A 45-minute chat could change how advanced cancer patients face tough decisions
NCT ID NCT07789093
First seen Aug 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
Researchers at Singapore General Hospital are testing whether a one-on-one coaching session, called CONCORD, helps patients with advanced cancer prepare for serious illness conversations with their doctors. The session, led by a trained lay coach, covers topics like understanding the illness, fears, goals of care, and treatment expectations. The trial compares patients who receive this coaching with those who get usual care, measuring the quality of those conversations, decision-making, and quality of life. The goal is to see if this simple, brief intervention can make a meaningful difference for patients facing palliative procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A one-on-one coaching session delivered by a lay healthcare provider to help patients prepare for serious illness conversations and treatment decisions.
- What this could lead to
- If it works, this coaching approach could help advanced cancer patients feel more prepared for difficult conversations, make decisions that match their goals, and improve their quality of life.
- What could go wrong
- This is a single-site trial with 220 participants, and the coaching is brief, so any benefits may be modest or not apply to all patients. The outcome depends on how well patients and caregivers engage with the session.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 220 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: (i) Patient: 1. Aged 21 or above; 2. Diagnosis of advanced cancer, i.e. stage 3 or 4 solid organ 3. Consulted for palliative surgery or other interventions, i.e. procedures aimed at relieving symptoms and improving quality of life 4. Able to speak English or Mandarin; (ii) Caregiver 1. Aged 21 or above; 2. Self-endorsed or identified by the enrolled patient as an unpaid spouse/partner, relative or friend who knows them well and who provides regular care, who does not have to live in the same dwelling 3. Able to speak English or Mandarin. Exclusion Criteria: (i). Patient 1. Patient refusal, 2. Active mental illness or severe dementia, or being certified unfit to make medical decision by a specialist physician, 3. Pregnant Women (ii). Caregiver 1. Self-reported severe mental illness, dementia, active suicidal ideation, uncorrected hearing loss; 2. Unable to complete caregiver-reported outcomes.
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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 places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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Singapore General Hospital
RECRUITINGSingapore, 169608, Singapore
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