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NCT05505045

Metacognitive Strategy Training in Cancer-related Cognitive Impairment

Completed NA Results posted Last updated 16 December 2024
What this trial tests

NA trial testing CO-OP Procedures in Breast Cancer Female in 46 participants. Completed in 4 April 2024.

Timeline
11 October 2022
Primary endpoint
4 April 2024
4 April 2024

Quick facts

Lead sponsorUniversity of Missouri-Columbia
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment46
Start date11 October 2022
Primary completion4 April 2024
Estimated completion4 April 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Missouri-Columbia

Who can join

Adults 40 to 80, female only, with Breast Cancer Female. 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.

Telehealth Usability Questionnaire (TUQ) Primary · After study completion, an average of 14 weeks

Measure of telehealth usability from participant's perspective. Specifically, the TUQ measures usefulness and utility of technologies including usefulness, ease of use, effectiveness, reliability, and satisfaction. The TUQ uses a self-report Likert scale of 1 (disagree) to 7 (agree).

GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)6.38± 0.61
Attention Control Group6.31± 0.61
Acceptability of Intervention Measure (AIM) Primary · After study completion, an average of 14 weeks

Measure of intervention acceptability. Self-report Likert scale of 1 (completely disagree) to 5 (completely agree)

GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)4.58± 0.55
Attention Control Group4.25± 0.58
Intervention Appropriateness Measure (IAM) Primary · After study completion, an average of 14 weeks

Measure of intervention appropriateness. Self-report Likert scale of 1 (completely disagree) to 5 (completely agree)

GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)4.43± 0.62
Attention Control Group3.83± 0.90
Feasibility of Intervention Measure (FIM) Primary · After study completion, an average of 14 weeks

Measure of intervention feasibility. Self-report Likert scale of 1 (completely disagree) to 5 (completely agree)

GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)4.64± 0.53
Attention Control Group4.20± 1.06
Canadian Occupational Performance Measure (COPM) Trained Goal Performance Primary · Pre-intervention (week 0) and post-intervention (week 14)

Self-report measure of activity performance. Minimum = 1, Maximum = 10. Higher scores mean better performance.

Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)4.4± 1.3
Attention Control Group4.1± 1.6
Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)6.83± 1.2
Attention Control Group5.7± 1.7
NeuroQoL Cognitive Function Short Form Primary · Pre-intervention (week 0) and post-intervention (week 14)

Self-report measure of cognitive ability in daily life activity. Maximum = 5 (never), Minimum = 1 (Very often/several times per day). The total raw score range is 8-40. The t-score is reported with a mean of 50 and standard deviation of 10. Higher scores mean fewer perceived cognitive challenges.

Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)36.4± 5.9
Attention Control Group37.2± 6.3
Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)44.0± 6.8
Attention Control Group42.6± 6.3
Canadian Occupational Performance Measure (COPM) Trained Goal Satisfaction Primary · After study completion, an average of 14 weeks

Self-report measure of satisfaction level with activity performance. Minimum = 1, Maximum = 10. Higher scores mean higher satisfaction.

Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)4.2± 2.3
Attention Control Group3.4± 1.8
Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)6.9± 1.5
Attention Control Group5.4± 2.3
Functional Assessment of Cancer Therapy-Breast (FACT-B) Secondary · Pre-intervention (week 0) and post-intervention (week 14)

Self-report measure of quality of life for breast cancer survivors. Domains include questions related to physical, emotional, social, and functional well-being, as well as additional concerns. Minimum = 0 (not at all), Maximum = 4 (very much). The range of scores is 0 to 148. Higher scores indicate decreased perceived well-being and quality of life.

Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)91.9± 23.3
Attention Control Group90± 21.6
Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)99.8± 21.8
Attention Control Group104.3± 14.3
Delis-Kaplan Executive Function System (DKEFS)- Color-Word Interference Subtest Secondary · Pre-intervention (week 0) and post-intervention (week 14)

Objective measure of inhibition and cognitive flexibility. Data are presented for condition 4 of Number/Letter switching. Age-adjusted scale scores with a mean of 10 and standard deviation of 3 are reported. The total range of scores is 1-19. Higher scores indicate better performance.

Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)10.2± 2.5
Attention Control Group9.9± 2.4
Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)11.2± 3.1
Attention Control Group10.3± 2.6
Wechsler Adult Intelligence Scale (WAIS)-IV Letter-Number, Coding, Symbol Search Subtest Secondary · Pre-intervention (week 0) and post-intervention (week 14)

Objective measure of cognitive performance. The Letter-Number subtest measures working memory. The Coding and Symbol Search subtest measure processing speed. Higher scores indicate better cognitive performance. Age adjusted scaled scores with a mean of 10 and standard deviation of 3 are reported. Range of reported scores is 1 to 19.

Letter Number Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)9.4± 2.4
Attention Control Group9.6± 3.6
Letter Number Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)10.6± 3.1
Attention Control Group10.1± 2.3
Symbol Search Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)10.5± 2.6
Attention Control Group9.2± 2.3
Symbol Search Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)12.2± 2.3
Attention Control Group11.1± 3.1
Coding Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)10.6± 2.6
Attention Control Group9.8± 2.6
Coding Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)9.4± 2.7
Attention Control Group9.8± 2.6
Brief Visuospatial Memory Test -Revised Trial 1 Secondary · Pre-intervention (week 0) and post-intervention (week 14)

Objective measure of episodic memory. Participant is presented with six geometric figures for 10 seconds on three different occasions, and then asked to draw the six figures on a separate sheet of paper in the correct order. Increased errors may indicate challenges with episodic memory. T-scores are reported with a mean of 50 and standard deviation of 10. Higher scores indicate better performance.

Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)51.0± 11.4
Attention Control Group56.4± 12.0
Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)47.0± 9.4
Attention Control Group54.8± 16.2
Paced Auditory Serial Addition Test Secondary · Pre-intervention (week 0) and post-intervention (week 14)

Objective measure of working memory. Participant is presented with single digits every 2 seconds and asked to add each digit to the one immediately prior to it. Total score is out of 60 points, with increased errors indicating challenges with working memory.

Baseline
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)26.8± 10.2
Attention Control Group26.2± 6.8
Post
GroupValue95% CI
Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)29.9± 10.7
Attention Control Group25.7± 9.4

Adverse events — posted to ClinicalTrials.gov

Time frame: Through study completion, up to 14 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment Group: Cognitive Orientation to Daily Occupational Performance (CO-OP)
Serious: 0/23 (0%)
Deaths: 0/23
Attention Control Group
Serious: 0/22 (0%)
Deaths: 0/22
Other adverse events (3 terms — click to expand)

ReactionSystemTreatment Group: Cognitive…Attention Control Group
Fall in communityInjury, poisoning and procedural complications
Fall at homeInjury, poisoning and procedural complications
Bleeding at incision siteInjury, poisoning and procedural complications

Data from ClinicalTrials.gov NCT05505045 adverse events section.

Sponsor's own description

The first aim of this study is to determine the feasibility of delivering CO-OP remotely to breast cancer survivors, who self-report cancer-related cognitive impairment (CRCI), in preparation for a future R01 trial. The second aim of this study is to assess the effect of CO-OP on activity performance, subjective and objective cognition, and quality of life in a sample of breast cancer survivors who self-report CRCI. The research team hypothesizes that effect size estimations will indicate that CO-OP will have a greater positive effect, compared to attention control, on activity performance, subjective and objective cognition, and quality of life in a sample of breast cancer survivors who self-report CRCI.

Publications & conference data

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

  1. Feasibility Testing of Remotely Delivered Metacognitive Strategy Training in Cancer-Related Cognitive Impairment.
    Boone A, Kiselica A, Earwood J, Golzy M, et al · · 2025 · PMID 41360353 · DOI 10.1016/j.apmr.2025.11.027

Verify or expand the search:

Other trials of CO-OP Procedures

Trials testing the same drug.

Other recruiting trials for Breast Cancer Female

Currently open trials in the same condition.

Other University of Missouri-Columbia trials

Trials by the same sponsor.

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