Geriatric Assessment (GA) for Elderly Patients Undergoing Allo-HSCT (GA)
Geriatric Assessment (GA) for Elderly Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation: a Prospective Study.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Yuqian Sun
- Phone Number: 861088326666
- Email: sunyuqian83@hotmail.com
Study Locations
-
-
-
Beijing, China
- Recruiting
- Peking University People's Hospital
-
Contact:
- Yuqian Sun
- Phone Number: 861088326666
- Email: sunyuqian83@hotmail.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- (a)Age ≥55 years.
- (b)Hematologic disorders with established indications for transplantation, including malignant and non-malignant hematologic diseases. (c)Willingness to provide informed consent.
Exclusion Criteria: (a)Pregnancy. (b) Uncontrolled active infection. (c) Lack of informed consent. (d)Deemed ineligible for transplantation after investigator assessment
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Geriatric Assessment
|
This is a study held in all patients undergoing allogenic hematopoietic stem cell transplantation.
Pre-transplant assessment: (1)Patients-related assessment: (a) Age; (b) Functional status (BADL score; IADL score; KPS score; ECOG PS score); (c) Comorbidities (HCT-CI score); (d) Nutritional Status (Body weight; BMI; NRS-2002; MNA-SF; MUST); (e) Psychological Status (SF36-MCS; GDS; PHQ-9; GAD-7); (f) Cognitive Function (MMSE; BMOC); (g) Social Support Level (MOS-SSS; MSPSS); (h) Total Number of Medications Used.
(2) Disease-Related Factors Assessment: Primary Disease Diagnosis; ELN Risk Stratification (assessed only for AML patients); Disease Status.
(3) Donor-Related Factors Assessment: Donor Age; Donor Sex; Donor-Recipient Blood Type Compatibility; Donor Type; DSA.
(4) Treatment-Related Factors Assessment: Conditioning Regimen; GVHD Prophylaxis Regimen; Graft Type.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Transplant-related mortality
Time Frame: From HSCT to the follow-up assessment at 12 months post-treatment.
|
Transplant-related mortality (TRM) is defined as death due to any transplantation-related cause other than disease relapse.
Transplant-related mortality will be calculated using a competing risks model.
|
From HSCT to the follow-up assessment at 12 months post-treatment.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Engraftment
Time Frame: From HSCT to the follow-up assessment at 12 months post-treatment.
|
Platelet engraftment was defined as the first of seven consecutive days with a platelet count >20 × 109/L without transfusion support.
Neutrophil engraftment was defined as the first of three consecutive days with an ANC > 0.5 × 109/L.
|
From HSCT to the follow-up assessment at 12 months post-treatment.
|
|
GVHD
Time Frame: From HSCT to the follow-up assessment at 12 months post-treatment.
|
Acute GVHD was classified as symptom presentation before 100 days after haplo-HSCT and chronic GVHD was classified as symptom presentation >100 days after haplo-HSCT.
Each organ (skin, liver, and gut) was staged 1 through 4 for Acute GVHD according to modified criteria based on the schema of the Mount Sinai Acute GVHD International Consortium (MAGIC), and patients were also assigned a grade of acute GVHD (I through IV) based on overall severity.
Chronic GVHD was graded in accordance with the National Institutes of Health (NIH) Chronic Graft-versus-Host Disease Consensus Criteria.
|
From HSCT to the follow-up assessment at 12 months post-treatment.
|
|
Overall Survival
Time Frame: From HSCT to the follow-up assessment at 12 months post-treatment.
|
The time from haplo-HSCT to death from any cause in patients with AML.
Overall survival will be calculated using the Kaplan-Meier method.
|
From HSCT to the follow-up assessment at 12 months post-treatment.
|
|
Cumulative Incidence of Relapse
Time Frame: From HSCT to the follow-up assessment at 12 months post-treatment.
|
Relapse was defined as disease recurrence.
|
From HSCT to the follow-up assessment at 12 months post-treatment.
|
|
Disease-Free Survival
Time Frame: From HSCT to the follow-up assessment at 12 months post-treatment.
|
Disease-free survival (DFS) was defined as the time from transplantation to relapse, disease progression, or death, whichever occurred first.
|
From HSCT to the follow-up assessment at 12 months post-treatment.
|
|
Viral Infection
Time Frame: From HSCT to the follow-up assessment at 12 months post-treatment.
|
Detection of CMV-DNA and EBV-DNA in peripheral blood twice a week.
|
From HSCT to the follow-up assessment at 12 months post-treatment.
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Health Care Quality, Access, and Evaluation
- Investigative Techniques
- Epidemiologic Methods
- Data Collection
- Health Care Evaluation Mechanisms
- Quality of Health Care
- Public Health
- Environment and Public Health
- Population Characteristics
- Health Status
- Demography
- Epidemiologic Measurements
- Geriatric Assessment
Other Study ID Numbers
Other Study ID Numbers
- 2025PHB131-001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.