Phase 3 Study of a Digital Self-Management App to Improve Quality of Life
During Adjuvant Hormonal Therapy for Early Breast Cancer Patients
Led by Gustave Roussy, Cancer Campus, Grand Paris · Updated on 2025-12-01
180
Participants Needed
1
Research Sites
39 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating a personalized digital support program delivered through a mobile app alongside standard care compared to standard care alone for patients with hormone receptor-positive HR early breast cancer who experience side effects from endocrine therapy. This Phase III, open-label, randomized trial conducted in France aims to improve quality of life during adjuvant hormonal treatment. The study involves 180 patients randomly assigned to either the digital support plus standard care group or the standard care-only group.
Participants in one group will use the Resilience digital companion, a multi-component mobile application offering educational information, self-symptom management tools, and remote healthcare provider evaluations tailored to patient needs. Both groups will continue receiving standard supportive care from their oncologists and care teams at local cancer centers, which may include referrals to supportive care programs and remote patient monitoring. The intervention period lasts 12 weeks.
Throughout the trial, participants will complete assessments to measure quality of life, fatigue, emotional distress, pain, sleep quality, adherence to endocrine therapy, self-efficacy in symptom management, eHealth literacy, and physical activity, some measured by wearable devices. Data collection includes patient-reported outcomes via a web platform. Follow-up and evaluation extend up to 12 months after randomization, with ongoing monitoring of patient experience and intervention adoption.
CONDITIONS
Brief Title
A Study to Determine the Efficacy of a Digital Self-management Support Tool to Improve the Quality of Life During Adjuvant HOrmonal Therapy for Patients With Early Breast Cancer
Research Team
M
Maria Alice FRANZOI, MD
C
Chloé Serhal, PhD
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Histologically confirmed hormone receptor-positive (ER and/or PgR) invasive breast cancer
Stage I to III breast cancer with no distant metastasis or local recurrence
Indicated for adjuvant endocrine therapy (tamoxifen or aromatase inhibitors) with or without targeted agents
Currently receiving endocrine therapy for breast cancer
Reporting adverse effects related to ongoing endocrine therapy
Age 18 years or older
ECOG Performance Status 0, 1, or 2
Possess a smartphone
Able to understand, sign, and date informed consent
Willing and able to comply with study procedures
Affiliated with a social security system or beneficiary
Able to read and understand French
Male patients are eligible
Patients with previous breast cancer or DCIS are eligible
Biologic, targeted therapies, and bisphosphonates allowed during participation
Patients may have breast reconstruction during the study
You will not qualify if you...
Severe cognitive impairment or severe psychiatric disorders that may affect study compliance
Under guardianship or deprived of liberty, incapable of giving consent
Currently participating in another behavioral interventional trial
Physical causes of endocrine therapy side effects that are reversible and treatable (e.g., anemia, infections, hormonal imbalances) according to physician judgment
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 baseline visit and weekly remote assessments during the 3-week intervention
Follow-up
Duration - Up to 12 months
Participants are monitored for quality of life, symptom management, physical activity, and adherence to therapy up to 12 months after starting the intervention.
Monthly remote follow-up visits up to 12 months
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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Published Research Related To This Trial
Multicenter randomized effectiveness/implementation trial of a digital self-management support tool to improve the quality of life during adjuvant hormonal therapy for patients with early breast cancer: The HOPE trial.
Maria Alice Franzoi, Stefan Michels, Sarah Ball...