CClinicalTrials.gg
Not yet recruitingNCT07804875STARUpdated Sep 4, 2026

Symptom Trajectory Approaches to Research

An observational study in Advanced Cancer, Metastatic Disease and Cancer Treatment, sponsored by University of Wisconsin, Madison. Not yet recruiting at 5 sites in United States. Open to participants aged 8 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by University of Wisconsin, Madison · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
228
Ages
8 Years to 18 Years
Sex
All
01

Study 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.

Read the detailed description

The use of conventional and novel therapeutics to treat children with advanced cancer leads to burdensome physical and psychological symptoms. Advanced cancer is metastatic upon initial diagnosis, relapsed, progressed, or refractory to treatment, resulting in an uncertain and prolonged disease course. Symptom burden and associated suffering are amplified for these children due to disease burden, intense therapy, and often lengthy treatment. Symptom patterns (trajectories) have been identified in children diagnosed with early-stage cancer, but research characterizing symptom patterns over time in the understudied patient population of children with advanced cancer is sparse.

02

Conditions studied

  • Advanced Cancer
  • Metastatic Disease
  • Cancer Treatment
  • Progressive Disease
  • Recurrent Cancer

Keywords

  • Undergoing cancer treatment
  • undergoing cancer comfort care
03

Who can participate

Ages eligible
8 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Potential participants will be identified through the pediatric hematology/oncology research team and/or clinicians.

Eligibility criteria

Inclusion Criteria - Children:

  • 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

Inclusion Criteria - Caregivers:

  • Aged >18
  • Caregiver of a child diagnosed with advanced cancer
  • English or Spanish literate
  • Identified as being substantially involved in caring for the child

Exclusion Criteria:

  • Any condition that would prevent participants from completing surveys
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
228 participants (estimated)
Patient registry
No

Groups and cohorts

  • Children with advanced cancer

    Other: Health surveys

Interventions

  • OtherHealth surveys

    Participants will complete several surveys about their quality of life and health.

05

What researchers measure

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.

    Time frame: Baseline, bi-weekly for 4 months

Secondary outcomes

  1. Change in PROMIS Pediatric Global Health 7

    PROMIS Pediatric Global Health 7 is a 7-item survey used to measure overall physical, mental, and social health in children and adolescents. It is scored using a 5-point Likert scale, where 1 = poor and 5 = excellent. Scores range from 7 to 35, with higher scores indicating better global health.

    Time frame: Baseline, bi-weekly for 4 months

  2. Change in PROMIS Pediatric Mobility - Short Form 7a

    PROMIS Pediatric Mobility is a 7-item questionnaire that evaluates self-perceived physical mobility and functioning in children and adolescents. It uses a 5-point Likert scale ranging from "Without no trouble" to "Not able to do". Raw scores range from 7 to 35. Raw scores are translated into normalized T-scores with a US population-level mean of 50 and a standard deviation (SD) of 10. A T-score of 50 represents average mobility for the general population. Scores above 50 mean better-than-average mobility, while scores below 50 indicate greater impairment.

    Time frame: Baseline, bi-weekly for 4 months

  3. Change in PROMIS Pediatric Physical Stress Experiences - Short Form 8a

    PROMIS Physical Stress Experiences is an 8-item questionnaire designed to measure physical symptoms of stress in children and adolescents. It is scored by summing the raw item responses (ranging from 8 to 40) and converting that total into a standardized T-score. The raw score maps to a standardized T-score with a mean of 50 and a standard deviation (SD) of 10 for the general population. Higher T-scores reflect a greater level of physical stress.

    Time frame: Baseline, bi-weekly for 4 months

06

Study locations

5 sites
  • 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
07

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07804875
Lead sponsor
University of Wisconsin, Madison
Collaborators
National Cancer Institute (NCI), Nationwide Children's Hospital, Oregon Health and Science University, Children's Hospital Los Angeles, New York Presbyterian Hospital, OHSU Doernbecher Children's Hospital, Columbia University
Responsible party
Sponsor
First posted
Sep 4, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
May 31, 2031 (estimated)
Completion
May 31, 2031 (estimated)
Last update
Sep 4, 2026

Study contacts

Sabrina Cordon-Royer
Contact
cordonroyer@wisc.edu
Kathleen (Kitty) Montgomery, PhD, RN, PCNS-BC
principal investigator · University of Wisconsin, Madison
Kristine Kwekkeboom, PhD, RN, FAAN
principal investigator · University of Wisconsin, Madison
Roger Brown, PhD
principal investigator · University of Wisconsin, Madison

Oversight

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

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