- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01725022
A Controlled Study of Stem Cell Transplantation Medical Home Care Compared to Standard Hospital Care
July 15, 2019 updated by: Duke University
The primary goal with this study is to document whether patients can maintain their normal bowel microbiota by staying at home compared to those who live at home but are treated in clinic, and those who are treated in the hospital.
In addition, the investigators would predict that the quality of life will be higher for those patients treated at the medical home compared to those that stay at the hospital.
The investigators also predict that the costs associated with this approach will be significantly lower compared to hospitalized patients.
Finally, the investigators propose that the treatment related morbidities and mortality will not be different between the two groups.
Study Overview
Detailed Description
Subjects enrolled in the medical home arm and those serving as concurrent controls will have the following studies:
- Stool collection for analysis at time 0 (prior to preparatory regimen) and then weekly for the first four weeks, at day 60 and 100.
- The PG-SGA, FACT-BMT and other patient-reported symptom instruments will be collected weekly for the first 4 weeks, at day 60, 100 and patients will be required to complete a daily food diary.
- Other assessments for toxicities or GVHD will proceed as per current standard of care, for a total blood draw amount of 100 mls from home care subjects and concurrent controls.
Study Type
Interventional
Enrollment (Actual)
56
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 80 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Scheduled to undergo a hematopoietic stem cell transplant for any cancer or non-cancer illness from any autologous, related or unrelated donor source including bone marrow, peripheral blood progenitor cell, or umbilical cord blood
- Age 18-80 years of age
- Karnofsky Performance Scale (KPS) > 80
- A home that is deemed, upon inspection, in suitable condition to serve as a medical home, within a 90-minute driving distance of Duke (home care group only)
Exclusion Criteria:
- Lack of a caregiver
- Pregnant women (It is standard of care to assess for pregnancy for all females of child-bearing potential with a serum beta human chorionic gonadotropin (HCG) test within 7 days of starting the preparative regimen prior to transplant. No additional research pregnancy testing will occur.)
- Patients with a documented active infection prior to starting their preparative regimen. This includes grade 3 or higher viral, bacterial, or fungal infection.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: HEALTH_SERVICES_RESEARCH
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Home Care
This is the arm for patients who receive their transplant care in their homes.
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This is the interventional arm where patients receive the transplant care in their homes.
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NO_INTERVENTION: Hospital Care
Standard of care for stem cell transplant recipients where the aftercare is done in hospital.
|
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NO_INTERVENTION: Clinic Care
Standard of care for stem cell transplant recipients who live at home but receive aftercare in the daily outpatient clinic.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bowel Microbiota
Time Frame: 100 days
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The bowel microbiota before and during the first 100 days.
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100 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Nutritional status using the PG-SGA assessment tool
Time Frame: 100 days
|
The assessment tool to capture overall nutritional status will be the Patient Generated Subjective Global Assessment (PG-SGA) which has been validated in other cancer patients.
|
100 days
|
Incidence of acute Graft Versus Host Disease (GVHD)
Time Frame: 100 days
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All incidences of Grade II-IV GVHD will be quantified.
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100 days
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Treatment related morbidities and mortalities
Time Frame: 100 Days
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Both treatment related morbidities and mortalities will be quantified.
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100 Days
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Quality Of Life Assessment (QOL)
Time Frame: 100 Days
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The QOL assessment will utilize the FACT-BMT (Functional Assessment of Cancer Therapy Bone Marrow Transplant) assessment tool as well as other patient-reported symptom instruments to capture the patient reported experience.
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100 Days
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Costs of care
Time Frame: 100 Days
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The mean, median and range of costs will be compared in the three arms.
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100 Days
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Nelson Chao, MD, MBA, Duke University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
February 1, 2012
Primary Completion (ACTUAL)
September 30, 2017
Study Completion (ACTUAL)
September 30, 2017
Study Registration Dates
First Submitted
November 8, 2012
First Submitted That Met QC Criteria
November 9, 2012
First Posted (ESTIMATE)
November 12, 2012
Study Record Updates
Last Update Posted (ACTUAL)
July 16, 2019
Last Update Submitted That Met QC Criteria
July 15, 2019
Last Verified
July 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00032263
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.
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