An interventional study of Palliative Therapy and Questionnaire Administration in Caregiver, Malignant Pleural Neoplasm and Metastatic Thymic Carcinoma, sponsored by Ohio State University Comprehensive Cancer Center. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.
Sponsored by Ohio State University Comprehensive Cancer Center · Not applicable, Interventional, and Supportive care
This trial studies how well embedded palliative care works in managing symptoms in participants with stage III-IV thoracic malignancies that has come back and their caregivers. Embedded palliative care may improve distress and anxiety in participants and caregivers.
PRIMARY OBJECTIVES:
I. To determine feasibility of embedding a palliative care (PC) physician within the James Thoracic Oncology Clinic.
II. To assess patient and caregiver outcomes over a 12-month period within an embedded onco-palliative care clinic model.
III. To evaluate and describe clinician attitudes and beliefs regarding utilization of embedded palliative care as well as symptoms of provider burnout.
IV. To analyze health care utilization among participants receiving embedded onco-palliative care.
OUTLINE:
Participants and caregivers undergo embedded palliative care comprising symptom management (physical and psychological), advanced directives and goals of care discussion, caregiver support, and referral for adjunctive supportive services as needed at each clinic visit.
After completion of study, patients are followed for up to 1 year.
126 studies on the registry are indexed under Thymoma; 36 are open to participants now.
This study's enrollment of 68 is above the median of 40 across 101 interventional studies indexed under Thymoma.
Browse Thymoma studies →Ohio State University Comprehensive Cancer Center is the lead sponsor of 369 studies on the registry; 81 are open to participants now.
Of its 38 completed or terminated interventional studies of FDA-regulated products, 19 (50%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants and caregivers undergo embedded palliative care comprising symptom management (physical and psychological), advanced directives and goals of care discussion, caregiver support, and referral for adjunctive supportive services as needed at each clinic visit.
Other: Palliative Therapy · Other: Questionnaire Administration
Undergo embedded palliative care
Also known as: Comfort Care, palliation, palliative care, Palliative Treatment, Symptom Management, Symptoms Management
Ancillary studies
Acceptance from providers to assess utilization of palliative care services
Acceptance will be evaluated utilizing provider surveys (to capture provider opinions on palliative care utilization) as well as rate of enrollment. Preliminary data will be summarized and collected. Confidence intervals will also be calculated for feasibility rates.
Time frame: Up to 12 months
Demand of palliative care services to be evaluated
Preliminary data will be summarized and collected. Confidence intervals will also be calculated for feasibility rates.
Time frame: Up to 12 months
Capacity and productivity to be evaluated
Clinician capacity and productivity will be evaluated by looking at scheduling as well as billing productivity. Preliminary data will be summarized and collected. Confidence intervals will also be calculated for feasibility rates.
Time frame: Up to 12 months
Resource assessment of staff and space
Resources required, including patient care rooms and nursing support will also be evaluated. Preliminary data will be summarized and collected. Confidence intervals will also be calculated for feasibility rates.
Time frame: Up to 12 months
Symptom burden (patient outcome) supportive care screen
Will be assessed using Supportive care screen.
Time frame: Up to 12 months
Symptom burden (patient outcome) Functional Assessment of Cancer Therapy-Lung
Will be assessed using Functional Assessment of Cancer Therapy-Lung
Time frame: Up to 12 months
Symptom burden (patient outcome) using HADS
Will be assessed using Hospital Anxiety and Depression Scale (HADS)
Time frame: Up to 12 months
Symptom burden using National Comprehensive Cancer Network distress thermometer (patient outcome)
Will be assessed using National Comprehensive Cancer Network distress thermometer
Time frame: Up to 12 months
Anxiety assessment using Hospital Anxiety and Depression Scale (patient outcome)
Anxiety assessed using the Hospital Anxiety and Depression Scale
Time frame: Up to 12 months
Depression assessment using Hospital Anxiety and Depression Scale (patient outcome)
Depression assessed using the Hospital Anxiety and Depression Scale
Time frame: Up to 12 months
Functional status assessed using Functional Activities Scale (patient outcome)
Functional status assessment using Functional Activities Scale (FAS)
Time frame: Up to 12 months
Health care service needs assessed using Supportive Care Needs Survey Partners and Caregivers (SCNS- P and C) (Caregiver outcome)
Caregiver needs assessment using Supportive Care Needs Survey - Patients \& Caregivers (SCNC-P\&C)
Time frame: Up to 12 months
Psychological/emotional needs assessed using SCNS- P and C (Caregiver outcome)
Caregiver needs assessment using Supportive Care Needs Survey - Patients \& Caregivers (SCNC-P\&C)
Time frame: Up to 12 months
Work/social needs assessed using SCNS- P and C (Caregiver outcome)
Caregiver needs assessment using Supportive Care Needs Survey - Patients \& Caregivers (SCNC-P\&C)
Time frame: Up to 12 months
Information needs assessed using SCNS- P and C (Caregiver outcome)
Caregiver needs assessment using Supportive Care Needs Survey - Patients \& Caregivers (SCNC-P\&C)
Time frame: Up to 12 months
Self-reported barriers and attitudes regarding palliative care assessed using Ohio State Palliative Care Provider Survey (Provider outcome)
Ohio State Palliative Care Provider survey used to assess perceived barriers to referral
Time frame: Up to 12 months
Health care utilization outcomes
Will be captured using Integrated Health Information Systems electronic medical record data as well as patient reported events.
Time frame: Up to 12 months
Challenges for patients, caregivers, and the treating oncologist in an embedded palliative care model
evaluate the challenges for patients, caregivers and treating oncologist in embedded palliative care
Time frame: Up to 12 months
Documents are hosted by the registry — open the source record to download them.
Plan to share: No
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.
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Ohio State University Comprehensive Cancer Center