UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062716
Receipt number R000071809
Scientific Title Peer Supporter-Modeled Generative AI Chatbot for Psychological Support in Patients With Breast Cancer: Single-Arm Feasibility Study
Date of disclosure of the study information 2026/08/28
Last modified on 2026/08/27 22:08:39

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Basic information

Public title

Feasibility Study of a Generative AI Chatbot for Psychological Support in Patients With Breast Cancer

Acronym

Breast Cancer AI Chatbot Study

Scientific Title

Peer Supporter-Modeled Generative AI Chatbot for Psychological Support in Patients With Breast Cancer: Single-Arm Feasibility Study

Scientific Title:Acronym

Peer-BC AI Study

Region

Japan


Condition

Condition

Breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This study aimed to prospectively evaluate the feasibility and acceptability of our peer supporter-modeled generative AI chatbot for providing round-the-clock psychological support to patients with primary breast cancer, focusing on system operation and safety, usage patterns and patient needs, satisfaction and acceptability, and the feasibility of longitudinal QOL assessment. We also explored differences across treatment phases to inform the design of a future randomized controlled trial.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome was patient satisfaction after approximately 12 weeks of chatbot use, measured with a two-item study-developed questionnaire: overall satisfaction (4-point scale, 4=very good to 1=very poor) and willingness to recommend the chatbot to family or acquaintances (4-point scale, 4=definitely to 1=definitely not). The sum of the two items formed the satisfaction score (range, 2-8; higher indicates greater satisfaction).

Key secondary outcomes

Secondary outcomes included exploratory assessment of patient needs, QOL, and chatbot acceptability and usage. Patient needs were assessed with a study-developed questionnaire characterizing counseling needs and the current state of psychological support.
QOL was assessed with the Japanese version of the EORTC QLQ-C30 (version 3). QOL was assessed at enrollment (baseline) and at approximately 3, 6, 9, and 12 weeks, allowing evaluation of both the QOL trajectory and the response rate at each time point. Although a peer-support intervention in patients undergoing adjuvant chemotherapy reported QOL improvement or maintenance from baseline to treatment end, its effect on the QOL trajectory during treatment is not well characterized; we therefore evaluated longitudinal QOL change as an exploratory outcome. As this pilot was designed to inform a future RCT, response rate at each time point was also assessed, to evaluate the feasibility of periodic data collection via Google Forms.
A post-use questionnaire assessed perceived burden or discomfort during use and intention to continue, as indicators of acceptability. Chatbot usage was characterized by using the number of sessions, active days, number of user messages, and total character count.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Eligibility required age>=18 years at consent and the ability to operate a smartphone or internet-connected device.

Key exclusion criteria

Patients with a psychiatric or cognitive impairment precluding QOL assessment, or enrolled in another interventional trial were excluded.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Tadahiko
Middle name
Last name Shien

Organization

Okayama University Hospital

Division name

Department of Breast and Endocrine Surgery

Zip code

700-8558

Address

2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan

TEL

086-223-7151

Email

tshien@md.okayama-u.ac.jp


Public contact

Name of contact person

1st name Shogo
Middle name
Last name Nakamoto

Organization

Okayama University Hospital

Division name

Department of Breast and Endocrine Surgery

Zip code

700-8558

Address

2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan

TEL

086-223-7151

Homepage URL


Email

p92c9f20@s.okayama-u.ac.jp


Sponsor or person

Institute

Okayama University Hospital

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of Okayama University Hospital

Address

2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan

Tel

086-235-6938

Email

mae6605@adm.okayama-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

20

Results

Satisfaction data were obtained from 11 of 20 patients (55%), with a median score of 6 {IQR, 0.5} (range, 4-8). Overall, 70.9% of user messages (611/862) were sent outside standard clinic hours, with usage peaking in the evening. Active days (i.e., days with >=1 chatbot message) (p=0.026) and number of user messages (p=0.015) were significantly correlated with satisfaction. QLQ-C30 Global QOL changed significantly over time (p=0.030), with limited between-group and interaction effects.

Results date posted

2026 Year 08 Month 27 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2025 Year 12 Month 01 Day

Date of IRB

2025 Year 12 Month 12 Day

Anticipated trial start date

2025 Year 12 Month 23 Day

Last follow-up date

2026 Year 08 Month 25 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Patients with primary breast cancer are prospectively enrolled and use a generative AI chatbot modeled on a breast cancer peer supporter for approximately 12 weeks. System operation and safety, chatbot usage, patient needs, satisfaction, and acceptability are assessed. QOL is evaluated using the EORTC QLQ-C30 at enrollment and approximately 3, 6, 9, and 12 weeks after enrollment. Differences across the neoadjuvant chemotherapy, adjuvant chemotherapy, and surgery groups are also explored.


Management information

Registered date

2026 Year 08 Month 27 Day

Last modified on

2026 Year 08 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071809