30 Participants NeededMy employer runs this trial

Palliative Care for Pediatric Cancer

Recruiting at 2 trial locations
Age: < 65
Sex: Any
Trial Phase: Phase < 1
Sponsor: Phoenix Children's Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how pediatric palliative care (PPC) can assist children with cancer and their families during early phase 1 clinical trials. The goal is to determine if PPC can alleviate the physical and emotional challenges associated with these trials. It includes regular consultations with a PPC specialist to support families throughout the trial process. This trial targets children and young adults with cancer who are considering joining a phase 1 trial and have not previously used palliative care. As an early phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive a new treatment.

Do I have to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that pediatric palliative care consultation is safe for pediatric cancer patients?

Research has shown that pediatric palliative care (PPC) is generally safe and well-tolerated. Studies indicate that PPC can significantly enhance the quality of life for children with cancer by managing physical pain and addressing emotional and spiritual distress.

Previous research found early PPC consultations practical, with families and doctors rarely declining them. This suggests that PPC is acceptable to both patients and healthcare providers. Another study found that PPC reduces suffering at the end of life for children with cancer.

Overall, PPC supports children and families during difficult times and is considered a safe way to manage the challenges of pediatric cancer care.12345

Why are researchers excited about this trial?

Researchers are excited about Pediatric Palliative Care Consultation because it provides personalized, comprehensive support tailored to children with cancer and their families, which is not typically part of standard oncology care. Standard treatments often focus on targeting the cancer itself, while this approach emphasizes improving quality of life through symptom management and emotional support. By involving subspecialty-trained palliative care physicians early in the treatment process, this method aims to integrate holistic care seamlessly, potentially lessening the burden of the disease and its treatment on young patients and their families.

What evidence suggests that pediatric palliative care consultation is effective for pediatric cancer patients in phase 1 trials?

Research has shown that pediatric palliative care (PPC) can greatly enhance the quality of life for children with cancer. In this trial, participants will receive a formal PPC consultation from a subspecialty-trained PPC physician. Studies have found that children receiving PPC often experience better symptom control and improved overall well-being. Evidence suggests that PPC reduces physical pain, lowers stress, and supports emotional health. It also aids families in communicating more effectively with healthcare providers and making informed decisions. Although PPC does not cure cancer, it plays a crucial role in making life more comfortable for young patients and their families during challenging times.12367

Are You a Good Fit for This Trial?

This trial is for children with cancer who are enrolling in a phase 1 clinical trial, along with their families. There are no specific inclusion or exclusion criteria listed beyond participation in a phase 1 pediatric oncology study.

Inclusion Criteria

I am 0-25 years old with cancer and being considered for a phase 1 trial.

Exclusion Criteria

I have received palliative care before.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Palliative Care Consultation

Formal PPC consultation completed by a subspecialty-trained PPC physician during the eligibility screening period

2-4 weeks
1 visit (in-person)

Standard of Care PPC Follow-up

Standard of care PPC follow-up visits occur every 2-4 weeks

Varies based on trial structure
Every 2-4 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
2 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Pediatric Palliative Care Consultation

Trial Overview

The study is testing whether adding pediatric palliative care consultations helps improve quality of life and support for children with cancer and their families during early-stage (phase 1) clinical trials.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Pediatric Palliative Care ConsultationExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Phoenix Children's Hospital

Lead Sponsor

Trials
78
Recruited
5,014,000+

National Institute on Aging (NIA)

Collaborator

Trials
1,841
Recruited
28,150,000+

Citations

Palliative care initiation in pediatric oncology patients - PMC

Overall, 54.5% of pediatric oncology patients received any palliative service prior to death. Data revealed PC discussion does not occur until late in the ...

The Impact of Specialty Palliative Care in Pediatric Oncology

This systematic review revealed that children with cancer who received SPPC largely demonstrated improved symptom burden and quality of life, increased ...

Pediatric Palliative Care in Oncology: Basic Principles

The pediatric palliative screening scale (PaPas) helps identify children with cancer in need of. PPC support by assessing five domains ( ...

Paediatric palliative care in cancer

Providing Paediatric Palliative Care (PPC) for children with cancer is an ethical imperative with pain relief being recognised as a human right.

integrated pediatric palliative care improves outcomes

The aim of this study is to compare outcomes in children with cancer in the hospital setting during the last 72 h of life who received ...

Pediatric Palliative Care Improves Quality of Life for ...

Electronic patient-reported outcomes with earlier integration of specialized pediatric palliative care may improve the health-related quality ...

End-of-life care quality for children with cancer who receive ...

Across 79 decedents, 82% met ≥ 4 quality benchmarks. Most (76%) reported > 2 highly distressing symptoms; 17% were enrolled in hospice. In ...