What is the CostCOM study researching for cancer patients?

The CostCOM study is evaluating how financial counseling and navigation affect cancer care adherence and financial burden. It aims to understand if providing support reduces financial hardship and improves patients' experience during cancer treatment. This research is sponsored by the ECOG-ACRIN Cancer Research Group.

Who may be eligible for this cancer patient clinical trial?

Adults 18 years or older with a recent diagnosis of solid cancer who have started or are about to start systemic cancer therapy may be eligible. Participants must be fluent in English or Spanish and not receiving hospice or palliative care alone. Please review eligibility criteria for more details.

Is there any cost to participate in this cancer patient clinical trial?

Study-related care, including the study interventions and all trial visits, is provided at no cost. However, personal travel expenses to attend visits may vary and are not guaranteed to be covered.

Actively Recruiting

Phase Not Applicable

All Genders

Healthy Volunteers

ID06295367

Study of Cost Communication and Financial Navigation to Help Cancer Patients Follow Treatment and Reduce Financial Stress

Led by ECOG-ACRIN Cancer Research Group · Updated on 2026-06-18

760

Participants Needed

392

Research Sites

N/A

Total Duration

AI-Summary

What this Trial Is About

Researchers are evaluating the effect of the Cost Communication and Financial Navigation CostCOM intervention on adherence to cancer care and financial burden in patients with malignant solid neoplasms. This study focuses on how financial hardship caused by out-of-pocket costs, employment changes, and insurance affects cancer treatment and quality of life. CostCOM aims to provide financial counseling and resource connections to reduce these burdens and improve adherence to care. Participants are randomized into two groups. One group receives a brochure describing financial navigation services Enhanced Usual Care, while the other group receives usual financial care plus CostCOM financial counseling sessions within 30 days of enrollment and again at 3, 6, and 12 months. Non-patient participants complete surveys and participate in interviews 15 to 39 months after the first patient enrollment. Participants complete surveys at baseline and at 3, 6, and 12 months to report on cost-related care non-adherence, financial hardship, financial worry, quality of life, and satisfaction with care. The study includes follow-up for 12 months after intervention completion. Non-patient participants also provide feedback on the CostCOM intervention through interviews. Researchers will monitor patient experiences and financial outcomes throughout the study.

CONDITIONS

Brief Title

Cost Communication and Financial Navigation in Cancer Patients (COSTCOM)

Who Can Participate

All Genders

Healthy Volunteers

Eligibility Criteria

You may qualify if you...

Non-patient participants must speak English
Non-patient participants must be employed at NCORP site for at least six months
Non-patient participants must provide informed consent
Non-patient participants must be study coordinators, oncology providers, or financial navigators involved with CostCOM patients
Patients must be 18 years or older
Patients must be fluent in English or Spanish
Patients must be within 120 days of new diagnosis of any solid cancer
Patients must have had their first medical oncology visit
Patients must have started or have a prescription to start systemic cancer therapy within 30 days
Patients must not have indolent cancer under observation alone
Patients must not be receiving palliative or hospice care alone
Patients must not be undergoing only curative surgery or radiation without systemic therapy
Patients must intend to receive care at participating NCORP practices
Patients must be able and willing to sign informed consent
Patients with impaired decision-making capacity with a representative are not eligible
Patients must not have ECOG performance status of 3 or higher
Patients must not be medically unable to participate as judged by investigators
Patients must not be enrolled in treatment trials providing systemic therapy at no cost
Patients must not be enrolled in certain trials offering financial navigation
Patients must not be enrolled in trials providing out-of-pocket cost communication or financial navigation as part of the trial
Patients must have completed a baseline survey within 30 days of consent
Patients must have started systemic therapy before or within 30 days of consent

You will not qualify if you...

Patients receiving palliative or hospice care alone
Patients with indolent cancer under observation only
Patients undergoing only curative surgery or radiation without systemic therapy
Patients with ECOG performance status 3 or higher
Patients medically unable to participate as judged by investigators
Patients enrolled in treatment clinical trials where systemic therapy is provided at no cost
Patients enrolled in EAQ221CD or S1912CD trials with financial navigation
Patients enrolled in other trials offering out-of-pocket cost communication or financial navigation
Patients with impaired decision-making capacity without a legally authorized representative

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Study of Cost Communication and Financial Navigation to Help Cancer Patients Follow Treatment and Reduce Financial Stress

On this page

AI-Summary

What this Trial Is About

Brief Title

Who Can Participate

Eligibility Criteria

Not the Right Trial for You?

On this page

Who Can Participate

Eligibility Criteria