- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05832138
ONLOOP Trial: Evaluating a New Surveillance and Support System for Survivors of Childhood Cancer in Ontario
The treatments that aim to cure cancer in children can lead to "late effects" such as second cancers and heart disease. Screening tests can help find late effects, but most adult survivors of childhood cancer do not complete these tests. These survivors are at risk for harm that can be prevented.
The investigators have developed a program called ONLOOP to remind survivors in Ontario, Canada to get the screening tests they need. ONLOOP reminds survivors who are at higher risk for heart disease, breast cancer, and/or colorectal cancer to complete their echocardiograms, mammograms and breast MRIs, and/or colonoscopies.
The goal of this clinical trial is to find out how well ONLOOP helps adult survivors of childhood cancer complete their screening tests. The investigators also want to see if it could be turned into a long-term program in Ontario. Eligible survivors will be randomly assigned to either receive intervention materials or continue with usual care for 13 months before receiving intervention materials.
The intervention includes usual care plus these ONLOOP materials:
- Study invitation letter and invitation reminder
Those who sign up for ONLOOP will receive personalized health information and a screening reminder. Survivors will receive information about:
- their cancer treatment
- their risk(s) for late effects
- the screening tests they should do
- Participants have the option to provide their family doctor's or nurse practitioner's contact information. For those who consent, the study team will send their family doctor or nurse practitioner a letter with details about their cancer diagnosis and treatment. The letter will also remind them to talk to their patient about their health and screening test(s) needed.
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Emily Lam, MSc
- Phone Number: 416-813-1076
- Email: emily.lam@sickkids.ca
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Survivors of childhood cancer who are currently aged 18 and older
- Diagnosed with cancer before age 18 between 1986-2017
- At least 5 years from most recent childhood cancer event (latest of primary diagnosis, relapse, or second cancer before age 18)
- Treated at one of Ontario's five specialized childhood cancer programs
- Received radiation and/or anthracycline treatment that increased the survivor's risk of cardiomyopathy, breast cancer, and/or colorectal cancer
- Overdue for guideline-recommended surveillance by ≥6 months (mammogram and breast MRI, colonoscopy, and/or echocardiogram)
Exclusion Criteria:
- Was not diagnosed or was not fully treated at one of Ontario's five pediatric cancer centres
- Developed a second cancer or relapse of their primary cancer after age 18
- Not currently living in Ontario or address deemed ineligible by Ontario Health
- Opted out of a similar Ontario Health program (eg, the Ontario Breast Screening Program)
- Previously opted out of receiving invitations for Ontario Health research studies or similar communications
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Usual care plus ONLOOP program materials:
|
Participants will receive ONLOOP program intervention materials: a study invitation letter, personalized health information, and a reminder to complete their guideline-recommended surveillance test(s)
|
Other: Delayed Intervention
Usual care plus delayed ONLOOP: Survivors will receive usual care for 13 months after study invitation packages are mailed out to the intervention arm. At that point, survivors in this group will also receive the study invitation package. |
Participants will receive ONLOOP program intervention materials: a study invitation letter, personalized health information, and a reminder to complete their guideline-recommended surveillance test(s)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Completion of guideline-recommended surveillance tests
Time Frame: 12 months
|
Proportion of survivors who complete one or more of the guideline-recommended cardiac, breast or colon surveillance tests (echocardiography, mammogram and breast MRI, colonoscopy) during the 12 months after study cohort randomization
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Completion of guideline-recommended surveillance tests
Time Frame: 24 months
|
Proportion of survivors who complete one or more of the guideline-recommended cardiac, breast or colon surveillance tests (echocardiography, mammogram and breast MRI, colonoscopy) during the 24 months after study cohort randomization
|
24 months
|
Completion of each type of surveillance test
Time Frame: 12 months, 24 months
|
Proportion of survivors who complete each type of surveillance test (among those eligible for the test)
|
12 months, 24 months
|
Completion of all guideline-recommended surveillance tests
Time Frame: 12 months, 24 months
|
Proportion of survivors who are fully up-to-date according to surveillance guidelines
|
12 months, 24 months
|
Visits to primary care professionals and cancer specialists
Time Frame: 12 months, 24 months
|
Number of outpatient visits to primary care professionals and to cancer specialists
|
12 months, 24 months
|
Use of other healthcare services
Time Frame: 12 months, 24 months
|
Rates of emergency department visits and/or hospitalizations to understand impact on health system resources
|
12 months, 24 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Paul Nathan, MD, MSc, The Hospital for Sick Children
- Principal Investigator: Noah Ivers, MD, PhD, Women's College Hospital
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 4152
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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