At a glance

ClinicalIndex Comparison Record

N/ACompleted· 1,606 enrolled

Drug / intervention

Nurse-led telephonic case management +1 morebehavioral

Likely dose

Not stated in record

Structured eligibility isn't available for this trial yet — see the full criteria in the Eligibility tab below.

Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.

Search/NCT03325985

NCT03325985N/ACompleted

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Emergency Medicine Palliative Care Access (EMPallA)

NYU Langone Health·interventional·Posted Oct 30, 2017·Updated Jan 13, 2025

In Brief

A clinical study evaluating Nurse-led telephonic case management and Facilitated,outpatient specialty palliative care for Advanced Cancer and End Stage Organ Failure. Completed, enrolled 1,606 participants across 18 sites.

Detailed Summary

This is a two-arm, multi-site randomized controlled trial of 1,350 older adults (50+ years) with either advanced cancer (defined as metastatic solid tumor) or poor prognosis end-stage organ failure (New York Heart Association (NYHA) Class III or IV Congestive Heart Failure (CHF), End-Stage Renal Disease (ESRD), defined as Glomerular Filtration Rate (GFR) \< 15 ml/min/m2 or dialysis ; or Global Initiative for Chronic Obstructive Lung Disease (GOLD) Stage III or higher, or oxygen-dependent chronic obstructive pulmonary disease (COPD) who present to the Emergency Department (ED), along with 675 of their informal caregivers. Investigators will compare the effectiveness of two distinct palliative care models: a) nurse-led telephonic case management; and b) facilitated, outpatient specialty palliative care.

Study Details

Study Typeinterventional

Allocation--

Masking--

Primary Purpose--

ConditionsAdvanced Cancer, End Stage Organ Failure

CountriesUnited States

CollaboratorsBeaumont Health, Dana-Farber/Brigham and Women's Cancer Center, Ohio State University, University of Florida, Yale University, Patient-Centered Outcomes Research Institute, Hackensack Meridian Health, Atlantic Health System, University of California, Irvine, University of California, San Diego, University of California, Los Angeles, Northwestern University, Rush University, Henry Ford Health System

Timeline

N/ACompletedFinished

201820192020202120222023202420252026

First PostedOct 2017

Enrollment StartMar 2018

Primary CompletionAug 2023

TodayJul 2026

First PostedOct 30, 2017

Enrollment StartMar 28, 2018

Primary CompletionAug 24, 2023

TodayJul 2, 2026

Enrollment to primary: 5.4 yearsPosted 8.7 years ago

Interventions

Nurse-led telephonic case managementbehavioral

Telephonic meetings with a palliative care nurse. Palliative care is specialized medical care focused on providing a personalized layer of support dedicated to helping patients and their families cope with a serious illness.

Facilitated,outpatient specialty palliative carebehavioral

In-person or telehealth palliative care visits with a palliative care provider. Palliative care is specialized medical care focused on providing a personalized layer of support dedicated to helping patients and their families cope with a serious illness.