NCT04050072

Brief Summary

Childhood cancer survivors are vulnerable to treatment-related late effects, including physical and psychosocial morbidities, subsequent malignancies, and premature death. Symptom assessment provides a unique insight into survivorship care since symptoms not only indicate the manifestation for the occurrence of chronic health conditions, but also impact quality of life and survival. The National Cancer Institute (NCI) has developed a Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) to assess symptomatic adverse events (AEs) for adult-onset cancer patients who are receiving cancer therapies. However, content-appropriate and clinically validated symptom assessment tools for adult survivors of childhood cancer are not available. Primary Object 1: Establish content validity for the PRO-CTCAE-SCC Primary Objective 1A: Conduct a symptom selection process through qualitative research to identify symptomatic AEs for adult survivors of childhood cancer Primary Objective 1B: Create symptomatic AE items for adult survivors of childhood cancer based on the prevalence and clinical importance ratings on the items Primary Objective 2: Validate the PRO-CTCAE-SCC using psychometric methods and objective clinical parameters Primary Objective 2A: Test dimensionality for the PRO-CTCAE-SCC Primary Objective 2B: Test clinical validity for the PRO-CTCAE-SCC Primary Objective 2C: Test responsiveness to change for the PRO-CTCAE-SCC Secondary Objective 1: Increase clinical usefulness of the PRO-CTCAE-SCC Secondary Objective 2: Establish meaningful cut-points and minimally important differences (MIDs) on symptom burden scores for clinical decision-making

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
837

participants targeted

Target at P75+ for all trials

Timeline
11mo left

Started Dec 2019

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress88%
Dec 2019Jul 2027

First Submitted

Initial submission to the registry

August 6, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 8, 2019

Completed
4 months until next milestone

Study Start

First participant enrolled

December 16, 2019

Completed
6.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2026

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2027

Expected
Last Updated

June 17, 2026

Status Verified

June 1, 2026

Enrollment Period

6.5 years

First QC Date

August 6, 2019

Last Update Submit

June 15, 2026

Conditions

Keywords

Adverse Events

Outcome Measures

Primary Outcomes (1)

  • PRO-CTCAE-SCC

    Conduct a symptom selection process through qualitative research to identify symptomatic AEs for adult survivors of childhood cancer, create symptomatic AE items for adult survivors of childhood cancer based on the prevalence and clinical importance ratings on the items, test dimensionality for the PRO-CTCAE-SCC, test clinical validity for the PRO-CTCAE-SCC and test responsiveness to change for the PRO-CTCAE-SCC.

    Years 1-5

Secondary Outcomes (1)

  • Core and Target Scales of the PRO-CTCAE-SCC

    Years 4 and 5

Study Arms (3)

Childhood Cancer Survivors (CCSS)

i. PRO-CTCAE-SCC ii.Quality of life assessment

Other: Childhood Cancer Survivors (CCSS)

St. Jude Life (SJLIFE)

i. PRO-CTCAE-SCC ii. Quality of life assessment iii. Comprehensive medical evaluation, physical performance evaluation, and neurocognitive evaluation

Other: SJLIFE

Community non-cancer control

i. PRO-CTCAE-SCC ii.Quality of life assessment

Other: Community non-cancer control

Interventions

To use the PRO-CTCAE-SCC (beta version) to identify symptomatic adverse event (AEs) that are prevalent and clinically meaningful in adult survivors of childhood cancer vs. non-cancer controls, and to create symptomatic AE items that are not included in the current PRO-CTCAE for adult survivors of childhood cancer.

Also known as: Quality of life assessment, Late medical effects and health care utilization, Lifestyle assessment
Childhood Cancer Survivors (CCSS)
SJLIFEOTHER

To use the current PRO-CTCAE to conduct a symptom content creation process for the PRO-CTCAE-SCC by identifying clinically meaningful symptomatic AEs for adult survivors of childhood cancer, to create symptomatic AE items not included in the current PRO-CTCAE, and to perform comprehensive medical evaluation, physical performance evaluation, and neurocognitive evaluation to clinically validate the PRO-CTCAE-SCC.

Also known as: Quality of life assessment, Comprehensive medical evaluation, physical performance evaluation, and neurocognitive evaluation
St. Jude Life (SJLIFE)

To use the PRO-CTCAE-SCC (beta version) to identify symptomatic adverse event (AEs) that are prevalent and clinically meaningful in non-cancer controls vs. adult survivors of childhood cancer, and to create symptomatic AE items that are not included in the current PRO-CTCAE for adult survivors of childhood cancer.

Also known as: Quality of life assessment, Late medical effects and health care utilization, Lifestyle assessment
Community non-cancer control

Eligibility Criteria

Age16 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

All participants who meet eligibility criteria and consent to enrollment on the study.

You may qualify if:

  • \> or equal to16 years of age at the time of enrollment
  • \> or equal to 5 years from initial diagnosis of pediatric cancer/malignancy (for CCSS and SJLIFE survivors only) and currently not receiving cancer therapies.

You may not qualify if:

  • Have a known severe neurocognitive impairment, which requires proxies/parents to complete the survey
  • Have \< third grade reading level or are not able to communicate in English
  • Unable to use and/or access internet or computer/tablet (for survey only)
  • Unable to communicate and read in English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

St. Jude Children's Research Hospital

Memphis, Tennessee, 38105, United States

Location

Related Links

MeSH Terms

Conditions

Neoplasms

Study Officials

  • I-Chang Huang, PhD

    St. Jude Children's Research Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 6, 2019

First Posted

August 8, 2019

Study Start

December 16, 2019

Primary Completion

July 1, 2026

Study Completion (Estimated)

July 1, 2027

Last Updated

June 17, 2026

Record last verified: 2026-06

Locations