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NCT03022032

The HOPE Trial and the SMART Study

Completed NA Results posted Last updated 9 September 2025
What this trial tests

NA trial testing Fitbit Zip in Gynecologic Cancer in 102 participants. Completed in 2 September 2020.

Timeline
12 April 2017
Primary endpoint
2 September 2020
2 September 2020

Quick facts

Lead sponsorDana-Farber Cancer Institute
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment102
Start date12 April 2017
Primary completion2 September 2020
Estimated completion2 September 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Dana-Farber Cancer Institute

Who can join

18 and older, female only, with Gynecologic Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Feasibility (≥60% Enrollment Rate of Eligible Patients; ≥70% Survey Adherence; ≥80% FitBit Adherence) and Acceptability (≥60% Would Recommend the Intervention; <30% Rate the Study as Burdensome/Wish They Had Not Participated) in HOPE Pre-Pilot (n=10) Primary · 30 days

This outcome was limited to the HOPE pre-pilot, consisting of 10 patients. This open pilot aimed to identify patient preference of Fitbit Zip or Fitbit Charge 2 and whether this study was burdensome. This outcome informed appropriate study procedures before launching to a larger study with four arms across multiple sites. Feasibility defined as (1) greater than or equal to 60% enrollment rate among eligible patients approached, (2) greater than or equal to 70% adherence to daily smartphone surveys, (3) greater than or equal to 80% adherence to Fitbits at least 4 days per week. Acceptability d

Feasibility - (1) greater than or equal to 60% enrollment rate among eligible patients approached
GroupValue95% CI
HOPE Pre-pilot10
Feasibility - (2) greater than or equal to 70% adherence to daily smartphone surveys
GroupValue95% CI
HOPE Pre-pilot7
Feasibility - (3) greater than or equal to 80% adherence to Fitbits at least 4 days per week
GroupValue95% CI
HOPE Pre-pilot9
Acceptability - (1) "Participating in this study placed a substantial burden on me."
GroupValue95% CI
HOPE Pre-pilot1
Acceptability - (2) "I wish I had not agreed to participate in this study."
GroupValue95% CI
HOPE Pre-pilot1
Number of Participants Who Preferred the FitBit Zip vs. Number of Participants Who Preferred the FitBit Charge HR in the HOPE Pre-Pilot Study (n=10) Primary · 30 days

This outcome was limited to the HOPE Pre-pilot, consisting of 10 patients. This open pilot aimed to identify patient preference of Fitbit Zip or Fitbit Charge 2 and whether this study was burdensome. This outcome informed appropriate study procedures before launching to a larger study with four arms across multiple sites. This outcome is participant preference of the Fitbit Zip vs. Fitbit Charge in the HOPE Pre-Pilot study.

Preferred FitBit Charge
GroupValue95% CI
HOPE Pre-pilot9
Preferred FitBit Zip
GroupValue95% CI
HOPE Pre-pilot1
Feasibility (i.e. ≥50% 3-month Adherence Rates to Both Smartphone Apps and the Wearable Accelerometer) in the SMART Study Primary · 90 days

SMART Study: Participants received the Fitbit Charge 2 and access to the smartphone app. The app presented tailored advice if one or more low-risk symptoms were reported and prompted the patient to call their clinician for high-risk symptoms. Feasibility will be defined as greater than or equal to 50% 3-month adherence rates to both smartphone apps and the wearable accelerometer.

GroupValue95% CI
SMART Study4
Acceptability (i.e. ≥60% of Study Participants Would Recommend the Intervention to Other Patients; and <30% of Patients Rate the Study as Burdensome or Wish They Had Not Participated) in the SMART Study Primary · 90 days

SMART Study: Participants received the Fitbit Charge 2 and access to the smartphone app. The app presented tailored advice if one or more low-risk symptoms were reported and prompted the patient to call their clinician for high-risk symptoms. Acceptability defined as responses to three questions: (1) "Participating in this study placed a substantial burden on me."; (2) "I wish I had not agreed to participate in this study."; and (3) "I would recommend the application to a friend going through treatment."

Acceptability - (1) "Participating in this study placed a substantial burden on me."
GroupValue95% CI
SMART Study0
Acceptability - (2) "I wish I had not agreed to participate in this study."
GroupValue95% CI
SMART Study0
Acceptability - (3) "I would recommend the application to a friend going through treatment."
GroupValue95% CI
SMART Study4
Anxiety as Assessed by GAD-7 (HOPE RCT) Secondary · Baseline, 30 days, 90 days, 180 days (Phase II)

Patients' GAD-7 measurements taken at baseline and post-baseline (30 days, 90 days, and 180 days) in the HOPE RCT. \[The General Anxiety Disorder-7 (GAD-7) total score has a minimum value of 0 and a maximum value of 21, with higher values corresponding to worse outcome.}

Baseline
GroupValue95% CI
Arm 1: Fitbit + Active App3.43± 2.98
Arm 2: Fitbit+Passive App3.74± 4.19
Arm 3: Active App5.45± 4.82
Arm 4: Passive App4.10± 3.43
30 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App3.17± 3.24
Arm 2: Fitbit+Passive App5.09± 4.46
Arm 3: Active App2.64± 2.54
Arm 4: Passive App4.00± 2.24
90 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App3.50± 3.55
Arm 2: Fitbit+Passive App3.38± 4.03
Arm 3: Active App2.92± 2.47
Arm 4: Passive App3.07± 2.13
180 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App0.78± 0.97
Arm 2: Fitbit+Passive App3.78± 4.09
Arm 3: Active App3.00± 2.26
Arm 4: Passive App3.22± 2.82
Depression as Assessed by PHQ-9 (HOPE RCT) Secondary · Baseline, 30 days, 90 days, 180 days (Phase II)

Patients' PHQ-9 measurements taken at baseline and post-baseline (30 days, 90 days, and 180 days) in the HOPE RCT. {The Patient Health Questionnaire (PHQ-9) total score has a minimum value of 0 and a maximum value of 27, with higher values corresponding to worse outcome.}

Baseline
GroupValue95% CI
Arm 1: Fitbit + Active App4.43± 3.73
Arm 2: Fitbit + Passive App3.70± 3.48
Arm 3: Active App4.95± 3.61
Arm 4: Passive App5.59± 4.62
30 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App3.20± 4.18
Arm 2: Fitbit + Passive App4.58± 4.46
Arm 3: Active App3.27± 2.90
Arm 4: Passive App4.80± 3.38
90 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App5.90± 4.95
Arm 2: Fitbit + Passive App4.58± 5.04
Arm 3: Active App3.46± 3.26
Arm 4: Passive App3.87± 1.96
180 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App1.22± 1.39
Arm 2: Fitbit + Passive App3.56± 4.00
Arm 3: Active App3.42± 2.43
Arm 4: Passive App5.09± 2.98
Patient Well-being as Assessed by FACIT-Pal (HOPE RCT) Secondary · Baseline, 30 days, 90 days, 180 days (Phase II)

Patients' FACIT-Pal measurements taken at baseline and post-baseline (30 days, 90 days, and 180 days) in the HOPE RCT. {The Functional Assessment of Chronic Illness Therapy - Palliative Care (FACIT-Pal) total score has a minimum value of 0 and a maximum value of 184, with higher values corresponding to better outcome.}

Baseline
GroupValue95% CI
Arm 1: Fitbit + Active App142.1± 24.3
Arm 2: Fitbit + Passive App147.0± 23.2
Arm 3: Active App139.7± 22.4
Arm 4: Passive App139.4± 21.1
30 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App150.7± 22.0
Arm 2: Fitbit + Passive App145.7± 26.4
Arm 3: Active App147.4± 19.6
Arm 4: Passive App145.6± 18.7
90 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App132.3± 27.2
Arm 2: Fitbit + Passive App143.8± 34.3
Arm 3: Active App150.9± 20.1
Arm 4: Passive App141.0± 18.4
180 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App161.4± 15.6
Arm 2: Fitbit + Passive App155.2± 22.8
Arm 3: Active App144.1± 17.7
Arm 4: Passive App140.4± 23.6
Constipation as Measured by the Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). Secondary · Baseline, 30 days, 90 days, 180 days (Phase II)

Participants reporting Grade 1-3 constipation at baseline and post-baseline (30 days, 90 days, and 180 days) in the HOPE RCT. {Symptoms were graded in accordance with the established composite grading algorithm, with higher grades corresponding to worse outcomes.}

Baseline
GroupValue95% CI
Arm 1: Fitbit + Active App10
Arm 2: Fitbit + Passive App6
Arm 3: Active App10
Arm 4: Passive App11
30 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App5
Arm 2: Fitbit + Passive App2
Arm 3: Active App5
Arm 4: Passive App8
90 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App2
Arm 2: Fitbit + Passive App6
Arm 3: Active App5
Arm 4: Passive App8
180 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App4
Arm 2: Fitbit + Passive App6
Arm 3: Active App8
Arm 4: Passive App7
Diarrhea as Measured by the Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). Secondary · Baseline, 30 days, 90 days, 180 days (Phase II)

Participants reporting Grade 1-3 diarrhea at baseline and post-baseline (30 days, 90 days, and 180 days) in the HOPE RCT. {Symptoms were graded in accordance with the established composite grading algorithm, with higher grades corresponding to worse outcomes.}

Baseline
GroupValue95% CI
Arm 1: Fitbit + Active App10
Arm 2: Fitbit + Passive App8
Arm 3: Active App7
Arm 4: Passive App11
30 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App5
Arm 2: Fitbit + Passive App3
Arm 3: Active App4
Arm 4: Passive App5
90 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App5
Arm 2: Fitbit + Passive App5
Arm 3: Active App4
Arm 4: Passive App9
180 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App0
Arm 2: Fitbit + Passive App2
Arm 3: Active App2
Arm 4: Passive App4
Nausea as Measured by the Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). Secondary · Baseline, 30 days, 90 days, 180 days (Phase II)

Participants reporting Grade 1-3 nausea at baseline and post-baseline (30 days, 90 days, and 180 days) in the HOPE RCT. {Symptoms were graded in accordance with the established composite grading algorithm, with higher grades corresponding to worse outcomes.}

Baseline
GroupValue95% CI
Arm 1: Fitbit + Active App12
Arm 2: Fitbit + Passive App7
Arm 3: Active App11
Arm 4: Passive App12
30 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App7
Arm 2: Fitbit + Passive App4
Arm 3: Active App5
Arm 4: Passive App7
90 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App7
Arm 2: Fitbit + Passive App1
Arm 3: Active App6
Arm 4: Passive App11
180 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App2
Arm 2: Fitbit + Passive App1
Arm 3: Active App5
Arm 4: Passive App8
Vomiting as Measured by the Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). Secondary · Baseline, 30 days, 90 days, 180 days (Phase II)

Participants reporting Grade 1-3 vomiting at baseline and post-baseline (30 days, 90 days, and 180 days) in the HOPE RCT. {Symptoms were graded in accordance with the established composite grading algorithm, with higher grades corresponding to worse outcomes.}

Baseline
GroupValue95% CI
Arm 1: Fitbit + Active App2
Arm 2: Fitbit + Passive App1
Arm 3: Active App4
Arm 4: Passive App5
30 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App2
Arm 2: Fitbit + Passive App0
Arm 3: Active App2
Arm 4: Passive App1
90 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App3
Arm 2: Fitbit + Passive App0
Arm 3: Active App1
Arm 4: Passive App1
180 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App1
Arm 2: Fitbit + Passive App1
Arm 3: Active App3
Arm 4: Passive App3
Numbness and Tingling as Measured by the Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). Secondary · Baseline, 30 days, 90 days, 180 days (Phase II)

Participants reporting Grade 1-3 numbness and tingling at baseline and post-baseline (30 days, 90 days, and 180 days) in the HOPE RCT. {Symptoms were graded in accordance with the established composite grading algorithm, with higher grades corresponding to worse outcomes.}

Baseline
GroupValue95% CI
Arm 1: Fitbit + Active App10
Arm 2: Fitbit + Passive App14
Arm 3: Active App11
Arm 4: Passive App15
30 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App8
Arm 2: Fitbit + Passive App10
Arm 3: Active App4
Arm 4: Passive App11
90 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App6
Arm 2: Fitbit + Passive App7
Arm 3: Active App7
Arm 4: Passive App11
180 days post-baseline
GroupValue95% CI
Arm 1: Fitbit + Active App5
Arm 2: Fitbit + Passive App7
Arm 3: Active App4
Arm 4: Passive App5

Adverse events — posted to ClinicalTrials.gov

Time frame: HOPE Pre-Pilot: 30 days; HOPE RCT (4 arms): 180 days; SMART: 90 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

HOPE Pre-Pilot
Serious: 0/10 (0%)
Deaths: 0/10
Refined Smartphone App and Accelerometer (HOPE)
Serious: 0/23 (0%)
Deaths: 0/23
Wearable Accelerometer (HOPE)
Serious: 0/21 (0%)
Deaths: 0/21
Refined Smartphone App (HOPE)
Serious: 0/22 (0%)
Deaths: 0/22
Usual Care (HOPE)
Serious: 0/22 (0%)
Deaths: 2/22
SMART Study Arm
Serious: 0/4 (0%)
Deaths: 0/4
Other adverse events (10 terms — click to expand)

ReactionSystemHOPE Pre-PilotRefined Smartphone App and…Wearable Accelerometer (HO…Refined Smartphone App (HO…Usual Care (HOPE)SMART Study Arm
FatigueNervous system disorders
AnxietyNervous system disorders
NeuropathyNervous system disorders
ConstipationGastrointestinal disorders
Abdominal painGastrointestinal disorders
DepressionNervous system disorders
NauseaGastrointestinal disorders
DiarrheaGastrointestinal disorders
VomitGastrointestinal disorders
DizzinessNervous system disorders

Data from ClinicalTrials.gov NCT03022032 adverse events section.

Sponsor's own description

This research study is evaluating a new smartphone application named the "Helping Our Patients Excel (HOPE)" app with a Fitbit device. The SMART Study is a sub-study of the HOPE Trial. Both studies evaluate an almost identical intervention using a Fitbit device and smartphone app(s) with the goal of improving quality-of-life for women with gynecologic cancers.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. The HOPE Pilot Study: Harnessing Patient-Reported Outcomes and Biometric Data to Enhance Cancer Care.
    Wright AA, Raman N, Staples P, Schonholz S, et al · · 2018 · cited 68× · PMID 30652585 · DOI 10.1200/cci.17.00149

Verify or expand the search:

Other recruiting trials for Gynecologic Cancer

Currently open trials in the same condition.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03022032.

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