Actively Recruiting
Cost Communication and Financial Navigation in Cancer Patients (COSTCOM)
Led by ECOG-ACRIN Cancer Research Group · Updated on 2026-05-06
760
Participants Needed
181
Research Sites
195 weeks
Total Duration
On this page
Sponsors
E
ECOG-ACRIN Cancer Research Group
Lead Sponsor
N
National Cancer Institute (NCI)
Collaborating Sponsor
AI-Summary
What this Trial Is About
This clinical trial evaluates the effect of Cost Communication and Financial Navigation (CostCOM) intervention on adherence to care and financial burden in cancer patients. Many cancer patients experience financial hardship due to high medical out of pocket costs (OOPC), changes in employment, income and insurance. Financial hardship can lead to a delay or a stop in cancer care, and is linked to poor quality of life. Financial navigation programs, such as CostCOM, provide financial counseling, education and connections to appropriate resources to reduce financial barriers to healthcare and minimize financial stress and burden. CostCOM may improve adherence to care and decrease financial burden in patients with cancer.
CONDITIONS
Official Title
Cost Communication and Financial Navigation in Cancer Patients (COSTCOM)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Non-patient participants must speak English
- Non-patient participants must be employed at an NCORP site for at least six months
- Non-patient participants must be able to provide informed consent
- Non-patient participants must be a study coordinator involved with CostCOM, oncology provider, or financial counselor/social worker/pharmacist who has cared for a CostCOM patient within the last 3 months
- Patients must be 18 years of age or older
- Patients must be fluent in written and spoken English or Spanish
- Patients must have a new diagnosis of any solid cancer within 120 days
- Patients must have had their first medical oncology visit
- Patients must have started or have a prescription to start oral or intravenous cancer systemic therapy within 30 days
- Patients must not have indolent cancer under observation alone
- Patients must not be receiving only palliative or hospice care
- Patients must not be undergoing only curative surgery or radiation therapy unless receiving systemic therapy
- Patients must intend to receive care or monitoring at a participating NCORP practice
- Patients must be able and willing to sign informed consent
- Patients must have an ECOG performance status less than 3 and be medically able to participate
- Patients must not be enrolled in clinical trials providing cancer systemic therapy at no cost
- Patients must not be enrolled in clinical trials EAQ221CD or S1912CD
- Patients must not be enrolled in other clinical trials offering out-of-pocket cost communication or financial navigation
- Patients must have completed a baseline survey within 30 days of registration and consent
- Patients must have started cancer treatment before or within 30 days of registration and consent
You will not qualify if you...
- Patients with impaired decision-making capacity without a legally authorized representative
- Patients with ECOG performance status 3 or higher or deemed medically unable to participate
- Patients receiving only palliative or hospice care
- Patients with indolent cancer under observation alone
- Patients undergoing only curative surgery or radiation therapy without systemic therapy
- Patients enrolled in clinical trials that provide systemic therapy at no cost
- Patients enrolled in EAQ221CD or S1912CD clinical trials
- Patients enrolled in clinical trials offering out-of-pocket cost communication or financial navigation
- Patients unable or unwilling to provide informed consent
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 181 locations
1
Fairbanks Memorial Hospital
Fairbanks, Alaska, United States, 99701
Actively Recruiting
2
Mercy Hospital Fort Smith
Fort Smith, Arkansas, United States, 72903
Actively Recruiting
3
CARTI Cancer Center
Little Rock, Arkansas, United States, 72205
Actively Recruiting
4
Contra Costa Regional Medical Center
Martinez, California, United States, 94553-3156
Actively Recruiting
5
BASS Medical Group - Lennon
Walnut Creek, California, United States, 94598
Actively Recruiting
6
Rocky Mountain Cancer Centers-Aurora
Aurora, Colorado, United States, 80012
Actively Recruiting
7
Boulder Community Foothills Hospital
Boulder, Colorado, United States, 80303
Actively Recruiting
8
Rocky Mountain Cancer Centers-Boulder
Boulder, Colorado, United States, 80304
Actively Recruiting
9
Rocky Mountain Cancer Centers - Centennial
Centennial, Colorado, United States, 80112
Actively Recruiting
10
The Women's Imaging Center
Denver, Colorado, United States, 80209
Actively Recruiting
11
Colorado Blood Cancer Institute
Denver, Colorado, United States, 80218
Suspended
12
Presbyterian - Saint Lukes Medical Center - Health One
Denver, Colorado, United States, 80218
Actively Recruiting
13
Rocky Mountain Cancer Centers-Midtown
Denver, Colorado, United States, 80218
Actively Recruiting
14
Rocky Mountain Cancer Centers-Rose
Denver, Colorado, United States, 80220
Actively Recruiting
15
Mountain Blue Cancer Care Center - Swedish
Englewood, Colorado, United States, 80113
Suspended
16
Rocky Mountain Cancer Centers - Swedish
Englewood, Colorado, United States, 80113
Actively Recruiting
17
The Melanoma and Skin Cancer Institute
Englewood, Colorado, United States, 80113
Actively Recruiting
18
Rocky Mountain Cancer Centers-Lakewood
Lakewood, Colorado, United States, 80228
Actively Recruiting
19
Rocky Mountain Cancer Centers-Littleton
Littleton, Colorado, United States, 80120
Actively Recruiting
20
Rocky Mountain Cancer Centers-Sky Ridge
Lone Tree, Colorado, United States, 80124
Actively Recruiting
21
Rocky Mountain Cancer Centers-Longmont
Longmont, Colorado, United States, 80501
Actively Recruiting
22
Rocky Mountain Cancer Centers-Thornton
Thornton, Colorado, United States, 80260
Actively Recruiting
23
Hawaii Cancer Care Inc - Waterfront Plaza
Honolulu, Hawaii, United States, 96813
Actively Recruiting
24
Queen's Cancer Cenrer - POB I
Honolulu, Hawaii, United States, 96813
Actively Recruiting
25
Queen's Medical Center
Honolulu, Hawaii, United States, 96813
Actively Recruiting
26
Straub Clinic and Hospital
Honolulu, Hawaii, United States, 96813
Actively Recruiting
27
University of Hawaii Cancer Center
Honolulu, Hawaii, United States, 96813
Actively Recruiting
28
Hawaii Diagnostic Radiology Services LLC
Honolulu, Hawaii, United States, 96817
Actively Recruiting
29
Kuakini Medical Center
Honolulu, Hawaii, United States, 96817
Actively Recruiting
30
Queen's Cancer Center - Kuakini
Honolulu, Hawaii, United States, 96817
Actively Recruiting
31
The Cancer Center of Hawaii-Liliha
Honolulu, Hawaii, United States, 96817
Actively Recruiting
32
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, United States, 96826
Actively Recruiting
33
Straub Medical Center - Kahului Clinic
Kahului, Hawaii, United States, 96732
Actively Recruiting
34
Castle Medical Center
Kailua, Hawaii, United States, 96734
Actively Recruiting
35
Wilcox Memorial Hospital and Kauai Medical Clinic
Lihue, Hawaii, United States, 96766
Actively Recruiting
36
Hawaii Cancer Care - Westridge
‘Aiea, Hawaii, United States, 96701
Actively Recruiting
37
Pali Momi Medical Center
‘Aiea, Hawaii, United States, 96701
Actively Recruiting
38
Queen's Cancer Center - Pearlridge
‘Aiea, Hawaii, United States, 96701
Actively Recruiting
39
The Cancer Center of Hawaii-Pali Momi
‘Aiea, Hawaii, United States, 96701
Actively Recruiting
40
The Queen's Medical Center - West Oahu
‘Ewa Beach, Hawaii, United States, 96706
Actively Recruiting
41
Saint Anthony's Health
Alton, Illinois, United States, 62002
Actively Recruiting
42
Saint Mary's Hospital
Centralia, Illinois, United States, 62801
Actively Recruiting
43
Good Samaritan Regional Health Center
Mount Vernon, Illinois, United States, 62864
Actively Recruiting
44
Central Care Cancer Center - Garden City
Garden City, Kansas, United States, 67846
Actively Recruiting
45
Central Care Cancer Center - Great Bend
Great Bend, Kansas, United States, 67530
Actively Recruiting
46
Mercy Health - Paducah Medical Oncology and Hematology
Paducah, Kentucky, United States, 42003
Actively Recruiting
47
Bronson Battle Creek
Battle Creek, Michigan, United States, 49017
Actively Recruiting
48
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids, Michigan, United States, 49503
Actively Recruiting
49
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids, Michigan, United States, 49503
Actively Recruiting
50
Trinity Health Grand Rapids Hospital
Grand Rapids, Michigan, United States, 49503
Actively Recruiting
51
Bronson Methodist Hospital
Kalamazoo, Michigan, United States, 49007
Actively Recruiting
52
West Michigan Cancer Center
Kalamazoo, Michigan, United States, 49007
Actively Recruiting
53
Ascension Borgess Cancer Center
Kalamazoo, Michigan, United States, 49009
Actively Recruiting
54
Borgess Medical Center
Kalamazoo, Michigan, United States, 49048
Actively Recruiting
55
Trinity Health Muskegon Hospital
Muskegon, Michigan, United States, 49444
Actively Recruiting
56
Corewell Health Lakeland Hospitals - Niles Hospital
Niles, Michigan, United States, 49120
Actively Recruiting
57
Cancer and Hematology Centers of Western Michigan - Norton Shores
Norton Shores, Michigan, United States, 49444
Actively Recruiting
58
Corewell Health Reed City Hospital
Reed City, Michigan, United States, 49677
Actively Recruiting
59
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph, Michigan, United States, 49085
Actively Recruiting
60
Corewell Health Lakeland Hospitals - Saint Joseph Hospital
Saint Joseph, Michigan, United States, 49085
Actively Recruiting
61
Munson Medical Center
Traverse City, Michigan, United States, 49684
Actively Recruiting
62
University of Michigan Health - West
Wyoming, Michigan, United States, 49519
Actively Recruiting
63
Minnesota Oncology - Burnsville
Burnsville, Minnesota, United States, 55337
Actively Recruiting
64
Cambridge Medical Center
Cambridge, Minnesota, United States, 55008
Actively Recruiting
65
Mercy Hospital
Coon Rapids, Minnesota, United States, 55433
Actively Recruiting
66
Fairview Southdale Hospital
Edina, Minnesota, United States, 55435
Actively Recruiting
67
Fairview Clinics and Surgery Center Maple Grove
Maple Grove, Minnesota, United States, 55369
Actively Recruiting
68
Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, United States, 55109
Actively Recruiting
69
Saint John's Hospital - Healtheast
Maplewood, Minnesota, United States, 55109
Actively Recruiting
70
Abbott-Northwestern Hospital
Minneapolis, Minnesota, United States, 55407
Actively Recruiting
71
Hennepin County Medical Center
Minneapolis, Minnesota, United States, 55415
Actively Recruiting
72
Health Partners Inc
Minneapolis, Minnesota, United States, 55454
Actively Recruiting
73
Monticello Cancer Center
Monticello, Minnesota, United States, 55362
Actively Recruiting
74
New Ulm Medical Center
New Ulm, Minnesota, United States, 56073
Actively Recruiting
75
Fairview Northland Medical Center
Princeton, Minnesota, United States, 55371
Actively Recruiting
76
North Memorial Medical Health Center
Robbinsdale, Minnesota, United States, 55422
Actively Recruiting
77
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, United States, 55416
Actively Recruiting
78
Regions Hospital
Saint Paul, Minnesota, United States, 55101
Actively Recruiting
79
United Hospital
Saint Paul, Minnesota, United States, 55102
Actively Recruiting
80
Saint Francis Regional Medical Center
Shakopee, Minnesota, United States, 55379
Actively Recruiting
81
Lakeview Hospital
Stillwater, Minnesota, United States, 55082
Actively Recruiting
82
Ridgeview Medical Center
Waconia, Minnesota, United States, 55387
Actively Recruiting
83
Rice Memorial Hospital
Willmar, Minnesota, United States, 56201
Actively Recruiting
84
Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, United States, 55125
Actively Recruiting
85
Fairview Lakes Medical Center
Wyoming, Minnesota, United States, 55092
Actively Recruiting
86
Baptist Memorial Hospital and Cancer Center-Oxford
Oxford, Mississippi, United States, 38655
Actively Recruiting
87
Saint Louis Cancer and Breast Institute-Ballwin
Ballwin, Missouri, United States, 63011
Actively Recruiting
88
Central Care Cancer Center - Bolivar
Bolivar, Missouri, United States, 65613
Actively Recruiting
89
Cox Cancer Center Branson
Branson, Missouri, United States, 65616
Actively Recruiting
90
Freeman Health System
Joplin, Missouri, United States, 64804
Actively Recruiting
91
Mercy Hospital Joplin
Joplin, Missouri, United States, 64804
Actively Recruiting
92
Lake Regional Hospital
Osage Beach, Missouri, United States, 65065
Actively Recruiting
93
Delbert Day Cancer Institute at PCRMC
Rolla, Missouri, United States, 65401
Actively Recruiting
94
Mercy Clinic-Rolla-Cancer and Hematology
Rolla, Missouri, United States, 65401
Actively Recruiting
95
Heartland Regional Medical Center
Saint Joseph, Missouri, United States, 64506
Actively Recruiting
96
Mercy Hospital Springfield
Springfield, Missouri, United States, 65804
Actively Recruiting
97
CoxHealth South Hospital
Springfield, Missouri, United States, 65807
Actively Recruiting
98
Saint Louis Cancer and Breast Institute-South City
St Louis, Missouri, United States, 63109
Actively Recruiting
99
Mercy Hospital South
St Louis, Missouri, United States, 63128
Actively Recruiting
100
Mercy Hospital Saint Louis
St Louis, Missouri, United States, 63141
Actively Recruiting
101
Mercy Hospital Washington
Washington, Missouri, United States, 63090
Actively Recruiting
102
Cone Health Cancer Center at Asheboro
Asheboro, North Carolina, United States, 27203
Actively Recruiting
103
Randolph Health Cancer Center
Asheboro, North Carolina, United States, 27203
Actively Recruiting
104
Cone Health Cancer Center at Alamance Regional
Burlington, North Carolina, United States, 27215
Actively Recruiting
105
Cone Health Cancer Center
Greensboro, North Carolina, United States, 27403
Actively Recruiting
106
Cone Health Cancer Center at Drawbridge Parkway
Greensboro, North Carolina, United States, 27410
Actively Recruiting
107
Annie Penn Memorial Hospital
Reidsville, North Carolina, United States, 27320
Actively Recruiting
108
Strecker Cancer Center-Belpre
Belpre, Ohio, United States, 45714
Actively Recruiting
109
Adena Regional Medical Center
Chillicothe, Ohio, United States, 45601
Actively Recruiting
110
Mount Carmel East Hospital
Columbus, Ohio, United States, 43213
Actively Recruiting
111
The Mark H Zangmeister Center
Columbus, Ohio, United States, 43219
Actively Recruiting
112
Mount Carmel Health Center West
Columbus, Ohio, United States, 43222
Actively Recruiting
113
Central Ohio Breast and Endocrine Surgery
Gahanna, Ohio, United States, 43230
Actively Recruiting
114
Mount Carmel Grove City Hospital
Grove City, Ohio, United States, 43123
Actively Recruiting
115
Zangmeister Center Grove City
Grove City, Ohio, United States, 43123
Actively Recruiting
116
Fairfield Medical Center
Lancaster, Ohio, United States, 43130
Actively Recruiting
117
Saint Rita's Medical Center
Lima, Ohio, United States, 45801
Actively Recruiting
118
Marietta Memorial Hospital
Marietta, Ohio, United States, 45750
Actively Recruiting
119
Memorial Hospital
Marysville, Ohio, United States, 43040
Actively Recruiting
120
Knox Community Hospital
Mount Vernon, Ohio, United States, 43050
Actively Recruiting
121
Mount Carmel New Albany Surgical Hospital
New Albany, Ohio, United States, 43054
Actively Recruiting
122
Licking Memorial Hospital
Newark, Ohio, United States, 43055
Actively Recruiting
123
Newark Radiation Oncology
Newark, Ohio, United States, 43055
Actively Recruiting
124
Mercy Health Perrysburg Cancer Center
Perrysburg, Ohio, United States, 43551
Actively Recruiting
125
Southern Ohio Medical Center
Portsmouth, Ohio, United States, 45662
Actively Recruiting
126
Springfield Regional Cancer Center
Springfield, Ohio, United States, 45504
Actively Recruiting
127
Springfield Regional Medical Center
Springfield, Ohio, United States, 45504
Actively Recruiting
128
Mercy Health - Saint Vincent Hospital
Toledo, Ohio, United States, 43608
Actively Recruiting
129
Mercy Health - Saint Anne Hospital
Toledo, Ohio, United States, 43623
Actively Recruiting
130
Mercy Health Sylvania Radiation Oncology Center
Toledo, Ohio, United States, 43623
Actively Recruiting
131
Saint Ann's Hospital
Westerville, Ohio, United States, 43081
Actively Recruiting
132
Clinton Memorial Hospital/Foster J Boyd Regional Cancer Center
Wilmington, Ohio, United States, 45177
Actively Recruiting
133
Genesis Healthcare System Cancer Care Center
Zanesville, Ohio, United States, 43701
Actively Recruiting
134
Mercy Hospital Oklahoma City
Oklahoma City, Oklahoma, United States, 73120
Actively Recruiting
135
Geisinger Medical Center
Danville, Pennsylvania, United States, 17822
Actively Recruiting
136
Geisinger Medical Center-Cancer Center Hazleton
Hazleton, Pennsylvania, United States, 18201
Actively Recruiting
137
Geisinger Medical Oncology-Lewisburg
Lewisburg, Pennsylvania, United States, 17837
Actively Recruiting
138
Geisinger Cancer Services-Pottsville
Pottsville, Pennsylvania, United States, 17901
Actively Recruiting
139
Community Medical Center
Scranton, Pennsylvania, United States, 18510
Actively Recruiting
140
Geisinger Medical Oncology-Selinsgrove
Selinsgrove, Pennsylvania, United States, 17870
Actively Recruiting
141
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania, United States, 18711
Actively Recruiting
142
Baptist Memorial Hospital and Cancer Center-Memphis
Memphis, Tennessee, United States, 38120
Actively Recruiting
143
Bon Secours Memorial Regional Medical Center
Mechanicsville, Virginia, United States, 23116
Actively Recruiting
144
Bon Secours Westchester Emergency Center
Midlothian, Virginia, United States, 23113
Actively Recruiting
145
Bon Secours Saint Francis Medical Center
Midlothian, Virginia, United States, 23114
Actively Recruiting
146
Bon Secours Richmond Community Hospital
Richmond, Virginia, United States, 23223
Actively Recruiting
147
Bon Secours Saint Mary's Hospital
Richmond, Virginia, United States, 23226
Actively Recruiting
148
Bon Secours Cancer Institute at Reynolds Crossing
Richmond, Virginia, United States, 23230
Actively Recruiting
149
Jefferson Healthcare
Port Townsend, Washington, United States, 98368
Actively Recruiting
150
ThedaCare Regional Cancer Center
Appleton, Wisconsin, United States, 54911
Actively Recruiting
151
Ascension Saint Elizabeth Hospital
Appleton, Wisconsin, United States, 54915
Actively Recruiting
152
ThedaCare Cancer Care - Berlin
Berlin, Wisconsin, United States, 54923
Actively Recruiting
153
Ascension Southeast Wisconsin Hospital - Elmbrook Campus
Brookfield, Wisconsin, United States, 53045
Actively Recruiting
154
Ascension Calumet Hospital
Chilton, Wisconsin, United States, 53014
Actively Recruiting
155
Ascension Saint Francis - Reiman Cancer Center
Franklin, Wisconsin, United States, 53132
Actively Recruiting
156
Ascension Southeast Wisconsin Hospital - Franklin
Franklin, Wisconsin, United States, 53132
Actively Recruiting
157
Gundersen Lutheran Medical Center
La Crosse, Wisconsin, United States, 54601
Actively Recruiting
158
Ascension Columbia Saint Mary's Hospital Ozaukee
Mequon, Wisconsin, United States, 53097
Actively Recruiting
159
Ascension Southeast Wisconsin Hospital - Saint Joseph Campus
Milwaukee, Wisconsin, United States, 53210
Actively Recruiting
160
Ascension Columbia Saint Mary's Hospital - Milwaukee
Milwaukee, Wisconsin, United States, 53211
Actively Recruiting
161
Ascension Saint Francis Hospital
Milwaukee, Wisconsin, United States, 53215
Actively Recruiting
162
ThedaCare Regional Medical Center - Neenah
Neenah, Wisconsin, United States, 54956
Actively Recruiting
163
ThedaCare Cancer Care - New London
New London, Wisconsin, United States, 54961
Actively Recruiting
164
Cancer Center of Western Wisconsin
New Richmond, Wisconsin, United States, 54017
Actively Recruiting
165
Ascension Mercy Hospital
Oshkosh, Wisconsin, United States, 54904
Actively Recruiting
166
ThedaCare Cancer Care - Oshkosh
Oshkosh, Wisconsin, United States, 54904
Actively Recruiting
167
Ascension All Saints Hospital
Racine, Wisconsin, United States, 53405
Actively Recruiting
168
ThedaCare Cancer Care - Shawano
Shawano, Wisconsin, United States, 54166
Actively Recruiting
169
Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin, United States, 54482
Actively Recruiting
170
ThedaCare Cancer Care - Waupaca
Waupaca, Wisconsin, United States, 54981
Actively Recruiting
171
Aspirus Regional Cancer Center
Wausau, Wisconsin, United States, 54401
Actively Recruiting
172
Marshfield Clinic-Wausau Center
Wausau, Wisconsin, United States, 54401
Actively Recruiting
173
Ascension Medical Group Southeast Wisconsin - Mayfair Road
Wauwatosa, Wisconsin, United States, 53226
Actively Recruiting
174
Marshfield Medical Center - Weston
Weston, Wisconsin, United States, 54476
Actively Recruiting
175
Cancer Center-Metro Medical Center Bayamon
Bayamón, Puerto Rico, 00959-5060
Actively Recruiting
176
Puerto Rico Hematology Oncology Group
Bayamón, Puerto Rico, 00961
Actively Recruiting
177
Doctors Cancer Center
Manati, Puerto Rico, 00674
Actively Recruiting
178
San Juan Community Oncology Group
San Juan, Puerto Rico, 00917
Actively Recruiting
179
Centro Comprensivo de Cancer de UPR
San Juan, Puerto Rico, 00927
Actively Recruiting
180
PROncology
San Juan, Puerto Rico, 00927
Actively Recruiting
181
San Juan City Hospital
San Juan, Puerto Rico, 00936
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
3
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