Acute Myeloid Leukemia Clinical Trial
Official title:
Optimization of Older Adult Allogeneic Hematopoietic Cell Transplant Candidates to Improve Survival (OTIS)
Verified date | July 2023 |
Source | Ohio State University Comprehensive Cancer Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This clinical trial tests whether a geriatric optimization plan (GO!) works to improve survival in patients over 60 with a hematologic malignancy or bone marrow failure syndrome eligible for allogeneic hematopoietic cell transplant. GO! focuses on creating a tailored and specific plan for each patient to make changes in their daily lives. These may include changes to their diet, sleep, activity, medicines, or even referrals to other providers depending on the patient's needs. Studying survival and quality of life in patients over 60 receiving an allogeneic hematopoietic cell transplant may help identify the effects of treatment.
Status | Active, not recruiting |
Enrollment | 30 |
Est. completion date | December 31, 2024 |
Est. primary completion date | December 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 60 Years and older |
Eligibility | Inclusion Criteria: - Age >= 60 years - Diagnosed with hematologic malignancy or bone marrow failure syndrome eligible for allogeneic hematopoietic cell transplantation. This includes acute myeloid leukemia, acute lymphoblastic leukemia, myelodysplastic syndrome, myeloproliferative neoplasm, myelofibrosis, chronic myeloid leukemia, chronic lymphocytic leukemia, non-Hodgkin lymphoma, Hodgkin lymphoma, multiple myeloma, and aplastic anemia. Disease specific eligibility for allo-HCT to be determined by treating physician - Must be able to understand written and spoken English - Must be willing to attend all study visits and comply with study procedures for the entire length of the study Exclusion Criteria: - Documented history of dementia - No possibility of proceeding to allogeneic hematopoietic cell transplant within the next 6 months as determined by treating physician - Scheduled admission for allogeneic hematopoietic cell transplant within 30 days of enrollment - Inability or unwillingness to give written informed consent |
Country | Name | City | State |
---|---|---|---|
United States | Ohio State University Comprehensive Cancer Center | Columbus | Ohio |
Lead Sponsor | Collaborator |
---|---|
Ohio State University Comprehensive Cancer Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in 6-Minute Walk Test distance | Wilcoxon signed rank test or McNemar test will be used to assess the change over time in geriatric assessment tools. | At 6 months before transplant, up to 12 months after transplant | |
Secondary | Change in Short Physical Performance Battery score | Wilcoxon signed rank test or McNemar test will be used to assess the change over time in geriatric assessment tools. | At 6 months before transplant, up to 12 months after transplant | |
Secondary | Change in in Mini Nutritional Assessment score | Wilcoxon signed rank test or McNemar test will be used to assess the change over time in geriatric assessment tools. | At 6 months before transplant, up to 12 months after transplant | |
Secondary | Change in cognitive and mental health | Measured by Montreal Cognitive Assessment Generalized Anxiety Disorder-7. Wilcoxon signed rank test or McNemar test will be used to assess the change over time in geriatric assessment tools. | At 6 months before transplant, up to 12 months after transplant | |
Secondary | Change in cognitive and mental health | Measured by Personal Health Questionnaire-9. Wilcoxon signed rank test or McNemar test will be used to assess the change over time in geriatric assessment tools. | At 6 months before transplant, up to 12 months after transplant | |
Secondary | Change in cognitive and mental health | Measured by Generalized Anxiety Disorder-7. Wilcoxon signed rank test or McNemar test will be used to assess the change over time in geriatric assessment tools. | At 6 months before transplant, up to 12 months after transplant | |
Secondary | Change in cognitive and mental health | Measured by Transplant Evaluation Rating scale score. Wilcoxon signed rank test or McNemar test will be used to assess the change over time in geriatric assessment tools. | At 6 months before transplant, up to 12 months after transplant | |
Secondary | Proportion of sample achieving "normal" scores on geriatric assessment tools | McNemar test will be used to compare proportion of sample achieving normal scores on geriatric assessment tools. | At 6 months before transplant, up to 12 months after transplant | |
Secondary | Time to receipt of transplant | Estimates of cumulative incidence of receipt of transplant with 95% confidence intervals will be provided for 100 days and one-year after end of treatment. | Up to 1 year after treatment | |
Secondary | Overall survival | Overall survival will be defined as the period from date of baseline assessment to death from any cause. Date of death will be confirmed by chart review. Will be estimated utilizing Kaplan-Meier method. | Up to 12 months after transplant | |
Secondary | Non-relapse mortality | Non-relapse mortality will be defined as the period from date of baseline assessment to death without evidence of relapsed primary hematologic disease. Relapse will be treated as competing risk. Documentation of date of relapse will be confirmed by chart review and collaboration with transplant physician if necessary. Estimates of cumulative incidence of non-relapse mortality with 95% confidence intervals will be provided for 100 days and one-year after end of treatment. | Up to 12 months after transplant | |
Secondary | Adherence to prescribed geriatric optimization plan (GO!) prescription | Will be assessed by self-report through monthly survey during intervention and at end-of-treatment assessment. Participants will be asked to estimate monthly frequency of completing all items in GO! prescription and this information will be collected through REDCap survey. Due to self-report nature of this item, no specific definition of adherence is offered beyond that which is asked of participants. | Up to 6 months after transplant | |
Secondary | Change in quality of life | Assessed with European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire and Elderly Cancer Patients Module. Wilcoxon signed rank test or McNemar test will be used to assess the change over time. | At 6 months before transplant, 3, and 6 month after transplant |
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