Study on Using Geriatric Assessment to Plan Treatment for Older Adults with Blood Disorders
Sponsor: Memorial Sloan Kettering Cancer Center
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
| Parameter | Options |
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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
| FACILITY | ZIP | CITY | STATE |
|---|---|---|---|
| Memorial Sloan Kettering Basking Ridge (Consent Only) | 07920 | Basking Ridge | New Jersey |
| Memorial Sloan Kettering Monmouth (Consent Only) | 07748 | Middletown | New Jersey |
| Memorial Sloan Kettering Bergen (Consent Only) | 07645 | Montvale | New Jersey |
| Memorial Sloan Kettering Commack (Consent only) | 11725 | Commack | New York |
| Memorial Sloan Kettering Westchester (Consent Only) | 10604 | Harrison | New York |
| Memorial Sloan Kettering Cancer Center (All Protocol Activities) | 10065 | New York | New York |
| Memorial Sloan Kettering Nassau (Consent Only) | 11553 | Uniondale | New York |
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