NCT06022965

Geriatric Assessment (GA)-Driven Interventions With Supportive Care (The GAIN-S Trial): Telemedicine to Increase Goal Concordant Care for Older Adults With Cancer in the Community

Extracted Fields (from Registry)
Protocol IDNCT06022965
Registration Date2023-09-05
Statusrecruiting
SponsorCity of Hope Medical Center
CountryUnited States
Industrynot industry
Blindingunblinded
Center Typemulticenter RCT
Scopenational RCT
First Patient In2023-07-24
Last Patient Out2027-01-24
Publicationn
Gender %ALL
Mean Age65 Years -
LLM Classifications (Side-by-Side)
Field GLM
glm-5.1
10794ms / 9585 tok
CLAUDE
claude-sonnet-4-20250514
Thinking: claude-opus-4-20250514
7382ms / 10962 tok
OPENAI
gpt-4o
Thinking: o3
3673ms / 9431 tok
Review
rct_type parallel RCT parallel RCT parallel RCT OK
cancer_status Cancer Cancer Cancer OK
non_cancer_spec N/A N/A N/A OK
setting_patient outpatient outpatient
shaky reasoning
✓ Unanimous Initial: outpatient
outpatient outpatient → outpatient
shaky reasoning
✓ Unanimous Initial: outpatient Requery: outpatient — The intervention consists of telemedicine-based geriatric assessments and supportive care delivered to cancer patients in the community who are visiting for their cancer treatments but not admitted to the hospital.
outpatient mixed → outpatient
shaky reasoning
✓ Unanimous Initial: mixed Requery: outpatient — The intervention is delivered via telemedicine, indicating that patients are not admitted to a hospital or inpatient facility during the study.
OK
setting_place other other → other
shaky reasoning
✓ Unanimous Initial: other Requery: other — The GAIN-S intervention and geriatric assessments are delivered remotely via telemedicine to older adults with cancer located in underserved community settings, making it an outpatient/community-based study rather than a traditional inpatient hospital setting.
other other → home care → other
shaky reasoning
✓ Unanimous Initial: other Requery: home care — The intervention specifically uses telemedicine to deliver GA-based interventions to older adults with cancer in their community/remote settings, indicating care is delivered to patients in their home environment. Thinking: other — The intervention is delivered entirely through telemedicine to patients in community settings, not at a specific facility type.
other hospital → other → other
shaky reasoning
✓ Unanimous Initial: hospital Requery: other — The intervention is delivered via telemedicine in a community setting, not requiring hospital admission or inpatient care. Thinking: other — GA-based interventions are delivered via telemedicine in community/outpatient settings, not requiring inpatient admission, hospice, nursing home, or in-person home visits.
OK
feasibility fully powered RCT fully powered RCT fully powered RCT OK
intervention_pharmacologic no no no OK
intervention_chemo_immuno_radio no no no OK
intervention_complementary no no no OK
intervention_device no no no OK
intervention_psychological no no no OK
intervention_complex yes yes
shaky reasoning
✓ Unanimous Initial: yes
yes yes → yes
shaky reasoning
✓ Unanimous Initial: yes Requery: yes — The GAIN-S intervention combines multiple distinct components including geriatric assessment, supportive care interventions, telemedicine delivery, and care coordination with multi-specialty teams, representing a multicomponent intervention that integrates assessment, clinical care, and technology delivery modalities.
yes no → yes
shaky reasoning
✓ Unanimous Initial: no Requery: yes — The trial combines geriatric assessment, telemedicine, and multi-specialty team referrals, integrating multiple components from different categories for a complex, multi-faceted intervention.
OK
intervention_acp yes yes yes OK
intervention_music no no no OK
intervention_screening no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The trial evaluates a screen-then-treat model where the Geriatric Assessment (GA) is used to identify vulnerabilities and guide subsequent GA-based interventions via telemedicine, meaning the screening itself is not the primary intervention being tested.
no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — The intervention being tested is a geriatric assessment-driven intervention program delivered via telemedicine (GAIN-S), not the screening/assessment tool itself - the geriatric assessment is used to guide interventions rather than being the primary intervention being evaluated.
no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — The trial evaluates geriatric assessment-driven interventions for supportive care, not screening; screening is used to guide interventions, not as the intervention being tested itself.
OK
intervention_palliative yes yes yes OK
intervention_education no no no OK
intervention_digital yes yes yes OK
intervention_other no no no OK
outcome_symptom no no no OK
outcome_qol no no no OK
outcome_dignity no no no OK
outcome_cost yes yes yes OK
outcome_other yes yes yes OK
pharmacologic_sub N/A N/A N/A OK
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