Can better talks help kids with cancer have a gentler end of life?
NCT ID NCT04330833
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a special communication program for doctors and parents of children with advanced cancer. The goal was to help families and doctors agree on treatment goals, especially for children nearing end of life. Researchers measured whether this improved the child's quality of life and hospice use. The study involved 111 families and was completed at Indiana University.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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111 people
The number who actually took part.
- Started
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Dec 2020
- Finished
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Jul 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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1 month to 17 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Child 1 month to \< 18 years * Child newly diagnosed, i.e., within 16 weeks (112 days) from time of diagnosis of cancer not including the day of diagnosis, OR * Child with relapsed cancer, defined as within 16 weeks (112 days) of first-time relapse/evidence of progression of disease as noted by scan or biopsy after previous diagnosis of cancer. * Child provide assent if age ≥ 7 years * Poor prognosis, i.e., approximate \< 25 % estimated overall survival or at the discretion of the attending AND/OR: * Falls into one of the following diagnosis categories, including but not limited to: * Atypical teratoid rhabdoid tumor * Glioblastoma multiforme * Diffuse intrinsic brainstem glioma * Embryonal tumors with multilayered rosettes * Other high-grade glioma * Gliomatosis cerebri * Metastatic osteosarcoma * Metastatic Ewing sarcoma * Metastatic rhabdomyosarcoma * Metastatic desmoplastic small round cell tumor (DSRCT) * Other metastatic sarcoma/carcinoma-at discretion of attending * Metastatic unknown primary- or rare pathology- at discretion of attending * Parent(s) legal decision-maker(s) for child * Parent(s) ≥18 years of age * Parent (s) Informed of child's cancer diagnosis * Parent(s) Able to read, speak and understand English * Must be willing to be audio recorded during all study sessions. Exclusion Criteria: * The parent has neurological/cognitive impairments likely to interfere with study participation; * The child ≥ 7 years of age does not provide assent * Parent refuses to be audio recorded during sessions.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cardinal Glennon Children's Hospital
St Louis, Missouri, 63104, United States
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Children's Healthcare of Atlanta
Atlanta, Georgia, 30322, United States
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Children's Hospital of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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MD Anderson Children's Cancer Center
Houston, Texas, 77030, United States
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Nemours Children's Health
Wilmington, Delaware, 19803, United States
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Riley Hospital for Children at IU Health
Indianapolis, Indiana, 46202, United States
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