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RecruitingNCT06446661Updated Jul 10, 2026

Using Text Messages to Improve Oral Chemotherapy for Adolescents and Adults With Acute Lymphoblastic Leukemia

An interventional study of High Intensity and No Text Messagings in Acute Lymphoblastic Leukemia and T-cell Lymphoblastic Lymphoma, sponsored by University of Chicago. Recruiting at 1 site in United States. Open to participants aged 15 Years and older. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by University of Chicago · Not applicable, Interventional, and Other

From the registry’s dates

  • Started May 2026; still recruiting 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Non-randomized
Ages
15 Years and older
Sex
All
01

Study summary

This is a single center 2-phase study to assess effects of using text messages on adherence to oral chemotherapy for patients with acute lymphoblastic leukemia (ALL) or T-cell lymphoblastic lymphoma.

Read the detailed description

The study will begin with a 28-day pilot phase where participants will be asked to complete questionnaires to determine if the text message intervention is acceptable to participants.

In the efficacy phase, the study will compare adherence to oral mercaptopurine and methotrexate between those who receive the high intensity text message intervention and those who receive standard-of-care. It is believed that high-intensity text messages will increase patient adherence within cycle 1.

02

Conditions studied

  • Acute Lymphoblastic Leukemia
  • T-cell Lymphoblastic Lymphoma

Keywords

  • Oral Chemotherapy
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,061 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 490 are open to participants now.

This study's planned enrollment of 48 is above the median of 40 across 1,653 interventional studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

University of Chicago is the lead sponsor of 907 studies on the registry; 182 are open to participants now.

Of its 99 completed or terminated interventional studies of FDA-regulated products, 68 (69%) have results posted.

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

04

Who can participate

Ages eligible
15 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age of 15 years or older at time of enrollment
  • Diagnosed with ALL or T-cell lymphoblastic lymphoma
  • Currently receiving treatment with pediatric-based regimen that includes maintenance with mercaptopurine and methotrexate (e.g., CALGB 10403). Study participation begins with the start of maintenance, so enrollment occurs prior to the start of maintenance. Patients in the pilot phase may have already started maintenance as long as the end of their maintenance therapy is scheduled to occur after the end of the 28-day pilot intervention.

Exclusion criteria

Exclusion Criteria:

  • Patient or caregiver who would receive text message reminders does not have a cell phone that receives text messages
  • Patient does not wish to participate
  • Text messages will be crafted in the patient's preferred language for medical communication, so English fluency is not an enrollment requirement.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
48 participants (estimated)

Study arms

  • Active comparator
    Efficacy Phase: High Intensity Messaging

    Receives high-intensity text messaging for 2 cycles of treatment

    Other: High Intensity

  • Active comparator
    Efficacy Phase: Low Intensity Messaging

    Receives no texts for 1st cycle and low-intensity texts for 2nd cycle

    Other: No Text Messagings · Other: Low Intensity Text Messaging

  • Experimental
    Pilot Phase Arm

    Participants receive high-intensity text messaging for 28 days

    Other: High Intensity

Interventions

  • OtherHigh Intensity

    Daily texts

  • OtherNo Text Messagings

    Standard Care

  • OtherLow Intensity Text Messaging

    Weekly Texts

06

What researchers measure

Primary outcomes

  1. To compare adherence to oral chemotherapy between study groups for first treatment cycle (Efficacy Phase)

    Adherence to chemotherapy regimen will be measured based on combined data from 8.1 Medication Event Monitoring System (MEMS) TrackCap devices which measure the number of times pill bottles are opened, responses to Medication Adherence Report Scale (MARS-5) questionnaire, number of pharmacy fills, and mean corpuscular volume (MCV) .

    Time frame: 84 days after completion of enrollment to efficacy phase of study

  2. Feasibility of text message interventions to improve adherence to oral chemotherapy (Pilot Phase)

    Feasibility will be measured based on participant responses to validated questionnaires - Feasibility of intervention measure (FIM) and Acceptability of intervention measure (AIM). Both forms are 4 items scored on a 5 point Likert scale. Scores greater than or equal to 16 will determine whether the intervention is feasible.

    Time frame: 28 days after completion of enrollment to pilot phase of study

Secondary outcomes

  1. To describe the relationship between oral chemotherapy adherence and patient factors

    At the start of cycle 1, Health Competence Beliefs Inventory (HCBI) scores will be collected as a baseline measurement of self-efficacy as measured in a prior AYA adherence study. Higher HCBI scores and lower ADI and SVM scores will be associated with higher adherence given prior associations with self-efficacy and family finances.

    Time frame: 1 year

  2. To compare adherence to oral chemotherapy between study groups for second treatment cycle (Efficacy Phase)

    Adherence to chemotherapy regimen will be measured based on combined data from 8.1 Medication Event Monitoring System (MEMS) TrackCap devices which measure the number of times pill bottles are opened, responses to Medication Adherence Report Scale (MARS-5) questionnaire, number of pharmacy fills, and mean corpuscular volume (MCV) .

    Time frame: 168 days after completion of enrollment to efficacy phase of study

07

Study locations

1 of 1 sites recruiting
  • University of Chicago Medicine Comprehensive Cancer Center
    Chicago, Illinois 60637, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — Study results including PHI such as dates, assigned study ID, and initials may be shared with researchers and their teams at other sites as part of required safety reporting notifications (e.g. serious events/unanticipated problems, or other reportable events). Final reports (no PHI) may also be shared. Names and medical record numbers will not be shared externally. Data will only be shared for analysis purposes.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06446661
Lead sponsor
University of Chicago
Responsible party
Sponsor
First posted
Jun 6, 2024
Start date
May 19, 2026
Primary completion
Jun 15, 2027 (estimated)
Completion
Jun 15, 2028 (estimated)
Last update
Jul 10, 2026

Study contacts

Clinical Trials Intake
Contact
cancerclinicaltrials@bsd.uchicago.edu
1-855-702-8222
Austin Wesevich
principal investigator · University of Chicago

Oversight

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

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