ClinicalTrials.gg
CompletedNCT06168474SIMPLY-SNAPUpdated Oct 19, 2026

Evaluating Simplified Layered Consent for Clinical Trials

An interventional study of Simplified layered consent form and Full-length consent form in Staphylococcus Aureus Bacteremia, sponsored by Sunnybrook Health Sciences Centre. Completed at 6 sites in Canada. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by Sunnybrook Health Sciences Centre · Not applicable, Interventional, and Health services research

Updated Oct 19, 2026Now CompletedPrimary completion moved+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
347
Allocation
Randomized
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies in Bacteremia with a site in Canada — 5 open to participants now, 6 under way, none of them phase 3. Bacteremia · Canada.

Enrollment
6th of 19
347 · median 200
Started
2023
with 1 other
No phase
12 of 21
1 open now
Registered
15th of 21
by date
Lead sponsor
6 of 21
Sunnybrook Health Sciences Centre

Among the 21 studies in Bacteremia with a site in Canada, this one is the 6th largest by enrollment of the 19 interventional ones, is one of 2 that started in 2023, is one of 12 with no phase, and was the 15th registered.

By phase

21 studies; the count open now beside each. This study's row is marked.

No phasethis study12 · 1 open
Phase 44 · 3 open
Phase 23 · 1 open
Observational2 · 0 open

By the year they started

First in 2006; this study’s year is marked. 2 started in 2023.

Size and results

Median enrollment 200 across the 19 interventional studies, 350 across the 2 observational. Of the 12 that completed or were terminated, 1 (8%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 21 studies in Bacteremia with a site in Canada, or all of them as a file.
02

Study summary

The goal of this clinical trial (the SIMPLY-SNAP trial) is to compare a simplified layered consent form to a full-length consent form for use during the informed consent process for a larger clinical trial of treatment of Staphylococcus aureus bloodstream infection (the SNAP trial).

The main questions it aims to answer are:

  • Does use of a simplified layered consent form lead to an increased recruitment rate to the SNAP trial?
  • Does use of a simplified layer consent form lead to increased participant understanding of the SNAP trial and increased participant satisfaction with the informed consent process?

Participants will be randomized to either the full-length informed consent form or the simplified layered consent form containing links to optional supplementary information or videos. Research staff will use the assigned form to explain the SNAP trial to participants. After consent, participants will be evaluated on their understanding of the SNAP trial and satisfaction with the consent process using a questionnaire.

03

Conditions studied

  • Staphylococcus Aureus Bacteremia

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Keywords

  • informed consent
  • research ethics
  • clinical trials
  • Staphylococcus aureus bacteremia
  • equity, diversity and inclusion
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All inclusion criteria from the larger SNAP trial:

    1. S. aureus complex grown from ≥1 blood culture
    2. Admitted to a participating hospital at the time of eligibility assessment
  • Specific additional inclusion criteria for SIMPLY-SNAP:

    1. Admitted to participating hospital of SIMPLY-SNAP
    2. Self-reported proficiency in English or French adequate to be able to participate in consent process carried out solely in English or French (as the supplementary consent materials required in the simplified consent process are currently only available in these two languages)

Exclusion criteria

Exclusion Criteria:

  • All exclusion criteria from larger SNAP trial:

    1. Time of anticipated platform entry is greater than 72 hours post collection of the index blood culture
    2. Polymicrobial bacteremia, defined as more than one organism in the index blood cultures, excluding those organisms judged to be contaminants by either the microbiology laboratory or treating clinician
    3. Patient currently being treated with a systemic antibacterial agent that cannot be ceased
    4. Known previous participation in SNAP
    5. Known positive blood culture for S. aureus between 72 hours and 180 days prior to the time of eligibility assessment
    6. Treating team deems enrolment in the study is not in the best interest of the patient
    7. Treating team believes that death is imminent and inevitable
    8. Patient is for end-of-life care and antibiotic treatment is considered inappropriate
    9. Patient \<18 years of age and paediatric recruitment not approved at recruiting site
  • Specific additional exclusion criteria for SIMPLY-SNAP: None
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
347 participants (actual)

Study arms

  • Experimental
    Simplified layered consent process

    For participants randomized to the SIMPLY-SNAP experimental group, a simplified layered consent process will be used to explain information for the SNAP trial. The research staff member obtaining consent will provide a standardized explanation, providing summarized information in simple English or French contained in a 4-page concise participant information sheet. Throughout the consent process, the research staff member will answer any questions that the participant has, to reflect routine consent discussion practice.

    Other: Simplified layered consent form

  • Active comparator
    Full-length consent form

    For participants randomized to the control group, the existing consent process will be used including going through the currently approved full-length informed consent form. The research staff member will provide an explanation using the full-length informed consent form as per standard clinical trial procedures. Similarly, throughout the consent process, the research staff member will answer any participant questions as per normal procedures.

    Other: Full-length consent form

Interventions

  • OtherSimplified layered consent form

    The simplified consent form includes all essential elements of trial consent including an explanation of the trial procedures, data and sample collection, and follow-up information. The form also outlines important ethical considerations for patients, such as confidentiality, regulatory and safety requirements, the ability to drop out, and the necessary process and contact numbers for grievances or feedback. In addition to the text, the form includes links to additional written information and videos that can be accessed on top of the simplified informed consent form (i.e., the additional layers in the layered consent process). These materials are hosted on the main SNAP trial website (https://www.snaptrial.com.au/patients) and are available in English and French. Participants will be able to access these directly through embedded hyperlinks using provided electronic tablets.

  • OtherFull-length consent form

    The full-length informed consent form contains all information upfront. Links to additional information will not be provided on the form but are freely available on the Internet should the participant wish to access them.

06

What researchers measure

Primary outcomes

  1. Proportion of patients recruited to SNAP

    The number of patients who consented and were randomized in the SNAP trial, divided by the total number of patient eligible for the SNAP trial and randomized in SIMPLY-SNAP.

    Time frame: 1 day

Secondary outcomes

  1. Participant understanding of the clinical trial

    Understanding of the clinical trial will be measured by a modified Consent Understanding Evaluation (CUE) tool. This is a questionnaire that comprises a list of open and closed-ended questions designed to evaluate a participant's understanding of the clinical trial they just enrolled in. It is adapted from previous similar trials evaluating adjunctive consent interventions but modified to the context of SNAP. The score ranges from 0 (worst understanding) to 15 (best understanding).

    Time frame: Within 3 days after the consent process

  2. Participant satisfaction with the consent process

    Scored by 11-point Likert scale (0 to 10; 0 being not satisfied at all and 10 being extremely satisfied).

    Time frame: Within 3 days after the consent process

  3. Research staff satisfaction with the consent process

    Scored by 11-point Likert scale (0 to 10; 0 being not satisfied at all and 10 being extremely satisfied).

    Time frame: 1 day

  4. Time taken for entire consent process

    In minutes

    Time frame: 1 day

Other outcomes

  1. Diversity of enrolled trial population

    As an exploratory outcome, we will also evaluate diversity of the enrolled trial population across five self-reported socio-demographic characteristics: gender, ethnicity, primary spoken language, socioeconomic status (measured by income level, or last-income level before retirement), and highest formal educational level attained. We will separately evaluate diversity of the patient group enrolled in SNAP via the simplified consent process versus the patient group enrolled via the full-length consent form. Diversity will be measured using the Simpson's Diversity Index (SDI). SDI will be calculated for each of five socio-demographic variables for the group recruited via simplified consent and the group recruited via conventional consent. A composite diversity score for each group combining the SDIs of all five variables will also be calculated.

    Time frame: End of the entire SIMPLY-SNAP study

07

Study locations

6 sites
  • University of Calgary, Foothills Medical Centre, Peter Lougheed Centre, Rockyview Hospital, South Health Campus
    Calgary, Alberta, Canada
  • Hamilton General Hospital
    Hamilton, Ontario, Canada
  • The Ottawa Hospital
    Ottawa, Ontario, Canada
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N3M5, Canada
  • Montreal General Hospital
    Montreal, Quebec, Canada
  • Royal Victoria Hospital
    Québec, Quebec, Canada
08

References and documents

Publications

  • Ong SWX, Lee TC, Fowler RA, Mahar R, Pinto RL, Rishu A, Petrella L, Whiteway L, Cheng M, McDonald E, Johnstone J, Mertz D, Kandel C, Somayaji R, Davis JS, Tong SYC, Daneman N. Evaluating the impact of a SIMPlified LaYered consent process on recruitment of potential participants to the Staphylococcus aureus Network Adaptive Platform trial: study protocol for a multicentre pragmatic nested randomised clinical trial (SIMPLY-SNAP trial). BMJ Open. 2024 Jan 18;14(1):e083239. doi: 10.1136/bmjopen-2023-083239. PubMed 38238170 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2023 to primary completion in Apr 2026, 28 months.

Of 34 non-industry interventional studies with no phase under Bacteremia, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 64. This study's 28 months is below that.

Counting every sponsor, half of 35 studies reached it within 34 months; a quarter within 13 and three quarters within 64.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 19, 2026: primary completion Jun 2026 → Apr 2026 and completion Jun 2026 → Apr 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Nov 23, 2023
First posted
Dec 13, 2023
StartActual
Nov 28, 2023
Primary completionActual
Apr 16, 2026was Jun 2026
CompletionActual
Apr 19, 2026was Jun 2026
Last update
Oct 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Completed
changed Oct 19, 2026
Primary completion
Jun 2026→Apr 16, 2026 (actual)
Oct 19, 2026
Study completion
Jun 2026→Apr 19, 2026 (actual)
Oct 19, 2026
Enrollment
346 (estimated)→347 (actual)
Oct 19, 2026
Publications
1 publication citing this study linked from PubMed, e.g. PubMed 38238170 ↗
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    Recruiting→Completed
    Publications 1 publication citing this study linked from PubMed, e.g. PubMed 38238170 ↗
    Primary completion Jun 2026→Apr 16, 2026 (now actual)
    Study completion Jun 2026→Apr 19, 2026 (now actual)
    Enrollment 346 (estimated)→347 (actual)
    + 5 other changes: verification date, oversight details, contact details, site details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06168474
Responsible party
Sean Ong (Research Associate, Evaluative Clinical Sciences, Sunnybrook Health Sciences Centre) — Principal investigator
First posted
Dec 13, 2023
Start date
Nov 28, 2023
Primary completion
Apr 16, 2026
Completion
Apr 19, 2026
Last update
Oct 19, 2026

Study contacts

Sean WX Ong, MBBS
principal investigator · University of Toronto

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 completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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