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Transplant-Related DisorderNCT05441436

Neuropsychological and Biopsychosocial Evolution During Pediatric Transplantation: Pre/Post-stages and at 6 Months

An observational study of Transplant-Related Disorder, run by Hospital Universitario La Paz at 2 sites in Spain.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

This pioneering prospective observational study aims to examine biopsychosocial and neuropsychological functioning, care needs and predictors of therapeutic adherence in children/adolescents in pre/post-surgical transplant (solid organ or allogeneic haematopoietic stem cell) phases. Hypothesis: H1. Read more about this study

Who is it for?
Ages 8 to 18 years
Conditions the study is for
Transplant-Related Disorder
What is being tested?
Allogeneic hematopoietic stem cell transplantation and Solid organ transplantation
Type of treatment
Surgery or procedure
How many people
60 participants
Where
2 sitesSpain
Study dates
26 May 2022to 26 May 2025
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 8 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: Potential participants will be all children and adolescents in the imminent phase of being included in the waiting list for a transplant of any solid organ (single or combined), or allogeneic haematopoietic stem cell.

Who may be able to join

  • Spanish as mother tongue or a very high level of Spanish in order to understand their participation in the study, as well as to be able to complete the measurement instruments.

Who cannot join

  • Diagnosis of intellectual disability, autism spectrum disorder or acquired brain damage.
  • Diagnosis of uncontrolled/stabilised comorbid disease, independent of the disease motivating the transplantation process.

Trial locations and contacts

2 sites in 1 country.

Eduardo Fernández-Jiménez, PhD contact

+34630305521498401

eduferjim.psyc@gmail.com

Spain2 sites, 1 recruiting
  • Hospital Universitario La Paz. Hospital infantil

    Madrid, 28046

    Eduardo Fernández Jiménez, PhD, +34630305521498401, eduferjim.psyc@gmail.com

    María Fe Bravo Ortiz, PhD

    Recruiting
  • University of Málaga

    Málaga, 29071

    Active, not recruiting

Other trials in Spain

About this study

Official title: Identification of Needs and Neuropsychological and Biopsychosocial Evolution in the Pre/Post-transplant and 6-month Follow-up Phases in Pediatric Population (the TransplantKIDS Mental Health Project)

This pioneering prospective observational study aims to examine biopsychosocial and neuropsychological functioning, care needs and predictors of therapeutic adherence in children/adolescents in pre/post-surgical transplant (solid organ or allogeneic haematopoietic stem cell) phases. Hypothesis: H1. Differences in biopsychosocial and neuropsychological functioning and adherence will be observed between transplant types; H2. Executive functioning will mediate the relationship between anxiety, sleep disturbance and pain intensity/interference and adherence; H3. There will be a significant improvement in different neuropsychological indicators 6 months post-transplantation. Sample: patients (8-18 years) extracted by non-probabilistic sampling, estimating a sample size of 60 patients (30 for each type of transplant, organ and haematopoietic) from Hospital Universitario La Paz (Madrid). Individual pre/post-surgical assessments will be carried out (after 2 and 4 weeks), as well as at 6 months post-transplant, both in person (neurocognitive) and through the secure platform REDCap (completed by patients and their legal guardians). Finally, focus groups will be conducted among patients, their relatives and medical-surgical professionals to identify barriers to therapeutic adherence and unmet care needs during the pre-, peri- and post-surgical process.

Being tested
Allogeneic hematopoietic stem cell transplantation, Solid organ transplantation
Keywords
Pediatric Solid Organ Transplant, Pediatric Allogeneic Hematopoietic Transplant, Neuropsychology, Biopsychosocial

What participants receive

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

Study groups in NCT05441436
Study groupRoleWhat they receive
Allogeneic hematopoietic stem cell transplantationPatients in waiting list for and after allogeneic hematopoietic stem cell transplantation.
Receives: Procedure: Allogeneic hematopoietic stem cell transplantation
Solid organ transplantationPatients in waiting list for and after solid organ transplantation.
Receives: Procedure: Solid organ transplantation

What is being measured

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

  1. Initial survey created ad hoc

    Both sociodemographic variables (sex, age, patient's level of studies, parents' level of studies) and clinical variables (current pharmacological treatment - active ingredient and dose) will be collected.

    Measured: Baseline

  2. Behavior Rating Inventory of Executive Function - 2 (BRIEF-2)

    A 63-item questionnaire that assesses patient's executive functions (completed by parents). Higher scores in each domain indicate a worse outcome. Spanish norms in T scores (Mean = 50; standard deviation = 10).

    Measured: Baseline

  3. Behavior Rating Inventory of Executive Function - 2 (BRIEF-2)

    A 63-item questionnaire that assesses patient's executive functions (completed by parents). Higher scores in each domain indicate a worse outcome. Spanish norms in T scores (Mean = 50; standard deviation = 10).

    Measured: 6 months

  4. Spanish version of the California Verbal Learning Test for children (TAVECI)

    Assessment of verbal memory in children 3 to 16 years old by the maximum number of remembered elements.

    Measured: Baseline

  5. Spanish version of the California Verbal Learning Test (TAVEC)

    Assessment of verbal memory for adolescents 16 to 18 years old by the maximum number of remembered elements.

    Measured: Baseline

  6. Spanish version of the California Verbal Learning Test for children (TAVECI)

    Assessment of verbal memory in children 3 to 16 years old by the maximum number of remembered elements.

    Measured: 6 months

  7. Spanish version of the California Verbal Learning Test (TAVEC)

    Assessment of verbal memory for adolescents 16 to 18 years old by the maximum number of remembered elements.

    Measured: 6 months

  8. Conners Continuous Auditory Test of Attention (CATA)

    It measures auditory sustained attention. Omissions and commissions are measured for 5 different dimensions: inattentiveness, impulsivity, sustained attention, auditory laterality and auditory mobility.

    Measured: Baseline

  9. Conners Continuous Auditory Test of Attention (CATA)

    It measures auditory sustained attention. Omissions and commissions are measured for 5 different dimensions: inattentiveness, impulsivity, sustained attention, auditory laterality and auditory mobility.

    Measured: 4 weeks

  10. Conners Continuous Auditory Test of Attention (CATA)

    It measures auditory sustained attention. Omissions and commissions are measured for 5 different dimensions: inattentiveness, impulsivity, sustained attention, auditory laterality and auditory mobility.

    Measured: 6 months

  11. Test of Nonverbal Intelligence, Fourth Edition (TONI-4) form A

    It assesses intellectual functioning free of cultural influences by the total number of items achieved.

    Measured: Baseline

  12. Test of Nonverbal Intelligence, Fourth Edition (TONI-4) form B

    It assesses intellectual functioning free of cultural influences by the total number of items achieved.

    Measured: 6 months

  13. Digit span subtests from the Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V) or the Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV): Forward, Backward and Sequencing subtests

    It evaluates span of immediate recall and verbal working memory by the total number of items achieved and the maximum number of remembered elements.

    Measured: Baseline

  14. Digit span subtests from the Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V) or the Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV): Forward, Backward and Sequencing subtests

    It evaluates span of immediate recall and verbal working memory by the total number of items achieved and the maximum number of remembered elements.

    Measured: 4 weeks

  15. Digit span subtests from the Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V) or the Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV): Forward, Backward and Sequencing subtests

    It evaluates span of immediate recall and verbal working memory by the total number of items achieved and the maximum number of remembered elements.

    Measured: 6 months

  16. Vocabulary subtest from the Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V) or the Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV)

    It measures semantic memory by the total number of items achieved.

    Measured: Baseline

  17. Vocabulary subtest from the Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V) or the Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV)

    It measures semantic memory by the total number of items achieved.

    Measured: 6 months

  18. Symbol Digit Modalities Test (SDMT)

    It assesses processing speed by the total number of items achieved.

    Measured: Baseline

  19. Symbol Digit Modalities Test (SDMT)

    It assesses processing speed by the total number of items achieved.

    Measured: 4 weeks

  20. Symbol Digit Modalities Test (SDMT)

    It assesses processing speed by the total number of items achieved.

    Measured: 6 months

  21. The Rey-Osterrieth Complex Figure (ROCF) test

    It measures viso-constructive organisational ability and immediate and delayed visual recall. One point is awarded for each component that is properly reproduced.

    Measured: Baseline

  22. The Rey-Osterrieth Complex Figure (ROCF) test

    It measures viso-constructive organisational ability and immediate and delayed visual recall. One point is awarded for each component that is properly reproduced.

    Measured: 6 months

  23. Fluency Verbal Test (TFV)

    It assesses linguistic-executive functions such as phonological fluency and semantic fluency. One point is awarded for each word that is correctly produced.

    Measured: Baseline

  24. Fluency Verbal Test (TFV)

    It assesses linguistic-executive functions such as phonological fluency and semantic fluency. One point is awarded for each word that is correctly produced.

    Measured: 6 months

  25. Behavioral Assessment System for Children - 3 (BASC-3)

    It measures patients' emotional and behavioural problems, both in its version by the patient's legal guardians and self-reported by the patient. It is an 139-item report, rated on a 4-point frequency Likert scale. High scores indicate problematic levels of functioning. Spanish norms in T scores (Mean = 50; standard deviation = 10).

    Measured: Baseline

  26. Behavioral Assessment System for Children - 3 (BASC-3)

    It measures patients' emotional and behavioural problems, both in its version by the patient's legal guardians and self-reported by the patient. It is an 139-item report, rated on a 4-point frequency Likert scale. High scores indicate problematic levels of functioning. Spanish norms in T scores (Mean = 50; standard deviation = 10).

    Measured: 6 months

  27. Brief Pain Inventory (BPI)

    This 10-item questionnaire includes questions (from 0 to 10 referring to the last 7 days) covering two dimensions: pain intensity (worst and mildest pain in the week, average pain, and current pain), and pain interference (with general activity, mood, walking, school, sleep, as well as enjoyment of life). Higher scores on a Likert scale from 0-10 indicate more pain.

    Measured: Baseline

  28. Brief Pain Inventory (BPI)

    This 10-item questionnaire includes questions (from 0 to 10 referring to the last 7 days) covering two dimensions: pain intensity (worst and mildest pain in the week, average pain, and current pain), and pain interference (with general activity, mood, walking, school, sleep, as well as enjoyment of life). Higher scores on a Likert scale from 0-10 indicate more pain.

    Measured: 2 weeks

  29. Brief Pain Inventory (BPI)

    This 10-item questionnaire includes questions (from 0 to 10 referring to the last 7 days) covering two dimensions: pain intensity (worst and mildest pain in the week, average pain, and current pain), and pain interference (with general activity, mood, walking, school, sleep, as well as enjoyment of life). Higher scores on a Likert scale from 0-10 indicate more pain.

    Measured: 4 weeks

  30. Brief Pain Inventory (BPI)

    This 10-item questionnaire includes questions (from 0 to 10 referring to the last 7 days) covering two dimensions: pain intensity (worst and mildest pain in the week, average pain, and current pain), and pain interference (with general activity, mood, walking, school, sleep, as well as enjoyment of life). Higher scores on a Likert scale from 0-10 indicate more pain.

    Measured: 6 months

  31. Adolescent Insomnia Questionnaire (AIQ)

    It is a 13-item questionnaire whose original version is in English. In the present study, this questionnaire will be adapted and validated into Spanish. Higher scores on a Likert scale from 0-4 indicate more insomnia.

    Measured: Baseline

  32. Adolescent Insomnia Questionnaire (AIQ)

    It is a 13-item questionnaire whose original version is in English. In the present study, this questionnaire will be adapted and validated into Spanish. Higher scores on a Likert scale from 0-4 indicate more insomnia.

    Measured: 2 weeks

  33. Adolescent Insomnia Questionnaire (AIQ)

    It is a 13-item questionnaire whose original version is in English. In the present study, this questionnaire will be adapted and validated into Spanish. Higher scores on a Likert scale from 0-4 indicate more insomnia.

    Measured: 4 weeks

  34. Adolescent Insomnia Questionnaire (AIQ)

    It is a 13-item questionnaire whose original version is in English. In the present study, this questionnaire will be adapted and validated into Spanish. Higher scores on a Likert scale from 0-4 indicate more insomnia.

    Measured: 6 months

  35. Pediatric Sleep Disturbances Short Form (PROMIS)

    A 4-item questionnaire that assesses problems with sleep reconciliation and sleep maintenance in the last 7 days. Higher scores on a Likert scale from 1-5 indicate worse sleep.

    Measured: Baseline

  36. Pediatric Sleep Disturbances Short Form (PROMIS)

    A 4-item questionnaire that assesses problems with sleep reconciliation and sleep maintenance in the last 7 days. Higher scores on a Likert scale from 1-5 indicate worse sleep.

    Measured: 2 weeks

  37. Pediatric Sleep Disturbances Short Form (PROMIS)

    A 4-item questionnaire that assesses problems with sleep reconciliation and sleep maintenance in the last 7 days. Higher scores on a Likert scale from 1-5 indicate worse sleep.

    Measured: 4 weeks

  38. Pediatric Sleep Disturbances Short Form (PROMIS)

    A 4-item questionnaire that assesses problems with sleep reconciliation and sleep maintenance in the last 7 days. Higher scores on a Likert scale from 1-5 indicate worse sleep.

    Measured: 6 months

  39. Simplified Medication Adherence Questionnaire (SMAQ)

    A 6-item self-report that measures adherence to medication. For items 1-4 yes or no answers are required. Item 5 requires a multiple choice answer in terms of frequency (5 different options are provided). Item 6 requires a number input. The final score is a dichotomous variable: non-adherent versus adherent patient.

    Measured: Baseline

  40. Simplified Medication Adherence Questionnaire (SMAQ)

    A 6-item self-report that measures adherence to medication. For items 1-4 yes or no answers are required. Item 5 requires a multiple choice answer in terms of frequency (5 different options are provided). Item 6 requires a number input. The final score is a dichotomous variable: non-adherent versus adherent patient.

    Measured: 2 weeks

  41. Simplified Medication Adherence Questionnaire (SMAQ)

    A 6-item self-report that measures adherence to medication. For items 1-4 yes or no answers are required. Item 5 requires a multiple choice answer in terms of frequency (5 different options are provided). Item 6 requires a number input. The final score is a dichotomous variable: non-adherent versus adherent patient.

    Measured: 4 weeks

  42. Simplified Medication Adherence Questionnaire (SMAQ)

    A 6-item self-report that measures adherence to medication. For items 1-4 yes or no answers are required. Item 5 requires a multiple choice answer in terms of frequency (5 different options are provided). Item 6 requires a number input. The final score is a dichotomous variable: non-adherent versus adherent patient.

    Measured: 6 months

Timeline

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

  1. First posted1 Jul 2022
  2. Study start26 May 2022
  3. Primary completion26 May 2025 (estimated)
  4. Study completion26 May 2025 (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
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05441436
Sponsor's protocol ID
5223
Status last verified
Jun 2022
First submitted
13 Jun 2022
Last updated
1 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Garrido-Bolton J, de la Vega R, Bravo-Ortiz MF, Fernandez-Jimenez E. Experiences of parents and adolescents throughout the solid-organ transplantation process: a focus group study. Front Psychiatry. 2026 Aug 5;17:1633641. doi: 10.3389/fpsyt.2026.1633641. eCollection 2026.

    PubMed 42621938
  • Garrido-Bolton J, Alcami-Pertejo M, de la Vega R, Hernandez-Oliveros F, Perez-Martinez A, Bravo-Ortiz MF, Fernandez-Jimenez E. Neuropsychological and biopsychosocial evolution, therapeutic adherence and unmet care needs during paediatric transplantation: study protocol of a mixed-methods design (observational cohort study and focus groups) - the TransplantKIDS mental health project. Front Psychol. 2024 Feb 21;15:1308418. doi: 10.3389/fpsyg.2024.1308418. eCollection 2024.

    PubMed 38449767

Questions about this trial

What is this clinical trial studying?

An observational study of Transplant-Related Disorder, run by Hospital Universitario La Paz at 2 sites in Spain.

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 1 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 1 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Spain. 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 Eduardo Fernández-Jiménez, PhD (+34630305521498401, eduferjim.psyc@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Initial survey created ad hoc (time frame: Baseline). The study lists 42 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 NCT05441436, 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 1 Jul 2022.

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