Can remote training bring better cancer care to underserved communities?
NCT ID NCT04984551
First seen Jun 25, 2026 · Last updated Sep 15, 2026 · Updated 4 times
Summary
This study tests whether a telementoring program called ECHO can improve the quality of palliative care for advanced cancer patients in underserved areas of Kenya, Nigeria, Ghana, South Africa, India, and Ethiopia. Researchers will train local doctors through online clinics and workshops, then measure changes in patients' quality of life and symptom distress. The goal is to see if this model can help expand access to specialty care in rural and underserved communities.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ECHO telementoring program
- What this could lead to
- If successful, this could show that remote training helps doctors in underserved areas provide better palliative care, improving patient quality of life.
- What could go wrong
- This is a Phase 2 study focused on measuring experiences and satisfaction, not a direct treatment. Results may not apply to all settings or lead to immediate changes.
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 312 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2020
- Expected to finish
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Dec 2026
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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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: * PATIENT: Scheduled to receive treatment at participating primary care practice for advanced cancer * PATIENT: 18 years or older * PATIENT: Willing to be accessible to the research team for follow-up by telephone or in person * PATIENT: Prognosis of at least 1 year as ascertained by the treating physician * PATIENT: Able to read and understand English as assessed by the treating physician * CAREGIVER: Identified or self-identified as primary caregiver of the patient * CAREGIVER: Willing to be accessible to the research team for follow-up by telephone or in person * CAREGIVER: 18 years or older * CAREGIVER: Able to read and understand English as assessed by the treating physician * ECHO PARTICIPANT: Participant must be a health care provider interested to participate in the study for 2 years and understand the protocol and provide consent * ECHO PARTICIPANT: Able to read and understand English as assessed by principal investigator (PI) Exclusion Criteria: * Unable to understand and sign consent
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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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M D Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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