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Building a nationwide safety net for oral antitumor therapy: SafetyFIRST – a cluster-randomized stepped-wedge trial

Building a nationwide safety net for oral antitumor therapy: SafetyFIRST – a cluster-randomized stepped-wedge trial - SafetyFIRST

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00032764
Enrollment
600
Registered
2023-11-16
Start date
2024-02-01
Completion date
Unknown
Last updated
2026-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

C00-D48

Interventions

Group 1: Control group: For patients recruited during the control phase, the standard clinical routine at the facilities remains unaffected. Contacts at the defined time points are solely for the purp

Sponsors

Apotheke des Uniklinikums Erlangen
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Therapy initiation at one of the participating local sites with: - A newer oral anti-tumor agent (substance authorized for use after February 2, 2001 = date of authorization for Capecitabine by the European Medicines Agency EMA), or - Temozolomide (inclusion due to high clinical relevance despite approval before the approval date for Capecitabine). - Planned duration of therapy: at least 4 months - Estimated life expectancy: at least 4 months - Ability to independently fill out questionnaires - Tumor diagnosis / stages: no limitations - Treatment setting: outpatient (or inpatient) treatment setting, outpatient follow-up care

Exclusion criteria

Exclusion criteria: - Absence of sufficient German language skills (ability to understand written and spoken German) - Pathological cognitive deficiencies (e.g., neurodegenerative diseases severely affecting patients' memory) - Non-capable-of-consent patients - Patients unable to take their medication independently - Pregnant / breastfeeding patients - Absence of written consent statement

Design outcomes

Primary

MeasureTime frame
Combined endpoint of severe side effects (CTCAE =3), treatment discontinuation, unscheduled hospital admission, and all-cause mortality between week 0 and week 12

Secondary

MeasureTime frame
- Percentage of patients with at least one severe symptomatic toxicity, measured using the Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE), = Grade 3 between week 0 and week 12. - Number of unresolved medication errors per patient related to oral antitumor therapy after week 12. - Duration of treatment, measured as the time interval between the initial prescription and discontinuation of oral antitumor therapy within the observation period. - Patient well-being and satisfaction with oral antitumor therapy, assessed using the Treatment Satisfaction Questionnaire for Medication (TSQM Ver. II), "Convenience" category after 12 weeks. - Adherence to oral antitumor therapy, measured using the Medication Adherence Report Scale (MARS-D) after 12 weeks. - Quality of life, assessed using the European Quality of Life 5 Dimensions 5 Level Questionnaire (EQ-5D-5L) after 12 weeks. All secondary study objectives pertain to the comparison between the control and intervention groups.

Countries

Germany

Contacts

Public ContactUlrich Jaehde

Pharmazeutisches Institut, Rheinische Friedrich-Wilhelms-Universität Bonn

u.jaehde@uni-bonn.de+49 228 73 5252

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Apr 4, 2026