The third symptom management research trial in oncology (SMaRT oncology-3): a randomised trial to determine the efficacy of adding a complex intervention for major depressive disorder (depression care for people with lung cancer) to usual care, compared to usual care alone in patients with lung cancer.
BACKGROUND
Depression Care for People with Lung Cancer is a complex intervention delivered by specially trained cancer nurses, under the supervision of a psychiatrist. It is given as a supplement to the usual care for depression, which patients receive from their general practitioner and cancer service. The third Symptom Management Research Trial in Oncology (SMaRT Oncology-3 Trial) will test its efficacy when compared to usual care alone.


METHODS
A two arm parallel group multi-centre randomised controlled trial. 200 patients will be recruited through established systematic Symptom Monitoring Services, which screen patients for depression. Patients will have: a diagnosis of lung cancer; an estimated life expectancy of three months or more and a diagnosis of Major Depressive Disorder. Patients will be randomised to usual care or usual care plus Depression Care for People with Lung Cancer. Randomisation will be carried out by telephoning a secure computerised central randomisation system or by using a secure web interface. The primary outcome measure is average depression severity. This will be assessed using scores on the 20-item Symptom Hopkins Checklist (SCL-20D), collected every four weeks over 32 weeks. Secondary outcomes include severity of anxiety, pain and fatigue; self-rated improvement of depression; quality of life and satisfaction with depression care.


BACKGROUND
Current controlled trials ISRCTN75905964.
Walker
Jane
J
Cancer Research UK, The University of Edinburgh Cancer Research Centre, Western General Hospital, Crewe Road, Edinburgh, UK. jane.walker@ed.ac.uk
Cassidy
Jim
J
Sharpe
Michael
M
D003625:Data Collection; D003865:Major Depressive Disorder / Q000628:therapy*; D006801:Humans; D008175:Lung Neoplasms / Q000523:psychology*; D011788:Quality of Life; D018401:Sample Size