Palliative Care and Phase 1 Trials: Intervention to Improve Quality of Life and Provide Education

Clin J Oncol Nurs. 2017 Aug 1;21(4):473-479. doi: 10.1188/17.CJON.473-479.

Abstract

Background: Patients in phase 1 clinical trials often have significant symptom burdens and quality-of-life concerns that increase as they progress along the cancer trajectory and experience drug toxicities from the clinical trial. .

Objectives: The interdisciplinary intervention described is aimed at providing optimum palliative care to support patients with solid tumors participating in a phase 1 clinical trial. .

Methods: The intervention includes a baseline evaluation using quantitative surveys, a comprehensive palliative care assessment by a research nurse based on patient baseline evaluation, and a goals-of-care discussion by the treating oncologist. The second component includes an interdisciplinary meeting where palliative care recommendations are made, followed by two patient education sessions. .

Findings: The initial experience with the palliative care intervention suggests a need for support for this population, as well as potential benefits from integrating palliative care for patients enrolled in phase 1 clinical trials.

Keywords: palliative care; phase 1 clinical trials; quality of life; symptom burden.

Publication types

  • Case Reports

MeSH terms

  • Clinical Trials, Phase I as Topic*
  • Female
  • Humans
  • Middle Aged
  • Neoplasms / drug therapy*
  • Neoplasms / nursing
  • Neoplasms / physiopathology
  • Palliative Care*
  • Patient Education as Topic*
  • Quality of Life*