Therapeutic area · Pediatric oncologyUpdated October 12, 2026

EDC for pediatric oncology clinical trials

Childhood cancer trials dose by body size, consent through parents and assent from the child, run in few centres and need follow-up that lasts decades. Capture keeps the dosing, response and event dates, safety and consent in one study with one audit trail. Build it free in the sandbox, no credit card.

  • Dose from weight and BSA
  • Parent consent plus child assent
  • Events dated for survival analysis

Free sandbox · No credit card · 21 CFR Part 11 aligned

Chemotherapy cycle dosing (demo)
Subject 005-0009 · Induction, Cycle 2 Day 1Draft

Size and dose

Height

HEIGHT
112.0cm

Weight

WEIGHT
19.4kg

Body surface area (Mosteller)

BSA

Calculated from height and weight

0.78 m² Calculated

Planned dose

DOSEPLAN
1000mg/m²

Dose given

EXDOSE
780mg

Dose modification

EXADJ
NoneReducedDelayedHeld
Demo data only. Dose rules, rounding and weight-based thresholds follow your protocol.Save
Weight and BSA are recomputed at each cycle.

What a pediatric oncology trial needs from its EDC

  • Dosing by body size: height, weight and calculated body surface area at each cycle, planned dose, dose given and the reason for any change.
  • Dates behind event-free survival: diagnosis, enrolment, response assessment, relapse, second malignancy and death or last contact, as separate fields.
  • Consent for a family: parent or guardian permission, the child’s own assent at an age-appropriate level, and a record of who signed what.
  • Small numbers, many centres: rare diseases mean few participants per site, so site-level numbering and by-site views matter more than volume.
  • Follow-up that outlasts the trial: late effects, second tumours and survivorship data are collected for years after therapy ends.

The study data

What a pediatric oncology protocol actually asks you to capture

Pediatric oncology is a field of rare diseases treated in organised cooperative groups. Many trials are staged by risk group, give multi-agent chemotherapy in phases, and measure event-free survival: the time from enrolment to relapse, progression, second malignancy or death. Registered legacy trials from cooperative groups report outcomes this way (for example ten-year event-free and overall survival in Hodgkin lymphoma trials). Early-phase studies of new agents in children are smaller and focus on dose, tolerability and early signs of activity. The data model follows from this: a risk-group assignment, a phase-by-phase treatment record, dated events and a very long follow-up tail.

Dosing is where children differ most from adults. Chemotherapy is commonly dosed per square metre of body surface area, and in infants and small children some drugs are dosed per kilogram instead. Capture calculates body surface area (Mosteller and Du Bois are both available) from height and weight and shows it read-only, so the site can compare the dose given with the planned dose. Because children grow during therapy, recompute size at every cycle. The dose rule itself, such as rounding or weight thresholds, comes from the protocol, and the EDC records what was ordered, given, reduced or held, and why.

Performance status needs an age-appropriate scale. Adult scales such as ECOG and Karnofsky are widely used, and protocols commonly pair a Karnofsky-type score for older participants with a play-performance equivalent for younger children. Which one applies at which age is for the protocol to state. The related paediatric pain scale template shows how an observer-rated or faces-based scale sits in a form.

Dates are the endpoint

An event-free survival analysis needs a defensible date for each event. Record the date of the scan, marrow or biopsy that documented relapse or progression, the site of first event, the date of any second malignancy and the date of death. Add date logic so that no event can precede enrolment, and a death cannot precede the last recorded visit. Date last known alive is the field that most often decays; build a short annual follow-up form so a lapse in contact is visible while there is still time to trace the family.

Risk-adapted design (demo, weeks)
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weeks

Screening and staging

Risk group assigned

Induction

Cycles with weekly labs

Consolidation

Response assessment

Maintenance and follow-up

Event surveillance

Demo timeline. Each phase is an epoch with its own visit plan and forms.

Protocol to build

Pediatric oncology protocol elements and where they live in Capture

Protocol elementWhat the data looks likeWhere it lives in Capture
Eligibility and stagingDiagnosis, histology, stage, risk group, prior therapy, organ functionEligibility form with edit checks and skip logic
Consent and assentParent permission, child assent, witness or LAR where neededPaediatric assent template in eConsent
DosingHeight, weight, BSA, planned and given dose, reductions, delaysRepeating cycle form; BSA calculated read-only
Laboratory monitoringCounts, chemistry, units, local reference rangesLaboratory form with range checks
Response and eventsImaging or marrow date, response, relapse, second malignancy, deathVisit and follow-up forms with date edit checks
Adverse eventsCTCAE term, grade, seriousness, relationship, actionAdverse event form and SAE report form
Symptoms and quality of lifeChild self-report or parent proxy symptom and function dataOncology side-effect diary and PedsQL structures

Capture records the data your protocol defines. Risk assignment, response and toxicity grading are decided by clinicians.

Run one child through two cycles before you enrol

Upload the protocol, let the AI draft the visits and forms for review, then enter a practice child’s height and weight over two cycles and check dose edit checks. Free sandbox.

Build your pediatric oncology study free

Safety reporting

Toxicity grading, supportive care and reporting clocks

Intensive paediatric regimens commonly cause cytopenias, infections, mucositis and organ toxicity, so the adverse event form has to carry more than a term and a grade. Record CTCAE grade on the 1 to 5 scale, seriousness, relationship to each protocol drug, the action taken and supportive care. Keep severity, seriousness and causality as separate answers. The CTCAE grade lookup helps sites and data managers check a term against the published criteria, and the investigator assigns the grade. The AE seriousness decision tree covers the serious split.

Serious events follow the SAE report form. Reporting clocks depend on your regulator and sponsor, and the SAE reporting deadline calculator is a planning aid, not an authority. For safety signals that cross centres, the SUSAR reporting page explains the workflow. Dose changes follow lab values, so a range-based edit check can raise a query when a day-1 count is below a protocol start threshold but a full dose is recorded.

Children report symptoms differently from adults. Younger children may need a parent or nurse to report, and older children can often answer themselves. Build the questionnaire in both forms, and capture who answered. The parent-proxy ePRO template shows the pattern, and the questionnaire opens from a link on a phone, with no app install.

Adverse event · 01-004
AE term *Headache
Onset date *UNK-JUN-2026
Serious? *Yes
Severity / CTCAE grade *Grade 2
Causality to IMP *Required when serious
Save draftSubmit

Cannot submit yet

Causality is required because the event is serious.

Build sequence

From pediatric oncology protocol to a live study

A realistic order of work for a cooperative-group site network or an investigator-led study.

  1. 1

    Draft visits and forms

    Upload the protocol (PDF, DOCX or DOC) and let the AI study builder propose the schedule and forms. Nothing is saved until a person reviews it.

  2. 2

    Build eligibility and dosing

    Screening form with risk group and organ function checks, and a cycle form with height, weight, calculated BSA, planned and given dose.

  3. 3

    Add event and follow-up forms

    Response assessments, dated events and an annual follow-up form with last contact date.

  4. 4

    Prepare consent and assent

    Parent permission and age-appropriate assent documents, tested on a phone.

  5. 5

    Test, approve and go live

    Run practice children through a dose reduction, a relapse and a death, check the exports, approve the forms and start the paid live phase when real participants enrol.

Before first participant

Pediatric oncology study readiness checklist

Dosing rules written down

BSA or weight basis, rounding, thresholds and what counts as a dose modification.

Event definitions fixed

What counts as relapse, progression and second malignancy, and which date is used.

Performance scale by age

Which scale applies to which age band, and who completes it.

Consent and assent approved

Parent permission, assent bands and wording approved by the ethics committee.

Follow-up plan set

Annual contact form, tracing steps and end of data collection.

Export tested

Wide CSV with data dictionary opened in the statistics package.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

Can Capture calculate body surface area for dosing?

Yes. Body surface area (Mosteller and Du Bois) is calculated from height and weight and shown read-only. The dose rule and rounding come from your protocol.

How are event-free survival dates recorded?

As separate date fields for enrolment, documented relapse or progression, second malignancy, death and last contact, with edit checks for impossible sequences. The analysis runs in your statistics package.

How do we handle assent and parental consent?

eConsent supports an on-screen signature after an email code, an optional witness, a Legally Authorized Representative signature and investigator countersignature, with a paediatric assent template to start from. Your ethics committee sets ages and wording.

Can we follow participants for many years after treatment?

Yes. Build a follow-up form for late effects, second tumours and last contact, scheduled annually. Contact tracing itself is a study procedure.

Does it work for small early-phase studies in children?

Yes. Capture is used from Phase 1 through Phase 3, and forms and schedule are built from your protocol.

Is the platform 21 CFR Part 11 compliant?

Capture provides 21 CFR Part 11-aligned controls: a field-level audit trail, electronic signatures and role-based access. Compliance is shared with the sponsor’s own validated use of the system. This is not legal advice.

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Free sandbox with every feature. No credit card, and you pay only when you go live with real participants.

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