ClinicalTrials.gg
Status unknownNCT03473379PROFTC-IUpdated Mar 24, 2023

Development and Validation of a Tool for Patient-reported Assessment of Cancer-related Financial Toxicity in Italy

An observational study in Cancer, sponsored by National Cancer Institute, Naples. Status unknown at 5 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-24.

Sponsored by National Cancer Institute, Naples · Observational

The sponsor has not verified this record recently (last verified Mar 2023), so the status shown — last known as Recruiting — may be out of date.

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Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
440
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to develop and validate a patient-reported-outcome instrument (PROFTC-I: Patient Reported Outcome Financial Toxicity in Cancer - Italy) able to describe and measure financial problems of Italian patients receiving cancer treatment.

Read the detailed description

The project will be conducted according to the methodology delineated by the International Society for Pharmacoeconomics and Outcome Research (ISPOR) Patient Reported Outcomes Content Validity Good Research Practices Task Force in the following phases: concept elicitation and coding, item generation and analysis, instrument refinement and internal validation, and external validation.

02

Conditions studied

  • Cancer

Keywords

  • economic difficulty, financial toxicity
03

In context

Neoplasms

10,822 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 440 is above the median of 200 across 2,641 observational studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

National Cancer Institute, Naples is the lead sponsor of 113 studies on the registry; 39 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with any type of solid cancer or haematological malignancy who has undergone medical treatment, including chemotherapy, target agents, immunotherapy, hormonal treatment, radiotherapy and combinations of such therapies, or their caregivers, will be recruited in northern, central and southern Italian hospitals..

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patients (>18 years)
  • or cytologically confirmed diagnosis of any type of solid cancer or haematological
  • Written provided
  • Medical treatment (chemotherapy, target agents, immunotherapy, hormonal treatment, radiotherapy or combinations of such therapies) ongoing or terminated within the previous 3 months.
  • Caregivers of patients who meet the above criteria

Exclusion criteria

Exclusion Criteria:

  • Patients with major cognitive dysfunction or psychiatric disorders
  • Patients who have never received anticancer medical or radiation treatment
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
440 participants (estimated)
Patient registry
No

Groups and cohorts

  • Phase 1: concept elicitation and coding

    The aim of this phase is to elicit concepts from patients, caregivers, and oncology clinicians through focus groups of patients and caregivers, qualitative interviews and surveys. Approximately 55 patients or caregivers will participate in this phase.

  • Phase 2: Item generation and analysis

    The aim of this phase is produce a draft version of the questionnaire. Approximately 90 patients or caregivers will be recruited in this phase for item ranking and analysis through questionnaire evaluation and cognitive interviews.

  • Phase 3: Instrument refinement and internal validation

    The aim of this phase is generate the final version of the instrument. Approximately 101 patients or caregivers will participate in this phase by completing the questionnaire

  • Phase 4: External validation

    In this phase the questionnaire will undergo further psychometric testing for validation and approximately 220 patients or caregivers will be asked to complete the PROFTC-I questionnaire along with quality of life instruments

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What researchers measure

Primary outcomes

  1. Validation of Patient reported outcome financial toxicity of cancer Italian(PROFTC-I) questionnaire

    During the development of the questionnaire, individual items (questions), response options, and type of scoring will be determined according to Phases 1-3. Subsequently a principal components analysis (explorative factor analysis) will be done with eigen value set at 1; internal reliability will be assessed by inter-item correlations and Cronbach's alpha ( minimum acceptable 0.70); intraclass correlation coefficient (minimum acceptable 0.80). Correlation of final instrument with the EORTC quality of life questionnaire (criterion validity) will be assessed with using Pearson correlation coefficient.

    Time frame: 48 months

07

Study locations

4 of 5 sites recruiting
  • Azienda dei Colli
    Napoli, Italy
    Recruiting
  • Istituto Nazionale Tumori, IRCCS Fondazione Pascale
    Napoli, Italy
    Recruiting
  • Istituto Nazionale Tumori Regina Elena - IRCCS - IFO
    Roma, Italy
    Recruiting
  • Policlinico Universitario Campus Biomedico
    Roma, Italy
    Not yet recruiting
  • AO Ordine Mauriziano
    Torino, Italy
    Recruiting
08

References and documents

Publications

  • Riva S, Arenare L, Di Maio M, Efficace F, Montesarchio V, Frontini L, Giannarelli D, Bryce J, Del Campo L, De Lorenzo F, Iannelli E, Traclo F, Gitto L, Jommi C, Vaccaro CM, Barberio D, Cinieri S, Porta C, Del Mastro L, Zagonel V, Cogoni AA, Bordonaro R, Gimigliano A, Piccirillo MC, Guizzaro L, Gallo C, Perrone F. Cross-sectional study to develop and describe psychometric characteristics of a patient-reported instrument (PROFFIT) for measuring financial toxicity of cancer within a public healthcare system. BMJ Open. 2021 Oct 20;11(10):e049128. doi: 10.1136/bmjopen-2021-049128. PubMed 34670762 ↗
  • Riva S, Efficace F, Di Maio M, Bryce J, Del Campo L, De Lorenzo F, Frontini L, Giannarelli D, Gitto L, Iannelli E, Jommi C, Montesarchio V, Traclo F, Vaccaro CM, Arenare L, Canzanella G, Gimigliano A, Romano F, Savio A, Sparavigna L, Piccirillo MC, Guizzaro L, Gallo C, Perrone F. A qualitative analysis and development of a conceptual model assessing financial toxicity in cancer patients accessing the universal healthcare system. Support Care Cancer. 2021 Jun;29(6):3219-3233. doi: 10.1007/s00520-020-05840-z. Epub 2020 Oct 22. PubMed 33094357 ↗
  • Riva S, Bryce J, De Lorenzo F, Del Campo L, Di Maio M, Efficace F, Frontini L, Giannarelli D, Gitto L, Iannelli E, Jommi C, Montesarchio V, Traclo F, Vaccaro CM, Gallo C, Perrone F. Development and validation of a patient-reported outcome tool to assess cancer-related financial toxicity in Italy: a protocol. BMJ Open. 2019 Sep 9;9(9):e031485. doi: 10.1136/bmjopen-2019-031485. PubMed 31501130 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2018 (actual). Primary completion is estimated for Feb 2024, 71 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 15, 2018
First posted
Mar 22, 2018
StartActual
Mar 1, 2018
Primary completionEst.
Feb 1, 2024
CompletionEst.
Jul 1, 2024
Last update
Mar 24, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03473379
Responsible party
Sponsor
First posted
Mar 22, 2018
Start date
Mar 1, 2018
Primary completion
Feb 1, 2024 (estimated)
Completion
Jul 1, 2024 (estimated)
Last update
Mar 24, 2023

Study contacts

Francesco Perrone
Contact
f.perrone@istitutotumori.na.it
0815903571
Jane Bryce
Contact
j.bryce@istitutotumori.na.it
0815903571
Francesco Perrone
principal investigator · Istituto Nazionale Tumori IRCCS - Fondazione G. Pascale
Jane Bryce
principal investigator · Istituto Nazionale Tumori IRCCS - Fondazione G. Pascale
Ciro Gallo
principal investigator · University of Campania Luigi Vanvitelli
Silvia Riva
principal investigator · St. Mary University, Twickenham, London, GB
Fabio Efficace
principal investigator · Northwestern University, Feinberg School of Medicine, GIMEMA,EORTC Quality of Life Group - Rappresentante GIMEMA
Francesco De Lorenzo
principal investigator · AIMAC and European Cancer Patient Coalition
Elisabetta Iannelli
principal investigator · Segretario Generale FAVO
Laura Del Campo
principal investigator · FAVO
Francesca Traclò
principal investigator · AIMAC
Massimo Di Maio
principal investigator · AO Ordine Mauriziano
Luciano Frontini
principal investigator · Federation of Italian Cooperative Oncology Groups
Vincenzo Montesarchio
principal investigator · Oncologia, Azienda dei Colli, Napoli - CIPOMO
Lara Gitto
principal investigator · Centro per gli Studi Economici e Internazionali - Economic Evaluation & Health Technology Assessment (CEIS EEHTA), Università di Roma "Tor Vergata"
Claudio Jommi
principal investigator · Dipartimento di Scienze del Farmaco, Università del Piemonte Orientale; Osservatorio Farmaci, Cergas, SDA Bocconi
Concetta Maria Vaccaro
principal investigator · Welfare e Salute CENSIS (Centro Studi Investimenti Sociali), Roma

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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