Improving the management of pain from advanced cancer in the community

ISRCTN ISRCTN18281271
DOI https://doi.org/10.1186/ISRCTN18281271
Secondary identifying numbers 19024
Submission date
30/09/2015
Registration date
30/09/2015
Last edited
12/09/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-study-comparing-2-different-ways-of-pain-management-support-in-the-community-impacct

Contact information

Dr Lucy Ziegler
Scientific

Cancer Research UK
Psychosocial Oncology and Clinical Practice Research Group
Beckett Street
Leeds
LS9 7TF
United Kingdom

Study information

Study designRandomised; Interventional; Design type: Process of Care, Treatment
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleImproving the management of pain from advanced cancer in the community: a feasibility randomised controlled trial
Study acronymIMPACCT
Study objectivesWithin oncology services, early screening and referral of community based patients with pain from advanced cancer, combined with routine pain assessment and monitoring, will reduce the extent of pain and psychological distress reported by the patient.
Ethics approval(s)15/YH/0235
Health condition(s) or problem(s) studiedTopic: Cancer; Subtopic: Colorectal Cancer, Upper Gastro-Intestinal Cancer, Breast Cancer, Lung Cancer, Prostate Cancer; Disease: Breast, Colon, Lung (non-small cell), Prostate
Intervention160 participants will be recruited, and randomly allocated on an equal basis to receive either the intervention or usual care or standard care. Participants allocated to the intervention will be referred to their local palliative care team and further intervention will take place within the palliative care setting. The participants will be asked to complete a questionnaire pack at baseline when they enter the study, at 6 weeks and then at 12 weeks after this date. This will be completed in clinic at the baseline visit and sent to their home address at the 6 and 12 week visits. A Researcher (who will be blind to treatment allocation) from the University of Leeds will call the participant and offer to go through the answers to the questionnaires if they prefer.
Intervention typeOther
Primary outcome measure1. Uptake and retention rate of each intervention recorded throughout the study period
2. Pain severity, measured using the Brief Pain Inventory at 6 and 12 weeks
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/10/2015
Completion date04/04/2018

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsPlanned Sample Size: 161; UK Sample Size: 161
Total final enrolment161
Key inclusion criteria1. Aged 16 years or over
2. Diagnosis of advanced incurable disease (locally advanced or metastatic) in one of the following disease areas:
2.1. Breast
2.2. Colon or rectal
2.3. Non-small cell lung cancer
2.4. Prostate
2.5. Upper GI
3. Experiencing cancer related pain (tumour or treatment related) (as assessed by the Clinician) with an average pain score of = 4 on the “average pain” item of the Brief Pain Inventory
4. Has the potential to benefit from palliative care support as assessed by the Clinician
5. An expected prognosis of 12 weeks or more
6. The patient is living at home
7. The patient lives in the local catchment area for a participating hospice
8. The patient is able and willing to provide written informed consent
Key exclusion criteria1. Previously referred to palliative care team
2. The patient has insufficient literacy, or proficiency in English to contribute to the data collection required for the research
3. Patients will be excluded if they lack capacity to provide informed consent to this trial
4. Patients with dominant chronic pain that is not cancer related (tumour or treatment)
Date of first enrolment01/10/2015
Date of final enrolment26/01/2018

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Cancer Research UK
Beckett Street
Leeds
LS9 7TF
United Kingdom

Sponsor information

University of Leeds
Hospital/treatment centre

School of Healthcare
Baines Wing
Woodhouse Lane
Leeds
LS2 9JT
England
United Kingdom

ROR logo "ROR" https://ror.org/024mrxd33

Funders

Funder type

Government

National Institute for Health Research
Government organisation / National government
Alternative name(s)
National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 22/03/2018 Yes No
Results article 01/12/2021 13/07/2022 Yes No
HRA research summary 28/06/2023 No No

Editorial Notes

12/09/2022: Internal review.
13/07/2022: The following changes have been made:
1. Publication reference added.
2. The total final enrolment number has been added from the reference.
16/04/2018: The overall trial end date was changed from 30/04/2018 to 04/04/2018.
27/03/2018: Publication reference added.
07/02/2018: The following changes were made:
1. Recruitment end date was changed from 28/02/2018 to 26/01/2018.
2. Overall trial end date was changed from 31/05/2018 to 30/04/2018.
3. Number of participants was changed from 160 to 161.
04/08/2017: The following changes were made to the trial record:
1. The recruitment end date was changed from 30/09/2016 to 28/02/2018.
2. The overall trial end date was changed from 30/09/2016 to 31/05/2018.
30/05/2017: Cancer Help UK lay summary link added to plain English summary field.