Patient Navigation for Improving Transition Success Among Multiply Disadvantaged Young Adult Survivors of Childhood Cancer
NCT07630831 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 190
Last updated 2026-06-05
Summary
The goal of this clinical trial is to improve the successful healthcare transition from pediatric to adult-focused care for childhood cancer survivors. The main questions it aims to answer are
* Receipt of the intervention (vs. standard of care control) will increase the proportion of CCS achieving transition success to adult-focused survivorship care from 50% to 70%.
* Receipt of the intervention (vs. standard of care control) will significantly reduce patients' unmet HRSN.
* Intervention effectiveness will be moderated by sociodemographic factors (gender, race/ethnicity, insurance status), medical risk for late effects, HRSN burden, and patient-reported outcomes (quality of life, self-efficacy).
Researchers will compare those that receive intervention versus standard of care.
Patients are randomized to either an intervention group, receiving structured PN-led sessions and tailored support for care transitions, or a control group receiving standard follow-up by a nurse case manager. High-HRSN patients in the intervention arm get monthly check-ins and coordinated handoffs to adult care providers for continuity.
Conditions
- Cancer Childhood
Interventions
- BEHAVIORAL
-
Navigation
Follow Up
- BEHAVIORAL
-
Control
Standard of Care
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
Children's Hospital Los Angeles
lead OTHER
Principal Investigators
-
David Freyer, DO, MS · Children's Hospital Los Angeles
-
Kimberly Miller, PhD · Children's Hospital Los Angeles
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 29 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-01
- Primary Completion
- 2029-10-01
- Completion
- 2030-09-01
Countries
- United States
Study Locations
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