CancerNCT07865013
AYA Cancer Transitions Program
A study testing Transitions Program in people with Cancer and Cancer Survivorship, run by University of Kansas Medical Center.
Trial summary
This is a single-arm, minimal-risk, interventional behavioral clinical trial embedding structured transition support for adolescent and young adult (AYA) survivors of pediatric cancer transitioning into adult-focused survivorship care. Read more about this study
- Who is it for?
- Ages 18 to 24 years
- Conditions the study is for
- Cancer, Cancer Survivorship, Adolescent and Young Adult Cancer Survivors
- What is being tested?
- Transitions Program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- No sites listed yet
- Study dates
- Jan 2027to Dec 2030
- Phase
- Interventional
- 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 18 to 24 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 18-24 years of age at recruitment
- Referral to adult survivorship clinic
- Primary cancer diagnosis occurred at age 21 years or younger
- English language proficiency.
Who cannot join
- Undergoing active treatment for cancer or recurrence
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
Kari Streumph, PhD contact
About this study
This is a single-arm, minimal-risk, interventional behavioral clinical trial embedding structured transition support for adolescent and young adult (AYA) survivors of pediatric cancer transitioning into adult-focused survivorship care. Aims are to improve AYA transition from pediatric to adult survivorship care and to enhance AYA access to fertility education and care.
Patient Participants will:
- Complete a pre-transition developmental needs assessment
- Receive up to 2 years of AYA nurse navigation support
- Conditions
- Cancer, Cancer Survivorship, Adolescent and Young Adult Cancer Survivors, Transitions of Care
- Being tested
- Transitions Program
- Keywords
- Cancer, Adolescent, Young Adult, AYA, Transitions of care, Cancer Survivorship
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transitions ProgramBehavioural
Participants will receive:
- A pre-transition developmental needs assessment
- Up to 2 years of AYA nurse navigation support
| Study group | Role | What they receive |
|---|---|---|
| Transitions Program | Experimental | Participants will receive:
1. A pre-transition developmental needs assessment
2. Up to 2 years of AYA nurse navigation support Receives: Behavioral: Transitions Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary outcome is transition success (Goal: 80% of referred)
Medical record abstraction will be used to collect detailed information on each participant's cancer history and follow-up care. This process will include extraction of key clinical data such as cancer diagnosis, dates of treatment, treatment location, and specific treatment modalities, including radiation and chemotherapy doses. Additional information on relapse history, occurrence of secondary malignancies, and adherence to COG screening recommendations will also be obtained. Data on subspecialty referrals, scheduled appointment dates, and attendance at those appointments will be recorded to assess patterns of care and follow-up.
Measured: Medical record abstraction at baseline and annually for 3 years.
Secondary outcomes (7)
Adolescent and young adult engagement and feedback
Semi-structured interviews with AYA patients will collect qualitative feedback focused on feasibility, acceptability, and utility of the program. For AYAs who do not participate in the program, interviews will inquire about barriers or reasons for non-participation.
Interviews will focus on the following core topics: overall experience with pre-transition assessment and navigation, clarity and relevance of information provided, access to recommended resources and barriers, fertility education experience and referrals, self-management and transition readiness changes, suggestions to improve the program, and preferred mode/timing of contacts.
Measured: Assessed by structured interviews at 18 & 36 mo.
Adherence to Children's Oncology Group (COG) survivorship guidelines.
Medical record abstraction will be used to collect detailed information on each participant's cancer history and follow-up care. This process will include extraction of key clinical data such as cancer diagnosis, dates of treatment, treatment location, and specific treatment modalities, including radiation and chemotherapy doses. Additional information on relapse history, occurrence of secondary malignancies, and adherence to COG screening recommendations will also be obtained. Data on subspecialty referrals, scheduled appointment dates, and attendance at those appointments will be recorded to assess patterns of care and follow-up.
Measured: Will be assessed by medical record abstraction at baseline, and annually for 3 years.
Demographic and diversity-related factors of representation
The Behavioral Measurement-Based Care in Psychiatry (BMCP) Diversity Dimensions Measurement Tool is a checklist assessing demographic and diversity-related factors to examine representation. After baseline, we will shorten this measure by only including demographic factors that have potential to change over time.
Measured: Will be assessed at baseline and years 1-3.
Transition Readiness
The Transition Readiness Assessment Questionnaire (TRAQ13) is a questionnaire assessing preparedness for transition to adult healthcare.
Measured: Will be measured at baseline and years 1-3.
Health-Related Quality of Life
National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS)-29+2 is a tool to measure health-related quality of life.
Measured: Will be measured at baseline and years 1-3.
Reproductive Concerns
The Reproductive Concerns after Cancer (RCAC) scale is an instrument used to measure concerns regarding fertility and parenthood among AYA cancer survivors.
Measured: Will be measured at baseline and years 1-3.
Economic Impact of Illness
COST-FACIT instrument quantifies the economic impact of illness from a patient's perspective (particularly in cancer care).
Measured: Will be measured at baseline and years 1-3.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Oct 2026
- Study startJan 2027 (estimated)
- Primary completionDec 2030 (estimated)
- Study completionDec 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (12)Papers the sponsor has linked to this study.
- Other trials for CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Kansas Medical Center
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Carolyn Bates, PhD, University of Kansas Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07865013
- Sponsor's protocol ID
- STUDY00162219
- Status last verified
- Oct 2026
- First submitted
- 17 Sep 2026
- Last updated
- 8 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Gorman JR, Drizin JH, Malcarne VL, Hsieh TC. Measuring the Multidimensional Reproductive Concerns of Young Adult Male Cancer Survivors. J Adolesc Young Adult Oncol. 2020 Dec;9(6):613-620. doi: 10.1089/jayao.2019.0146. Epub 2020 Apr 16.
PubMed 32298593Quinn GP, Bowman Curci M, Reich RR, Gwede CK, Meade CD; ENRICH/ECHO Working Group; Vadaparampil ST. Impact of a web-based reproductive health training program: ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare). Psychooncology. 2019 May;28(5):1096-1101. doi: 10.1002/pon.5063. Epub 2019 Apr 5.
PubMed 30882960de Souza JA, Yap BJ, Wroblewski K, Blinder V, Araujo FS, Hlubocky FJ, Nicholas LH, O'Connor JM, Brockstein B, Ratain MJ, Daugherty CK, Cella D. Measuring financial toxicity as a clinically relevant patient-reported outcome: The validation of the COmprehensive Score for financial Toxicity (COST). Cancer. 2017 Feb 1;123(3):476-484. doi: 10.1002/cncr.30369. Epub 2016 Oct 7.
PubMed 27716900Siembida EJ, Reeve BB, Zebrack BJ, Snyder MA, Salsman JM. Measuring health-related quality of life in adolescent and young adult cancer survivors with the National Institutes of Health Patient-Reported Outcomes Measurement Information System(R) : Comparing adolescent, emerging adult, and young adult survivor perspectives. Psychooncology. 2021 Mar;30(3):303-311. doi: 10.1002/pon.5577. Epub 2020 Oct 30.
PubMed 33073416Cella D, Riley W, Stone A, Rothrock N, Reeve B, Yount S, Amtmann D, Bode R, Buysse D, Choi S, Cook K, Devellis R, DeWalt D, Fries JF, Gershon R, Hahn EA, Lai JS, Pilkonis P, Revicki D, Rose M, Weinfurt K, Hays R; PROMIS Cooperative Group. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008. J Clin Epidemiol. 2010 Nov;63(11):1179-94. doi: 10.1016/j.jclinepi.2010.04.011. Epub 2010 Aug 4.
PubMed 20685078Otth M, Denzler S, Koenig C, Koehler H, Scheinemann K. Transition from pediatric to adult follow-up care in childhood cancer survivors-a systematic review. J Cancer Surviv. 2021 Feb;15(1):151-162. doi: 10.1007/s11764-020-00920-9. Epub 2020 Jul 16.
PubMed 32676793Ehrhardt MJ, Friedman DN, Hudson MM. Health Care Transitions Among Adolescents and Young Adults With Cancer. J Clin Oncol. 2024 Feb 20;42(6):743-754. doi: 10.1200/JCO.23.01504. Epub 2024 Jan 9.
PubMed 38194608Marchak JG, Sadak KT, Effinger KE, Haardorfer R, Escoffery C, Kinahan KE, Freyer DR, Chow EJ, Mertens A. Transition practices for survivors of childhood cancer: a report from the Children's Oncology Group. J Cancer Surviv. 2023 Apr;17(2):342-350. doi: 10.1007/s11764-023-01351-y. Epub 2023 Mar 4.
PubMed 36870037Hudson MM, Bhatia S, Casillas J, Landier W; SECTION ON HEMATOLOGY/ONCOLOGY, CHILDREN'S ONCOLOGY GROUP, AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY. Long-term Follow-up Care for Childhood, Adolescent, and Young Adult Cancer Survivors. Pediatrics. 2021 Sep;148(3):e2021053127. doi: 10.1542/peds.2021-053127.
PubMed 34462344Landier W, Armenian S, Bhatia S. Late effects of childhood cancer and its treatment. Pediatr Clin North Am. 2015 Feb;62(1):275-300. doi: 10.1016/j.pcl.2014.09.017. Epub 2014 Oct 18.
PubMed 25435123Robison LL, Armstrong GT, Boice JD, Chow EJ, Davies SM, Donaldson SS, Green DM, Hammond S, Meadows AT, Mertens AC, Mulvihill JJ, Nathan PC, Neglia JP, Packer RJ, Rajaraman P, Sklar CA, Stovall M, Strong LC, Yasui Y, Zeltzer LK. The Childhood Cancer Survivor Study: a National Cancer Institute-supported resource for outcome and intervention research. J Clin Oncol. 2009 May 10;27(14):2308-18. doi: 10.1200/JCO.2009.22.3339. Epub 2009 Apr 13.
PubMed 19364948Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM, Meadows AT, Friedman DL, Marina N, Hobbie W, Kadan-Lottick NS, Schwartz CL, Leisenring W, Robison LL; Childhood Cancer Survivor Study. Chronic health conditions in adult survivors of childhood cancer. N Engl J Med. 2006 Oct 12;355(15):1572-82. doi: 10.1056/NEJMsa060185.
PubMed 17035650
Study at a glance
From the registry record, last updated by the sponsor on 8 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- AYA Cancer Transitions Program
- ClinicalTrials.gov ID
- NCT07865013
- Acronym / sponsor ID
- STUDY00162219
- Conditions
- Cancer, Cancer Survivorship, Adolescent and Young Adult Cancer Survivors, Transitions of Care
- Keywords
- Cancer, Adolescent, Young Adult, AYA, Transitions of care, Cancer Survivorship
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- University of Kansas Medical CenterUniversity, hospital or other
- Study start
- Jan 2027 (estimated)
- Primary completion
- Dec 2030 (estimated)
- Study completion
- Dec 2030 (estimated)
- First posted
- 8 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a single-arm, minimal-risk, interventional behavioral clinical trial embedding structured transition support for adolescent and young adult (AYA) survivors of pediatric cancer transitioning into adult-focused survivorship care. Aims are to improve AYA transition from pediatric to adult survivorship care and to enhance AYA access to fertility education and care.
Patient Participants will:
- Complete a pre-transition developmental needs assessment
- Receive up to 2 years of AYA nurse navigation support
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Transitions Program | Experimental | Behavioral: Transitions ProgramParticipants will receive: 1. A pre-transition developmental needs assessment 2. Up to 2 years of AYA nurse navigation support |
Who may qualify
- Ages
- 18 to 24 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- 18-24 years of age at recruitment
- Referral to adult survivorship clinic
- Primary cancer diagnosis occurred at age 21 years or younger
- English language proficiency.
Key exclusion criteria (1 listed)
- Undergoing active treatment for cancer or recurrence
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Transitions ProgramParticipants will receive: 1. A pre-transition developmental needs assessment 2. Up to 2 years of AYA nurse navigation support | Behavioural | Transitions Program |
Primary outcome
Primary outcome is transition success (Goal: 80% of referred)
Time frame: Medical record abstraction at baseline and annually for 3 years.
Medical record abstraction will be used to collect detailed information on each participant's cancer history and follow-up care. This process will include extraction of key clinical data such as cancer diagnosis, dates of treatment, treatment location, and specific treatment modalities, including radiation and chemotherapy doses. Additional information on relapse history, occurrence of secondary malignancies, and adherence to COG screening recommendations will also be obtained. Data on subspecialty referrals, scheduled appointment dates, and attendance at those appointments will be recorded to assess patterns of care and follow-up.
7 secondary outcomes
Adolescent and young adult engagement and feedback
Time frame: Assessed by structured interviews at 18 & 36 mo.
Adherence to Children's Oncology Group (COG) survivorship guidelines.
Time frame: Will be assessed by medical record abstraction at baseline, and annually for 3 years.
Demographic and diversity-related factors of representation
Time frame: Will be assessed at baseline and years 1-3.
Transition Readiness
Time frame: Will be measured at baseline and years 1-3.
Health-Related Quality of Life
Time frame: Will be measured at baseline and years 1-3.
Reproductive Concerns
Time frame: Will be measured at baseline and years 1-3.
Economic Impact of Illness
Time frame: Will be measured at baseline and years 1-3.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Oct 2026.
- Background: PubMed 32298593Gorman JR, Drizin JH, Malcarne VL, Hsieh TC. Measuring the Multidimensional Reproductive Concerns of Young Adult Male Cancer Survivors. J Adolesc Young Adult Oncol. 2020 Dec;9(6):613-620. doi: 10.1089/jayao.2019.0146. Epub 2020 Apr 16.
- Background: PubMed 30882960Quinn GP, Bowman Curci M, Reich RR, Gwede CK, Meade CD; ENRICH/ECHO Working Group; Vadaparampil ST. Impact of a web-based reproductive health training program: ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare). Psychooncology. 2019 May;28(5):1096-1101. doi: 10.1002/pon.5063. Epub 2019 Apr 5.
- Background: PubMed 27716900de Souza JA, Yap BJ, Wroblewski K, Blinder V, Araujo FS, Hlubocky FJ, Nicholas LH, O'Connor JM, Brockstein B, Ratain MJ, Daugherty CK, Cella D. Measuring financial toxicity as a clinically relevant patient-reported outcome: The validation of the COmprehensive Score for financial Toxicity (COST). Cancer. 2017 Feb 1;123(3):476-484. doi: 10.1002/cncr.30369. Epub 2016 Oct 7.
- Background: PubMed 33073416Siembida EJ, Reeve BB, Zebrack BJ, Snyder MA, Salsman JM. Measuring health-related quality of life in adolescent and young adult cancer survivors with the National Institutes of Health Patient-Reported Outcomes Measurement Information System(R) : Comparing adolescent, emerging adult, and young adult survivor perspectives. Psychooncology. 2021 Mar;30(3):303-311. doi: 10.1002/pon.5577. Epub 2020 Oct 30.
- Background: PubMed 20685078Cella D, Riley W, Stone A, Rothrock N, Reeve B, Yount S, Amtmann D, Bode R, Buysse D, Choi S, Cook K, Devellis R, DeWalt D, Fries JF, Gershon R, Hahn EA, Lai JS, Pilkonis P, Revicki D, Rose M, Weinfurt K, Hays R; PROMIS Cooperative Group. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008. J Clin Epidemiol. 2010 Nov;63(11):1179-94. doi: 10.1016/j.jclinepi.2010.04.011. Epub 2010 Aug 4.
- Background: PubMed 32676793Otth M, Denzler S, Koenig C, Koehler H, Scheinemann K. Transition from pediatric to adult follow-up care in childhood cancer survivors-a systematic review. J Cancer Surviv. 2021 Feb;15(1):151-162. doi: 10.1007/s11764-020-00920-9. Epub 2020 Jul 16.
- Background: PubMed 38194608Ehrhardt MJ, Friedman DN, Hudson MM. Health Care Transitions Among Adolescents and Young Adults With Cancer. J Clin Oncol. 2024 Feb 20;42(6):743-754. doi: 10.1200/JCO.23.01504. Epub 2024 Jan 9.
- Background: PubMed 36870037Marchak JG, Sadak KT, Effinger KE, Haardorfer R, Escoffery C, Kinahan KE, Freyer DR, Chow EJ, Mertens A. Transition practices for survivors of childhood cancer: a report from the Children's Oncology Group. J Cancer Surviv. 2023 Apr;17(2):342-350. doi: 10.1007/s11764-023-01351-y. Epub 2023 Mar 4.
- Background: PubMed 34462344Hudson MM, Bhatia S, Casillas J, Landier W; SECTION ON HEMATOLOGY/ONCOLOGY, CHILDREN'S ONCOLOGY GROUP, AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY. Long-term Follow-up Care for Childhood, Adolescent, and Young Adult Cancer Survivors. Pediatrics. 2021 Sep;148(3):e2021053127. doi: 10.1542/peds.2021-053127.
- Background: PubMed 25435123Landier W, Armenian S, Bhatia S. Late effects of childhood cancer and its treatment. Pediatr Clin North Am. 2015 Feb;62(1):275-300. doi: 10.1016/j.pcl.2014.09.017. Epub 2014 Oct 18.
- Background: PubMed 19364948Robison LL, Armstrong GT, Boice JD, Chow EJ, Davies SM, Donaldson SS, Green DM, Hammond S, Meadows AT, Mertens AC, Mulvihill JJ, Nathan PC, Neglia JP, Packer RJ, Rajaraman P, Sklar CA, Stovall M, Strong LC, Yasui Y, Zeltzer LK. The Childhood Cancer Survivor Study: a National Cancer Institute-supported resource for outcome and intervention research. J Clin Oncol. 2009 May 10;27(14):2308-18. doi: 10.1200/JCO.2009.22.3339. Epub 2009 Apr 13.
- Background: PubMed 17035650Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM, Meadows AT, Friedman DL, Marina N, Hobbie W, Kadan-Lottick NS, Schwartz CL, Leisenring W, Robison LL; Childhood Cancer Survivor Study. Chronic health conditions in adult survivors of childhood cancer. N Engl J Med. 2006 Oct 12;355(15):1572-82. doi: 10.1056/NEJMsa060185.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Kari Streumph, PhD contact
Questions about this trial
What is this clinical trial studying?
A study testing Transitions Program in people with Cancer and Cancer Survivorship, run by University of Kansas Medical Center.
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 4 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: opening soon, as of the sponsor's last update on 8 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
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?
Contact Carolyn Bates, PhD (913-588-6323, cbates4@kumc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Primary outcome is transition success (Goal: 80% of referred) (time frame: Medical record abstraction at baseline and annually for 3 years.). 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 NCT07865013, which also lists 12 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 8 Oct 2026.