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Active, not recruitingNCT04050072Updated Aug 18, 2026

Patient-Reported Outcome Version of the Common Criteria for Adverse Events

An observational study in Survivorship and Cancer, sponsored by St. Jude Children's Research Hospital. Active, not recruiting at 1 site in United States. Open to participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-18.

Sponsored by St. Jude Children's Research Hospital · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
837
Ages
16 Years and older
Sex
All
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Study 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

Read the detailed description

We propose to adapt an existing symptomatic adverse event tool, the Patient-Reported Outcomes Common Terminology Criteria for Adverse Events (PRO-CTCAE), to be content appropriate and clinically meaningful for adult survivors of childhood cancer using two well-established childhood cancer survivor cohorts. Psychometric methodologies will be used to validate this tool by incorporating objective clinical anchors collected from medical evaluations. Our symptomatic AE tool has the potential to augment the Children Oncology Group Survivorship Care Guidelines by implementing risk-based symptom screening to track and anticipate adverse health events.

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Conditions studied

  • Survivorship
  • Cancer

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Keywords

  • Adverse Events
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In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's enrollment of 837 is above the median of 204 across 1,683 observational studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

St. Jude Children's Research Hospital is the lead sponsor of 434 studies on the registry; 99 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 35 (58%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

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

Inclusion criteria

  • > 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.

Exclusion criteria

Exclusion Criteria:

  • 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
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
837 participants (actual)
Patient registry
No

Groups and cohorts

  • 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

  • OtherChildhood Cancer Survivors (CCSS)

    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

  • OtherSJLIFE

    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

  • OtherCommunity non-cancer control

    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

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What researchers measure

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.

    Time frame: Years 1-5

Secondary outcomes

  1. Core and Target Scales of the PRO-CTCAE-SCC

    Develop tailored versions for survivors of different diagnoses exposed to different therapies and establish meaningful cut-points and minimally important differences (MIDs) on symptom burden scores for clinical decision-making.

    Time frame: Years 4 and 5

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Study locations

1 site
  • St. Jude Children's Research Hospital
    Memphis, Tennessee 38105, United States
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04050072
Lead sponsor
St. Jude Children's Research Hospital
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Aug 8, 2019
Start date
Dec 16, 2019
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Aug 18, 2026

Study contacts

I-Chang Huang, PhD
principal investigator · St. Jude Children's Research Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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