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Nudging Effective and Equitable Delivery of Specialty Palliative Care

Study acronym: NEEDS-PC
StatusEnrolling by Invitation
PhasePhase 3
Started
View on ClinicalTrials.gov ↗

Record History

  1. 2 versions Re-verified since Apr 27, 2026, no change to tracked fieldsv13-v14
  2. Completion date: Mar 31, 2029 to Feb 28, 2029v12
  3. Enrollment target: 19980 to 18000 Secondary endpoints: 12 to 11v11 Show 1 more changeShow less
    • Secondary endpoints: 12 to 11

    See this version in full on ClinicalTrials.gov ↗

  4. Re-verified, no change to tracked fieldsv10
  5. Trial status: Not Yet Recruiting to Enrolling by Invitation Primary endpoint revised · Primary completion date: Mar 25, 2028 to Mar 1, 2028 · Start date changed from estimate of Aug 30, 2025 to Aug 6, 2025 · 2 morev9 Show 5 more changesShow less
    • Primary endpoint revised
    • Primary completion date: Mar 25, 2028 to Mar 1, 2028
    • Start date changed from estimate of Aug 30, 2025 to Aug 6, 2025
    • Secondary endpoints revised (12)
    • Site contacts updated at 9 of 9 sites

    See this version in full on ClinicalTrials.gov ↗

Show 7 earlier versionsHide 7 earlier versions
  1. Enrollment target: 64107 to 19980 Start date: May 30, 2025 to Aug 30, 2025 · Primary endpoint revised · Primary completion date: Nov 30, 2028 to Mar 25, 2028 · 2 morev8 Show 5 more changesShow less
    • Start date: May 30, 2025 to Aug 30, 2025
    • Primary endpoint revised
    • Primary completion date: Nov 30, 2028 to Mar 25, 2028
    • Eligibility criteria expanded, about 25 words
    • Secondary endpoints revised (12)

    See this version in full on ClinicalTrials.gov ↗

  2. Phase: Not applicable to Phase 3v7
  3. Start date: Apr 18, 2025 to May 30, 2025 Primary completion date: Aug 1, 2028 to Nov 30, 2028 · Site contacts updated at 9 of 9 sitesv6 Show 2 more changesShow less
    • Primary completion date: Aug 1, 2028 to Nov 30, 2028
    • Site contacts updated at 9 of 9 sites
  4. Start date: Mar 10, 2025 to Apr 18, 2025v5
  5. Re-verified, no change to tracked fieldsv4
  6. Start date: Feb 1, 2025 to Mar 10, 2025v3
  7. Start date: Nov 1, 2024 to Feb 1, 2025 Enrollment target: 61407 to 64107v2 Show 1 more changeShow less
    • Enrollment target: 61407 to 64107
  1. Study First Submitted
  • Stopped: an ongoing trial was terminated, suspended or withdrawn.
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
  • Minor: routine progress and housekeeping, such as sites added or enrollment closed.
This stepped-wedge, cluster randomized pragmatic trial among 9 MedStar hospitals for patients with serious illness and unmet palliative care (PC) needs will test two interventions embedded within the electronic health record (EHR): (1) a PC needs triggered alert to opt-in to PC consults nudging hospital clinicians to order specialty PC consults for eligible inpatients, and (2) a palliative care needs triggered alert with an opt-out to palliative care consults. The trial will compare the interventions effects to usual care, focusing on completed PC consults during the hospital encounter and other secondary outcomes. The trial also includes an embedded mixed methods study to explore factors influencing the effectiveness and equity of intervention implementation.
Trial Details
NCT Number NCT06596577
Lead Sponsor University of Pennsylvania
Collaborators: National Institute on Aging (NIA), Medstar Health Research Institute
Conditions Serious Illness, Palliative
Enrollment 18,000 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov