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RecruitingNCT05334290FiReNENUpdated Mar 12, 2024

Financial Toxicity and Patient-Reported Outcomes in GEP-NEN During Treatment

An observational study in Neuroendocrine Tumors, sponsored by Massimo Falconi. Recruiting at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-12.

Sponsored by Massimo Falconi · Observational

From the registry’s dates

  • Started Aug 2020; still recruiting 6 years 2 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
400
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to evaluate the financial toxicity reported by Italian patients affected by GEP-NEN during the first year of treatment after diagnosis and its correlations with patient-reported outcomes (PROs) and quality of life (QoL).

Read the detailed description

Gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN) are rare tumours whose incidence has increased during the years. However, referral centers specialized in diagnosis and treatment of these diseases are few. So, patients may be forced to travel long distances in order to reach a disease specialized center (ENETS certification) to plan the correct management and receive the better treatment. On the other hand, patients could research different clinical consulting by several medical specialists without clear indication. Moreover, today also advanced disease allows the patients a good prognosis with long survival. The resulting emotional and psychological burden may contribute to the worse quality of life. Therefore, patients with GEP-NEN have a deal with the financial consequences related to the diagnosis and treatment of their disease including out of pocket costs, loss of income and caregiver burden. Financial toxicity, defined as subjective financial concerns of cancer and objective financial consequences, has been investigated in this study in Italian patients affected by GEP-NEN

02

Conditions studied

  • Neuroendocrine Tumors

Keywords

  • GEP-NEN
  • financial toxicity
  • Quality of life
  • Costs
03

In context

Neuroendocrine Tumors

676 studies on the registry are indexed under Neuroendocrine Tumors; 169 are open to participants now.

This study's planned enrollment of 400 is above the median of 115 across 176 observational studies indexed under Neuroendocrine Tumors.

Browse Neuroendocrine Tumors studies →

Lead sponsor

Massimo Falconi is the lead sponsor of 5 studies on the registry; 1 is 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

This study enrolls individuals (>18 years) with a new diagnosis of GEP-NEN who are candidates for surgical and/or medical treatment, in Italian Centers. Are excluded from this study patients candidates for a surveillance management and, on the opposite side, with life expectancy \< 6 months or candidates for best supportive care.

Inclusion criteria

  • ≥18 years of age
  • New diagnosis of gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN)
  • Patients who are candidates for surgical and/or medical treatment [including somatostatin analogues (SAA), peptide recector radionuclide therapy (PRRT), target therapies (everolimus or sunitinib) and chemotherapy];
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Patients diagnosed with GEP-NEN who are candidates for a surveillance management.
  • Patients diagnosed with GEP-NEN who are candidates for best supportive care and/or have a life expectancy \< 6 months.
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Study design

Observational model
Other
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Financial toxicity

    Financial toxicity measured by Comprehensive Score for financial toxicity (COST) and out of pockets.

    Time frame: 12 months

  2. Quality of Life (QoL)

    Evaluate the QoL of patients affected by GEP-NEN, as measured by the Questionnaires assessing the QoL of Cancer Patients (QLQ-C30)

    Time frame: 12 months

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Study locations

1 of 1 sites recruiting
  • IRCCS Ospedale San Raffaele
    Milan, 20132, Italy
    Recruiting
08

References and documents

Publications

  • Singh S, Granberg D, Wolin E, Warner R, Sissons M, Kolarova T, Goldstein G, Pavel M, Oberg K, Leyden J. Patient-Reported Burden of a Neuroendocrine Tumor (NET) Diagnosis: Results From the First Global Survey of Patients With NETs. J Glob Oncol. 2016 Jun 8;3(1):43-53. doi: 10.1200/JGO.2015.002980. eCollection 2017 Feb. PubMed 28717741 ↗
  • de Souza JA, Yap BJ, Wroblewski K, Blinder V, Araujo FS, Hlubocky FJ, Nicholas LH, O'Connor JM, Brockstein B, Ratain MJ, Daugherty CK, Cella D. Measuring financial toxicity as a clinically relevant patient-reported outcome: The validation of the COmprehensive Score for financial Toxicity (COST). Cancer. 2017 Feb 1;123(3):476-484. doi: 10.1002/cncr.30369. Epub 2016 Oct 7. PubMed 27716900 ↗
  • Beaumont JL, Cella D, Phan AT, Choi S, Liu Z, Yao JC. Comparison of health-related quality of life in patients with neuroendocrine tumors with quality of life in the general US population. Pancreas. 2012 Apr;41(3):461-6. doi: 10.1097/MPA.0b013e3182328045. PubMed 22422138 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2024, 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
NCT05334290
Lead sponsor
Massimo Falconi
Responsible party
Massimo Falconi (Head od Pancreatic Surgery Unit, IRCCS San Raffaele) — Sponsor-investigator
First posted
Apr 19, 2022
Start date
Aug 6, 2020
Primary completion
Oct 5, 2023
Completion
Aug 5, 2024 (estimated)
Last update
Mar 12, 2024

Study contacts

Stefano Partelli, Professor
Contact
partelli.stefano@hsr.it
0226437697
Stefano Partelli, Professor
principal investigator · San Raffaele Hospital Milan

Oversight

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

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