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Study identifier: NCT05323409 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

Improving Comprehensive Care of Cancer Patients

Condition: Breast Cancer · Gastrointestinal Cancer · Hematologic Cancer  ·  Sponsor: Baylor College of Medicine

PhaseNA
Planned participants340
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersYes

About this study

Cancer survivors have unique healthcare needs, including managing serious late effects, ongoing surveillance, lifestyle modifications to reduce second cancer risk, and psychosocial support. Nearly 70% of survivors have at least one comorbid chronic condition in addition to cancer, which complicates the delivery of quality cancer care. Medically underserved patients, who bear the highest burden of multiple chronic conditions, are at increased risk for poor outcomes during and after cancer treatment. Enhancing communication and collaboration between oncologists and primary care providers (PCPs) could improve health outcomes and care transitions for these patients, who often lack healthcare knowledge and access to supportive care. This study evaluates a novel shared care model for cancer survivors with chronic comorbidities, called OPTIMISE (Oncology-Primary Care Partnership to Improve Comprehensive Survivorship Care), in the largest safety-net healthcare system in Houston, Texas. Three hundred newly diagnosed breast, gastrointestinal, and hematological cancer patients being treated with curative intent and having comorbidities requiring ongoing management will be randomized to either OPTIMISE or Usual Medical Care (UMC). UMC patients will receive cancer treatment directed by their oncologist, a survivorship care plan (SCP) at the end of active treatment, and surveillance visits based on national guidelines. OPTIMISE patients will: 1) have an oncology nurse navigator assigned …

This description comes directly from the study's public registry record.

Talk to the study team

Hoda J. Badr, PhD  ·  7137981588  ·  hoda.badr@bcm.edu

Aylin Diaz-Valladares, MA  ·  7137985025  ·  aylin.diaz-Valladares@bcm.edu

Always discuss trial participation with your own doctor first.

Locations (1)

Baylor College of MedicineHouston, Texas, United StatesRecruiting

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Source record: clinicaltrials.gov/study/NCT05323409