Comparing the Effectiveness of Matched Related Donor Hematopoietic Stem Cell Transplantation to Disease Modifying Therapy in Pediatric Patients With Sickle Cell Disease.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 480
- 试验地点
- 37
- 主要终点
- Health-Related Quality of Life as Measured by the Pediatric Quality of Life Inventory (PedsQL) Generic Core Scale (Parent-Proxy Report)
研究概览
简要总结
The WeDecide study is a large observational study comparing the long-term effects of matched related donor hematopoietic stem cell transplantation (MRD HCT) and non-transplant disease-modifying therapies (NT-DMT) for pediatric patients with sickle cell disease (SCD). The study aims to assess health-related quality of life (HRQoL), cognitive function, risks, and benefits of both treatments, including survival rates, chronic complications, and organ damage prevention. With 160 children in the MRD HCT group and 320 in the NT-DMT group, aged 3-20.9 years, the study will follow participants for three years, examining factors like disease severity, treatment history, and social determinants of health. By providing a comprehensive comparison, the study seeks to inform clinical decisions and improve understanding of SCD treatment outcomes, ultimately supporting families and healthcare providers in choosing the best treatment options.
详细描述
The WeDecide study is a large observational study comparing the long-term effects of two treatment options for pediatric patients with sickle cell disease (SCD): matched related donor hematopoietic stem cell transplantation (MRD HCT) and non-transplant disease-modifying therapies (NT-DMT). The main goal is to understand how these treatments affect health-related quality of life (HRQoL) and cognitive function, using standard tools to measure both physical and mental health. The study also looks at risks and benefits of MRD HCT, such as the potential for chronic complications, improved survival, and prevention of organ damage.
The study includes two groups: 160 children receiving MRD HCT and 320 children receiving NT-DMT. Participants, aged 3-20.9 years, are being followed for three years. The MRD HCT group will be assessed before the transplant and then at several points post-transplant. The NT-DMT group will be assessed at the start of the study and then annually for three years.
The research also considers factors like disease severity, treatment history, and social determinants of health (such as family finances and caregiver health literacy) to better understand how these elements might influence treatment outcomes. The study tracks the use of disease-modifying therapies, as well as hospital visits and other care events, throughout the three years. It will also monitor survival rates and other important health outcomes.
This study is significant because it is the first large-scale research comparing these two treatment options for SCD in children. The results will provide essential insights into how these treatments impact long-term health and help guide clinical decisions and treatment recommendations. The goal is to help families and healthcare providers make informed decisions about the best treatment options for SCD.
The study uses advanced methods to ensure fair comparisons between the two groups by accounting for differences in their characteristics. It will also adjust for any factors that could influence the results, helping to identify meaningful differences in health outcomes between the two treatments. Ultimately, the WeDecide study aims to improve our understanding of sickle cell disease treatment and provide a foundation for future research into new therapies.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 3 Years 至 20 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pediatric patients aged between 3 and 20.9 years.
- •Children diagnosed with sickle cell Anemia (HB SS or HBSB0 Thalassemia)
- •For the MRD HCT group, children who are candidates for matched related donor hematopoietic stem cell transplantation (MRD HCT).
- •For the NT-DMT group, children who are receiving non-transplant disease-modifying therapies (NT-DMT) for SCD.
- •Participants (or their guardians) must provide informed consent to be part of the study.
- •Participants must be willing to undergo the necessary assessments and follow-up visits over the 3-year study period.
排除标准
- •Children younger than 3 years or older than 20.9 years.
- •Children who do not have sickle cell anemia or related conditions.
- •For the MRD HCT group, children who are not eligible for the transplant or do not have a matched related donor.
- •Children who are currently enrolled in other clinical trials that might interfere with the WeDecide study.
- •Children who are unable to adhere to the study protocol or follow-up requirements.
研究组 & 干预措施
NT-DMT Cohort
This group includes 320 participants from U.S. and Canadian sites receiving non-transplant disease-modifying therapies, monitored annually over three years to assess health-related quality of life, cognitive function, disease progression, and healthcare utilization.
MRD HCT Cohort
This group includes 160 participants from U.S. and Canadian sites receiving non-transplant disease-modifying therapies, monitored annually over three years to assess health-related quality of life, cognitive function, disease progression, and healthcare utilization.
结局指标
主要结局
Health-Related Quality of Life as Measured by the Pediatric Quality of Life Inventory (PedsQL) Generic Core Scale (Parent-Proxy Report)
时间窗: Baseline, 1-year, 2-year, 3-year follow-up
Measures physical, emotional, social, and school functioning as reported by parents.
Cognitive Function as Measured by the NIH Toolbox Cognitive Battery
时间窗: Baseline, 1-year, 2-year, 3-year follow-up
Assesses the following cognitive domains: attention, executive function, memory, language, processing speed, and working memory.
次要结局
- Incidence and Severity of Chronic Graft-Versus-Host Disease(Day 100, 6 months, Year 1, Year 2, Year 3)
- Number of Acute Care Visits (ED, Hospitalizations, Infusion/Clinic)(Time Points: Year 1, Year 2, Year 3)
- The Patient Reported Outcomes Measure System (PROMIS) Pain Behavior subscale (Patient and Parent-Proxy Reports)(Baseline, 1-year, 2-year and 3-year follow-up)
- Health-Related Quality of Life as Measured by the Pediatric Quality of Life Inventory (PedsQL) Generic Core Scale (Patient Reported)(Baseline, 1-year, 2-year, 3-year follow-up)
- Health Related Quality of Life Using the PedsQL Sickle Cell Disease Module (Patient and Parent-Proxy Reported)(Baseline, 1-year, 2-year, 3-year follow-up)
- Peds QL Family Impact Module (Parent Reported)(Baseline, 1-, 2- and 3-year follow-up)
- Health Quality of Life as Measured by the Patient Reported Outcomes Measurement Information System (PROMIS, Patient and Parent-Proxy Reports)(Baseline, 1-year, 2-year, 3-year follow-up)
研究者
John Horan
Professor - Department of Pediatrics, Hematology and Oncology (SMD)
University of Rochester