Could a nurse-led online therapy beat severe fatigue in advanced cancer?
NCT ID NCT06511518
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial investigates whether an online, nurse-guided version of cognitive behavioral therapy (CBT) can reduce severe fatigue in people with advanced cancer who are receiving palliative systemic treatment. Participants complete a 12-week online CBT program with support from their nurse, after an initial session with a psychologist. Researchers compare the results to earlier studies where psychologists delivered the therapy face-to-face, aiming to see if the simpler approach works just as well.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cognitive behavioral therapy (CBT)
- What this could lead to
- If successful, this could make effective fatigue relief more accessible for people with advanced cancer by shifting therapy from psychologists to nurses and online delivery.
- What could go wrong
- The study is small (56 participants) and compares results to past trials rather than a direct control group, so benefits may not hold up in larger, real-world settings.
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 56 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2024
- Expected to finish
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Feb 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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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.
Solid (non-brain) tumor patients Inclusion Criteria: * Receive systemic treatment with palliative intent for a solid (non-brain) tumor * Are ≥18 years old * Are proficient in Dutch * Report severe fatigue (Checklist Individual Strength, fatigue severity subscale \[CIS-fatigue\] score ≥35) * A life expectancy of ≥6 months according to their oncologist * Access to a device with internet Exclusion Criteria: * Symptomatic brain metastases * Dual immunotherapy * Have a poor performance status (Karnofsky \<70) * Are currently receiving treatment for a mental disorder. * Treatable somatic cause that could explain the presence of severe fatigue (other than the underlying disease and the cancer treatment itself) * Severe cognitive deficits Glioma patients Inclusion Criteria: * Histologically confirmed diffuse glioma WHO grade 2, 3, or 4 * No oncological treatment for at least two months prior to inclusion * Are ≥18 years old * Are proficient in Dutch * Report severe fatigue (Checklist Individual Strength, fatigue severity subscale \[CIS-fatigue\] score ≥35) * A life expectancy of ≥3 months according to their oncologist * Access to a device with internet Exclusion Criteria: * Signs of radiological or clinical tumor progression at the time of inclusion * Corticosteroid use * Have a poor performance status (Karnofsky \<70) * Are currently receiving treatment for a mental disorder * Treatable somatic cause that could explain the presence of severe fatigue (other than the underlying disease and the cancer treatment itself). * Severe cognitive deficits
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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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Medical Psychology
RECRUITINGAmsterdam, North Holland, 1105AZ, Netherlands
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