Palliative Care Support for Patients With Hematological Malignancies Undergoing Hematopoietic Cell Transplant
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
This pilot clinical trial studies palliative care support for patients with hematological malignancies undergoing hematopoietic cell transplant. Palliative care support may improve quality of life in this patient population.
| Condition | Intervention |
|---|---|
|
Hematopoietic/Lymphoid Cancer |
Other: palliative care consultation Other: questionnaire administration Procedure: quality-of-life assessment |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | Feasibility of Implementing Pre-Transplant Palliative Care Support for Patients Undergoing Hematopoietic Cell Transplantation for Hematological Malignancies |
- Study participation rates defined as the proportion of patients who consent to enroll [ Time Frame: Up to 8 months ] [ Designated as safety issue: No ]Will mainly be descriptive.
- Completion time for the palliative care consultation [ Time Frame: Up to 8 months ] [ Designated as safety issue: No ]Will mainly be descriptive.
- Level of comfort / distress attributed to individual parts of the consultation [ Time Frame: Up to 8 months ] [ Designated as safety issue: No ]Will mainly be descriptive. The post-consultation scores measuring level of comfort or distress per topic in the palliative care consultation will be summarized per item.
- Completeness of follow-up data collection, where completeness is defined by the proportion of instrument scores that can be calculated per given time point [ Time Frame: Up to 8 months ] [ Designated as safety issue: No ]Will mainly be descriptive. The completeness of follow-up data collection will be calculated and reported as a proportion of successfully completed scales vs. scales attempted to be collected or completed by patients.
| Estimated Enrollment: | 40 |
| Study Start Date: | April 2013 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Supportive care (palliative care support)
Patients undergo palliative care support before transplantation and at least once monthly while they remain at the transplant center.
|
Other: palliative care consultation
Undergo palliative care support
Other: questionnaire administration
Ancillary studies
Procedure: quality-of-life assessment
Ancillary studies
Other Name: quality of life assessment
|
Detailed Description:
PRIMARY OBJECTIVES:
I. Pilot a palliative care intervention that begins prior to transplantation and continues through the acute peritransplant period.
II. Determine the proportion of patients who enroll and the level of comfort / distress of hematopoietic cell transplant (HCT) patients who meet with the palliative care team.
III. Pilot data collection mechanisms and cost retrieval in preparation for a randomized clinical trial.
OUTLINE:
Patients undergo palliative care consultation before transplantation and at least once monthly while they remain at the transplant center.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Written informed consent
- English as primary language
- Planned autologous or allogeneic hematopoietic cell transplantation
- Presence of co-morbidities (hematopoietic cell transplant co-morbidity index [HCT-CI] score 3 or greater), high risk disease (relapse risk > 25%), or a planned type of transplant (human leukocyte antigen [HLA]-mismatched allogeneic or myeloablative) that places the patient at a higher than average risk of non-relapse mortality or relapse
Exclusion Criteria:
- Major psychiatric diagnosis that impairs cognitive functioning or is not controlled at the time of the approach, as judged by the patient's medical team
- First transplant of a planned tandem procedure (the second transplant is eligible)
Contacts and Locations| United States, Washington | |
| Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium | Recruiting |
| Seattle, Washington, United States, 98109 | |
| Contact: Rebecca Clark 206-667-4160 | |
| Principal Investigator: Stephanie J. Lee | |
| Principal Investigator: | Stephanie Lee | Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium |
More Information
No publications provided
| Responsible Party: | Fred Hutchinson Cancer Research Center |
| ClinicalTrials.gov Identifier: | NCT01758484 History of Changes |
| Other Study ID Numbers: | 2659.00, NCI-2012-03009, P30CA015704 |
| Study First Received: | December 27, 2012 |
| Last Updated: | April 8, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by Fred Hutchinson Cancer Research Center:
|
Hematopoietic cell transplantation palliative care |
Additional relevant MeSH terms:
|
Hematologic Neoplasms Neoplasms by Site Neoplasms Hematologic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013