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NCT07690904 · ClinicalTrials.gov registry record · NA

Algorithm-enabled Goals of Care Communication

A NA study, sponsored by VA Office of Research and Development.

Not yet
Registry status
NA
Development phase
200
Enrollment target

NCT07690904: Clinical Trial NA study, sponsored by VA Office of Research and Development.

NCT07690904 is a NA study that has not yet begun recruiting, run by VA Office of Research and Development. The registered enrollment target is 200 participants, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (86% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT07690904, a NA study, has not yet begun recruiting, sponsored by VA Office of Research and Development.

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

Study Summary

In 2017, the VA launched the Life-Sustaining Treatment Decisions Initiative (LSTDI), a national program to promote Goals of Care communication between clinicians and patients regarding goals and preferences for care. Despite clinician training and standardized Life Sustaining Treatment (LST) notes in the electronic health record (EHR), 60% of Veterans with cancer have not engaged in such communication with their oncology clinicians before death. Over the past 10 years, the team developed and tested: 1) a lay health worker-led intervention to improve these conversations and reduce unwanted, intensive end-of-life care, and 2) an algorithm-driven approach to identify patients in need of urgent conversations with their clinical teams. This randomized study will evaluate the effectiveness of an intervention combining these two approaches across 7 VA oncology sites. The outcomes include LST documentation, Veteran-reported anxiety and depression, and the identification of factors to inform broad scale of Veteran-centric interventions to improve GoC communication.

Primary Outcome

Proportion of participants in both study groups who have a life sustaining treatment document in the electronic health record.

Interventions

  • BEHAVIORAL Usual Care
  • BEHAVIORAL Usual Care + A-EPAC

Trial Details

FieldValue
Enrollment Target 200 participants
Start Date 2026-07-15
Est. Completion 2031-06-30
Phase NA
VA Office of Research and Development

1,668 total trials

What is known before NCT07690904 opens enrollment

NCT07690904 is an interventional study that assigns participants to a tested intervention. The registered 200 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 (86% lower).

The record links to 0 conditions, and to 2 interventions - of which Usual Care is the first listed.

NCT07690904 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT07690904 about?

NCT07690904 is a clinical study titled "Algorithm-enabled Goals of Care Communication". In 2017, the VA launched the Life-Sustaining Treatment Decisions Initiative (LSTDI), a national program to promote Goals of Care communication between clinicians and patients regarding goals and preferences for care. Despite clinician training and standardized Life Sustaining Treatment (LST) notes i...

What is the current status of trial NCT07690904?

This trial is currently not yet recruiting. It is a NA study. The enrollment target is 200 participants. The study started on 2026-07-15. Estimated completion is 2031-06-30.

What interventions are being tested in trial NCT07690904?

The interventions under investigation include: Usual Care (BEHAVIORAL), Usual Care + A-EPAC (BEHAVIORAL).

Who is sponsoring clinical trial NCT07690904?

This trial is sponsored by VA Office of Research and Development, which has 1,668 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT07690904's enrollment target sits among peer trials

200 506th of 2000 higher than 1,434 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 NCT07690904, the US trial registry maintained by the National Library of Medicine. NCT07690904 (mid enrollment · none site footprint · not yet recruiting) retrieved and formatted by PlainTrial, see methodology.