ClinicalTrials.gg
Not yet recruitingNCT07122492FoRtitudeUpdated Aug 14, 2025

A Targeted Electronic Health Approach to Reduce Fear of Recurrence in Breast Cancer Survivors (FoRtitude)

An interventional study of FoRtitude 2.0 and Attention Control in Breast Cancer Survivor and Fear of Cancer Recurrence, sponsored by Eastern Cooperative Oncology Group. Not yet recruiting at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-14.

Sponsored by Eastern Cooperative Oncology Group · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
800
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this study is to determine if the intervention or if general information about being a breast cancer survivor can help Breast Cancer Survivors reduce their fear of recurrence. The main question it aims to answer are:

Can the FoRtitude intervention lower the fear of recurrence for Breast Cancer Survivors?

Participants will:

Answer questions about their fear of recurrence. Be randomized to 1 of the 3 following options: (1) a weblink to access an eHealth intervention which includes a website and an optional interactive text-messaging feature, (2) a weblink to a non-interactive website that will include links to external websites with general information that may be helpful for Breast Cancer Survivors, or (3) you will need to talk with your oncology team about your concerns about recurrence or seek psychosocial care in the community.

Be asked to fill out questionnaires 5 times for up to 18 months.

02

Conditions studied

  • Breast Cancer Survivor
  • Fear of Cancer Recurrence

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Keywords

  • Breast cancer survivor
  • Fear of recurrence
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 800 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Eastern Cooperative Oncology Group is the lead sponsor of 175 studies on the registry; 7 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 5 (50%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • Participant must be ≥ 18 years of age.
  • Participant must have had confirmed Stage 0-III breast cancer at time of diagnosis.
  • Participant must have completed primary treatment 1-10 years prior to Step 0 registration.

NOTE: Current hormonal therapy is allowed. NOTE: Primary treatment can include chemotherapy and/or surgery and/or radiation therapy.

- Participant must be receiving their care (cancer treatment or survivorship care) from an oncology provider affiliated with the NCORP site and are expected to continue care at the site for the next 18 months.

NOTE: This eligibility criteria is intended to ensure access to healthcare utilization data. Oncology provider can include an Advance Practice Provider, Advance Nurse Practitioner, oncologist, primary care provider, or nurse or physician responsible for survivorship care.

  • Participant must have no evidence of active cancer of any type at the time of Step 0 registration (per the assessment of the physician), excluding local basal cell or squamous cell carcinoma.
  • Participant must be fluent in written and spoken English.
  • Participant must have an Performance Status of 0-2.
  • Participant must have the ability to understand and the willingness to sign a written document. Participants with impaired decision-making capacity (IDMC) are not eligible.
  • Participant must complete the FCRI 9-item severity scale and report a score of 13 or higher.
  • Participant must have access to the internet (via smartphone, tablet, or computer).

NOTE: The restriction to those with internet access is based on the primary intention of the study which involves internet-based delivery intervention content delivered via the internet.

  • Participant must have completed the Baseline Assessment within 60 days of Step 0 registration.
  • Randomization to Step 1 must occur within 60 days of Step 0 registration.

Exclusion criteria

Exclusion Criteria:

  • Participant must not have any psychiatric or cognitive conditions that may affect the participant's ability to accurately provide self-report data, per clinical discretion.
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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

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

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
800 participants (estimated)

Study arms

  • Experimental
    Intervention

    Access to the study intervention website with interactive content, including information to read and videos to watch, and an optional text-messaging feature

    Behavioral: FoRtitude 2.0

  • Other
    Attentive Care

    Access to the non-interactive study intervention website that lists links to help you access websites that provide information to read and resources for breast cancer survivors.

    Behavioral: Attention Control

  • No intervention
    Usual Care

    Usual care for fear of recurrence.

Interventions

  • BehavioralFoRtitude 2.0

    A website and an interactive text-messaging feature

  • BehavioralAttention Control

    Access to the non-interactive study intervention website that lists links to help you access websites that provide information to read and resources for breast cancer survivors.

06

What researchers measure

Primary outcomes

  1. Fear of Cancer Recurrence Inventory (FCRI)

    Fear of Cancer Recurrence Inventory (FCRI) modified total score 143 (without coping or reassurance subscale items) measured during the study period. A graphical exploration of the data will be performed by examining the distribution of FCRI score at each follow up timepoint, as well as the changes in FCRI between the baseline and follow up visits. 1-month post-intervention completion (3 months post-randomization) will be defined as the primary comparison. For the primary analysis we will compare the FCRI score of the FoRtitude arm to each of two control arms at 3 months using Welch's t-test. Two two-group Welch's t-tests will be used to compare the FCRI score of the FoRtitude arm to each of the two control arms at 12 weeks.

    Time frame: From 1 month post-intervention to 3 months post-intervention

Secondary outcomes

  1. Difference in fear of recurrence based on race across all arms

    A mixed model, including indicator variables for arm, race, and time, will be used and will include the interactions of race by arm and race by time. The FCRI modified total score of the FoRtitude arm to each of two control arms will be compared at 3 months using a two-group t-test with linear contrasts.

    Time frame: From enrollment to 3 months

  2. Change in quality of life measures

    A per-comparison-wise error rate approach (PCWER) will be used.

    Time frame: At all time points, including long term outcomes at 6, 12 and 18 months.

07

Study locations

1 site
  • UNC Chapel Hill School of Medicine Public Health
    Chapel Hill, North Carolina 27599, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07122492
Responsible party
Sponsor
First posted
Aug 14, 2025
Start date
Sep 1, 2025 (estimated)
Primary completion
Sep 1, 2028 (estimated)
Completion
Sep 1, 2029 (estimated)
Last update
Aug 14, 2025

Study contacts

Lynne I Wagner, Ph.D.
Contact
lynne.wagner@unc.edu
(919) 966-7392
Lynne I Wagner, Ph.D.
study chair · UNC Chapel Hill Gillings School of Global Public Health

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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