NCT06002113: ASKMEGOC

Eliciting Informed Goals of Care in Elderly Patients

Recruiting now NA Last updated 21 November 2025

What this trial tests

NA trial testing GOCD Tool in Goals of Care in 1,200 participants. Currently enrolling.

Timeline

3 October 2023

Primary endpoint
31 December 2026

1 June 2027

Quick facts

Lead sponsor	Royal Victoria Hospital, Canada
Phase	NA
Status	Recruiting now
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	health services research
Enrollment	1,200
Start date	3 October 2023
Primary completion	31 December 2026
Estimated completion	1 June 2027
Sites	1 location across Canada

Drugs / interventions tested

• GOCD Tool
• Usual care

Conditions studied

• Goals of Care — all drugs for Goals of Care →
• Patient Preference — all drugs for Patient Preference →
• End of Life — all drugs for End of Life →

Sponsor

Royal Victoria Hospital, Canada

Who can join

80 and older, any sex, with Goals of Care or Patient Preference. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Patient-centered medical care considers a patient's values and goals for their health and well-being. Healthcare providers use this information to formulate a medical care plan that is aligned with these expectations. This shared-decision making process should occur with every medical decision, but it is especially important whenever decisions about end-of-life care are being considered. Eliciting patient preferences about resuscitation and life-support treatments in the event of life-threatening illnesses are considered to be a standard of excellent and appropriate medical care. Unfortunately, these discussions don't happen consistently and even when they do occur, are rarely ideal. The consequences can be devastating, often resulting in the delivery of unwanted medical care that can be associated with significant physical and mental suffering among patients and their families. In response to this problem, the investigators developed a novel tool to help guide these difficult conversations between healthcare providers and patients. The investigators previously tested this tool in a small group of hospitalized patients who found it acceptable and helpful. In this larger study, the investigators will compare how effective this tool is compared to usual care in ensuring hospitalized patients have their treatment preferences identified, documented and result in end-of-life care that is consistent with their preferences.

Publications & conference data

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

1. Assessment of shared decision-making tool for eliciting informed goals of care in the hospitalized elderly (ASKmeGOC): protocol for a randomized clinical trial.
   Martin C, Cruise K, Aggarwal M, Austgarden D, et al · · 2025 · PMID 41402864 · DOI 10.1186/s13063-025-09323-6