Study on Using Geriatric Assessment to Plan Treatment for Older Adults with Blood Disorders

Sponsor: Memorial Sloan Kettering Cancer Center

Sponsor score: 60

ClinicalTrials ID:NCT04761770

This clinical trial is exploring whether a geriatric assessment can help improve treatment outcomes and quality of life for older adults with certain blood disorders who are preparing for a stem cell transplant.

Patient Parameters

Program Overview

The study aims to find out if using a geriatric assessment can lead to better treatment results for older adults (aged 60 and above) with blood disorders like acute myeloid leukemia and myelodysplastic syndromes. The assessment looks at various aspects of health, such as thinking abilities, physical movement, mood, nutrition, and current medications, to help decide the best treatment plan. The study also wants to see if this approach can improve participants' quality of life, which will be measured through questionnaires.

Description

This study is testing a personalized approach to stem cell transplants for older adults based on their health needs identified through a geriatric assessment. The assessment helps determine how fit a patient is and guides the choice of treatment before the transplant.

  • Less vulnerable or fitter patients may receive a stronger treatment plan called a myeloablative (MA) regimen.
  • More vulnerable patients may receive a gentler treatment plan called a reduced-intensity conditioning (RIC) or non-myeloablative (NMA) regimen.

The treatments may include various chemotherapy drugs like busulfan and fludarabine, radiation therapy, and other therapies like anti-thymocyte globulin (ATG).

Eligibility Criteria

Inclusion Criteria

  • Aged 60 years or older.
  • Diagnosed with certain blood disorders, such as acute myeloid leukemia or myelodysplastic syndromes.
  • Have less than 10% cancer cells in the bone marrow before the transplant.
  • Have a suitable donor for the transplant, which can be a related or unrelated match, or a partial match.
  • Meet the standard criteria for stem cell transplantation as determined by the transplant doctor.
  • Will receive a treatment plan based on their health assessment:
    • If health score is less than 5 and daily activities are normal, a stronger treatment plan is used.
    • If health score is 5 or more, or daily activities are impaired, a gentler treatment plan is used.

Exclusion Criteria

  • Have had a previous stem cell transplant.
  • Using cord blood donors.
  • Have active disease with 10% or more cancer cells in the bone marrow before the transplant.

Locations

FACILITYZIPCITYSTATE
Memorial Sloan Kettering Basking Ridge (Consent Only)07920Basking RidgeNew Jersey
Memorial Sloan Kettering Monmouth (Consent Only)07748MiddletownNew Jersey
Memorial Sloan Kettering Bergen (Consent Only)07645MontvaleNew Jersey
Memorial Sloan Kettering Commack (Consent only)11725CommackNew York
Memorial Sloan Kettering Westchester (Consent Only)10604HarrisonNew York
Memorial Sloan Kettering Cancer Center (All Protocol Activities)10065New YorkNew York
Memorial Sloan Kettering Nassau (Consent Only)11553UniondaleNew York

Get This Program In Your Inbox

Receive detailed information about this treatment opportunity to review with your healthcare provider.