Cancer care at home: a game changer for patients?
NCT ID NCT05969860
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares giving cancer treatment at home versus in the clinic for people with advanced cancers. The goal is to see if home treatment reduces stress, financial burden, and improves overall experience. About 220 participants will be randomly assigned to receive their regular cancer therapy either at home or in the clinic.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- 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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Aug 2023
- Expected to finish
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Jan 2027
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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18 years and older
- 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: * Female or male patients with histologically confirmed malignancy. Patients with hepatocellular carcinoma (HCC) are eligible based on imaging diagnosis along; histologic confirmation is not required. * Participant must be receiving a standard-of-care treatment regimen listed in this protocol that is being used in accordance with standard medical practice. Specifically, it must be either a) FDA-approved for the participant's disease indication, or b) recommended in nationally recognized professional guidelines (e.g. NCCN, ASCO, ASH, etc.) as standard of care for the disease indication. Off-label use is permitted only if supported by such guidelines. * Note, patients diagnosed with any of the following disease types may receive any of the eligible regimens listed. Additionally, patients receiving immunotherapy, such as nivolumab or pembrolizumab, may receive these infusions in home supplemental to any of the regimens identified. Patients may receive any combination of any above listed medications or regimens: * Eligible disease cancer types: * Anal cancer * Appendiceal carcinoma * Basal cell carcinoma * Bladder cancer * Biliary cancer * Breast cancer * Central Nervous System malignancy including glioblastoma * Cervical cancer * Cholangiocarcinoma * Colorectal carcinoma * Endometrial cancer * Fallopian tube cancer * Gastroesophageal cancer \[including gastric, esophageal, and gastroesophageal junction (GEJ) cancers\] * Germ cell carcinoma * Head and Neck cancer * Hepatocellular Carcinoma * Liver * Lung * Lymphoma * Melanoma * Merkel Cell * Multiple Myeloma * Myelodysplastic syndrome * Myeloid Disorders * Neuroendocrine carcinoma * Ovarian cancer * Pancreatic adenocarcinoma * Penile carcinoma * Peritoneal carcinoma * Prostate cancer * Renal cell cancer * Sarcoma * Squamous cell Carcinoma of the Skin * Testicular cancer * Urethral carcinoma * Vaginal carcinoma * Vulvar carcinoma * Eligible Regimens * Fluorouracil (5-FU) +/- leucovorin +/- bevacizumab +/- trastuzumab * 5FU +/- leucovorin +/- bevacizumab +/- nivolumab * Atezolizumab +/- bevacizumab * Atezolizumab +/- bevacizumab + cobimetinib, atezolizumab +/- bevacizumab + vemurafenib, atezolizumab +/- bevacizumab + cobimetinib + vemurafenib * Avelumab * Avelumab + axitinib * Bevacizumab * Bevacizumab + capecitabine * Bevacizumab + irinotecan (+/- capecitabine) * Bevacizumab + olaparib, bevacizumab + lenvatinib, bevacizumab + niraparib, bevacizumab + rucaparib * Bevacizumab + Temozolomide, Bevacizumab + Lomustine, or Bevacizumab + everolimus * Bevacizumab + trifluridine/tipiracil * Bortezomib * Bortezomib + cyclophosphamide, bortezomib + lenalidomide, bortezomib + pomalidomide, bortezomib + selinexor * Bortezomib + venetoclax * Carfilzomib * Carfilzomib + cyclophosphamide, carfilzomib + lenalidomide, carfilzomib + pomalidomide, carfilzomib + selinexor * Carfilzomib + venetoclax * Cemiplimab * Cisplatin * Cisplatin/5-FU * Cisplatin/etoposide * Cisplatin + durvalumab * Cisplatin + gemcitabine * Cisplatin + gemcitabine + durvalumab * Daratumumab (+ oral \[PO\] cyclophosphamide, lenalidomide, pomalidomide, or selinexor) * Daratumumab + bortezomib (+ PO cyclophosphamide, lenalidomide, pomalidomide, or selinexor) * Daratumumab + carfilzomib (+ PO cyclophosphamide, lenalidomide, pomalidomide, or selinexor) * Degarelix * Durvalumab * Durvalumab + tremelimumab * Eribulin * FOLFIRI +/- bevacizumab (5FU +/- leucovorin + irinotecan) * Fam-trastuzumab deruxtecan * Fulvestrant * Fulvestrant + ribociclib, fulvestrant + abemaciclib, fulvestrant + palbociclib, fulvestrant + alpelisib, or fulvestrant + capivasertib * Gemcitabine * Gemcitabine + durvalumab * Gemcitabine + paclitaxel protein-bound * Goserelin acetate * Irinotecan * Irinotecan + capecitabine * Lanreotide * Leuprolide * Nivolumab * Nivolumab + cabozantinib * Nivolumab-relatlimab * Octreotide * Paclitaxel * Pembrolizumab * Pembrolizumab + axitinib, pembrolizumab + lenvatinib, pembrolizumab + capecitabine, pembrolizumab + dabrafenib +/- trametinib, pembrolizumab + trametinib) * Pemetrexed * Pertuzumab * Pemetrexed + pembrolizumab * Rituximab * Trastuzumab + paclitaxel * Trastuzumab with or without pertuzumab maintenance (SQ or IV) (+/- tucatinib +/- capecitabine) * Decitabine * These regimens can be used only if patients are receiving one of the regimens above: * Darbepoetin-alfa * Epoetin * Filgrastim * Note: Female or male patients with histologically confirmed malignancy who are currently receiving treatment with one of the above eligible regimens may receive supportive care medications for treatment or prevention of bone metastases, including agents such as: * Zoledronic acid * Denosumab * Patient has had adequate tolerability of their clinical standard of care cancer treatment in the opinion of their treating physician and no drug-related infusion reactions prior to consent * Patients who according to documentation from their treating provider plan to continue the treatment regimen they are currently prescribed for at least 24 weeks from the start of cycle following randomization. * Residing within the area serviced by supplier and paramedic network * Residence has wireless fidelity (wifi) to enable a reliable connection with the remote Command Center or it is suitable for connection through a wireless network solution * Age \>= 18 years at time of registration * Signed informed consent form by patient * Willing and able to comply with the study protocol in the investigator's judgement * Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0, 1 or 2 * Ability to complete questionnaire(s) by themselves or with assistance * RANDOMIZATION ELIGIBILITY CRITERIA: In addition to the criteria above, confirmation by the CCBW Command Center that the patient has adequate tolerability to the standard of care cancer therapy and no drug-related infusion reactions since pre-registration and prior to registration Exclusion Criteria: * Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm. Note: Patients are permitted concomitant standard of care oral drugs such as ribociclib, abemaciclib, or palbociclib in combination with endocrine therapy (e.g., Leuprolide, fulvestrant intramuscular \[IM\], etc.); tucatinib and capecitabine in combination with trastuzumab and pertuzumab for HER2 positive breast cancer; dexamethasone, cyclophosphamide, lenalidomide or pomalidomide for multiple myeloma; temozolomide, lomustine, or afinitor in combination with avastin for glioblastoma. In addition, all oral anti-hormonal agents for breast and prostate cancer are permitted (e.g., tamoxifen, arimidex, abiraterone, etc.) if used in combination with any of the drugs * Requiring 24/7 assistance with activities of daily living (ADLs) * Current inpatient hospitalization (excluding admission to the Advanced Care at Home program) * Co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens * Uncontrolled intercurrent illness including, but not limited to: * Ongoing or active infection * Symptomatic congestive heart failure * Unstable angina pectoris * Cardiac arrhythmia * Myocardial infarction =\< 6 months * Wound healing disorder * Or psychiatric illness/social situations that would limit compliance with study requirements
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
2 sites. 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
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Altru Cancer Center
RECRUITINGGrand Forks, North Dakota, 58201, United States
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Mayo Clinic in Florida
RECRUITINGJacksonville, Florida, 32224-9980, United States
Contact Email: •••••@•••••
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