Symptom Trajectory Approaches to Research
STAR
Defining Symptom Trajectories to Inform Risk-Stratified Approaches to Symptom Management in Children With Advanced Cancer
4 other identifiers
observational
228
1 country
5
Brief Summary
The goal of this observational study is to understand how cancer makes children feel over time. The main things the researchers hope to learn are:
- When and how often do children have different feelings or sickness;
- Why do these feelings happen; and,
- How these feelings change a child's overall health. Participants will answer simple surveys about their health.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2026
Longer than P75 for all trials
5 active sites
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
First Submitted
Initial submission to the registry
September 1, 2026
CompletedFirst Posted
Study publicly available on registry
September 4, 2026
CompletedStudy Start
First participant enrolled
December 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2031
Study Completion
Last participant's last visit for all outcomes
May 31, 2031
September 4, 2026
August 1, 2026
4.5 years
September 1, 2026
September 1, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Pediatric Patient-Reported Outcome Common Terminology Criteria for Adverse Events (Ped-PRO-CTCAE)
Ped-PRO-CTCAE evaluates pediatric cancer symptoms using patient or caregiver reports scored on a 0-to-3 scale across attributes like frequency, severity, and interference. 38 items are scored 0-3, where 0 = never (or equivalent) and 3 = all the time (or equivalent). Scores range from 0 to 114, with higher scores indicating worse symptoms. This score will be used to measure the trajectory of symptoms over time.
Baseline, bi-weekly for 4 months
Secondary Outcomes (3)
Change in PROMIS Pediatric Global Health 7
Baseline, bi-weekly for 4 months
Change in PROMIS Pediatric Mobility - Short Form 7a
Baseline, bi-weekly for 4 months
Change in PROMIS Pediatric Physical Stress Experiences - Short Form 8a
Baseline, bi-weekly for 4 months
Study Arms (1)
Children with advanced cancer
Interventions
Participants will complete several surveys about their quality of life and health.
Eligibility Criteria
Potential participants will be identified through the pediatric hematology/oncology research team and/or clinicians.
You may qualify if:
- Aged 8-18 years
- Diagnosis of advanced cancer of any type made by the hematology, oncology, or cellular therapy team
- Undergoing cancer treatment or comfort care
- Be English or Spanish literate
- Aged \>18
- Caregiver of a child diagnosed with advanced cancer
- English or Spanish literate
- Identified as being substantially involved in caring for the child
You may not qualify if:
- Any condition that would prevent participants from completing surveys
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Wisconsin, Madisonlead
- National Cancer Institute (NCI)collaborator
- Nationwide Children's Hospitalcollaborator
- Oregon Health and Science Universitycollaborator
- Children's Hospital Los Angelescollaborator
- New York Presbyterian Hospitalcollaborator
- OHSU Doernbecher Children's Hospitalcollaborator
- Columbia Universitycollaborator
Study Sites (5)
Children's Hospital Los Angeles
Los Angeles, California, 90027, United States
New York -Presbyterian Morgan Stanley Children's Hospital
New York, New York, 10032, United States
Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
OHSU Doernbecher Children's Hospital
Portland, Oregon, 97239, United States
American Family Children's Hospital
Madison, Wisconsin, 53705, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kathleen (Kitty) Montgomery, PhD, RN, PCNS-BC
University of Wisconsin, Madison
- PRINCIPAL INVESTIGATOR
Kristine Kwekkeboom, PhD, RN, FAAN
University of Wisconsin, Madison
- PRINCIPAL INVESTIGATOR
Roger Brown, PhD
University of Wisconsin, Madison
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 1, 2026
First Posted
September 4, 2026
Study Start (Estimated)
December 1, 2026
Primary Completion (Estimated)
May 31, 2031
Study Completion (Estimated)
May 31, 2031
Last Updated
September 4, 2026
Record last verified: 2026-08
Data Sharing
- IPD Sharing
- Will share