Feasibility and Acceptability of Remote Saliva Collection
The purpose of this study is to evaluate the practicality and acceptability of collecting biological samples and health information from childhood survivors of acute lymphoblastic leukemia (ALL) and their siblings. Participants will provide saliva, blood, hair, and fingernail samples, complete questionnaires, and participate in sleep monitoring. The information collected will help researchers understand how cancer treatment and neighborhood conditions may affect stress hormones, inflammation, and long-term health.
Primary Objective
- To evaluate the feasibility of collecting multiple biological specimens, surveys, and sleep assessment among child and adolescent survivors of ALL and their siblings.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
- Diagnostisk test: Salivary Cortisol Collection
- Diagnostisk test: Blood Biomarker Collection
- Diagnostisk test: Hair Cortisol Collection
- Diagnostisk test: Nail Cortisol Collection
- Diagnostisk test: WatchPAT Sleep Assessment
- Adfærdsmæssigt: Morning and Evening Diaries
- Andet: MEMS Cap Adherence Monitoring
- Andet: OnTimePoint Application
- Andet: Survey and Questionnaire Assessment
Detaljeret beskrivelse
Childhood survivors of acute lymphoblastic leukemia (ALL) can experience long-term health problems after cancer treatment. Researchers believe that stress-related biological processes and social factors, such as neighborhood socioeconomic conditions, may influence long-term health outcomes. However, it is not known whether collecting multiple biological samples over several days is practical for survivors and their families.
This feasibility and acceptability study will enroll survivors of childhood ALL, their siblings, and caregivers. Participants may complete study activities through a combination of in-person and remote procedures or through a fully remote option.
Participants will complete an enrollment visit, a baseline visit conducted either in person or remotely, and a telehealth reminder visit. Survivors and siblings will provide saliva, blood, hair, and fingernail samples. Saliva samples will be collected at home five times per day over three days. Participants will also wear a WatchPAT sleep monitoring device and complete morning and evening diaries during the saliva collection period. Questionnaires will assess demographic information, sleep, emotional well-being, family relationships, health behaviors, and other factors that may influence cortisol measurements. Caregivers will complete questionnaires about household and demographic characteristics and provide feedback regarding study acceptability.
Blood samples will be used to measure markers of inflammation and hormone function. Saliva, hair, and fingernail samples will be used to evaluate cortisol, a biological marker related to stress and hypothalamic-pituitary-adrenal (HPA) axis functioning. The study will also explore associations between neighborhood socioeconomic status and biological measures of cortisol and inflammation. Findings from this feasibility study will be used to inform the design of future research investigating the effects of cancer treatment and social environments on long-term health outcomes among childhood ALL survivors.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Bria Gresham, PhD
- Telefonnummer: 866-278-5833
- E-mail: referralinfo@stjude.org
Studiesteder
-
-
Tennessee
-
Memphis, Tennessee, Forenede Stater, 38105
- Rekruttering
- St. Jude Children's Research Hospital
-
Kontakt:
- Bria Gresham, PhD
- Telefonnummer: 866-278-5833
- E-mail: referralinfo@stjude.org
-
Ledende efterforsker:
- Bria Gresham, PhD
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
The study population will include child and adolescent survivors of ALL, their siblings, and caregivers.
Beskrivelse
Inclusion Criteria:
SURVIVORS
-
The survivor is a childhood survivor of Acute Lymphocytic Leukemia (ALL).
-
The survivor was treated on one of the following St. Jude Total Therapy Studies:
- TOTAL Therapy study XVI for Newly Diagnosed Patients with ALL (TOTXVI) OR
- Total Therapy for Children with Acute Lymphoblastic Leukemia and Lymphoma (TOT17)
-
The survivor is cancer-free.
-
The survivor is at least 5 years out from the ALL diagnosis.
-
The survivor is at least 2 years out from completion of treatment.
-
The survivor did not receive cranial therapy as part of ALL therapy.
-
The survivor is aged ≥8 to 18 years old at the time of enrollment.
-
The survivor has completed their After Completion of Therapy (ACT) clinic consultation.
-
The survivor is able to speak and read English.
-
The survivor has internet access.
SIBLINGS
- The sibling has a brother or sister who is an ALL survivor participating in this study.
- The sibling is aged ≥8 to18 years old at the time of enrollment.
- The sibling is able to speak and read English.
- The sibling has internet access.
CAREGIVERS
- The caregiver provides primary care or support to an ALL survivor that is in this study.
- The caregiver resides in the home full-time with enrolled survivor and sibling.
- The caregiver is able to speak and read English.
- The caregiver has internet access.
- The caregiver is willing and able to assist with at home biospecimen collection.
Exclusion Criteria:
SURVIVORS and SIBLINGS
- Survivor and/or sibling has a diagnosis of Down's Syndrome.
- Survivor and/or sibling has a diagnosis of autism spectrum disorder.
- Survivor and/or sibling has a diagnosis of another pervasive developmental disorder not listed above.
- Survivor and/or sibling has a history of prolonged treatment with steroid medications or systemic glucocorticoids for reasons other than ALL.
- Survivor and/or sibling resides outside of the United States.
- Inability or unwillingness of survivor and/or sibling and/or legal guardian/representative to give written informed consent.
CAREGIVERS Note: There are no exclusion criteria for caregivers.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: COHORT
- Tidsperspektiver: PROSPECTIVE
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Childhood ALL Survivors
Childhood survivors of acute lymphoblastic leukemia treated on St. Jude Total Therapy XVI or Total Therapy 17 protocols who meet survivorship and age eligibility requirements. |
Participants collect five saliva samples per day on three days within a 14-day period (wake, +30 min, +45 min, +60 min, bedtime) to assess diurnal cortisol rhythm and cortisol awakening response.
Andre navne:
Collection of blood samples to measure high-sensitivity C-reactive protein, pro-inflammatory cytokines, dehydroepiandrosterone, and luteinizing hormone. Hybrid participants undergo venipuncture (~3 mL blood). Remote participants use the FDA-approved RedDrop One capillary blood collection device.
Andre navne:
Collection of a small hair sample from the posterior vertex of the scalp to measure long-term cortisol exposure. Hair is cut close to the scalp and stored for laboratory analysis.
Andre navne:
Fingernail clippings from all ten fingernails are collected to measure nail cortisol levels.
Andre navne:
FDA-approved wearable sleep assessment device used to measure sleep/wake times and sleep quality during the saliva collection period.
Andre navne:
Participants complete brief morning and evening diaries to record sleep, caffeine intake, medication use, symptoms, stress, affect, daily events, and other factors that may influence cortisol measurements. Electronic caps used with saliva collection tubes to record date and time of each bottle opening, providing objective assessment of saliva collection adherence.
Andre navne:
Mobile/web-based application that provides saliva collection reminders and records sample collection timing and participant-reported wake times. Collection of demographic, psychosocial, sleep, medication, socioeconomic, acceptability, and health-related survey data from survivors, siblings, and caregivers. |
|
Siblings of ALL Survivors
Biological or household siblings of enrolled ALL survivors, aged 8-18 years. |
Participants collect five saliva samples per day on three days within a 14-day period (wake, +30 min, +45 min, +60 min, bedtime) to assess diurnal cortisol rhythm and cortisol awakening response.
Andre navne:
Collection of blood samples to measure high-sensitivity C-reactive protein, pro-inflammatory cytokines, dehydroepiandrosterone, and luteinizing hormone. Hybrid participants undergo venipuncture (~3 mL blood). Remote participants use the FDA-approved RedDrop One capillary blood collection device.
Andre navne:
Collection of a small hair sample from the posterior vertex of the scalp to measure long-term cortisol exposure. Hair is cut close to the scalp and stored for laboratory analysis.
Andre navne:
Fingernail clippings from all ten fingernails are collected to measure nail cortisol levels.
Andre navne:
FDA-approved wearable sleep assessment device used to measure sleep/wake times and sleep quality during the saliva collection period.
Andre navne:
Participants complete brief morning and evening diaries to record sleep, caffeine intake, medication use, symptoms, stress, affect, daily events, and other factors that may influence cortisol measurements. Electronic caps used with saliva collection tubes to record date and time of each bottle opening, providing objective assessment of saliva collection adherence.
Andre navne:
Mobile/web-based application that provides saliva collection reminders and records sample collection timing and participant-reported wake times. Collection of demographic, psychosocial, sleep, medication, socioeconomic, acceptability, and health-related survey data from survivors, siblings, and caregivers. |
|
Caregivers
Primary caregivers residing full-time with enrolled survivors and siblings. |
Collection of demographic, psychosocial, sleep, medication, socioeconomic, acceptability, and health-related survey data from survivors, siblings, and caregivers. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Enrollment Feasibility
Tidsramme: Baseline through study completion, approximately 3 months after enrollment
|
Proportion of participants approached that enroll in the study |
Baseline through study completion, approximately 3 months after enrollment
|
|
Saliva Sampling Feasibility
Tidsramme: Baseline through study completion, approximately 3 months after enrollment
|
Proportion of participants who complete the saliva sampling procedures will adhere to the timing of the saliva sampling |
Baseline through study completion, approximately 3 months after enrollment
|
|
Blood Sampling Feasibility
Tidsramme: Baseline through study completion, approximately 3 months after enrollment
|
Proportion of participants enrolled who complete the blood sample collection |
Baseline through study completion, approximately 3 months after enrollment
|
|
Hair Sampling Feasibility
Tidsramme: Baseline through study completion, approximately 3 months after enrollment
|
Proportion of participants enrolled that completed the hair sample collection |
Baseline through study completion, approximately 3 months after enrollment
|
|
Fingernail Sampling Feasibility
Tidsramme: Baseline through study completion, approximately 3 months after enrollment
|
Proportion of participants enrolled that completed the fingernail sample collection |
Baseline through study completion, approximately 3 months after enrollment
|
|
Overall Study Procedure Feasibility
Tidsramme: Baseline through study completion, approximately 3 months after enrollment
|
Proportion of participants enrolled that completed each study procedure |
Baseline through study completion, approximately 3 months after enrollment
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Saliva Sampling Acceptability-Acceptability Measure
Tidsramme: Post study, approximately 3 months after enrollment
|
A measure of saliva sampling acceptability. Scores of ≥4 on a 5-point Likert scale will be indicative of intervention acceptability. |
Post study, approximately 3 months after enrollment
|
|
Blood Sampling Acceptability-Acceptability Measure
Tidsramme: Post study, approximately 3 months after enrollment
|
A measure of blood sampling acceptability. Scores of ≥4 on a 5-point Likert scale will be indicative of intervention acceptability. |
Post study, approximately 3 months after enrollment
|
|
Hair Sampling Acceptability-Acceptability Measure
Tidsramme: Post study, approximately 3 months after enrollment
|
A measure of hair sampling acceptability. Scores of ≥4 on a 5-point Likert scale will be indicative of intervention acceptability. |
Post study, approximately 3 months after enrollment
|
|
Fingernail Sampling Acceptability-Acceptability Measure
Tidsramme: Post study, approximately 3 months after enrollment
|
A measure of fingernail sampling acceptability. Scores of ≥4 on a 5-point Likert scale will be indicative of intervention acceptability. |
Post study, approximately 3 months after enrollment
|
|
Overall Biospecimen Acceptability-Acceptability Measure
Tidsramme: Post study, approximately 3 months after enrollment
|
A measure of overall biospecimen acceptability. Scores of ≥4 on a 5-point Likert scale will be indicative of intervention acceptability. |
Post study, approximately 3 months after enrollment
|
|
Overall Study Procedure Acceptability-Acceptability Measure
Tidsramme: Post study, approximately 3 months after enrollment
|
A measure of overall study acceptability. Scores of ≥4 on a 5-point Likert scale will be indicative of overall study acceptability. |
Post study, approximately 3 months after enrollment
|
|
Neighborhood Socioeconomic Status (nSES)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with cortisol awakening response. Cortisol awakening response will be measured via the slope of four morning saliva samples (upon waking, +30 minutes, +45 minutes, +60 minutes) across three days, with values at each time point averaged across days. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Cortisol Diurnal Rhythm
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with cortisol diurnal rhythm. Cortisol diurnal rhythm will be measured via the slope of five daily saliva samples (upon waking, +30 minutes, +45 minutes, +60 minutes, bedtime) across three days, with values at each time point averaged across days. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Hair Cortisol Concentration
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with hair cortisol concentration. Hair cortisol concentration will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Nail Cortisol Concentration
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with nail cortisol concentration. Nail cortisol concentration will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and High-Sensitivity C-Reactive Protein (hs-CRP)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with high-sensitivity c-reactive protein (hs-CRP). Plasma hs-CRP will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Interferon gamma (IFN-y)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with interferon gamma (IFN-y). Plasma IFN-y will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Interleukin 1 beta (IL-1β)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with interleukin 1 beta (IL-1β). Plasma IL-1β will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Interleukin 2 (IL-2)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with interleukin 2 (IL-2). Plasma IL-2 will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Interleukin 4 (IL-4)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with interleukin 4 (IL-4). Plasma IL-4 will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Interleukin 6 (IL-6)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with interleukin 6 (IL-6). Plasma IL-6 will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Interleukin 10 (IL-10)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with interleukin 10 (IL-10). Plasma IL-10 will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Interleukin 12 (IL-12p70)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with interleukin 12 (IL-12p70). Plasma IL-12p70 will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Interleukin 17A (IL-17A)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with interleukin 17A (IL-17A). Plasma IL-17A will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
|
Neighborhood Socioeconomic Status (nSES) and Tumor Necrosis Factor - alpha (TNF- α)
Tidsramme: Post study, approximately 6 months after accrual ends
|
Determine whether neighborhood socioeconomic status (nSES), operationalizing using participants' address histories to estimate long-term neighborhood conditions, is associated with Tumor Necrosis Factor - alpha (TNF- α). Plasma (TNF- α) will be evaluated as a continuous measure. |
Post study, approximately 6 months after accrual ends
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Bria Gresham, PhD, St. Jude Children's Research Hospital
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Neoplasmer
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Hæmatologiske sygdomme
- Lymfesygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Leukæmi, lymfoid
- Leukæmi
- Hemiske og lymfatiske sygdomme
- Precursorcelle lymfoblastisk leukæmi-lymfom
- Sundhedsvæsenets kvalitet, adgang og evaluering
- Undersøgelsesteknikker
- Epidemiologiske metoder
- Terapeutik
- Håndtering af eksemplar
- Kliniske laboratorieteknikker
- Diagnostiske teknikker og procedurer
- Diagnose
- Punkteringer
- Kirurgiske procedurer, operative
- Dataindsamling
- Evalueringsmekanismer til sundhedsvæsenet
- Sundhedskvalitet
- Folkesundhed
- Miljø og folkesundhed
- Undersøgelser og spørgeskemaer
- Phlebotomy
- Blodprøveopsamling
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- FARSC
- U54CA302464 (U.S. NIH-bevilling/kontrakt)
- NCI-2026-06979 (Anden identifikator: NCI Clinical Trial Registration Program)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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