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NCT07391956 · ClinicalTrials.gov registry record · NA

Tier Palliative Care For Patients With Advanced Heart Failure or Cancer

A NA study, sponsored by Icahn School of Medicine at Mount Sinai.

Not yet
Registry status
NA
Development phase
400
Enrollment target

NCT07391956: Clinical Trial NA study, sponsored by Icahn School of Medicine at Mount Sinai.

NCT07391956 is a NA study that has not yet begun recruiting, run by Icahn School of Medicine at Mount Sinai. The registered enrollment target is 400 participants, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (72% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT07391956, a NA study, has not yet begun recruiting, sponsored by Icahn School of Medicine at Mount Sinai.

NOT YET RECRUITING
Registry status
NA
Development phase
400 participants
Enrollment target

Study Summary

TIER-PC is an adaptive model of delivering palliative care that provides the right level of care to the right patients at the right time. It represents an adaption of the Mount Sinai PALLIATIVE CARE AT HOME (PC@H) program, which delivers home-based palliative care. TIER-PC increases the number and intensity of disciplines added to the patient's care team as their symptoms worsen and function declines. In Tier 1, patients who are able to care for themselves and no/mild symptoms receive a community health worker (CHW) trained to elicit illness understanding in a culturally competent way. In Tier 2, for patients with poorer function and mild symptoms, a social worker (SW), trained in serious illness communication, joins the CHW to further elicit patients' goals and prognostic understanding while communicating symptom needs to their primary clinician. In Tier 3, as function decreases and symptoms increase, an advance practice nurse (APN) joins the CHW and SW to manage complex symptoms. Finally, in Tier 4, for those older adults with the poorest function and most complex symptoms, a physician joins the team to ensure that the most complex needs (e.g., end-of-life treatment preferences and multifaceted symptom control) are met. The CHW follows patients longitudinally across all tiers and re-allocates them to the appropriate tier based on their evolving needs.

Primary Outcome

Patient symptoms: Edmonton Symptom Assessment Scale (ESAS), 9 items, each item is scored on a 10-point scale, total score ranges from 0-90, higher scores indicate more symptoms.

Interventions

  • BEHAVIORAL Community Health Worker
  • BEHAVIORAL Tier-Palliative Care

Trial Details

FieldValue
Enrollment Target 400 participants
Start Date 2026-05-01
Est. Completion 2032-01-31
Phase NA

What is known before NCT07391956 opens enrollment

NCT07391956 is an interventional study that assigns participants to a tested intervention. The registered 400 participants enrollment target is mid-sized for trials with a published cap, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (72% lower).

The record links to 0 conditions, and to 2 interventions - of which Community Health Worker is the first listed.

NCT07391956 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT07391956 about?

NCT07391956 is a clinical study titled "Tier Palliative Care For Patients With Advanced Heart Failure or Cancer". TIER-PC is an adaptive model of delivering palliative care that provides the right level of care to the right patients at the right time. It represents an adaption of the Mount Sinai PALLIATIVE CARE AT HOME (PC@H) program, which delivers home-based palliative care. TIER-PC increases the number and i...

What is the current status of trial NCT07391956?

This trial is currently not yet recruiting. It is a NA study. The enrollment target is 400 participants. The study started on 2026-05-01. Estimated completion is 2032-01-31.

What interventions are being tested in trial NCT07391956?

The interventions under investigation include: Community Health Worker (BEHAVIORAL), Tier-Palliative Care (BEHAVIORAL).

Who is sponsoring clinical trial NCT07391956?

This trial is sponsored by Icahn School of Medicine at Mount Sinai, which has 708 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT07391956's enrollment target sits among peer trials

400 246th of 2000 higher than 1,734 of 2,000 other NA trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other NA trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT07391956, the US trial registry maintained by the National Library of Medicine. NCT07391956 (mid enrollment · none site footprint · not yet recruiting) retrieved and formatted by PlainTrial, see methodology.