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出境医 / 临床实验 / Cancer Loyalty Card Study (CLOCS)

Cancer Loyalty Card Study (CLOCS)

Study Description
Brief Summary:

Approximately 7,400 new cases of ovarian cancer are diagnosed each year in the United Kingdom (UK), and with over 4,000 women dying from the disease each year it is a particularly lethal form of cancer. The symptoms for ovarian cancer are not well known and vague, and most women are diagnosed at a late stage when the cancer has already spread around the abdominal cavity with poor prognosis. Novel methods are needed to improve earlier detection and thereby improve survival from this disease.

The Cancer Loyalty Card Study (CLOCS) proposes to use loyalty card data from two participating high street retailers to investigate purchase behaviour as an opportunity for cancer symptom surveillance. The investigators aim to conduct a case-control study of ovarian cancer patients matched with women without ovarian cancer and to explore public preferences for how to communicate potential outcomes of the commercial and health data linkages back to individuals.

Eligible participants will be women in the UK who own at least one loyalty card with the participating high street retailers. Of these women, those who have been diagnosed with ovarian cancer are eligible to participate in the study as cases, while women who have not been diagnosed with ovarian cancer are eligible to participate as controls.

Upon choosing to participate, all participants will be asked to complete a short questionnaire about well-established ovarian cancer risk factors and common symptoms either in the clinic (cases) or online/from a packet in the mail(controls). This information will be used in risk assessment for ovarian cancer of participants, which will be used at the analysis stage.


Condition or disease Intervention/treatment
Ovarian Neoplasms Other: Risk Factor Questionnaire Other: Clinical Questionnaire

Detailed Description:

Purpose and Design

The Cancer Loyalty Card Study (CLOCS) is addressing whether or not data already collected by high street retailers can detect significant changes in purchase behaviours of ovarian cancer patients prior to their diagnosis. The investigators aim to conduct a case-control study of ovarian cancer patients matched with women who do not have ovarian cancer. The study aims to recruit at least 500 recently diagnosed ovarian cancer patients and at least 500 healthy women as controls and collate up to 7 years of prior purchase data.

Recruitment

Loyalty card holders will be invited to join the study by email and post from the high street retailers and can choose to sign up via the CLOCS website or via post by returning the consent form to the study team through the mail. There will also be a press release about the study inviting loyalty card holders to visit the CLOCS website for more information and join the study. Women, 18 years or older, who have a loyalty card at the participating high street retailers are eligible to join. Women with ovarian cancer and who own at least one of the participating high street retailer's loyalty cards will be recruited in a clinic by a member of their healthcare team where the study is open. Any woman considering joining the study can contact the research team using the contact details on the information sheet.

Consent

Ovarian cancer patients will be given the information sheet and consent form in the clinic by a member of their healthcare team. They can take as much time as they need to read through the information sheet. If they choose to participate, they can complete the consent form whenever is convenient for them and return it to the CLOCS team in the free post envelope provided to them in the clinic.

Women without ovarian cancer will be presented with the information sheet and consent form in an email or letter in the mail from their high street retailer if they hold a loyalty card with them and return them to the CLOCS team in a free post envelope. They can also find the information sheet and consent form on the CLOCS website and consent online.

Methods

Consenting participants will complete a brief questionnaire about ovarian cancer risk factors, which will also be returned to the CLOCS team through the mail or on the website (healthy volunteers only). Participants with ovarian cancer will also have a clinical form for a member of their clinical team to complete in the clinic. This will be sent to the CLOCS team along with their consent and risk factor questionnaire in the free post envelope. Two ovarian cancer patients have reviewed all questionnaires and CLOCS documents and expressed their approval. Women without ovarian cancer from the general UK population have also reviewed the risk factor questionnaire and expressed their approval saying the questionnaire is 'easy to understand' and 'straightforward'.

If participants consent to be re-contacted by the CLOCS team for future studies or for loyalty card detail clarification,they will provide either a contact email or phone number. There is no further action needed from participants once they complete their consent form and questionnaire (and clarify loyalty card details if necessary)

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 1000 participants
Observational Model: Case-Control
Time Perspective: Retrospective
Official Title: Cancer Loyalty Card Study: a Retrospective Observational Case-Control Study
Actual Study Start Date : November 4, 2019
Estimated Primary Completion Date : July 2022
Estimated Study Completion Date : July 2022
Arms and Interventions
Group/Cohort Intervention/treatment
Cases
Participants diagnosed with ovarian cancer
Other: Risk Factor Questionnaire
For cases, the study recruiter at the Trust will present this in the clinic. Controls will complete this online or at home when volunteering to participate. The participant questionnaire will be completed by the participant.
Other Name: Participant Questionnaire

Other: Clinical Questionnaire
For cases, the study recruiter at the trust will complete this form together with the participant. Controls will not complete this form.

Controls
Participants without ovarian cancer
Other: Risk Factor Questionnaire
For cases, the study recruiter at the Trust will present this in the clinic. Controls will complete this online or at home when volunteering to participate. The participant questionnaire will be completed by the participant.
Other Name: Participant Questionnaire

Outcome Measures
Primary Outcome Measures :
  1. Purchase behaviours assessed by statistical model [ Time Frame: 3 years ]
    The primary outcome of the CLOCS will be to define the time by which the cases and controls are statistically significantly different in their purchase behaviors leading up to diagnosis.


Secondary Outcome Measures :
  1. Alert about cancer symptoms assessed by purchase behaviour [ Time Frame: 3 years ]
    The secondary outcome of the CLOCS will be defining a purchase threshold as an "alert" about cancer symptoms in individuals


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Gender Based Eligibility:   Yes
Gender Eligibility Description:   Ovarian cancer is a female only cancer.
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
All participants will be females in the UK who are at least 18 years old and who own at least one of the participating high street retailer loyalty cards. Participants who have been diagnosed with ovarian cancer are considered cases. Participants who do not have ovarian cancer are considered controls.
Criteria

Inclusion Criteria:

  • Women, at least 18 years old, recently diagnosed with ovarian cancer (preferably recruited just after diagnosis and during treatment period,but are still eligible if diagnosed up to 2 years prior, at the latest) who hold at least one participating high street retailer loyalty card are eligible to join the CLOCS as cases.

Women, at least 18 years old, who have not been diagnosed with ovarian cancer and hold at least one participating high street retailer loyalty card are eligible to join the CLOCS as controls.

Exclusion Criteria:

  • Women under the age of 18 years and, since this is a study about ovarian cancer,men will not be eligible to join this study. Women who do not own loyalty cards with the participating high street retailers are not eligible to join this study.
Contacts and Locations

Contacts
Layout table for location contacts
Contact: James Flanagan, PhD 0207 5942127 j.flanagan@imperial.ac.uk
Contact: Hannah Brewer, PhD h.brewer@imperial.ac.uk

Locations
Layout table for location information
United Kingdom
Imperial College Healthcare NHS Trust Recruiting
London, United Kingdom
Contact: Jonathan Krell         
Sponsors and Collaborators
Imperial College London
Cancer Research UK
Imperial College Healthcare NHS Trust
Sandwell & West Birmingham Hospitals NHS Trust
University College London Hospitals
County Durham and Darlington NHS Foundation Trust
Walsall Healthcare NHS Trust
Surrey and Sussex Healthcare NHS Trust
Airedale NHS Foundation Trust
Abertawe Bro Morgannwg University Health Board
Gateshead Health NHS Foundation Trust
Norfolk and Norwich University Hospitals NHS Foundation Trust
The Leeds Teaching Hospitals NHS Trust
NHS Lothian
East Lancashire Hospitals NHS Trust
University Hospitals Bristol and Weston NHS Foundation Trust
Royal Surrey County Hospital NHS Foundation Trust
Royal Marsden NHS Foundation Trust
Velindre NHS Trust
Cardiff and Vale University Health Board
South Tees Hospitals NHS Foundation Trust
West Hertfordshire Hospitals NHS Trust
The Christie NHS Foundation Trust
Manchester University NHS Foundation Trust
NHS Greater Glasgow and Clyde
Investigators
Layout table for investigator information
Principal Investigator: James Flanagan, PhD Imperial College London
Tracking Information
First Submitted Date June 19, 2019
First Posted Date June 21, 2019
Last Update Posted Date February 10, 2021
Actual Study Start Date November 4, 2019
Estimated Primary Completion Date July 2022   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: June 20, 2019)
Purchase behaviours assessed by statistical model [ Time Frame: 3 years ]
The primary outcome of the CLOCS will be to define the time by which the cases and controls are statistically significantly different in their purchase behaviors leading up to diagnosis.
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: June 20, 2019)
Alert about cancer symptoms assessed by purchase behaviour [ Time Frame: 3 years ]
The secondary outcome of the CLOCS will be defining a purchase threshold as an "alert" about cancer symptoms in individuals
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Cancer Loyalty Card Study
Official Title Cancer Loyalty Card Study: a Retrospective Observational Case-Control Study
Brief Summary

Approximately 7,400 new cases of ovarian cancer are diagnosed each year in the United Kingdom (UK), and with over 4,000 women dying from the disease each year it is a particularly lethal form of cancer. The symptoms for ovarian cancer are not well known and vague, and most women are diagnosed at a late stage when the cancer has already spread around the abdominal cavity with poor prognosis. Novel methods are needed to improve earlier detection and thereby improve survival from this disease.

The Cancer Loyalty Card Study (CLOCS) proposes to use loyalty card data from two participating high street retailers to investigate purchase behaviour as an opportunity for cancer symptom surveillance. The investigators aim to conduct a case-control study of ovarian cancer patients matched with women without ovarian cancer and to explore public preferences for how to communicate potential outcomes of the commercial and health data linkages back to individuals.

Eligible participants will be women in the UK who own at least one loyalty card with the participating high street retailers. Of these women, those who have been diagnosed with ovarian cancer are eligible to participate in the study as cases, while women who have not been diagnosed with ovarian cancer are eligible to participate as controls.

Upon choosing to participate, all participants will be asked to complete a short questionnaire about well-established ovarian cancer risk factors and common symptoms either in the clinic (cases) or online/from a packet in the mail(controls). This information will be used in risk assessment for ovarian cancer of participants, which will be used at the analysis stage.

Detailed Description

Purpose and Design

The Cancer Loyalty Card Study (CLOCS) is addressing whether or not data already collected by high street retailers can detect significant changes in purchase behaviours of ovarian cancer patients prior to their diagnosis. The investigators aim to conduct a case-control study of ovarian cancer patients matched with women who do not have ovarian cancer. The study aims to recruit at least 500 recently diagnosed ovarian cancer patients and at least 500 healthy women as controls and collate up to 7 years of prior purchase data.

Recruitment

Loyalty card holders will be invited to join the study by email and post from the high street retailers and can choose to sign up via the CLOCS website or via post by returning the consent form to the study team through the mail. There will also be a press release about the study inviting loyalty card holders to visit the CLOCS website for more information and join the study. Women, 18 years or older, who have a loyalty card at the participating high street retailers are eligible to join. Women with ovarian cancer and who own at least one of the participating high street retailer's loyalty cards will be recruited in a clinic by a member of their healthcare team where the study is open. Any woman considering joining the study can contact the research team using the contact details on the information sheet.

Consent

Ovarian cancer patients will be given the information sheet and consent form in the clinic by a member of their healthcare team. They can take as much time as they need to read through the information sheet. If they choose to participate, they can complete the consent form whenever is convenient for them and return it to the CLOCS team in the free post envelope provided to them in the clinic.

Women without ovarian cancer will be presented with the information sheet and consent form in an email or letter in the mail from their high street retailer if they hold a loyalty card with them and return them to the CLOCS team in a free post envelope. They can also find the information sheet and consent form on the CLOCS website and consent online.

Methods

Consenting participants will complete a brief questionnaire about ovarian cancer risk factors, which will also be returned to the CLOCS team through the mail or on the website (healthy volunteers only). Participants with ovarian cancer will also have a clinical form for a member of their clinical team to complete in the clinic. This will be sent to the CLOCS team along with their consent and risk factor questionnaire in the free post envelope. Two ovarian cancer patients have reviewed all questionnaires and CLOCS documents and expressed their approval. Women without ovarian cancer from the general UK population have also reviewed the risk factor questionnaire and expressed their approval saying the questionnaire is 'easy to understand' and 'straightforward'.

If participants consent to be re-contacted by the CLOCS team for future studies or for loyalty card detail clarification,they will provide either a contact email or phone number. There is no further action needed from participants once they complete their consent form and questionnaire (and clarify loyalty card details if necessary)

Study Type Observational
Study Design Observational Model: Case-Control
Time Perspective: Retrospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population All participants will be females in the UK who are at least 18 years old and who own at least one of the participating high street retailer loyalty cards. Participants who have been diagnosed with ovarian cancer are considered cases. Participants who do not have ovarian cancer are considered controls.
Condition Ovarian Neoplasms
Intervention
  • Other: Risk Factor Questionnaire
    For cases, the study recruiter at the Trust will present this in the clinic. Controls will complete this online or at home when volunteering to participate. The participant questionnaire will be completed by the participant.
    Other Name: Participant Questionnaire
  • Other: Clinical Questionnaire
    For cases, the study recruiter at the trust will complete this form together with the participant. Controls will not complete this form.
Study Groups/Cohorts
  • Cases
    Participants diagnosed with ovarian cancer
    Interventions:
    • Other: Risk Factor Questionnaire
    • Other: Clinical Questionnaire
  • Controls
    Participants without ovarian cancer
    Intervention: Other: Risk Factor Questionnaire
Publications *
  • Flanagan JM, Skrobanski H, Shi X, Hirst Y. Self-Care Behaviors of Ovarian Cancer Patients Before Their Diagnosis: Proof-of-Concept Study. JMIR Cancer. 2019 Jan 17;5(1):e10447. doi: 10.2196/10447.
  • Brewer HR, Hirst Y, Sundar S, Chadeau-Hyam M, Flanagan JM. Cancer Loyalty Card Study (CLOCS): protocol for an observational case-control study focusing on the patient interval in ovarian cancer diagnosis. BMJ Open. 2020 Sep 8;10(9):e037459. doi: 10.1136/bmjopen-2020-037459.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: June 20, 2019)
1000
Original Estimated Enrollment Same as current
Estimated Study Completion Date July 2022
Estimated Primary Completion Date July 2022   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Women, at least 18 years old, recently diagnosed with ovarian cancer (preferably recruited just after diagnosis and during treatment period,but are still eligible if diagnosed up to 2 years prior, at the latest) who hold at least one participating high street retailer loyalty card are eligible to join the CLOCS as cases.

Women, at least 18 years old, who have not been diagnosed with ovarian cancer and hold at least one participating high street retailer loyalty card are eligible to join the CLOCS as controls.

Exclusion Criteria:

  • Women under the age of 18 years and, since this is a study about ovarian cancer,men will not be eligible to join this study. Women who do not own loyalty cards with the participating high street retailers are not eligible to join this study.
Sex/Gender
Sexes Eligible for Study: Female
Gender Based Eligibility: Yes
Gender Eligibility Description: Ovarian cancer is a female only cancer.
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: James Flanagan, PhD 0207 5942127 j.flanagan@imperial.ac.uk
Contact: Hannah Brewer, PhD h.brewer@imperial.ac.uk
Listed Location Countries United Kingdom
Removed Location Countries  
 
Administrative Information
NCT Number NCT03994653
Other Study ID Numbers 19IC5156
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Plan Description: Only aggregated and anonymised survey data will be shared with other researchers after publication. No sensitive individual level data will be shared.
Responsible Party Imperial College London
Study Sponsor Imperial College London
Collaborators
  • Cancer Research UK
  • Imperial College Healthcare NHS Trust
  • Sandwell & West Birmingham Hospitals NHS Trust
  • University College London Hospitals
  • County Durham and Darlington NHS Foundation Trust
  • Walsall Healthcare NHS Trust
  • Surrey and Sussex Healthcare NHS Trust
  • Airedale NHS Foundation Trust
  • Abertawe Bro Morgannwg University Health Board
  • Gateshead Health NHS Foundation Trust
  • Norfolk and Norwich University Hospitals NHS Foundation Trust
  • The Leeds Teaching Hospitals NHS Trust
  • NHS Lothian
  • East Lancashire Hospitals NHS Trust
  • University Hospitals Bristol and Weston NHS Foundation Trust
  • Royal Surrey County Hospital NHS Foundation Trust
  • Royal Marsden NHS Foundation Trust
  • Velindre NHS Trust
  • Cardiff and Vale University Health Board
  • South Tees Hospitals NHS Foundation Trust
  • West Hertfordshire Hospitals NHS Trust
  • The Christie NHS Foundation Trust
  • Manchester University NHS Foundation Trust
  • NHS Greater Glasgow and Clyde
Investigators
Principal Investigator: James Flanagan, PhD Imperial College London
PRS Account Imperial College London
Verification Date February 2021

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