Hematology, PA - Hooksett
 Frederick Briccetti, MD
Ph: 603-224-2556
  Laconia
 Lakes Region General Hospital
 Charles Catcher, MD
Ph: 603-224-2556
  Lebanon
 Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
 Clinical Trials Office - Norris Cotton Cancer Center
Ph: 603-650-7609
 Email: cancerhelp@dartmouth.edu
  Manchester
 Elliot Regional Cancer Center at Elliot Hospital
 Douglas Weckstein, MD
Ph: 603-622-6484
  Nashua
 Oncology Center at St. Joseph Hospital
 Mary Ann Voltz, MD
Ph: 603-880-3408
New Jersey
  Livingston
 St. Barnabas Medical Center Cancer Center
 Clinical Trials Office - St. Barnabas Medical Center Cancer Center
Ph: 973-322-2470
New York
  Buffalo
 Roswell Park Cancer Institute
 Clinical Trials Office - Roswell Park Cancer Institute
Ph: 877-275-7724
  East Syracuse
 CCOP - Hematology-Oncology Associates of Central New York
 Jeffrey Kirshner, MD
Ph: 315-472-7504
  New York
 Memorial Sloan-Kettering Cancer Center
 Diana Lake, MD
Ph: 212-639-8953
 Ralph Lauren Center for Cancer Care and Prevention
 Diana Lake, MD
Ph: 212-639-8953
  Rochester
 Lipson Cancer and Blood Center at Rochester General Hospital
 Peter Bushunow, MD
Ph: 585-922-4020
North Carolina
  Durham
 Duke Comprehensive Cancer Center
 Clinical Trials Office - Duke Comprehensive Cancer Center
Ph: 888-275-3853
  Fayetteville
 Cape Fear Valley Medical Center Cancer Center
 Clinical Trial Office - Cape Fear Valley Medical Center Cancer Center
Ph: 910-609-4561
  Henderson
 Maria Parham Medical Center
 Jeffrey Crawford, MD
Ph: 919-681-9509
  Lumberton
 Southeastern Regional Medical Center
 Jeffrey Crawford, MD
Ph: 919-681-9509
  Oxford
 Granville Medical Center
 Jeffrey Crawford, MD
Ph: 919-681-9509
  Pinehurst
 FirstHealth Moore Regional Community Hospital Comprehensive Cancer Center
 Clinical Trials Office - FirstHealth Moore Regional Community Hospital Comprehensive Cancer Center
Ph: 910-715-2200
  Raleigh
 Duke Health Raleigh Hospital
 Jeffrey Crawford, MD
Ph: 919-681-9509
  Roxboro
 Person Memorial Hospital
 Jeffrey Crawford, MD
Ph: 919-681-9509
  Winston-Salem
 Wake Forest University Comprehensive Cancer Center
 Clinical Trials Office - Wake Forest University Comprehensive Cancer Center
Ph: 336-713-6771
South Carolina
  Beaufort
 Keyserling Cancer Center at Beaufort Memorial Hospital
 Majd Chahin
Ph: 877-532-6472
888-522-5585
  Columbia
 South Carolina Oncology Associates, PA
 George Jones
Ph: 803-461-3000
Vermont
  Berlin
 Mountainview Medical
 Hyman Muss, MD
Ph: 802-656-5487
  Burlington
 Fletcher Allen Health Care - University Health Center Campus
 Clinical Trials Office - Fletcher Allen Health Care
Ph: 802-656-8990
West Virginia
  Huntington
 St. Mary's Regional Cancer Center at St. Mary's Medical Center
 Gerrit Kimmey, MD
Ph: 304-528-4645

Registry Information
Official Title Observational Cohort Study: Chemotherapy Decisions and Outcomes in Women Age 65 or Older with Operable, Newly Diagnosed Breast Cancer
Trial Start Date 2003-08-01
Trial Completion Date 2005-07-21 (estimated)
Registered in ClinicalTrials.gov NCT00068328
Date Submitted to PDQ 2003-07-14
Information Last Verified 2009-11-15
NCI Grant/Contract Number CA84131

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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