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Trial Title: Proof-of-Concept Testing of the Cardiovascular Health Equity Through Food (CHEF) Intervention in Childhood Cancer Survivors

NCT ID: NCT06609473

Condition: Childhood Cancer
Childhood Cancer Survivors

Conditions: Keywords:
Cardiovascular Health
Childhood Cancer
Childhood Cancer Survivorship

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: CHEF Intervention Program
Description: Poverty-targeted intervention utilizing direct resource provision of healthy meal kits and groceries, as well as assisted referral and enrollment in government nutrition assistance benefits, SNAP (Supplement Nutrition Assistance Program) and/or WIC (Woman, Infants, and Children Program). Meal kits will be delivered by a commercial meal kit vendor. Grocery gift cards will be delivered via email, mail, or in-person. Kitchen equipment will be delivered to caregiver residence.
Arm group label: CHEF Program

Other name: Cardiovascular Health Equity Through Food Program

Summary: The goal of the Cardiovascular Health Equity Through Food (CHEF) program is to make it easier for participants and families to cook and eat healthy foods during and following childhood cancer treatment with the long-term goal of supporting heart health.

Detailed description: This is a proof-of-concept study to test the CHEF intervention by utilizing survey, interview, and medical record data from participants with cancer to determine the intervention's impact on cardiovascular-relevant outcomes and to identify optimal implementation strategies for the intervention. The research study procedures include screening for eligibility, questionnaires, and a brief interview. Participation in this research study is expected to last 6 months. It is expected about 17 participants/families will participate in this research study.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Child with any primary cancer diagnosis (non-relapsed, non-secondary malignancy) who has received cancer-directed therapy that includes chemotherapy and/or radiation therapy; - Child is within one of the following time windows: 1. Among those receiving chemotherapy, any time from start of last planned cycle of chemotherapy until 12 months from completion of chemotherapy; 2. Among those receiving radiation therapy alone or radiation and surgery, any time from completion of radiation until 12 months post completion; - Child has 1 or more cardiovascular risk factor (defined as any of: body mass index ≥ 85th percentile; systolic or diastolic blood pressure ≥90th percentile; dyslipidemia [triglycerides ≥150 mg/dL, total cholesterol ≥200 mg/dL, LDL cholesterol ≥130 mg/dL, HDL cholesterol ≤40 mg/dL]; impaired glucose metabolism [fasting glucose ≥100 mg/dL, hemoglobin A1c ≥5.7%]; anthracycline exposure ≥100 mg/m2; or any radiation exposure to chest, brain, thoracic spine, or total body); - Child is ≤18 years of age at time of enrollment, or over 18 years of age but under medical guardianship; - Parent/guardian screened positive for food insecurity.* *Assessed through validated 2-item food insecurity screen. Exclusion Criteria: - Patient received only surgery, or watchful waiting/surveillance, for cancer- directed therapy; - Foreign national family receiving cancer care as an embassy-pay patient.

Gender: All

Minimum age: N/A

Maximum age: 18 Years

Healthy volunteers: No

Locations:

Facility:
Name: Boston Children's Hospital

Address:
City: Boston
Zip: 02115
Country: United States

Contact:
Last name: Rahela Aziz-Bose, MD

Phone: 617-632-3352
Email: Rahela_aziz-bose@dfci.harvard.edu

Contact backup:
Last name: Rahela Aziz-Bose, MD

Facility:
Name: Dana-Farber Cancer Institute

Address:
City: Boston
Zip: 02215
Country: United States

Contact:
Last name: Rahela Aziz-Bose, MD

Phone: 617-632-3352
Email: Rahela_aziz-bose@dfci.harvard.edu

Contact backup:
Last name: Rahela Aziz-Bose, MD

Start date: December 2024

Completion date: November 15, 2027

Lead sponsor:
Agency: Dana-Farber Cancer Institute
Agency class: Other

Source: Dana-Farber Cancer Institute

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06609473

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