Adherence Patterns of GnRH Agonists in Prostate Cancer (version 1.0)

  • Research type

    Research Study

  • Full title

    Adherence Patterns of GnRH Agonists in Prostate Cancer

  • IRAS ID

    251396

  • Contact name

    Mieke Van Hemelrijck

  • Contact email

    mieke.vanhemelrijck@kcl.ac.uk

  • Sponsor organisation

    Guy's and St Thomas' NHS Foundation Trust

  • Duration of Study in the UK

    0 years, 10 months, 10 days

  • Research summary

    Background and Aim
    This research was developed with a view to understand the patterns of adherence to Gonadotropin-releasing hormone (GnRH) agonists injections in men with prostate cancer. Adherence or compliance means the resolve a patient requires to follow their course of therapy. Non-adherence to GnRH agonists has been a concern early on with patients on long-term GnRH agonists. GnRH agonists were first developed as 3-monthly depots, however 6-monthly depots were developed soon after in order to increase patient compliance and decrease the number of physician visits required for the injections. This qualitative study will investigate the reasons contributing to loss of adherence to GnRH agonists among men with prostate cancer as it may be associated with worse prognosis.

    Study Population
    Men with prostate cancer who have been on GnRH agonists for at least six months from the Oncology department at Guy's and St Thomas' NHS Foundation Trust will be invited for a 1:1 interview with the researcher. Clinicians treating the patient group will be invited to a focus group.

    Methods
    Eligible men will be given the study participant information sheet and invited to a 1:1 interview with Student 1 by their clinician. Once consented, study participants will then be interviewed by Student 1 for approximately 45 minutes in the hospital. The interview will be audio recorded. Once the participant has been interviewed, the data will be stored on a password-protected NHS computer and transcribed anonymously. Once data has been transcribed, the participant's involvement in the study will cease.

    Analysis
    Data collected will be analysed thematically using thematic analysis which involves identifying and creating similar categories and themes from focus groups' and interview transcripts.

    Expected Results
    This study will enable clinicians to understand the barriers and challenges to adhering to GnRH agonists so as to better target care pathways to improve adherence.

  • REC name

    East Midlands - Nottingham 1 Research Ethics Committee

  • REC reference

    18/EM/0370

  • Date of REC Opinion

    14 Jan 2019

  • REC opinion

    Further Information Favourable Opinion