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Cleft LipACCQUIREnetNCT02702869

Allied Cleft & Craniofacial Quality-Improvement and Research Network (ACCQUIREnet)

An observational study of Cleft Lip and Cleft Palate, run by Duke University at 11 sites in 2 countries.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

The Allied Cleft \& Craniofacial Quality-Improvement and Research Network (ACCQUIREnet) is a group of multidisciplinary cleft teams that have implemented a system for prospective collection of outcomes data, based on the ICHOM Standard Set for the Comprehensive Appraisal of Cleft Care, CLEFT-Q, and other outcomes… Read more about this study

Who is it for?
Ages 1 day to 22 years
Conditions the study is for
Cleft Lip, Cleft Palate, Cleft Lip and Palate
What is being tested?
cleft lip repair, cleft palate repair and oronasal fistula repair
How many people
1,000 participants
Where
11 sitesin 2 countries
Study dates
Oct 2016to Dec 2031
How long will I take part?
22 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 day to 22 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: All patients born with cleft lip and/or palate are eligible for inclusion in this study.

Who may be able to join

  • Typical orofacial clefts, of which subtypes are:
  • Unilateral or bilateral cleft lip
  • Unilateral or bilateral cleft lip and alveolus
  • Unilateral or bilateral cleft lip and alveolus and palate
  • Unilateral or bilateral cleft lip and palate
  • Overt cleft palate
  • Occult cleft palate

Who cannot join

  • Atypical (Tessier) facial clefts

Trial locations and contacts

11 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

11 sites in 2 countries

United States10 sites
  • Harvard University - Boston Children's Hospital (BCH)

    Boston, Massachusetts, 02115

  • Duke University - Duke Children's Hospital & Health Center

    Durham, North Carolina, 27710

  • University of Florida - Shands Hospital

    Gainesville, Florida, 32608

  • Joe DiMaggio Children's Hospital

    Hollywood, Florida, 33021

  • University of Texas at Houston - Children's Memorial Hermann Hospital

    Houston, Texas, 77030

  • Orlando Health - Arnold Palmer Hospital for Children

    Orlando, Florida, 32806

  • Maine Medical Center

    Portland, Maine, 04102

  • Washington University - St. Louis Children's Hospital (WUSTL)

    St Louis, Missouri, 63110

  • Johns Hopkins - All Children's Hospital (JHACH)

    St. Petersburg, Florida, 33701

  • Wake Forest University - Brenner Children's Hospital

    Winston-Salem, North Carolina, 27157

Other trials in United States

Canada1 site
  • Dalhousie University - IWK Health Centre

    Halifax, Nova Scotia, B3K 6R8

Other trials in Canada

About this study

Official title: Allied Cleft & Craniofacial Quality-Improvement and Research Network (ACCQUIREnet): Prospective Data-collection System and Learning Health-care Network for the Comprehensive Appraisal of Cleft and Craniofacial Care

The Allied Cleft \& Craniofacial Quality-Improvement and Research Network (ACCQUIREnet) is a group of multidisciplinary cleft teams that have implemented a system for prospective collection of outcomes data, based on the ICHOM Standard Set for the Comprehensive Appraisal of Cleft Care, CLEFT-Q, and other outcomes instruments. Participating cleft teams may analyze clinical and psychosocial outcomes related to care of the child with cleft lip and/or palate (CL/P), compare its performance with those of other cleft centers, and identify opportunities for quality improvement.

Read the detailed description

The purpose of this project is to implement a system of prospective, standardized data collection for all patients with cleft lip and/or palate (CL/P) treated by the cleft and craniofacial centers that participate in ACCQUIREnet.

Adoption of this prospective data-collection system has two principal goals:

  1. To enable on-demand and scheduled review of cleft-care-related safety and outcomes data and team performance for the purpose of internal audits and continuous quality improvement; and
  2. To permit participation in multi-site, collaborative quality-improvement projects and/or research networks that require usage of these standardized data-collection methods. (These collaborations are described in corresponding IRB protocols and data-transfer agreements. Patient privacy and confidentiality is protected at all times.)

All patients with CL/P treated at cleft and craniofacial centers participating in ACCQUIREnet will be invited to participate in this project. Duke University serves as the coordinating center and statistical support center for the study. Data are maintained in a local, secured database.

The IRB protocol details methods of quality assurance, data monitoring, and auditing. Data dictionaries employed in ACCQUIREnet include the CleftCap REDCap project template, CleftKit Common Data Model (an extension of the PCORnet Common Data Model), the ICHOM Standard Set for the Comprehensive Appraisal of Cleft Care, and the CLEFT-Q patient-reported outcome manual, maintained by the International Consortium for Health Outcomes Measurement (ichom.org) and McMaster University, respectively.

Being tested
cleft lip repair, cleft palate repair, oronasal fistula repair, pharyngoplasty, gingivoperiosteoplasty
Keywords
cleft lip, cleft palate, cleft lip and palate, cleft alveolus, multidisciplinary team, interdisciplinary team
Medical subject headings
Cleft Lip, Cleft Palate

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • cleft lip repairProcedure or surgery

    Also called cheiloplasty

  • cleft palate repairProcedure or surgery

    Also called palatoplasty

  • oronasal fistula repairProcedure or surgery

  • pharyngoplastyProcedure or surgery

    Also called sphincteroplasty

  • gingivoperiosteoplastyProcedure or surgery

  • LeFort-1 maxillary repositioningProcedure or surgery

    Also called orthognathic surgery

  • rhinoplastyProcedure or surgery

  • myringotomy and tympanostomy tube placementProcedure or surgery

  • speech therapyOther

  • orthodontiaProcedure or surgery

  • presurgical orthopedicsProcedure or surgery

    Also called nasoalveolar molding, dentofacial orthopedics, Georgiade-Latham appliance, Latham appliance

  • sound amplification for hearingDevice

    Also called hearing aid

Study groups in NCT02702869
Study groupRoleWhat they receive
uCL(A)Children with unilateral cleft lip with/without cleft alveolus but intact secondary palate. Subgroup analysis by severity of lip (complete, incomplete, or lesser-form).
Receives: Procedure: cleft lip repair; Procedure: gingivoperiosteoplasty; Procedure: LeFort-1 maxillary repositioning; Procedure: rhinoplasty; Other: speech therapy; Procedure: orthodontia; Procedure: presurgical orthopedics
uCL(A)PChildren with unilateral cleft lip with/without cleft alveolus and with cleft secondary palate. Subgroup analysis by severity of lip (complete, incomplete, or lesser-form) and severity of palate (submucous, Veau-I, Veau-II, or Veau-III).
Receives: Procedure: cleft lip repair; Procedure: cleft palate repair; Procedure: oronasal fistula repair; Procedure: pharyngoplasty; Procedure: gingivoperiosteoplasty; Procedure: LeFort-1 maxillary repositioning; Procedure: rhinoplasty; Procedure: myringotomy and tympanostomy tube placement; Other: speech therapy; Procedure: orthodontia; Procedure: presurgical orthopedics; Device: sound amplification for hearing
bCL(A)Children with bilateral cleft lip with/without cleft alveolus but intact secondary palate. Subgroup analysis by severity of lip (complete, incomplete, or lesser-form).
Receives: Procedure: cleft lip repair; Procedure: gingivoperiosteoplasty; Procedure: LeFort-1 maxillary repositioning; Procedure: rhinoplasty; Other: speech therapy; Procedure: orthodontia; Procedure: presurgical orthopedics
bCL(A)PChildren with unilateral cleft lip with/without cleft alveolus and with cleft secondary palate. Subgroup analysis by severity of lip (complete, incomplete, or lesser-form) and severity of palate (submucous, Veau-I, Veau-II, Veau-III, or Veau-IV).
Receives: Procedure: cleft lip repair; Procedure: cleft palate repair; Procedure: oronasal fistula repair; Procedure: pharyngoplasty; Procedure: gingivoperiosteoplasty; Procedure: LeFort-1 maxillary repositioning; Procedure: rhinoplasty; Procedure: myringotomy and tympanostomy tube placement; Other: speech therapy; Procedure: orthodontia; Procedure: presurgical orthopedics; Device: sound amplification for hearing
CPChildren with cleft secondary palate only, but intact lip and alveolus. Subgroup analysis by severity (submucous, Veau-I, or Veau-II).
Receives: Procedure: cleft palate repair; Procedure: oronasal fistula repair; Procedure: pharyngoplasty; Procedure: LeFort-1 maxillary repositioning; Procedure: myringotomy and tympanostomy tube placement; Other: speech therapy; Device: sound amplification for hearing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Speech: intelligibility

    Utilizes the intelligibility in context scale (ICS)

    Measured: ~5 years of age

  2. Speech: intelligibility

    Utilizes the intelligibility in context scale (ICS)

    Measured: ~8 years of age

  3. Speech: intelligibility

    Utilizes the intelligibility in context scale (ICS)

    Measured: ~12 years of age

  4. Speech: intelligibility

    Utilizes the intelligibility in context scale (ICS)

    Measured: ~22 years of age

  5. Speech: velopharyngeal competence

    Measured: ~5 years of age

  6. Speech: velopharyngeal competence

    Measured: ~8 years of age

  7. Speech: velopharyngeal competence

    Measured: ~12 years of age

  8. Speech: velopharyngeal competence

    Measured: ~22 years of age

  9. Speech: articulation

    Utilizes the modified percent correct consonants (mPCC) scale

    Measured: ~5 years of age

  10. Speech: articulation

    Utilizes the modified percent correct consonants (mPCC) scale

    Measured: ~8 years of age

  11. Speech: articulation

    Utilizes the modified percent correct consonants (mPCC) scale

    Measured: ~12 years of age

  12. Speech: articulation

    Utilizes the modified percent correct consonants (mPCC) scale

    Measured: ~22 years of age

  13. Speech: patient-reported outcomes related to speech and speaking

    Utilizes the CLEFT-Q PROM

    Measured: ~8 years of age

  14. Speech: patient-reported outcomes related to speech and speaking

    Utilizes the CLEFT-Q PROM

    Measured: ~12 years of age

  15. Speech: patient-reported outcomes related to speech and speaking

    Utilizes the CLEFT-Q PROM

    Measured: ~22 years of age

  16. Hearing: puretone average

    Measured: ~5 years of age

  17. Dental: dmft and DMFT scores

    Utilizes the dmft score for deciduous teeth and DMFT score for permanent teeth

    Measured: ~5 years of age

  18. Dental: dmft and DMFT scores

    Utilizes the dmft score for deciduous teeth and DMFT score for permanent teeth

    Measured: ~12 years of age

  19. Dental: dmft and DMFT scores

    Utilizes the dmft score for deciduous teeth and DMFT score for permanent teeth

    Measured: ~22 years of age

  20. Dental: occlusion (Uses modifications of the GOSLON scale)

    Measured: ~5 years of age

  21. Dental: occlusion (Uses modifications of the Bauru scale)

    Measured: ~5 years of age

  22. Dental: occlusion (Uses modifications of the GOSLON scale)

    Measured: ~12 years of age

  23. Dental: occlusion (Uses modifications of the Bauru scale)

    Measured: ~12 years of age

  24. Dental: occlusion (Uses modifications of the GOSLON scale)

    Measured: ~22 years of age

  25. Dental: occlusion (Uses modifications of the Bauru scale)

    Measured: ~22 years of age

  26. Dental: patient-reported outcomes related to mastication

    Uses the CLEFT-Q PROM

    Measured: ~8 years of age

  27. Dental: patient-reported outcomes related to mastication

    Uses the CLEFT-Q PROM

    Measured: ~12 years of age

  28. Dental: patient-reported outcomes related to mastication

    Uses the CLEFT-Q PROM

    Measured: ~22 years of age

  29. Dental: patient-reported outcomes related to oral health

    Uses the COHIP PROM

    Measured: ~8 years of age

  30. Dental: patient-reported outcomes related to oral health

    Uses the COHIP PROM

    Measured: ~12 years of age

  31. Dental: patient-reported outcomes related to oral health

    Uses the COHIP PROM

    Measured: ~22 years of age

  32. Patient-reported outcomes related to eating/drinking

    Uses the CLEFT-Q PROM

    Measured: ~8 years of age

  33. Patient-reported outcomes related to eating/drinking

    Uses the CLEFT-Q PROM

    Measured: ~12 years of age

  34. Patient-reported outcomes related to eating/drinking

    Uses the CLEFT-Q PROM

    Measured: ~22 years of age

  35. Breathing: Patient-reported outcomes related to nasal and oral breathing

    Uses the NOSE PROM

    Measured: ~8 years of age

  36. Breathing: Patient-reported outcomes related to nasal and oral breathing

    Uses the NOSE PROM

    Measured: ~12 years of age

  37. Breathing: Patient-reported outcomes related to nasal and oral breathing

    Uses the NOSE PROM

    Measured: ~22 years of age

  38. Aesthetics: Patient-reported outcomes related to appearance

    Uses the CLEFT-Q PROM

    Measured: ~8 years of age

  39. Aesthetics: Patient-reported outcomes related to appearance

    Uses the CLEFT-Q PROM

    Measured: ~12 years of age

  40. Aesthetics: Patient-reported outcomes related to appearance

    Uses the CLEFT-Q PROM

    Measured: ~22 years of age

  41. Aesthetics: Clinical assessment of nasolabial and facial aesthetics

    Measured: ~2 years of age

  42. Aesthetics: Clinical assessment of nasolabial and facial aesthetics

    Measured: ~5 years of age

  43. Aesthetics: Clinical assessment of nasolabial and facial aesthetics

    Measured: ~8 years of age

  44. Aesthetics: Clinical assessment of nasolabial and facial aesthetics

    Measured: ~12 years of age

  45. Aesthetics: Clinical assessment of nasolabial and facial aesthetics

    Measured: ~22 years of age

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Mar 2016 (estimated)
  2. Study startOct 2016
  3. Primary completionDec 2031 (estimated)
  4. Study completionDec 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,000 participants (estimated)
Target duration
22 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT02702869
Sponsor's protocol ID
Pro00104806
Acronym
ACCQUIREnet
Status last verified
Jan 2026
First submitted
16 Oct 2015
Last updated
7 Jan 2026
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No: This is a collaborative research network. All data processing happens at the coordinating center, with results reviewed by the participating centers.

Questions about this trial

What is this clinical trial studying?

An observational study of Cleft Lip and Cleft Palate, run by Duke University at 11 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 7 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Speech: intelligibility (time frame: ~5 years of age). The study lists 45 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jan 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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