NCT07223463

Brief Summary

The goal of this clinical trial is to learn if a tailored intervention can help make it easier for adolescents and young adults with cancer to take their medications. The main questions the researchers are trying to answer are:

  • Does the tailored intervention increase adherence?
  • Does the tailored intervention improve quality of life?
  • Does the tailored intervention reduce health care utilization? The researchers will compare the tailored intervention to a uniform standard of care intervention (an intervention designed to be similar to what is currently happening in clinical care) to see if the tailored intervention works to improve adherence. Participants will:
  • Use an electronic pill bottle or box to store their medication
  • Participate in intervention sessions
  • Complete surveys before the intervention, after the intervention, and 6-months later

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
160

participants targeted

Target at P50-P75 for not_applicable cancer

Timeline
52mo left

Started Mar 2026

Longer than P75 for not_applicable cancer

Geographic Reach
1 country

4 active sites

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress4%
Mar 2026Aug 2030

First Submitted

Initial submission to the registry

October 28, 2025

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 31, 2025

Completed
4 months until next milestone

Study Start

First participant enrolled

March 1, 2026

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2030

Expected
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2030

Last Updated

October 31, 2025

Status Verified

October 1, 2025

Enrollment Period

3.8 years

First QC Date

October 28, 2025

Last Update Submit

October 30, 2025

Conditions

Keywords

adolescents and young adultscanceradherence

Outcome Measures

Primary Outcomes (1)

  • Medication Adherence

    Each participant will be given an electronic adherence monitoring device to store their medication. An electronic adherence monitoring device is a pill bottle or box with an embedded computer chip. The computer chip records each time the device is opened. These device openings, or actuations, will be compared with the patient's prescribed medication regimen to compute their adherence (defined as the percentage of doses taken as prescribed).

    The 1-month period following the completion of one of the study programs.

Secondary Outcomes (3)

  • Quality of Life (Mental Health)

    Approximately 1 month after completing one of the study programs

  • Quality of Life (Physical Health)

    Approximately 1 month after completing one of the study programs

  • Healthcare Utilization

    6 months post-treatment

Study Arms (2)

Tailored Program

EXPERIMENTAL

8-week program including 4 coach visits and 4 text check-ins

Behavioral: Tailored Program

Feedback Program (Uniform Standard of Care)

OTHER

8-week feedback program including weekly texts

Behavioral: Feedback Program (Uniform Standard of Care)

Interventions

Participants will participate in 4 sessions with a coach, 1 every other week. During these sessions, the participant will work with their coach to identify a barrier to adherence they would like to target. Then, they will work with their coach to create an action plan using evidence-based behavior change techniques to address this barrier. In between sessions (on alternating weeks), the coach will check-in with a text reminder about the plan.

Tailored Program

Participants will receive weekly text messages with feedback about their adherence and guidance for requesting additional support if desired

Feedback Program (Uniform Standard of Care)

Eligibility Criteria

Age15 Years - 24 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Patient is 15.00 to 24.99 years of age
  • Patient is diagnosed with cancer
  • Patient is prescribed an oral anticancer/antitumor agent or prophylaxis

You may not qualify if:

  • Patient is not fluent in English
  • Patient evidences significant cognitive deficits
  • Patient's medical status or treatment precludes participation
  • Patient enrolled on a medical trial requiring medication storage in a trial-provided container
  • Patient demonstrates greater than or equal to 95% adherence during run-in period
  • Patient declines to use or has difficulty using electronic adherence monitoring device during run-in

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

The University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

Location

Columbia University Irving Medical Center

New York, New York, 1003230702, United States

Location

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

Seattle Children's Hospital

Seattle, Washington, 98105, United States

Location

MeSH Terms

Conditions

NeoplasmsMedication Adherence

Condition Hierarchy (Ancestors)

Patient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Meghan E. McGrady, PhD

    Children's Hospital Medical Center, Cincinnati

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Meghan E. McGrady, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 28, 2025

First Posted

October 31, 2025

Study Start

March 1, 2026

Primary Completion (Estimated)

January 1, 2030

Study Completion (Estimated)

August 1, 2030

Last Updated

October 31, 2025

Record last verified: 2025-10

Locations