Clinical trial · Interventional
Addressing Financial and Social Needs Among Patients With Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Financial hardship and health-related social needs (e.g., insecurity about food, housing, transportation, utilities) are common among patients with cancer, resulting in health disparities in cancer outcomes. Our study will test the efficacy of a multicomponent financial navigation and counseling program delivered by a financial navigator (CostCOM), vs. direct patient access to financial education materials and comprehensive list of local resources in the absence of a financial navigator (FinEd) vs. practice usual care among newly diagnosed cancer patients who screen positive for financial hardship and social needs. Investigators anticipate that both CostCOM and FinEd compared to enhanced usual care will improve cost-related cancer care nonadherence, financial worry, health insurance literacy, quality of life and sleep quality and decrease number of missed appointments.
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Cancer | Malignant Neoplasm | ALIAS | 0.90 |
| Financial Hardship | — | UNRESOLVED | — |
Interventions
Interventions (5)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| CostCOM (Cost Communication, Financial navigation and counseling) | Behavioral | — | UNRESOLVED |
| Financial Education | Behavioral | — | UNRESOLVED |
| Provision of local and national resources to address financial and social needs | Behavioral | — | UNRESOLVED |
| Screening for financial and social needs | Other | — | UNRESOLVED |
| Usual care | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (3)
- type
- ACTIVE_COMPARATOR
- label
- Arm A: Enhanced Usual Care (EUC)
- description
- Usual care + pre-screening for financial hardship and social risks
- interventionNames
- Other: Usual care
- Other: Screening for financial and social needs
- type
- EXPERIMENTAL
- label
- Arm B: CostCOM
- description
- Usual care + two 1-hour phone or video sessions with a remote financial counselor including out-of-pocket cost communication, financial navigation and counseling.
- interventionNames
- Behavioral: CostCOM (Cost Communication, Financial navigation and counseling)
- Other: Usual care
- Other: Screening for financial and social needs
- type
- EXPERIMENTAL
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Speak English or Spanish * 18 years or older * Were diagnosed with any stage of cancer within the last 120 days * Getting treatment in University of California Irvine-affiliated oncology clinics * Have already started treatment like radiation, or cancer medication * Screen positive for financial hardship or health-related social needs Exclusion Criteria: * Patients with indolent cancer undergoing observation alone * Eastern Cooperative Oncology Group (ECOG) Performance status above 2 * Patients not receiving any cancer-directed therapy * Patients participating in other therapeutic clinical trials covering the cost of treatment.
References
Publications (1)
- DERIVEDSharifian M, Nguyen V, Madan A, Gutierrez O, Bharucha M, Harris J, Hoyt MA, Milam J, Chen WP, Ziogas A, Sadigh G. Addressing financial and health-related social needs among patients with cancer: Study protocol for CAN-ASSIST pilot clinical trial. Contemp Clin Trials Commun. 2026 Apr 8;51:101637. doi: 10.1016/j.conctc.2026.101637. eCollection 2026 Jun. PMID 42016723