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Enrolling by invitationNCT07828951MyAriaUpdated Sep 18, 2026

Patient Empowerment Via Mobile Health Applications (MHAs)

An observational study in Empowerment, Patient, Mobile Application and Prostate CA, sponsored by Constantinos Zamboglou. Enrolling by invitation at 1 site in Cyprus. Open to male participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Constantinos Zamboglou · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
18 Years to 80 Years
Sex
Male
01

Study summary

The goal of this observational study is to learn if myAria MHA can help adult oncology patients better manage their health and participate in medical research. The main questions it aims to answer are:

  • Does using the app improve patients' ability to track and self-manage symptoms?
  • Does the app increase engagement and willingness to share health data for research?
  • Does the app promote patient empowerment through the use of the nomograms?

Participants will:

  • Install and use the patient-facing mobile app developed through the Agora3.0 project.
  • Regularly log symptom information, treatment side effects, and any changes in their daily well-being.
  • Complete brief, periodic questionnaires about their experience using the app.
  • Access the nomogram tool during consultation with doctor for discussion of results and treatment plan.
  • Consent (within the app) to share anonymized health data and survey responses with researchers.

Through this project-funded by the Cypriot Research and Innovation Foundation and developed in partnership between GoC and Dcentric Health-Aria's ecosystem of products aims to empower oncology patients to take control of their care while contributing to ongoing medical research. Further, for the first time the use of nomogram and measurement of empowerment in prostate cancer will take place through the use of a co-developed (between researchers and patient representatives) questionnaire for testing its feasibility and validation.

Read the detailed description

While prognostic nomograms guide clinical decisions in prostate cancer, patients rarely receive tailored, real-time feedback about their individual risk or functional outcomes during consultations. This gap can undermine their sense of control and exacerbate anxiety. The "myAria" pilot aims to transform a conventional Mobile Health Application into a patient-friendly empowerment tool by:

Integrating Two Established Risk Models:

  1. A diagnostic model estimating the probability of clinically significant prostate cancer (Model A).
  2. A postoperative recurrence model predicting 5-year biochemical relapse risk after radical prostatectomy (Model B).

    Delivering Electronic Patient-Reported Outcomes (ePROs):

    • IPSS (International Prostate Symptom Score): Seven questions on urinary symptoms; total score 0-35 (higher = more severe lower urinary tract symptoms [LUTS]).
    • IIEF-5 (International Index of Erectile Function-5): Five items measuring erectile function; total score 1-25 (higher = better function; \<21 suggests erectile dysfunction).
    • EPIC-CP (Expanded Prostate Cancer Index Composite-Clinical Practice): A concise, 16-item version capturing urinary, bowel, sexual, vitality/hormonal, and overall bother domains; scores 0-76 (lower = better health-related QoL).
    • HADS (Hospital Anxiety and Depression Scale): 14 items (7 anxiety, 7 depression); two subscales each 0-21 (higher = greater symptomatology).

    A 13-item empowerment instrument across three sub-scales: (1) Knowledge about Prostate Cancer and Treatment; (2) Shared Decision-Making with Doctors

  3. Emotional capability in managing prostate cancer; designed to quantify patients' perceived control, understanding of their health status, and confidence during consultations.

Each item is scored 1 ("Strongly Disagree") to 5 ("Strongly Agree"), yielding a total score range of 13-65. Higher scores indicate greater empowerment.

Evaluating Feasibility and Psychometrics:

  • Determining whether delivering ePROs and the Empowerment Questionnaire via an MHA is practical in a busy clinic.
  • Collecting pilot data to assess reliability (Cronbach's α) and construct validity (e.g., correlations with anxiety scores and ePROs) of the Empowerment Questionnaire.

Enhancing Patient Engagement and Reducing Anxiety: by providing personalised, real-time feedback, myAria seeks to foster greater patient empowerment, potentially lowering anxiety levels and strengthening the doctor-patient relationship.

02

Conditions studied

  • Empowerment, Patient
  • Mobile Application
  • Prostate CA

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Keywords

  • patient empowerment
  • nomogram
  • quality of life
  • patient reported outcomes
  • digital health application
03

In context

Patient Participation

409 studies on the registry are indexed under Patient Participation; 101 are open to participants now.

This study's planned enrollment of 50 is below the median of 170 across 80 observational studies indexed under Patient Participation.

Browse Patient Participation studies →

Lead sponsor

This is the only study on the registry with Constantinos Zamboglou as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study is open to all males aged 18 to 80 years of age with a prostate cancer diagnosis who have not received previous radiotherapy to the pelvis and wish to receive their treatment at GOC/GMI. If they are willing to take part in this research study, they will be invited to download the mobile health application on their phone (also tablets available at the Center for this purpose), complete the eligibility questionnaire, sign the consent form and provide their phone number for account registration with the app and enrollment into the study. The patient study population is via purpose sampling.

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

  • At least 18 and below 80 years of age
  • Prostate cancer diagnosis
  • Speak fluent English or Greek
  • Not had previous radiotherapy to the pelvis
  • Wishing to receive treatment at the German Oncology Center (GOC) or German Medical Institute (GMI)
  • Willing to take part in this research study, which lasts up to six months
  • Sign an form

Exclusion criteria

Exclusion Criteria:

  • Younger than 18 years or over 80 years of age
  • Other than prostate cancer diagnosis
  • Previous radiotherapy to the pelvis
  • Not wishing to receive treatment at the German Oncology Center (GOC) or German Medical Institute (GMI)
  • Not willing to take part in this research study
  • No signed form
Terms in these criteria, in plain language(1)

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.

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

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Target follow-up
3 Months
Patient registry
Yes

Interventions

  • BehavioralDigital health application engagement and empowerment

    This study aims to move the current concept of mobile health towards a more patient-friendly tool, in which the patient receives personalised information of their health status, in real-time. Due to the patient engagement tools, the MHA targets to gain high levels of patient empowerment, potentially reduced anxiety, better doctor-patient relationship. Although prognostic nomograms are commonly used in clinical practice to guide decision-making in prostate cancer, there is currently no concise, validated instrument to measure patient "empowerment" before and after the use of these tools during consultations. The main aims of the MHAs MyAria study is to: (1) integrate the existing MHA prototype: MyAria for Agora3.0 and incorporate two risk prediction models for prostate cancer (2) check feasibility: test whether delivering the ePROs \& the new "Empowerment Questionnaire" via a mobile app is feasible in a busy prostate cancer clinic, and (3) gather initial psychometric data for validation.

06

What researchers measure

Primary outcomes

  1. Patient monitoring: Early Detection of Unfavourable Medical Conditions

    Proportion of patients for whom the mobile app detects or flags symptoms of pain, infection, or possible relapse based on electronic patient-reported outcomes (PROs) submitted through the application (e.g., pain scores, urinary symptoms, or other red-flag indicators).

    Time frame: Baseline, Follow-up at 3 months

  2. Patient empowerment: Change in Patient Empowerment Score (Pre-Post)

    Change in composite empowerment score, derived from a newly developed questionnaire measuring three domains: 1. Knowledge about Prostate Cancer and Treatment 2. Shared Decision-Making with Doctors 3. Emotional Capability in Managing Prostate Cancer Measured before and after the clinical consultation using the mobile application.

    Time frame: Baseline (before consultation) and Follow-up (the same day but post-consultation)

Secondary outcomes

  1. Feasibility of Mobile Health App Deployment

    Proportion of enrolled participants who successfully complete both pre- and post-consultation questionnaires using the mobile app.

    Time frame: 3 months Follow-up

  2. Appropriateness: Time to Complete Empowerment Questionnaire

    Average time (in minutes) required to complete the empowerment questionnaire before and after the clinical consultation whether is suitable, practicable or appropriate.

    Time frame: Baseline (before consultation) and Follow-up (the same day but post-consultation)

  3. Nomogram and recurrent disease risk prediction in practice

    Exploratory analysis of the agreement between prognosis or treatment recommendations generated by standard-of-care nomogram use and the treatment plan ultimately chosen. This will be done to assess whether clinical decisions align with nomogram predictions in the context of shared decision-making. An estimated 200 patients serving as a retrospective testing cohort is estimated to provide accuracy in risk prediction and disease prognosis.

    Time frame: Baseline

07

Study locations

1 site
08

References and documents

Publications

  • Zhang Z, Cai Q, Wang J, Yao Z, Ji F, Hang Y, Ma J, Jiang H, Yan B, Zhanghuang C. Development and validation of a nomogram to predict cancer-specific survival in nonsurgically treated elderly patients with prostate cancer. Sci Rep. 2023 Oct 18;13(1):17719. doi: 10.1038/s41598-023-44911-z. PubMed 37853026 ↗
  • Zamboglou C, Peeken JC, Janbain A, Katsahian S, Strouthos I, Ferentinos K, Farolfi A, Koerber SA, Debus J, Vogel ME, Combs SE, Vrachimis A, Morganti AG, Spohn SKB, Shelan M, Aebersold DM, Grosu AL, Ceci F, Henkenberens C, Kroeze SGC, Guckenberger M, Fanti S, Belka C, Bartenstein P, Hruby G, Scharl S, Wiegel T, Emmett L, Arnoux A, Schmidt-Hegemann NS. Development and Validation of a Multi-institutional Nomogram of Outcomes for PSMA-PET-Based Salvage Radiotherapy for Recurrent Prostate Cancer. JAMA Netw Open. 2023 May 1;6(5):e2314748. doi: 10.1001/jamanetworkopen.2023.14748. PubMed 37219907 ↗
  • Kumar S, Nilsen WJ, Abernethy A, Atienza A, Patrick K, Pavel M, Riley WT, Shar A, Spring B, Spruijt-Metz D, Hedeker D, Honavar V, Kravitz R, Lefebvre RC, Mohr DC, Murphy SA, Quinn C, Shusterman V, Swendeman D. Mobile health technology evaluation: the mHealth evidence workshop. Am J Prev Med. 2013 Aug;45(2):228-36. doi: 10.1016/j.amepre.2013.03.017. PubMed 23867031 ↗
  • Anderson RM, Funnell MM. Patient empowerment: myths and misconceptions. Patient Educ Couns. 2010 Jun;79(3):277-82. doi: 10.1016/j.pec.2009.07.025. Epub 2009 Aug 13. PubMed 19682830 ↗

Individual participant data

Plan to share: Undecided — We can provide raw and aggregated data on the responses to the various tools used (self-reported outcomes). We can also provide the individual responses to the nomogram questionnaires and the nomogram itself (which is done in consulation with the doctor).

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2025 to primary completion in Jun 2026, 8 months.

Of 42 non-industry observational studies under Patient Participation, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 37. This study's 8 months is below that.

Counting every sponsor, half of 44 studies reached it within 17 months; a quarter within 8 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 24, 2025
First posted
Sep 18, 2026
StartActual
Oct 15, 2025
Primary completionActual
Jun 30, 2026
CompletionEst.
Dec 20, 2026
Last update
Sep 18, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07828951
Lead sponsor
Constantinos Zamboglou
Collaborators
Dcentric Health Ltd
Responsible party
Constantinos Zamboglou (Prof, German Oncology Center, Cyprus) — Sponsor-investigator
First posted
Sep 18, 2026
Start date
Oct 15, 2025
Primary completion
Jun 30, 2026
Completion
Dec 20, 2026 (estimated)
Last update
Sep 18, 2026

Oversight

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

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