MedPath

AlloLife - Life After Transplantation

Not Applicable
Not yet recruiting
Conditions
Survivorship
Stem Cell Transplant Complications
Interventions
Combination Product: Technology supported, coordinated survivorship care using wearable devices, supportive patient-apps and cardio-oncology physician apps
Registration Number
NCT05087784
Lead Sponsor
University Hospital, Essen
Brief Summary

Survivors of allo HCT can experience long-term survival, which is however limited by a number of late effects. These will be addressed in AlloLife to improve quality of life (QoL) and survival.

Detailed Description

The complex intervention in AlloLife will consist of a set of technically-supported tools that will enable active care management through the patient and treating physician to improve QoL.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
192
Inclusion Criteria
  • Age > 18
  • Patients with performed allogeneic stem cell transplantation any type of donor, stem cell source, GVHD prophylaxis or conditioning regimen and at least at day +20 after HCT.
  • Hematologic Remission after HCT at study entrance, MRD positive patients are allowed to enter the study
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-3
  • Signature of informed and written consent by the subject or by the subject's legally acceptable representative for patients under guardianship or trusteeship to participate in the study
  • Access to an internet connected device (smartphone/tablet/computer)
  • Able to understand and communicate in the respective language
  • Consent to use a wearable device through the time of the study
  • Consent to use a chatbot application for both healthcare data exchange and psychologic intervention
Exclusion Criteria
  • Missing consent to use a wearable device and contribute personal data collected at the point of life to the study
  • ECOG performance status of 4
  • Relapse of the disease at study inclusion
  • Uncontrolled systemic infection
  • Diagnosis of a secondary malignancy requiring systemic therapy
  • Reported ongoing severe depression or potential suicidal ideation
  • Vulnerable patients such as: minor, persons deprived of liberty, persons in Intensive Care Unit unable to provided informed consent prior to the intervention
  • Other ongoing interventional protocol that might interfere with the current study primary endpoint

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention:Technology supported, coordinated survivorship care using wearable devices, supportive patient-apps and cardio-oncology physician appsComplex, technology supported survivorship intervention using wearable devices for patients, supportive patient apps and physician apps for risk prediction. Increased Cardio-oncology visits assigned to risk patients as predicted by the app.
Primary Outcome Measures
NameTimeMethod
Quality of Life as measured by the FACT-BMT score12 months

Change in QoL measured by the FACT BMT score on a continuous scale. The Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT) as initially developed by McQuellon RP et al. BMT 1997. It scales between 0 (zero) and 196 on a continuous scale, where higher values refer to higher Quality of Life.

Secondary Outcome Measures
NameTimeMethod
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