Evidence mapPaperPMID 41265834Full record

ArticleContemporary clinical trials2026

Improving CDK4/6 inhibitors adherence in breast cancer using the CONnected CUstomized Treatment Platform (CONCURxP) mobile health intervention: Study protocol for ECOG-ACRIN EAQ221CD.

Gelareh Sadigh, Fenghai Duan, Ilana F Gareen, Judy Hancock, JoRean D Sicks, Maryanne Thangarajah, Jane L Meisel, Mylin A Torres, Scott D Ramsey, Antonio C Wolff and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06112613 (Improving Medication Adherence in Breast Cancer Using a CONnected CUstomized Treatment Platform), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06112613 naactive not recruitingnot on this map

Improving Medication Adherence in Breast Cancer Using a CONnected CUstomized Treatment Platform (CONCURxP)

TypeinterventionalSponsorECOG-ACRIN Cancer Research GroupRan2024 to 2027Enrolled390ConditionsBreast CarcinomaArmsElectronic Health Record Review, Health Promotion and Education, Health Telemonitoring, Patient Navigation, Survey Administration
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Gelareh SadighChao Family Comprehensive Cancer Center, University of California Irvine, Orange, CA, United States of America. Electronic address: gsadigh@uci.edu.
Fenghai DuanBrown University - ECOG-ACRIN Biostatistics Center, Providence, RI, United States of America.
Ilana F GareenBrown University - ECOG-ACRIN Biostatistics Center, Providence, RI, United States of America; Brown University School of Public Health Department of Epidemiology, Providence, RI, United States of America.
Judy HancockCancer Research for the Ozarks NCORP, Springfield, MO, United States of America.
JoRean D SicksBrown University - ECOG-ACRIN Biostatistics Center, Providence, RI, United States of America.
Maryanne ThangarajahBrown University - ECOG-ACRIN Biostatistics Center, Providence, RI, United States of America.
Jane L MeiselWinship Cancer Institute, Emory University, Atlanta, GA, United States of America.
Mylin A TorresWinship Cancer Institute, Emory University, Atlanta, GA, United States of America.
Scott D RamseyHutchinson Institute for Cancer Outcomes Research, Seattle, WA, United States of America.
Antonio C WolffSidney Kimmel Cancer Center, John Hopkins University, MD, United States of America.
Lynne I WagnerUniversity of North Carolina at Chapel Hill, NC, United States of America.
Ruth C CarlosColumbia University, New York, NY, United States of America.
Ilana GraetzWinship Cancer Institute, Emory University, Atlanta, GA, United States of America.

Funding

ECOG-ACRIN NCORP Research BaseUG1CA189828 · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · 2025 to 2025
$17.8M
Ozark Health Ventures LLC dba Cancer Research for the Ozarks (CRO)UG1CA189822 · OZARK HEALTH VENTURES, LLC · 2025 to 2025
$1.4M
Improving medication adherence using a CONnected CUstomized Treatment Platform (CONCURxP)R01CA262312 · UNIVERSITY OF CALIFORNIA-IRVINE · 2025 to 2025
$452k
NCI NIH HHS R01 CA262312NCI NIH HHS UG1 CA189822NCI NIH HHS UG1 CA189828
6 · The paper itself

Abstract

backgroundCyclin-dependent kinase 4/6 inhibitors (CDKIs) improves survival when added to endocrine therapy in hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) breast cancer. However, their complex schedule, side effects, and cost contribute to non-adherence.

methodsThe EAQ221CD is a two-arm randomized controlled trial that evaluates the effectiveness of the CONnected CUstomized Treatment Platform (CONCURxP), a mobile health intervention, versus enhanced usual care (EUC) on CDKI adherence among 390 patients with breast cancer and a new CDKI prescription. Participants use a smart pouch (Wisebag) to monitor real-time adherence. CONCURxP arm patients: (1) receive text reminders for missed or extra doses; (2) receive text message surveys inquiring reasons for missed or extra doses; and (3) have access to their adherence history on a study web portal. Missed or double doses trigger alerts to the oncology team. Patients citing cost as a barrier are referred to a national non-profit financial navigation program. EUC arm patients receive educational materials on side effect management. Patients complete surveys at baseline, 3, 6, and 12 months after randomization. Our objectives are to: (1) compare 12-month CDKI adherence measured using Wisebag (primary outcome) between the two arms; (2) compare patient-reported outcomes at 12-months between the two arms, including symptom burden, quality of life, patient-provider communication, self-efficacy for managing symptoms, and financial worry; and (3) use mixed methods to describe patients' experience with the CONCURxP intervention. Our multilevel intervention will provide actionable results to improve adherence, health outcomes, and patients' experience.

trial registrationNCT06112613.

Indexed as

Breast NeoplasmsCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Medication AdherenceProtein Kinase InhibitorsFemaleHumansQuality of LifeRandomized Controlled Trials as TopicReminder SystemsTelemedicineText MessagingCDK4 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Protein Kinase InhibitorsBreast cancerMedication adherenceMobile healthRemote monitoring

Identifiers

PMID41265834
PMCPMC12662420

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.