Trial Outcomes & Findings for A Research Program Targeting Pre- and Peri-transplant Optimization Program (R-PPOP) (NCT NCT03823651)

NCT ID: NCT03823651

Last Updated: 2024-09-27

Results Overview

Participants were asked to record or report their exercise sessions.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

29 participants

Primary outcome timeframe

6 months

Results posted on

2024-09-27

Participant Flow

Participants were recruited from the Duke Adult Bone Marrow Transplant program between May 2019 and November 2021. The first subject was consented on May 6, 2019 and the last subject was consented on November 2, 2021.

29 subjects (16 patients and 13 caregivers) signed the consent form for this study. 5 subjects (3 patients and 2 caregivers) did not begin the study after signing the consent form. 24 subjects began study activity after signing the consent form.

Participant milestones

Participant milestones
Measure
Patient
These are patients undergoing hematopoetic stem cell transplant. Patients will complete Interval training, undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Interval training: Patients will be asked to complete up to 3 x 30-minute structured high intensity interval training aerobic exercise sessions/week. For the first session, patients will come to the Duke Center for Living for in person evaluation and training. After the initial training session in person, a subsequent training session will take place at the patient's home via iPad/iPhone videoconference using a device provided to the patient to provide additional support and the opportunity to answer questions. Subsequent sessions will be done independently by patients, but study staff will be available via iPad/iPhone if questions arise. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Caregiver
These are the assigned caregivers for transplant patients. Caregivers will undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Overall Study
STARTED
13
11
Overall Study
COMPLETED
7
5
Overall Study
NOT COMPLETED
6
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Patient
These are patients undergoing hematopoetic stem cell transplant. Patients will complete Interval training, undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Interval training: Patients will be asked to complete up to 3 x 30-minute structured high intensity interval training aerobic exercise sessions/week. For the first session, patients will come to the Duke Center for Living for in person evaluation and training. After the initial training session in person, a subsequent training session will take place at the patient's home via iPad/iPhone videoconference using a device provided to the patient to provide additional support and the opportunity to answer questions. Subsequent sessions will be done independently by patients, but study staff will be available via iPad/iPhone if questions arise. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Caregiver
These are the assigned caregivers for transplant patients. Caregivers will undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Overall Study
Death
5
0
Overall Study
Physician Decision
1
0
Overall Study
Caregiver to patient who died
0
5
Overall Study
Caregiver to patient who was withdrawn due to physician decision
0
1

Baseline Characteristics

Caregivers were not included in BMI analysis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patient
n=13 Participants
These are patients undergoing hematopoetic stem cell transplant. Patients will complete Interval training, undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Interval training: Patients will be asked to complete up to 3 x 30-minute structured high intensity interval training aerobic exercise sessions/week. For the first session, patients will come to the Duke Center for Living for in person evaluation and training. After the initial training session in person, a subsequent training session will take place at the patient's home via iPad/iPhone videoconference using a device provided to the patient to provide additional support and the opportunity to answer questions. Subsequent sessions will be done independently by patients, but study staff will be available via iPad/iPhone if questions arise. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Caregiver
n=11 Participants
These are the assigned caregivers for transplant patients. Caregivers will undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
59 Years
STANDARD_DEVIATION 11.6 • n=13 Participants
55 Years
STANDARD_DEVIATION 13.8 • n=11 Participants
56 Years
STANDARD_DEVIATION 12.6 • n=24 Participants
Sex: Female, Male
Female
3 Participants
n=13 Participants
9 Participants
n=11 Participants
12 Participants
n=24 Participants
Sex: Female, Male
Male
10 Participants
n=13 Participants
2 Participants
n=11 Participants
12 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=13 Participants
0 Participants
n=11 Participants
0 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=13 Participants
11 Participants
n=11 Participants
24 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=13 Participants
0 Participants
n=11 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=13 Participants
0 Participants
n=11 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Asian
0 Participants
n=13 Participants
0 Participants
n=11 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=13 Participants
0 Participants
n=11 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=13 Participants
3 Participants
n=11 Participants
6 Participants
n=24 Participants
Race (NIH/OMB)
White
10 Participants
n=13 Participants
8 Participants
n=11 Participants
18 Participants
n=24 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=13 Participants
0 Participants
n=11 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=13 Participants
0 Participants
n=11 Participants
0 Participants
n=24 Participants
BMI (body mass index)
29.5 kg/m2
STANDARD_DEVIATION 4.8 • n=13 Participants • Caregivers were not included in BMI analysis
29.5 kg/m2
STANDARD_DEVIATION 4.8 • n=13 Participants • Caregivers were not included in BMI analysis
Weight
90.8 kg
STANDARD_DEVIATION 19.7 • n=13 Participants • Caregivers not included in weight analysis
90.8 kg
STANDARD_DEVIATION 19.7 • n=13 Participants • Caregivers not included in weight analysis
Diagnosis
Myelodysplastic syndrome
5 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
5 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
Diagnosis
Acute myeloid leukemia
3 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
3 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
Diagnosis
Diffuse large B-cell lymphoma
2 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
2 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
Diagnosis
Acute lymphoblastic leukemia
1 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
1 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
Diagnosis
Chronic lymphocytic leukemia
1 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
1 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
Diagnosis
Peripheral T-cell lymphoma
1 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
1 Participants
n=13 Participants • Caregivers are not included in the Diagnosis category
Receiving chemotherapy during intervention
Yes
10 Participants
n=13 Participants • Caregivers are not included in the chemotherapy during transplant analysis
10 Participants
n=13 Participants • Caregivers are not included in the chemotherapy during transplant analysis
Receiving chemotherapy during intervention
No
3 Participants
n=13 Participants • Caregivers are not included in the chemotherapy during transplant analysis
3 Participants
n=13 Participants • Caregivers are not included in the chemotherapy during transplant analysis
Work Status
Employed Full-Time
4 Participants
n=13 Participants
3 Participants
n=11 Participants
7 Participants
n=24 Participants
Work Status
Employed Part-Time
0 Participants
n=13 Participants
2 Participants
n=11 Participants
2 Participants
n=24 Participants
Work Status
Homemaker
0 Participants
n=13 Participants
1 Participants
n=11 Participants
1 Participants
n=24 Participants
Work Status
Retired
6 Participants
n=13 Participants
4 Participants
n=11 Participants
10 Participants
n=24 Participants
Work Status
Unemployed/Disabled
2 Participants
n=13 Participants
0 Participants
n=11 Participants
2 Participants
n=24 Participants
Work Status
Unemployed/Seeking
0 Participants
n=13 Participants
1 Participants
n=11 Participants
1 Participants
n=24 Participants
Work Status
Unknown/Not Reported
1 Participants
n=13 Participants
0 Participants
n=11 Participants
1 Participants
n=24 Participants
Martial Status
Married or living with significant other
13 Participants
n=13 Participants
10 Participants
n=11 Participants
23 Participants
n=24 Participants
Martial Status
Single, never married
0 Participants
n=13 Participants
1 Participants
n=11 Participants
1 Participants
n=24 Participants

PRIMARY outcome

Timeframe: 6 months

Population: 13 patients were prescribed the HIIT intervention, but only 9 consistently recorded sessions throughout the duration of the study.

Participants were asked to record or report their exercise sessions.

Outcome measures

Outcome measures
Measure
Patient
n=9 Participants
These are patients undergoing hematopoetic stem cell transplant. Patients will complete Interval training, undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Interval training: Patients will be asked to complete up to 3 x 30-minute structured high intensity interval training aerobic exercise sessions/week. For the first session, patients will come to the Duke Center for Living for in person evaluation and training. After the initial training session in person, a subsequent training session will take place at the patient's home via iPad/iPhone videoconference using a device provided to the patient to provide additional support and the opportunity to answer questions. Subsequent sessions will be done independently by patients, but study staff will be available via iPad/iPhone if questions arise. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Number of Participants Who Completed at Least Half of Their High Intensity Interval Training Sessions
9 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline, sign off, day 0 (transplant), 7, 14, 21, 30, 60, 90,180, 365

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline, sign off, day 0 (transplant), 7, 14, 21, 30, 60, 90,180, 365

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Scored as 0 (No, least severe), 1 (Yes, sometimes) and 2 (Yes, on a regular basis, most severe)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Scored from 0 (least severe) to 4 (most severe)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Participants will answer Yes/No to whether they have had any falls in the preceding 6 months

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline, sign off, day 0 (transplant), 7, 14, 21, 30, 60, 90,180, 365, 730

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Biomarker panel to be analyzed: CRP, Eotaxin, Eotaxin-3, FGF (basic), Flt-1/VEGFR-1, GM-CSF, ICAM-1, IFN-γ, IL-10, IL-12/IL-23p40, IL-12p70, IL-13, IL-15, IL-16, IL-17A, IL-17A/F, IL-17B, IL-17C, IL-17D, IL-1RA, IL-1α, IL-1β, IL-2, IL-21, IL-22, IL-23, IL-27, IL-3, IL-31, IL-4, IL-5, IL-6, IL-7, IL-8, IL-8 (HA), IL-9, IP-10, MCP-1, MCP-4, MDC, MIP-1α, MIP-1β, MIP-3α, PlGF, SAA, TARC, Tie-2, TNF-α, TNF-β, TSLP, VCAM-1, VEGF-A, VEGF-C, VEGF-D

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline, sign off, day 0 (transplant), 7, 14, 21, 30, 60, 90,180, 365

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Assessment is scored as 0 (never/least severe), 1 (sometimes), 2 (on a regular basis/most severe)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Assessment is scored from 1 (least severe) to 5 (most severe)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Assessment is scored from 1 (least severe) to 5 (most severe)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Assessment is scored from 5 (least severe) to 1 (most severe)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Assessment is scored from 5 (least severe) to 1 (most severe)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: day 180

CPET is scored by measuring changes in V02 max

Outcome measures

Outcome data not reported

Adverse Events

Patient

Serious events: 0 serious events
Other events: 2 other events
Deaths: 5 deaths

Caregiver

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Patient
n=13 participants at risk
These are patients undergoing hematopoetic stem cell transplant. Patients will complete Interval training, undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Interval training: Patients will be asked to complete up to 3 x 30-minute structured high intensity interval training aerobic exercise sessions/week. For the first session, patients will come to the Duke Center for Living for in person evaluation and training. After the initial training session in person, a subsequent training session will take place at the patient's home via iPad/iPhone videoconference using a device provided to the patient to provide additional support and the opportunity to answer questions. Subsequent sessions will be done independently by patients, but study staff will be available via iPad/iPhone if questions arise. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Caregiver
n=11 participants at risk
These are the assigned caregivers for transplant patients. Caregivers will undergo psychiatric consult, nutrition/diet evaluation and referral to social worker. Psychiatric consult: Subjects who score below threshold on the PHQ2/PHQ9, PC-PTSD/PCL-5, PROMIS-Depression and/or PROMIS-Anxiety assessments will be referred to a psychiatrist for follow up. Nutrition/diet evaluation: PG-SGA, ASA24, food group tracking Assessments and Vit D, Vit A, albumin, prealbumin, lipids, A1c levels will be used to provide weekly feedback for one month Referral to Social Worker: Subjects who score below threshold on the PROMIS-Emotional Support and/or PROMIS-Social Isolation assessments will be referred to a social worker for follow up
Cardiac disorders
Cardiac Arrhythmia
7.7%
1/13 • Number of events 1 • Adverse event data was collected for participants from enrollment through 1 year post-transplant
Adverse events are self-reported by study participants. The patients on this study are undergoing allogeneic stem cell transplantation, which is a procedure that is associated with high rates of adverse outcomes and morbidity. As such, we only record adverse events that are directly reported to us by the study participant or that are directly related to the study activity (i.e. falls during 6 minute walk test, emotional distress from answering study questionnaires, etc.)
0.00%
0/11 • Adverse event data was collected for participants from enrollment through 1 year post-transplant
Adverse events are self-reported by study participants. The patients on this study are undergoing allogeneic stem cell transplantation, which is a procedure that is associated with high rates of adverse outcomes and morbidity. As such, we only record adverse events that are directly reported to us by the study participant or that are directly related to the study activity (i.e. falls during 6 minute walk test, emotional distress from answering study questionnaires, etc.)
Injury, poisoning and procedural complications
Hip Fracture
7.7%
1/13 • Number of events 1 • Adverse event data was collected for participants from enrollment through 1 year post-transplant
Adverse events are self-reported by study participants. The patients on this study are undergoing allogeneic stem cell transplantation, which is a procedure that is associated with high rates of adverse outcomes and morbidity. As such, we only record adverse events that are directly reported to us by the study participant or that are directly related to the study activity (i.e. falls during 6 minute walk test, emotional distress from answering study questionnaires, etc.)
0.00%
0/11 • Adverse event data was collected for participants from enrollment through 1 year post-transplant
Adverse events are self-reported by study participants. The patients on this study are undergoing allogeneic stem cell transplantation, which is a procedure that is associated with high rates of adverse outcomes and morbidity. As such, we only record adverse events that are directly reported to us by the study participant or that are directly related to the study activity (i.e. falls during 6 minute walk test, emotional distress from answering study questionnaires, etc.)
Surgical and medical procedures
Surgery for hip fracture
7.7%
1/13 • Number of events 1 • Adverse event data was collected for participants from enrollment through 1 year post-transplant
Adverse events are self-reported by study participants. The patients on this study are undergoing allogeneic stem cell transplantation, which is a procedure that is associated with high rates of adverse outcomes and morbidity. As such, we only record adverse events that are directly reported to us by the study participant or that are directly related to the study activity (i.e. falls during 6 minute walk test, emotional distress from answering study questionnaires, etc.)
0.00%
0/11 • Adverse event data was collected for participants from enrollment through 1 year post-transplant
Adverse events are self-reported by study participants. The patients on this study are undergoing allogeneic stem cell transplantation, which is a procedure that is associated with high rates of adverse outcomes and morbidity. As such, we only record adverse events that are directly reported to us by the study participant or that are directly related to the study activity (i.e. falls during 6 minute walk test, emotional distress from answering study questionnaires, etc.)

Additional Information

Dr. Anthony Sung

Duke University Medical Center

Phone: 919-668-1000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place