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Not yet recruitingNCT07495358KG-SMR-BCUpdated Apr 1, 2026

Development and Usability Evaluation of a Knowledge Graph-Based Symptom Management System for Patients With Breast Cancer Undergoing Chemotherapy

An interventional study of Knowledge Graph-Based Symptom Management System in Breast Neoplasms and Syndrome, sponsored by Capital Medical University. Not yet recruiting. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-04-01.

Sponsored by Capital Medical University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Patients with breast cancer patients undergoing chemotherapy commonly experience multiple co-occurring symptoms that are dynamic, interrelated, and difficult to manage using conventional approaches. Existing symptom management strategies often fail to address the complexity and evolving nature of symptom experiences during treatment.

This study aims to develop a knowledge graph-based symptom management recommendation system for patients with breast cancer undergoing chemotherapy and to evaluate its usability and preliminary effectiveness among both patients and nurses. The system integrates evidence-based guidelines, clinical expertise, and patient-reported data to provide personalized recommendations for symptom management.

In this study, patients will use the system to report symptoms and receive tailored management recommendations, while nurses will use it to support clinical decision-making and symptom management. Usability, acceptability, and user experience will be assessed for both patients and nurses, and changes in symptom burden and management outcomes will be evaluated.

The findings are expected to inform the feasibility and optimization of multi-user digital health interventions for comprehensive symptom management in oncology care.

02

Conditions studied

  • Breast Neoplasms
  • Syndrome

Keywords

  • breast cancer
  • symptom management
  • chemotherapy
  • recommender system
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 30 is below the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Capital Medical University is the lead sponsor of 295 studies on the registry; 91 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Aged 18 to 80 years
  • confirmed breast cancer
  • Stage I-III breast cancer
  • Planning to initiate or currently receiving or adjuvant chemotherapy
  • Expected to continue chemotherapy during the study period and complete at least two treatment time points/cycles
  • Able and willing to provide
  • Able to complete basic smartphone operations and system tasks independently or with guidance from the research staff

Exclusion criteria

Exclusion Criteria:

  • Recurrent or breast cancer (stage IV)
  • Significant cognitive impairment or communication barriers that preclude or completion of study procedures
  • Severe psychiatric disorders or unstable psychiatric symptoms that may interfere with study participation
  • Considered unsuitable for participation by the clinical or research team because of unstable medical condition or need for acute management
Terms in these criteria, in plain language(4)

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.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Knowledge Graph-Based Symptom Management Intervention

    Participants will use a knowledge graph-based symptom management system during chemotherapy. Patients will report symptoms and receive personalized management recommendations. Nurses will also use the system to support symptom management and clinical decision-making.

    Behavioral: Knowledge Graph-Based Symptom Management System

Interventions

  • BehavioralKnowledge Graph-Based Symptom Management System

    The intervention is a knowledge graph-based symptom management system designed for patients with breast cancer undergoing chemotherapy. The system integrates evidence-based guidelines, clinical expertise, and patient-reported data to generate personalized symptom management recommendations. Patients use the system to report symptoms and receive tailored management strategies. Nurses use the system to support clinical decision-making and provide symptom management guidance. The intervention aims to improve symptom management and support patient-centered care.

06

What researchers measure

Primary outcomes

  1. mHealth App Usability Questionnaire

    System usability assessed using the System Usability Scale (SUS), a validated 10-item questionnaire evaluating overall usability of the system.

    Time frame: At the end of the study period (approximately 6-8 weeks after system use)

  2. Post-Study System Usability Questionnaire

    Usability of the knowledge graph-based symptom management system assessed using a standardized mHealth usability questionnaire, including ease of use, usefulness, and user satisfaction.

    Time frame: At the end of the study period (approximately 6-8 weeks after system use)

Secondary outcomes

  1. MD Anderson Symptom Inventory

    Symptom severity and interference assessed using the MD Anderson Symptom Inventory (MDASI), a validated instrument measuring multiple symptoms in patients with cancer.

    Time frame: At baseline and at the end of the study period (approximately 6-8 weeks after system use)

  2. Average session duration per use

    The average duration of each system use session per participant, recorded automatically via system logs.

    Time frame: Up to 12 weeks

  3. Number of system uses per week

    The number of times each participant accesses the system per week, recorded automatically via system logs

    Time frame: Up to 12 weeks

  4. Number of completed symptom reports

    The total number of symptom reports submitted by each participant through the system, recorded automatically via system logs.

    Time frame: Up to 12 weeks

  5. Semi-structured interviews (patient experience and satisfaction)

    Patient experience and satisfaction explored through semi-structured interviews, focusing on usability, perceived usefulness, and barriers to system use.

    Time frame: At the end of the study period (approximately 6-8 weeks after system use)

  6. Task-based usability assessment

    Task-based usability assessment evaluating users' ability to complete predefined tasks, including task completion rate, time on task, and error rate.

    Time frame: Baseline

Other outcomes

  1. Adverse events and safety monitoring

    Adverse events and safety monitoring during the study period, including any physical discomfort, psychological distress, or other unintended effects related to system use. All adverse events will be recorded and reviewed by the research team, and participants with clinically concerning conditions will be referred to the clinical care team as appropriate.

    Time frame: Throughout the study period (approximately 6-8 weeks)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — Data available upon reasonable request

No publications or documents are linked to this record.

09

Updates

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

Registry details

Key details

Study ID
NCT07495358
Responsible party
Ruolin Li (Principal Investigator, Capital Medical University) — Principal investigator
First posted
Mar 27, 2026
Start date
Apr 15, 2026 (estimated)
Primary completion
Oct 15, 2026 (estimated)
Completion
Dec 15, 2026 (estimated)
Last update
Apr 1, 2026

Study contacts

Ruolin Li, MS
Contact
rlli99@163.com
+8615909837326
Jun-E Liu, Prof.
Contact
liujune66@ccmu.edu.cn

Oversight

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 Mar 2026. You cannot join it, but the record below documents what was studied.

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