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Cost Communication and Financial Navigation in Cancer Patients (COSTCOM)

ECOG-ACRIN Cancer Research Group · with National Cancer Institute (NCI) · NCT06295367

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Opens the official ClinicalTrials.gov record, with the study team’s contacts. Bored Studies doesn’t enroll anyone.

Key facts

Compensation
Not posted. Ask the study team before screening.
Who can join
Any age listed · All sexes
Healthy volunteers
Accepted
Study type
Interventional · Not applicable
Target enrollment
760
US sites recruiting
355
Study start
April 10, 2024
Record last updated
October 29, 2026

Status re-checked against ClinicalTrials.gov within the last 12 hours.

What the study 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.

Being studied: Best Practice; Financial Navigation; Interview; Survey Administration

Conditions: Malignant Solid Neoplasm

Eligibility criteria

Copied from the official record. The study team makes the final decision at screening.

Show full criteria

Inclusion Criteria

  • NON-PATIENTS PARTICIPANTS: Participant must speak English
  • NON-PATIENTS PARTICIPANTS: Participant must be employed at National Cancer Institute Community Oncology Research Program (NCORP) site for at least six months
  • NON-PATIENTS PARTICIPANTS: Participant must be able to provide informed consent to participate in this study
  • NON-PATIENTS PARTICIPANTS: Participant must be one of the following:
  • A study coordinator with a role involving use of CostCOM intervention price transparency and financial navigation platform
  • A practice oncology provider (i.e., physician or mid-level), or
  • A practice financial counselor, social workers, financial navigators, or pharmacist who have provided care or been in contact (in the last 3 months) to a patient who was assigned to the CostCOM arm, and who completed the at least 6 month study follow-up
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must be ≥ 18 years of age
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must be fluent in written and spoken English OR patient must be fluent in written and spoken Spanish
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must be within 120 days of a new diagnosis of any solid cancer of any stage at the time of Step 0
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must have had their first medical oncology visit at the time of Step 0
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must have initiated oral or intravenous (IV) cancer systemic therapy or have received a prescription order with stated intent to initiate within 30 days following Step 0 consent
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patients must not have indolent cancer undergoing observation alone (i.e., active surveillance)
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patients must not be receiving palliative or hospice care alone
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must not be undergoing curative surgery alone or radiation therapy alone. (Must be receiving systemic therapy), unless they are receiving systemic therapy
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must confirm that they intend to receive their care or monitoring at one of the participating NCORP practices
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must have the ability to understand and the willingness to sign a written informed consent document.
  • Patients with impaired decision-making capacity (IDMC) who have a legally authorized representative (LAR) or caregiver and/or family member available are not eligible
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must not have an Eastern Cooperative Oncology Group (ECOG) performance status ≥ 3, OR
  • Patient must not be deemed medically unable to participate in the study by the study investigators or an oncology clinician (i.e., referral to hospice)
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must not be enrolled in treatment clinical trials where cancer systemic therapy is provided at no cost to the patient
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must not be enrolled in EAQ221CD or S1912CD given financial navigation is offered as part of these two trials.
  • NOTE: If S1912CD is activated in a participating practice, S1912CD should be offered first to patients with metastatic cancer meeting eligibility criteria for S1912CD. Only if a patient is not eligible or not interested in participating in S1912CD, the EAQ222CD can be offered. For early stage cancer, EAQ222CD can be offered first given S1912CD does not enroll patients with early stage cancer
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 0 (OPEN SCREENING REGISTRATION): Patient must not be enrolled in other clinical trials where OOPC communication or financial navigation (i.e., professional guidance to identify financial assistance programs to alleviate cost of care) is being offered as part of the trial
  • NOTE: If a trial is offering financial counseling alone without financial navigation patients are allowed to co-enroll
  • NOTE: Gift cards for survey completion, or parking passes are not considered financial navigation
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 1 (OPEN RANDOMIZATION): Patient must meet all the eligibility criteria for step 0
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 1 (OPEN RANDOMIZATION): Patient must have signed a written informed consent form
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 1 (OPEN RANDOMIZATION): Patient must have a completed baseline survey in ECOG American College of Radiology Imaging Network Systems for Easy Entry of Patient Reported Outcomes (EASEE-PRO) within 30 days of the date of OPEN registration and consent (step 0)
  • PATIENT ELIGIBILITY CRITERIA FOR STEP 1 (OPEN RANDOMIZATION): Patients must have initiated their cancer treatment (i.e., IV or oral systemic therapy) either before or within 30 days of the date of OPEN registration and consent (step 0)

Recruiting US locations

  • Anchorage Associates in Radiation Medicine

    Anchorage, AK 98508

    Site contact: Site Public Contact · 907-212-6871 · AKPAMC.OncologyResearchSupport@providence.org

  • Alaska Breast Care and Surgery LLC

    Anchorage, AK 99508

    Site contact: Site Public Contact · 907-212-6871 · AKPAMC.OncologyResearchSupport@providence.org

  • Alaska Oncology and Hematology LLC

    Anchorage, AK 99508

    Site contact: Site Public Contact · 907-212-6871 · AKPAMC.OncologyResearchSupport@providence.org

  • Alaska Women's Cancer Care

    Anchorage, AK 99508

    Site contact: Site Public Contact · 907-212-6871 · AKPAMC.OncologyResearchSupport@providence.org

  • Katmai Oncology Group

    Anchorage, AK 99508

    Site contact: Site Public Contact · 907-212-6871 · AKPAMC.OncologyResearchSupport@providence.org

  • Providence Alaska Medical Center

    Anchorage, AK 99508

    Site contact: Site Public Contact · 907-212-6871 · AKPAMC.OncologyResearchSupport@providence.org

  • Fairbanks Memorial Hospital

    Fairbanks, AK 99701

    Site contact: Site Public Contact · 907-458-3043 · Veronica.Stevenson@foundationhealth.org

  • Kingman Regional Medical Center

    Kingman, AZ 86401

    Site contact: Site Public Contact · 702-384-0013 · research@sncrf.org

  • Mercy Hospital Fort Smith

    Fort Smith, AR 72903

    Site contact: Site Public Contact · 800-378-9373

  • NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro

    Jonesboro, AR 72401

    Site contact: Site Public Contact · 870-936-7066 · Emily.Carvell@bmhcc.org

  • CARTI Cancer Center

    Little Rock, AR 72205

    Site contact: Site Public Contact · 501-906-4199 · Research@CARTI.com

  • PCR Oncology

    Arroyo Grande, CA 93420

    Site contact: Site Public Contact · 702-384-0013 · research@sncrf.org

  • Providence Saint Joseph Medical Center/Disney Family Cancer Center

    Burbank, CA 91505

    Site contact: Site Public Contact · 818-847-4793 · Najee.Boucher@providence.org

  • Contra Costa Regional Medical Center

    Martinez, CA 94553-3156

    Site contact: Site Public Contact · 925-957-5400

  • Providence Queen of The Valley

    Napa, CA 94558

    Site contact: Site Public Contact · 707-521-3830

  • Providence Medical Foundation - Santa Rosa

    Santa Rosa, CA 95403

    Site contact: Site Public Contact · 707-521-3830

  • Providence Santa Rosa Memorial Hospital

    Santa Rosa, CA 95405

    Site contact: Site Public Contact · 707-521-3830

  • BASS Medical Group - Lennon

    Walnut Creek, CA 94598

    Site contact: Site Public Contact · 307-760-7636 · brenna.lindsey@bassmedicalgroup.com

  • Rocky Mountain Cancer Centers-Aurora

    Aurora, CO 80012

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Boulder Community Foothills Hospital

    Boulder, CO 80303

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Rocky Mountain Cancer Centers-Boulder

    Boulder, CO 80304

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Rocky Mountain Cancer Centers - Centennial

    Centennial, CO 80112

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • The Women's Imaging Center

    Denver, CO 80209

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Colorado Blood Cancer Institute

    Denver, CO 80218

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Presbyterian - Saint Lukes Medical Center - Health One

    Denver, CO 80218

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Rocky Mountain Cancer Centers-Midtown

    Denver, CO 80218

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Rocky Mountain Cancer Centers-Rose

    Denver, CO 80220

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Rocky Mountain Cancer Centers - Swedish

    Englewood, CO 80113

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • The Melanoma and Skin Cancer Institute

    Englewood, CO 80113

    Site contact: Site Public Contact · 720-316-8091 · ryan.weight@theskincancerinstitute.com

  • Rocky Mountain Cancer Centers-Lakewood

    Lakewood, CO 80228

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Rocky Mountain Cancer Centers-Littleton

    Littleton, CO 80120

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Rocky Mountain Cancer Centers-Sky Ridge

    Lone Tree, CO 80124

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Rocky Mountain Cancer Centers-Longmont

    Longmont, CO 80501

    Site contact: Site Public Contact · 719-776-6550 · ResearchTracking@Centura.Org

  • Rocky Mountain Cancer Centers-Thornton

    Thornton, CO 80260

    Site contact: Site Public Contact · 303-777-2663 · info@westernstatesncorp.org

  • Liberty County Cancer Care

    Hinesville, GA 31313

    Site contact: Site Public Contact · 912-819-5704 · Oncologyresearch@sjchs.org

  • Lewis Cancer and Research Pavilion at Saint Joseph's/Candler

    Savannah, GA 31405

    Site contact: Site Public Contact · 912-819-5704 · underberga@sjchs.org

  • Hawaii Cancer Care Inc - Waterfront Plaza

    Honolulu, HI 96813

    Site contact: Site Public Contact · 808-524-6115 · i.webster@hawaiicancercare.com

  • Queen's Cancer Cenrer - POB I

    Honolulu, HI 96813

    Site contact: Site Public Contact · 808-532-0315

  • Queen's Medical Center

    Honolulu, HI 96813

    Site contact: Site Public Contact · 808-545-8548

  • Straub Clinic and Hospital

    Honolulu, HI 96813

    Site contact: Site Public Contact · 808-522-4333

  • University of Hawaii Cancer Center

    Honolulu, HI 96813

    Site contact: Site Public Contact · 808-586-2979

  • Hawaii Diagnostic Radiology Services LLC

    Honolulu, HI 96817

    Site contact: Site Public Contact · 808-792-7897 · mmiyoshi@hawaiidrs.com

  • Kuakini Medical Center

    Honolulu, HI 96817

    Site contact: Site Public Contact · 808-547-9816

  • Queen's Cancer Center - Kuakini

    Honolulu, HI 96817

    Site contact: Site Public Contact · 808-531-8521

  • Kapiolani Medical Center for Women and Children

    Honolulu, HI 96826

    Site contact: Site Public Contact · 808-983-6090

  • Tripler Army Medical Center

    Honolulu, HI 96859

    Site contact: Site Public Contact · 808-433-6336

  • Straub Medical Center - Kahului Clinic

    Kahului, HI 96732

    Site contact: Site Public Contact · lori.kam@hawaiipacifichealth.org

  • Wilcox Memorial Hospital and Kauai Medical Clinic

    Lihue, HI 96766

    Site contact: Site Public Contact · 808-535-7960

  • Hawaii Cancer Care - Westridge

    ‘Aiea, HI 96701

    Site contact: Site Public Contact · 808-539-2273 · info@hawaiicancercare.com

  • Pali Momi Medical Center

    ‘Aiea, HI 96701

    Site contact: Site Public Contact · 808-486-6000

  • Queen's Cancer Center - Pearlridge

    ‘Aiea, HI 96701

    Site contact: Site Public Contact · 808-487-7447

  • The Queen's Medical Center - West Oahu

    ‘Ewa Beach, HI 96706

    Site contact: Site Public Contact · rohta@queens.org

  • Saint Luke's Cancer Institute - Boise

    Boise, ID 83712

    Site contact: Site Public Contact · 208-381-2774 · eslinget@slhs.org

  • Kootenai Health - Coeur d'Alene

    Coeur d'Alene, ID 83814

    Site contact: Site Public Contact · 406-969-6060 · mccinfo@mtcancer.org

  • Saint Luke's Cancer Institute - Fruitland

    Fruitland, ID 83619

    Site contact: Site Public Contact · 208-381-2774 · eslinget@slhs.org

  • Saint Luke's Cancer Institute - Meridian

    Meridian, ID 83642

    Site contact: Site Public Contact · 208-381-2774 · eslinget@slhs.org

  • Saint Luke's Cancer Institute - Nampa

    Nampa, ID 83687

    Site contact: Site Public Contact · 208-381-2774 · eslinget@slhs.org

  • Kootenai Clinic Cancer Services - Post Falls

    Post Falls, ID 83854

    Site contact: Site Public Contact · 406-969-6060 · mccinfo@mtcancer.org

  • Kootenai Clinic Cancer Services - Sandpoint

    Sandpoint, ID 83864

    Site contact: Site Public Contact · 406-969-6060 · mccinfo@mtcancer.org

  • Saint Luke's Cancer Institute - Twin Falls

    Twin Falls, ID 83301

    Site contact: Site Public Contact · 208-381-2774 · eslinget@slhs.org

+ 295 more on the official record.

All healthy volunteers studies in Alaska →
Cost Communication and Financial Navigation in Cancer Patients… (NCT06295367) | Bored Studies