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RecruitingNCT06781996HOPEUpdated Dec 1, 2025

A Study to Determine the Efficacy of a Digital Self-management Support Tool to Improve the Quality of Life During Adjuvant HOrmonal Therapy for Patients With Early Breast Cancer

A Phase 3 interventional study of multimodal Resilience© digital companion and Standard supportive care in Breast Cancer and Breast Cancer Early Stage Breast Cancer (Stage 1-3), sponsored by Gustave Roussy, Cancer Campus, Grand Paris. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-01.

Sponsored by Gustave Roussy, Cancer Campus, Grand Paris · Phase 3, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was expected by Mar 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started Sep 2025; still recruiting 1 year later.
Phase
Phase 3
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Randomized trial that compares a personalized digitally-enabled pathway delivered by a mobile application in addition to standard of care vs. standard of care alone in patients with HR+ early breast cancer reporting endocrine therapy related adverse events.

The HOPE study is a national, prospective, randomized, open-label trial conducted in France. 180 patients will be randomly assigned 1:1 to receive either 12 weeks of multimodal Resilience© digital companion including education and self-care modules in addition to the standard of care provided by their treating oncologists and supportive care team at their care centers or 12 weeks of standard of care provided by their treating oncologists and supportive care team at their care centers.

Data from the literature in oncology trials with Patient-Reported Outcomes suggests that in the absence of double-blind concealment, clinically important differences could still be detected.

02

Conditions studied

  • Breast Cancer
  • Breast Cancer Early Stage Breast Cancer (Stage 1-3)

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Keywords

  • early stage breast cancer
  • Hormone-receptor positive
  • endocrine therapy-related adverse events
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 180 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Gustave Roussy, Cancer Campus, Grand Paris is the lead sponsor of 242 studies on the registry; 65 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

Inclusion criteria

  1. Documentation of Disease:

    1. Subjects must have histologically confirmed ER and/or PgR positive HR+ invasive BC;
    2. Subjects must have stage I to III breast cancer and no evidence of distant metastatic or locally recurrent disease;

    NB: Bilateral breast carcinoma is allowed;

    NB: Patients with personal history of previous breast cancer or Ductal Carcinoma in situ (DCIS) are eligible for the protocol;

  2. Indication to receive adjuvant endocrine therapy (tamoxifen or aromatase inhibitors) with or without targeted agents (e.g., CDK 4/6 inhibitors, PARP inhibitors, bisphosphonates);
  3. Prior treatment: Patients must be actively on ET for their breast cancer diagnosis (any type, including either tamoxifen or an aromatase-inhibitor with or without targeted agents) at the time of study enrollment;
  4. Documentation of side effects of ongoing ET: Any endocrine therapy related adverse effects should be reported during treatment with endocrine therapy;
  5. Others:

    1. Age ≥ 18 years;
    2. ECOG Performance Status 0,1 or 2;
    3. Patients should possess a smartphone;
    4. Patient should understand, sign, and date the written informed consent form prior to any protocol-specific procedures performed;
    5. Patient should be able and willing to comply with study visits and procedures as per protocol;
    6. Patients must be affiliated to a social security system or beneficiary of the same;
    7. Able to readily read and understand French;

NB: Patients may have breast reconstruction during protocol participation;

NB: Biologic therapy, targeted therapy and bisphosphonates are acceptable during protocol participation;

NB: Male patients can be included in the trial;

NB: Pharmacological or other non-pharmacological interventions for endocrine treatment for adverse effects are accepted at physician discretion.

Exclusion criteria

Exclusion Criteria:

  1. Severe cognitive impairments or severe psychiatric disorders (assessed by the investigator or mentioned in the medical file of the patient) which in the investigator's opinion would jeopardize compliance with the protocol;
  2. Patient under guardianship or deprived of her/his liberty by a judicial or administrative decision or incapable of giving her/his consent;
  3. Patients participating at enrollment in a behavioral interventional trial;
  4. Patients suffering from physical related reversible and treatable causes of the entry endocrine therapy-related adverse events (e.g. but not limited to anemia, electrolytes unbalance, infections, renal dysfunction, active metastases hormonal unbalances [hypothyroidism, adrenal insufficiency, etc.] - according to physician's judgement.
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Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
180 participants (estimated)

Study arms

  • Experimental
    Standard supportive care and multimodal Resilience© digital companion with digital self care program

    Patients will receive standard of care provided by the oncologist and supportive care team at the patient local cancer center including referrals for local supportive care programs. In addition, patients will have access to Resilience© a multi-component, multi-level interventional mobile application that will offer: (a) supportive educational care information (b) self-symptom management resources with availability of a remote health-care provider evaluation that addresses patient-specific needs in survivorship care and recommends personalized digital self-management resources at onboarding and if needed in case of low engagement in the mobile app.

    Other: multimodal Resilience© digital companion · Other: Standard supportive care

  • Active comparator
    Standard supportive care

    Patients will receive standard of care provided by the oncologist and supportive care team at the patient local cancer center including referrals for local supportive care programs. Local supportive care programs may also include the use of already deployed remote patient monitoring and solutions, digital and in person education.

    Other: Standard supportive care

Interventions

  • Othermultimodal Resilience© digital companion

    Resilience© is a multi-component, multi-level interventional mobile application that will offer: (a) supportive educational care information (b) self-symptom management resources with availability of a remote health-care provider evaluation that addresses patient-specific needs in survivorship care and recommends personalized digital self-management resources at onboarding and if needed in case of low engagement in the mobile app. Intervention duration : 3 weeks

  • OtherStandard supportive care

    standard of care provided by the oncologist and supportive care team at the patient local cancer center including referrals for local supportive care programs. Local supportive care programs may also include the use of already deployed remote patient monitoring and solutions, digital and in person education.

06

What researchers measure

Primary outcomes

  1. To determine the efficacy of a personalized approach, consisting of a multi-component, interventional mobile application in addition to standard of care, compared with standard care alone in improving quality of life (QOL) after 12 weeks.

    The primary endpoint of the study is the ET symptoms scale of the European Organization for Research and Treatment of Cancer (EORTC) QOL questionnaire (QLQ)-BR45 over a 12-weeks period.

    Time frame: up to 12 weeks of intervention

Secondary outcomes

  1. To evaluate the impact of the intervention on other EORTC QLQ-C30 domains, including fatigue, emotional distress, pain, and sleep quality;

    Time frame: after 12 months of randomization

  2. To evaluate the impact of the intervention on insomnia measured by a wearable device;

    Insomnia by a wearable device capturing sleep quality and sleep cycle (Withings© Pulse HR smartwatch);

    Time frame: up to 12 months after randomization

  3. To evaluate the impact of the intervention on adherence to endocrine therapy, assessed through the modified MIS-A questionnaire

    reliable, easy-to-use, self-administered questionnaire, validated in France that is able to longitudinally capture granular data on non-adherence to chronic medication over short and long time.

    Time frame: up to 12 months after randomization

  4. To evaluate the impact of the intervention on the perceived self-efficacy of symptom management;

    Perceived self-efficacy in symptom management will be evaluated using the PROMIS Self-Efficacy for Managing Chronic Conditions - Managing Symptoms - Short Form 8a questionnaire.

    Time frame: up to 12 months after randomization

  5. To evaluate the impact of the intervention on eHealth Literacy levels

    Ability of the patients to find, understand and use information to improve their health from electronic sources using the eHLQ questionnaire

    Time frame: up to 12 months after randomization

  6. To evaluate the implementation process including the adoption of the HOPE digitally enabled supportive care pathway (Resilience mobile application)

    Information on digital health adoption and implementation process will be measured by different criteria: \- Willingness rate (Resilience© digital companion): will be defined as the rate of patients that activated a Resilience account adoption rate (Resilience© digital companion): will be defined as the rate of users who used Resilience as intended Full digital usage experience: using the experience questionnaire developped for the study

    Time frame: up to 12 weeks of intervention

  7. To evaluate the patient experience in using a web platform (WeShare) for collecting ePROs data.

    Using the experience questionnaire developped for the study and the French System Usability Scale

    Time frame: up to 12 weeks of intervention

  8. To evaluate the impact of the intervention on physical activity levels measured by a wearable device;

    Physical activity levels will be captured through a wearable device (number of steps, distance in Km and calories burned) (Withings © Pulse HR smartwatch)

    Time frame: up to 12 weeks of intervention

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Franzoi MA, Michels S, Ball S, Barbier A, Serhal C, Bernatowiez A, Ferreira A, D'Andon JF, Gernier F, Morel A, Demetz J, Le Du F, Lapidari P, Vaz-Luis I. Multicenter randomized effectiveness/implementation trial of a digital self-management support tool to improve the quality of life during adjuvant hormonal therapy for patients with early breast cancer: The HOPE trial. Contemp Clin Trials. 2026 Jul 25:108407. doi: 10.1016/j.cct.2026.108407. Online ahead of print. PubMed 42501860 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06781996
Lead sponsor
Gustave Roussy, Cancer Campus, Grand Paris
Collaborators
Resilience, WeShare, National Cancer Institute, France
Responsible party
Sponsor
First posted
Jan 17, 2025
Start date
Sep 9, 2025
Primary completion
Mar 15, 2026 (estimated)
Completion
Dec 15, 2026 (estimated)
Last update
Dec 1, 2025

Study contacts

Maria Alice FRANZOI, MD
Contact
Mariaalice.BORINELLI-FRANZOI@gustaveroussy.fr
+33142114211 ext. 48 27
Chloé Serhal, PhD
Contact
Chloé.serhal@gustaveroussy.fr
+33142114211 ext. 2343
Ines VAZ-LUIS, MD
study director · Gustave Roussy, Cancer Campus, Grand Paris

Oversight

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

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