Quality of End-of-Life Care for Children With Cancer
Official title: Quality of End-of-Life Care for Children With Cancer: A COG Groupwide Observational Study
Run by Children's Oncology Group · NCT07412002 · Data updated 2026-11-12
This study looks at how access to care, family interactions with the healthcare system, and stress relate to the quality of end-of-life care for children with cancer.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2425 (estimated) |
| Sponsor | Children's Oncology Group Research network |
| Locations | 28 sites (Birmingham, Alabama and 27 other locations) |
| Status | Recruiting |
| Started | July 31, 2026 |
| Main results expected | January 31, 2031 |
| Study ends | January 31, 2031 |
| Registry record updated | September 4, 2026 |
| Trial ID | NCT07412002 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Index Child: deceased, under 18 at death, diagnosed with an oncologic condition, previously enrolled on Stratum 1 of APEC14B1, and resided in the United States or Puerto Rico; Bereaved Parent(s): a parent or guardian of an eligible child, English or Spanish speaking, with familiarity or involvement in the child’s care in the last month of life.
✕Probably not a fit
Non-participating bereaved families and patients who do not meet the eligibility criteria will not be directly affected or likely benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study reviews medical records of deceased pediatric cancer patients and collects input from bereaved parents through surveys and interviews. It aims to identify factors associated with lower-quality end-of-life care and to inform potential future interventions. The study does not involve direct medical interventions and analyzes existing records and survey data to develop a risk model.
Why it matters
Potential benefit: If successful, it could help clinicians and families recognize and address factors linked to poorer end-of-life care.
How similar studies have gone: Prior observational work has examined end-of-life experiences in pediatric oncology, with varying findings; this study aims to contribute by linking access, interactions, and stress to care quality.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
* Index Child (COG Registered Patient):
* Must be deceased
* \< 18 years old at time of death
* Diagnosed with any oncologic condition
* History of enrollment on Stratum 1 of APEC14B1, Project:EveryChild
* Note: history of treatment on a COG therapeutic trial is not required
* Resided in the United States, including Puerto Rico, as evidenced by most recent address, at the time of death
Bereaved Parent(s):
* Must be a parent, legal guardian, or caregiver (biological or non-biological) of an eligible Index Child enrolled on APEC14B1 with current Consent to Future Contact (e.g., from the APEC14B1 Part B Consent)
* Self-reported confirmation of familiarity with the care received by the Index Child in the last month of their life
* Bereaved parent must understand English or Spanish (written and/or spoken)
* Must be a parent/guardian/key contact from the Index Child's APEC14B1 Future Contact study record or must be referred by one of the APEC14B1 contacts
* Bereaved parent must be \>= 18 years old at the time of ALTE24C1 study enrollment
Regulatory Requirements:
* Bereaved parent must provide verbal or implied informed consent
* For all participants, all institutional, FDA, and NCI requirements for human studies must be met
Where it's running
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Children's Hospital of Alabama
Birmingham, Alabama, United States Recruiting -
Arkansas Children's Hospital
Little Rock, Arkansas, United States Recruiting -
Kaiser Permanente-Oakland
Oakland, California, United States Recruiting -
Alfred I duPont Hospital for Children
Wilmington, Delaware, United States Recruiting -
Golisano Children's Hospital of Southwest Florida
Fort Myers, Florida, United States Recruiting -
Memorial Regional Hospital/Joe DiMaggio Children's Hospital
Hollywood, Florida, United States Recruiting
Show 22 more locations
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Nemours Children's Clinic-Jacksonville
Jacksonville, Florida, United States Recruiting -
Nemours Children's Hospital
Orlando, Florida, United States Recruiting -
Nemours Children's Clinic - Pensacola
Pensacola, Florida, United States Recruiting -
Children's Healthcare of Atlanta - Arthur M Blank Hospital
Atlanta, Georgia, United States Recruiting -
Augusta University Medical Center
Augusta, Georgia, United States Recruiting -
Blank Children's Hospital
Des Moines, Iowa, United States Recruiting -
Sinai Hospital of Baltimore
Baltimore, Maryland, United States Recruiting -
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids, Michigan, United States Recruiting -
Bronson Methodist Hospital
Kalamazoo, Michigan, United States Recruiting -
Children's Mercy Hospitals and Clinics
Kansas City, Missouri, United States Recruiting -
Renown Regional Medical Center
Reno, Nevada, United States Recruiting -
Albany Medical Center
Albany, New York, United States Recruiting -
State University of New York Upstate Medical University
Syracuse, New York, United States Recruiting -
Montefiore Medical Center - Moses Campus
The Bronx, New York, United States Recruiting -
Rainbow Babies and Childrens Hospital
Cleveland, Ohio, United States Recruiting -
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, United States Recruiting -
Rhode Island Hospital
Providence, Rhode Island, United States Recruiting -
Dell Children's Medical Center of Central Texas
Austin, Texas, United States Recruiting -
UT Southwestern/Simmons Cancer Center-Dallas
Dallas, Texas, United States Recruiting -
University of Virginia Cancer Center
Charlottesville, Virginia, United States Recruiting -
Providence Sacred Heart Medical Center and Children's Hospital
Spokane, Washington, United States Recruiting -
Saint Vincent Hospital Cancer Center Green Bay
Green Bay, Wisconsin, United States Recruiting
Study contacts
- Principal investigator: Emily E Johnston — Children's Oncology Group
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.