Can a Five-Session therapy ease distress and calm stress biology in Late-Stage breast cancer?
NCT ID NCT07828288
First seen Sep 18, 2026 · Last updated Sep 18, 2026
Summary
Researchers are testing a five-session meaning-centered psychotherapy called CASA in Puerto Rican patients with Stage III or IV breast cancer and their caregivers. The trial compares CASA with usual care in about 114 people to see whether the therapy reduces psychological distress, the main outcome, and whether it changes stress hormones and inflammatory markers in the blood. A second part of the study asks oncology staff and clinic stakeholders what would make CASA practical to deliver across Puerto Rican cancer settings.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A five-session meaning-centered psychotherapy program called CASA, delivered to patients with advanced breast cancer and their caregivers together
- What this could lead to
- If it helps, CASA could become a structured way for oncology clinics to support both patients with advanced breast cancer and the caregivers who look after them. Signals in cortisol and inflammatory markers could also point researchers toward how emotional support affects the body's stress response.
- What could go wrong
- This is an early-phase trial with about 114 people at one site in Puerto Rico, so the results may not hold in larger or more diverse groups. Distress and stress-hormone changes are hard to measure, and the therapy may work no better than usual care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 114 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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21 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Only eligible patients with a confirmed Stage III or IV breast cancer diagnosis who score above 4 on the Distress Thermometer and their identified caregivers will be recruited for this study. Exclusion Criteria: * Male patients with a confirmed Stage III or IV breast cancer diagnosis.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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