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CompletedNCT01795157COMBATUpdated Sep 25, 2017

Computer Based Assessment and Treatment

An interventional study of CCADSS and pen-paper in Neoplasms and Pain, sponsored by Norwegian University of Science and Technology. Completed at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-09-25.

Sponsored by Norwegian University of Science and Technology · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 3 years 5 months after the study started (first participant enrolled Sep 2009, registered Feb 2013).
Phase
Not applicable
Study type
Interventional
Enrollment
255
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to investigate computer based symptom assessment in an outpatient cancer population, and the use of a computer based decision support system to facilitate the diagnosis and treatment of cancer related pain.

Primary hypothesis is, that this approach improves pain control and pain management in an unselected group of cancer patients in an outpatient setting.

  • Improvement of average pain last 24 hours by at least 1.5 points on a 0-11 scale
  • Improvement of worst pain last 24 hours by at least 1.5 points on a 0-11 scale
  • An alteration in the prescribing dose of opioids in equipotent opioid dosage

Secondary hypothesis is, that this system improves overall symptom control and symptom management in an unselected group of cancer patients in an outpatient setting.

Read the detailed description

The traditional way of symptom assessment is by the paper-and-pen method, which suffers from several limitations. The assessment items are not individually adjusted to each patient and his/her subjective symptoms, the collected data is rarely used in clinical practice, and decision-support for the physician is not possible.

Although the body of evidence is accumulating regarding the benefits of computerised symptom assessment in cancer patients, there is still insufficient knowledge of the impact of computerised assessment tools on the management of cancer pain and other cancer related symptoms.

The COMBAT study aims to investigate if a computer based assessment of cancer related symptoms, and a computerized decision support can improve treatment of pain and other symptoms in cancer patients.

This is an open, comparative study with a sequential design with two consecutive study periods, the non-intervention period and the intervention period.

The computer-based clinical decision support system will utilize the following data to generate one or several treatment options:

  1. Data from self assessment of cancer related symptoms
  2. Data from relevant variables reported by the physician
  3. Revisited guidelines on treatment of cancer pain
02

Conditions studied

  • Neoplasms
  • Pain

Keywords

  • decision support systems, clinical
  • decision making, computer assisted
  • evidence based practice
  • practice guidelines as topic
03

In context

Lead sponsor

Norwegian University of Science and Technology is the lead sponsor of 487 studies on the registry; 52 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • attending the outpatient clinic at the Cancer Clinic, St. Olavs Hospital Trondheim
  • histologically verified malignancy
  • able to follow study instructions
  • able to read the information on the computer screen in the intervention period of the study
  • able to use a touch screen in the intervention period of the study
  • cancer related pain measured as average pain in last 24 hours of 4 or above on a numeric rating scale
  • elective or emergency consultation with a physician
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
255 participants (actual)

Study arms

  • Experimental
    CCADSS

    questionnaire completed using i-Pad

    Device: CCADSS

  • Active comparator
    pen-paper

    Questionnaire completed using pen and paper

    Device: pen-paper

Interventions

  • DeviceCCADSS

    Questionnaire is transferred wireless to the physician's PC

  • Devicepen-paper

    Questionnaire completed and transferred to the physician using standard methods

06

What researchers measure

Primary outcomes

  1. average and worst pain during the last 24 hours

    - The Brief Pain Inventory (BPI, a self-reported pain assessment tool aiming to quantify two aspects of cancer pain: Pain intensity and the functional disability as a result of cancer pain.

    Time frame: 1 week

  2. average and worst pain during the last 24 hours

    - The Brief Pain Inventory (BPI, a self-reported pain assessment tool aiming to quantify two aspects of cancer pain: Pain intensity and the functional disability as a result of cancer pain.

    Time frame: 3 weeks

  3. average and worst pain during the last 24 hours

    - The Alberta Breakthrough Pain Assessment Tool for cancer patients (ABPAT), a questionnaire developed in order to measure several dimensions of cancer-related breakthrough pain. It contains 15 questions, and was translated into Norwegian by our research group according to EORTC's rules for translation.

    Time frame: 1 week

  4. average and worst pain during the last 24 hours

    - The Alberta Breakthrough Pain Assessment Tool for cancer patients (ABPAT), a questionnaire developed in order to measure several dimensions of cancer-related breakthrough pain. It contains 15 questions, and was translated into Norwegian by our research group according to EORTC's rules for translation.

    Time frame: 3 weeks

Secondary outcomes

  1. symptoms

    - The Edmonton Symptom Assessment System (ESAS), a validated standardized questionnaire consisting of 10 items, which evaluate physical and psychological symptoms as well as general wellbeing.

    Time frame: 1 week

  2. symptoms

    - The Edmonton Symptom Assessment System (ESAS), a validated standardized questionnaire consisting of 10 items, which evaluate physical and psychological symptoms as well as general wellbeing.

    Time frame: 3 weeks

07

Study locations

1 site
  • Department of Oncology outpatient clinic, St Olavs Hospital
    Trondheim, Norway
08

References and documents

Publications

  • Raj SX, Brunelli C, Klepstad P, Kaasa S. COMBAT study - Computer based assessment and treatment - A clinical trial evaluating impact of a computerized clinical decision support tool on pain in cancer patients. Scand J Pain. 2017 Oct;17:99-106. doi: 10.1016/j.sjpain.2017.07.016. Epub 2017 Aug 8. PubMed 28850380 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01795157
Lead sponsor
Norwegian University of Science and Technology
Collaborators
St. Olavs Hospital
Responsible party
Sponsor
First posted
Feb 20, 2013
Start date
Sep 2009
Primary completion
Feb 2013
Completion
Feb 2013
Last update
Sep 25, 2017

Study contacts

Stein Kaasa, MD prof
study director · Norwegian University of Science and Technology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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