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Leukemia, ChildhoodMyPal4KidsNCT04381221

Observational MyPal-Child Study on the ePRO-based Early Palliative Care Digital System in Paediatric Oncology Patients

An observational study of Leukemia, Childhood and Solid Tumor, Childhood, run by Centre for Research and Technology Hellas at 3 sites in 2 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The main aim of the study is the evaluation of the feasibility of comprehensive service which has been developed while considering patient-orientated needs. With regard to the study, apps have been developed for both groups of participants, parents and their child which suffers from cancer. Read more about this study

Who is it for?
Ages 6 to 17 years
Conditions the study is for
Leukemia, Childhood, Solid Tumor, Childhood
How many people
100 participants
Where
3 sitesin 2 countries
Study dates
22 Dec 2020to Sep 2022
Phase
Observational
Are there results?
None posted in the registry

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 6 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Study population: Participants will be recruited in each of the three participating clinical centers. Besides the children patients, an additional group of participants is constituted by the corresponding child's parents. At least one of the parents will be asked to participate in the study as well.

Who may be able to join

  • 6-17 years of age
  • Diagnosed with paediatric leukaemia or solid cancer in the past 12 months
  • Receiving anti-cancer treatment at one of the participating clinical site
  • Have age-appropriate speaking, reading and comprehension skills in either the German or the Czech language
  • Provide signed + informed consent from parents or legal representative and the assent form by all children from the age of 14 years. These documents had been evaluated positively by IEC.
  • Access to an internet connection and mobile device (e.g. smartphone or tablet)
Show all 10Show fewer
  • Parent(s) with a child eligible for the study, as per the inclusion and exclusion-criteria
  • Ability to speak, read and understand German or Czech language
  • Provide signed informed consent by parent(s). These documents had been evaluated positively by IEC.
  • Access to an internet connection and mobile device (e.g. smartphone or tablet)

Who cannot join

  • Anyone who is not able to participate in the study according to the clinical judgment of the site chief investigator or any other authorized person of the research team. This judgment has to be documented for each child not being enrolled.
  • Anyone who is not able to participate in the study according to the clinical judgment of the site chief investigator or any other authorized person of the research team. This judgment has to be documented for each parent not being enrolled.

Trial locations and contacts

3 sites in 2 countries.

Norbert Graf, Professor MD contact

+49 68411628411

graf@uks.eu

Marcel Meyerheim, M.Sc. contact

+49 68411628045

marcel.meyerheim@uks.eu

3 sites in 2 countries

Germany2 sites, 2 recruiting
  • Medical School Hannover

    Hanover, Lower Saxony, 30625

    Annette Sander, MD, Sander.Annette@mh-hannover.de

    Kasra Mirzaie, M.Sc., Mirzaie.Kasra@mh-hannover.de

    Recruiting
  • Saarland University

    Homburg, Saarland, 66424

    Norbert Graf, Professor MD, +49 68411628411, graf@uks.eu

    Marcel Meyerheim, M.Sc., +49 68411628045, marcel.meyerheim@uks.eu

    Recruiting

Other trials in Germany

Czechia1 site, 1 recruiting
  • University Hospital Brno

    Brno, Mähren, 62500

    Petr Lokaj, MD, PLokaj@seznam.cz

    Jana Didi, Magister, Didi.Jana@fnbrno.cz

    Recruiting

Other trials in Czechia

About this study

Official title: Observational Prospective Clinical Feasibility Study of the MyPal ePRO-based Early Palliative Care Digital System in Paediatric Oncology Patients

The main aim of the study is the evaluation of the feasibility of comprehensive service which has been developed while considering patient-orientated needs. With regard to the study, apps have been developed for both groups of participants, parents and their child which suffers from cancer. These apps aim at supporting the documentation and communication of the own condition. This includes for example a video game which can be played via tablet or smartphone in which questions appear addressing the personally perceived burden by children amongst other things. Participants of the study are children between 6 and 17 years of age which suffer from leukemia or tumors. Further participants of the study are at least one of the patient's parents. It is an observational study. Within the course of the study, the usual treatment is not altered actively by the study, it is, however, supplemented by questionnaires which will be analyzed being anonymized after the end of the study running time.

Read the detailed description

The study is designed as observational prospective feasibility study. The main objective is to assess the feasibility of a comprehensive, patient-centred service for palliative care in children with cancer by adapting and advancing ePRO systems, which aim at supporting the communication between the patients, their parents and the treating medical healthcare professionals. Participants of the study are pediatric oncology patients between 6 and 17 years of age and at least one of their parents, receiving treatment at one of the participating clinical centers due to leukemia or solid tumors. With regard to the study, apps have been developed for both groups of participants, which includes inter alia a game in which questions about burden considering symptoms can be answered by the children.

Keywords
Patient-Reported Outcome (PRO), electronic Patient-Reported Outcome (ePRO), Patient-Reported Outcome Measure (PROM), Palliative Care for Children, Supportive Care for Children, Serious Game, eHealth, Mobile Applications, Observative Study
Medical subject headings
Leukemia

What is being measured

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

  1. Recruitment rate, defined as percentage of patients eligible for the study from all patients who were screened for the study.

    This contributes to the primary study objective: to assess the feasibility and acceptability of a comprehensive, patient-centred service for palliative care and pediatric oncology by adapting and advancing ePRO systems. Further to identify differences between the participating clinical medical centers. This outcome measure also contributes to the secondary objective which is to determine the usage and evaluation of the MyPal apps including the gamified ePRO by children with cancer.

    Measured: Regularly each month in the course of 6-month course of study enrollment.

  2. Participation rate, defined as percentage of recruited patients who completed at least 70% of the scheduled questionnaires for 6 months out of all patients eligible for the study

    This contributes to the primary study objective: to assess the feasibility and acceptability of a comprehensive, patient-centred service for palliative care in children with cancer by adapting and advancing ePRO systems. Further to identify differences between the participating clinical medical centers. This outcome measure also contributes to the secondary objective which is to determine the usage and evaluation of the MyPal apps including the gamified ePRO by children with cancer.

    Measured: Regularly each month in the course of 6-month course of study enrollment

  3. Adherence rate to the different components of the MyPal services by documentation of user behavior and qualitative analysis

    This contributes to the primary study objective: to assess the feasibility and acceptability of a comprehensive, patient-centred service for palliative care in children with cancer by adapting and advancing ePRO systems. Further to identify differences between the participating clinical medical centers. This outcome measure also contributes to the secondary objective which is to determine the usage and evaluation of the MyPal apps including the gamified ePRO by children with cancer.

    Measured: Regularly each month in the course of 6-month course of study enrollment

  4. Premature discontinuation rate, defined as percentage of recruited patients who have not been followed-up until the end of 6-month course of study enrollment (withdrawal, death or less than 70% completed questionnaires)

    This contributes to the primary study objective: to assess the feasibility and acceptability of a comprehensive, patient-centred service for palliative care in children with cancer by adapting and advancing ePRO systems. Further to identify differences between the participating clinical medical centers. This outcome measure also contributes to the secondary objective which is to determine the usage and evaluation of the MyPal apps including the gamified ePRO by children with cancer.

    Measured: Regularly each month in the course of 6-month course of study enrollment

  5. System Usability Scale

    Min Value: 0, Max Value: 100, higher scores indicate a better outcome. Quantitative data to assess the feasibility and acceptability of a comprehensive, patient-centred service for palliative care in children with cancer by adapting and advancing ePRO systems. Further to identify differences between the participating clinical medical centers. This outcome measure also contributes to the secondary objective which is to determine the usage and evaluation of the MyPal apps including the gamified ePRO by children with cancer.

    Measured: At the end of the 6-month course of study enrollment

  6. Structured Interviews and Focus Groups

    Qualitative data to assess the feasibility and acceptability of a comprehensive, patient-centred service for palliative care in children with cancer by adapting and advancing ePRO systems. Further to identify differences between the participating clinical medical centers. This outcome measure also contributes to the secondary objective which is to determine the usage and evaluation of the MyPal apps including the gamified ePRO by children with cancer.

    Measured: At the end of the 6-month course of study enrollment

Secondary outcomes (6)
  1. Digital adaption of the Mini-SSpedi / SSPedi questionnaires as ePRO.

    Min Value: 0, Max Value: 5, higher scores indicate a worse outcome. To assess children's symptom burden through an in-game ePRO and optionally as standalone ePRO which can be completed outside the serious game.Further, this contributes to the evidence-base of the effectiveness of ePROs in palliative and supportive care for children with cancer.

    Measured: Once at baseline and several times a week during the 6-month course of study enrollment. The frequency of single questions depends on severity of reported symptom burden.

  2. PedsQL(TM) Cancer Module questionnaire as ePRO.

    Min Value: 0, Max Value: 100, higher scores indicate a better outcome. To demonstrate the appropriateness and acceptability of measures of quality of life of children with cancer.

    Measured: Once at baseline and each month during the 6-month course of study enrollment.

  3. EORTC PATSAT C-33 questionnaire, adapted appropriately as ePRO to consider parents' perception.

    Min Value: 0, Max Value: 100, higher scores indicate a better outcome. To demonstrate the appropriateness and acceptability of measures of parents' satisfaction with cancer care, i.e. the parents' perception of the quality of medical and nursing care as well as the evaluation of the care's organization and the oncology department services. Furthermore to determine usage and evaluation of the MyPal apps including the gamified ePRO for children with cancer.

    Measured: Once at baseline and each month during the 6-month course of study enrollment.

  4. Impact on Family Scale questionnaire as ePRO.

    Higher scale scores indicate a worse outcome. To demonstrate the appropriateness and acceptability of measures of the impact of pediatric illness on the family, specifically with regards to financial impact, family-social impact and personal strain.

    Measured: Once at baseline and each month during the 6-month course of study enrollment.

  5. EQ-5D-3L questionnaire as ePRO.

    Min Value: 11111, Max Value: 33333, higher scores indicate a worse outcome. To demonstrate the appropriateness and acceptability of measures of parents' quality of life having children with cancer. It will be evaluated with regard to the five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.

    Measured: Once at baseline and each month during the 6-month course of study enrollment.

  6. Uniquely developed web-based online questionnaire.

    Higher scores indicate a worse outcome. To determine the impact on health care professionals across Europe due to the integration of ePROs in palliative care by measuring strain parameters etc. caused by the usage of the service which is subject of the study. Furthermore, to contribute to the evidence-base of the effectiveness of ePROs for palliative care for children with cancer

    Measured: Once at the end of the overall course of the study or earlier given the case of changing study staff.

Timeline

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

  1. First posted8 May 2020
  2. Study start22 Dec 2020
  3. Primary completionSep 2022 (estimated)
  4. Study completionSep 2022 (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
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04381221
Sponsor's protocol ID
MyPal4Kids
Other IDs
DRKS00021458, 825872, U1111-1251-0043
Acronym
MyPal4Kids
Status last verified
Mar 2022
First submitted
27 Apr 2020
Last updated
29 Mar 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The research data will not be published as no consent has been obtained for this. In addition, it is sensitive data derived from a vulnerable patient group, i.e. children in palliative care. The research results will only be published in anonymized form and after statistical and qualitative evaluation. The study protocol will be published in a scientific journal. The analyses will be conducted until the end of the project. Publications will be made in accordance with the established criteria for publication of the research results, which can be found in the study protocol, as well as in accordance with national data protection guidelines and internationally applicable provisions of the basic data protection regulation.

Publications

  • Payne S, Begovic D, Salifu Y, Nelson A, Payne C, Downing J, Natsiavas P, Ling J. Applying Digital Health in Cancer and Palliative Care in Europe: Policy Recommendations from an International Expert Workshop (MyPal Project). J Palliat Med. 2024 Feb;27(2):216-223. doi: 10.1089/jpm.2023.0309. Epub 2023 Sep 22.

    PubMed 37738323
  • Meyerheim M, Karamanidou C, Payne S, Garani-Papadatos T, Sander A, Downing J, Stamatopoulos K, Ling J, Payne C, Scarfo L, Lokaj P, Maramis C, Graf N. MyPal-Child study protocol: an observational prospective clinical feasibility study of the MyPal ePRO-based early palliative care digital system in paediatric oncology patients. BMJ Open. 2021 Apr 13;11(4):e045226. doi: 10.1136/bmjopen-2020-045226.

    PubMed 33849855

Questions about this trial

What is this clinical trial studying?

An observational study of Leukemia, Childhood and Solid Tumor, Childhood, run by Centre for Research and Technology Hellas at 3 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 10 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 29 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Germany, Czechia. 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?

Results are not available in the source record.

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

Contact Norbert Graf, Professor MD (+49 68411628411, graf@uks.eu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recruitment rate, defined as percentage of patients eligible for the study from all patients who were screened for the study. (time frame: Regularly each month in the course of 6-month course of study enrollment.). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04381221, which also lists 2 linked publications.

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 29 Mar 2022.

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