Clinical trial Recruiting at 28 sites Observational Ages 18 and up

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.

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Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment2425 (estimated)
SponsorChildren's Oncology Group
Research network
Locations28 sites (Birmingham, Alabama and 27 other locations)
StatusRecruiting
StartedJuly 31, 2026
Main results expectedJanuary 31, 2031
Study endsJanuary 31, 2031
Registry record updatedSeptember 4, 2026
Trial IDNCT07412002 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.