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N/A N=72 Randomized Double-blind Supportive Care

Memory and Attention Adaptation Training-Geriatrics (MAAT-G) Phase II

Cancer-related Problem/Condition · Cognitive Impairment

Enrolled (actual)
72
Serious AEs
0.0%
Results posted
Jul 2025
Primary outcome: Primary: Mean of the Functional Assessment of Cancer Therapy-Cognition (FACT-COG) — 155.8; 152.7 score on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
MAAT-G (Behavioral); Supportive therapy (time and attention control) (Behavioral)
Age
Older Adult · 65+ yrs
Sex
All
Sponsor
University of Rochester
Primary completion
Apr 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean of the Functional Assessment of Cancer Therapy-Cognition (FACT-COG)
155.8; 152.7
SECONDARY
Least Squares Mean for Delay Match to Sample Total Correct at the 12-second Delay (DMSTC-12) From the Cambridge Neuropsychological Test Automated Battery (CANTAB)
4.04; 4.10
SECONDARY
Mean of the Controlled Oral Word Association (COWA) Tool
12.4; 11.4
SECONDARY
Mean of the Hopkins Verbal Learning Test-Revised (HVLT-R)
8; 7.7
SECONDARY
Mean of the Geriatric Depression Screen (GDS)
2.3; 3.3
SECONDARY
Mean of the Generalized Anxiety and Depression 7-item Scale (GAD-7)
3.4; 4
SECONDARY
Mean of the Instrumental Activities of Daily Living (IADL)
12.8; 12.9
SECONDARY
Experience Interview - Proportion of Patients Who Expressed Perceived Benefit From Workshops.
16; 28

Summary

Cancer-related cognitive dysfunction (CRCD) affects up to 75% of patients receiving chemotherapy and older adults are at greater risk of developing CRCD, which can negatively affect their functional independence and quality of life. Memory and Attention Adaptation Training (MAAT) is a promising treatment for CRCD that improves perceived cognition in younger cancer survivors, but needs to be adapted for older adults to address their unique needs. The proposed study will adapt MAAT for older adults using feedback from key stakeholders (older adults with cancer and their caregivers), and subsequently test the ability of MAAT to improve or maintain cognition for older adults with breast cancer receiving adjuvant chemotherapy.

Eligibility Criteria

Inclusion Criteria

  • Have a diagnosis of invasive breast cancer
  • Planned to receive systemic therapy for breast cancer or actively receiving systemic therapy for breast cancer with two additional cycles remaining.
  • Be age 65 or older
  • Able to provide informed consent
  • Able to read and understand English (or possess a designated health care proxy that can do the same that was designated prior to the patient losing decision-making capabilities)

Exclusion Criteria

  • Have surgery planned within 3 months of consent
  • Patients who do not have decision-making capacity (decisionally or cognitively impaired) AND do NOT have a previously designated health care proxy (established prior to their cognitive impairment) available to sign consent
  • Patients with breast cancer receiving endocrine therapy as their only systemic therapy will not be eligible.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04669301). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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