NCT06814795

Brief Summary

The purpose of this project is to learn whether an intervention that provides households with home-delivered healthy, frozen meals tailored to illness related conditions for 12 weeks during a child's treatment for serious illness is feasible and acceptable to the child and parent mainly responsible for the child's care.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
13mo left

Started Nov 2025

Geographic Reach
1 country

1 active site

Status
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 Progress30%
Nov 2025Jun 2027

First Submitted

Initial submission to the registry

January 17, 2025

Completed
21 days until next milestone

First Posted

Study publicly available on registry

February 7, 2025

Completed
10 months until next milestone

Study Start

First participant enrolled

November 25, 2025

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2027

Last Updated

January 14, 2026

Status Verified

January 1, 2026

Enrollment Period

1.5 years

First QC Date

January 17, 2025

Last Update Submit

January 12, 2026

Conditions

Keywords

chemotherapy-induced alterations in tasteFood insecurityNutrition insecurityHousehold material hardshipResource hardshipSocial drivers of health disparities

Outcome Measures

Primary Outcomes (2)

  • Parent-reported feasibility, acceptability, appropriateness and accessibility of MTM-Kids

    Each domain will be measured by 4-items developed by others and adapted for this study. Parents will be asked to read each item and indicate their response using 5-point scales anchored by 1=completely disagree and 5=completely aDomain scores will be calculated by summing item responses and dividing the sum by 4. Domain score range is 1-higher scores indicating better MTM program feasibility, acceptability, appropriateness and accessibility.

    Baseline and 12 weeks

  • Adolescent-reported acceptability and appropriateness of MTM-Kids

    Each of these two domains of feasibility will be measured using items developed and validated by others and adapted for this study. Each domain has 4-items. Adolescents will be asked to read each item and indicate their response using scales anchored by 1=completely disagree and 5=completely agree. Domain scores will be calculated by summing responses and dividing the sum by 4. Domain score range is 1-4, with higher scores indicating better acceptability appropriateness

    Baseline and 12 weeks

Other Outcomes (7)

  • Parent-reported household food insecurity

    Baseline and 12 weeks

  • Parent-reported household nutrition insecurity

    Baseline and 12 weeks

  • Parental role demands

    Baseline and 12 weeks

  • +4 more other outcomes

Study Arms (1)

Medically-tailored meals for children being treated for cancer with chemotherapy

EXPERIMENTAL

The intervention will be 12-weeks induration, with weekly "doses" (meal deliveries) of up to 10 healthy, frozen meals per week for household use as needed, plus selected condiments for personalization.

Other: Medically tailored meals

Interventions

The intervention will be 12-weeks in duration, with "doses" (meal deliveries) of up to 10 healthy, frozen meals per week for household use as needed, plus selected condiments for personalization

Also known as: MTM-Kids
Medically-tailored meals for children being treated for cancer with chemotherapy

Eligibility Criteria

Age12 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Eligible children (n=15) will:
  • be under the care of The University of North Carolina at Chapel Hill School of Medicine, Department of Pediatrics, Division of Pediatric Hematology/Oncology
  • have completed at least one cycle of cancer chemotherapy that included an agent known to cause alterations in taste,
  • expect to undergo at least two more cycles,
  • be aged 12-17.9 years
  • communicate in English or Spanish.
  • Eligible adults (n=15) will:
  • be the primary parental caregiver of a study-eligible child,
  • be aged 18 years or older
  • communicate in English or Spanish.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

North Carolina Basnight Cancer Hospital

Chapel Hill, North Carolina, 27599, United States

RECRUITING

Related Publications (35)

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    PMID: 33792627BACKGROUND
  • Bhatia S, Landier W, Hageman L, Kim H, Chen Y, Crews KR, Evans WE, Bostrom B, Casillas J, Dickens DS, Maloney KW, Neglia JP, Ravindranath Y, Ritchey AK, Wong FL, Relling MV. 6MP adherence in a multiracial cohort of children with acute lymphoblastic leukemia: a Children's Oncology Group study. Blood. 2014 Oct 9;124(15):2345-53. doi: 10.1182/blood-2014-01-552166. Epub 2014 May 14.

    PMID: 24829202BACKGROUND
  • Gomez-Almaguer D, Ruiz-Arguelles GJ, Ponce-de-Leon S. Nutritional status and socio-economic conditions as prognostic factors in the outcome of therapy in childhood acute lymphoblastic leukemia. Int J Cancer Suppl. 1998;11:52-5. doi: 10.1002/(sici)1097-0215(1998)78:11+3.0.co;2-3.

    PMID: 9876479BACKGROUND
  • Wilder ME, Kulie P, Jensen C, Levett P, Blanchard J, Dominguez LW, Portela M, Srivastava A, Li Y, McCarthy ML. The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis. J Gen Intern Med. 2021 May;36(5):1359-1370. doi: 10.1007/s11606-020-06447-0. Epub 2021 Jan 29.

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  • Gehle SC, Kleissler D, Heiling H, Deal A, Xu Z, Ayer Miller VL, Taylor JA, Smitherman AB. Accelerated epigenetic aging and myopenia in young adult cancer survivors. Cancer Med. 2023 Jun;12(11):12149-12160. doi: 10.1002/cam4.5908. Epub 2023 Apr 9.

    PMID: 37031460BACKGROUND
  • Smitherman AB, Wood WA, Mitin N, Ayer Miller VL, Deal AM, Davis IJ, Blatt J, Gold SH, Muss HB. Accelerated aging among childhood, adolescent, and young adult cancer survivors is evidenced by increased expression of p16INK4a and frailty. Cancer. 2020 Nov 15;126(22):4975-4983. doi: 10.1002/cncr.33112. Epub 2020 Aug 24.

    PMID: 32830315BACKGROUND
  • Ogland-Hand C, Ciesielski TH, Daunov K, Bean MK, Nock NL. Food Insecurity and Nutritional Challenges in Adolescent and Young Adult Cancer Survivors in the U.S.A.: A Narrative Review and Call to Action. Nutrients. 2023 Apr 1;15(7):1731. doi: 10.3390/nu15071731.

    PMID: 37049571BACKGROUND
  • McDougall JA, Jaffe SA, Guest DD, Sussman AL. The Balance Between Food and Medical Care: Experiences of Food Insecurity Among Cancer Survivors and Informal Caregivers. J Hunger Environ Nutr. 2022;17(3):380-396. doi: 10.1080/19320248.2021.1892295. Epub 2021 Feb 25.

    PMID: 35757157BACKGROUND
  • Thom B, Benedict C, Friedman DN, Watson SE, Zeitler MS, Chino F. Economic distress, financial toxicity, and medical cost-coping in young adult cancer survivors during the COVID-19 pandemic: Findings from an online sample. Cancer. 2021 Dec 1;127(23):4481-4491. doi: 10.1002/cncr.33823. Epub 2021 Aug 5.

    PMID: 34351638BACKGROUND
  • Nucci D, Santangelo OE, Provenzano S, Nardi M, Firenze A, Gianfredi V. Altered Food Behavior and Cancer: A Systematic Review of the Literature. Int J Environ Res Public Health. 2022 Aug 18;19(16):10299. doi: 10.3390/ijerph191610299.

    PMID: 36011935BACKGROUND
  • Santacroce SJ, Tan KR, Killela MK. A systematic scoping review of the recent literature ( approximately 2011-2017) about the costs of illness to parents of children diagnosed with cancer. Eur J Oncol Nurs. 2018 Aug;35:22-32. doi: 10.1016/j.ejon.2018.04.004. Epub 2018 May 17.

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    BACKGROUND
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    BACKGROUND
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  • Thom B, Crowder VR, Smitherman AB, Cosgrove BS, Bosch R, Vardhan Y, Matt CN, Ammerman A, Santacroce SJ. Study protocol: Feasibility of medically tailored meals for pediatric populations at risk for disparities in serious illness outcomes due to inequities in food-related social drivers of health (MTM-Kids). PLoS One. 2025 Jul 31;20(7):e0326762. doi: 10.1371/journal.pone.0326762. eCollection 2025.

MeSH Terms

Conditions

Neoplasms

Study Officials

  • Sheila J. Santacroce

    University of North Carolina, Chapel Hill

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sheila J. Santacroce, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Model Details: Feasibility of study processes and the intervention
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 17, 2025

First Posted

February 7, 2025

Study Start

November 25, 2025

Primary Completion (Estimated)

June 1, 2027

Study Completion (Estimated)

June 1, 2027

Last Updated

January 14, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will share

Upon reasonable request

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
After publication of primary paper and for 5 years thereafter
Access Criteria
Local Institutional Review Board (IRB)-approved application for proposed secondary analyses

Locations