Trial Outcomes & Findings for Exercise and Stress Management Post Autologous and Allogeneic Transplant (BMT CTN 0902) (NCT NCT01278927)

NCT ID: NCT01278927

Last Updated: 2022-12-08

Results Overview

To determine whether exercise or stress management improves self-reported physical and mental functioning compared to standard care at 100 days post hematopoietic cell transplantation (HCT) using evaluated patients. The Physical Component Score (PCS) and Mental Component Score (MCS) of the SF-36 will be the primary endpoint measures of functional status. Raw scores are converted to a standard metric (0-100), with higher scores being indicative of a better health state.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

711 participants

Primary outcome timeframe

100 days

Results posted on

2022-12-08

Participant Flow

Participant milestones

Participant milestones
Measure
Exercise
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Overall Study
STARTED
180
178
178
175
Overall Study
COMPLETED
180
178
178
175
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Exercise and Stress Management Post Autologous and Allogeneic Transplant (BMT CTN 0902)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exercise
n=180 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=178 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=178 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=175 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Total
n=711 Participants
Total of all reporting groups
Age, Customized
<=40 years
26 participants
n=5 Participants
21 participants
n=7 Participants
26 participants
n=5 Participants
27 participants
n=4 Participants
100 participants
n=21 Participants
Age, Customized
41-<65 years
105 participants
n=5 Participants
123 participants
n=7 Participants
118 participants
n=5 Participants
111 participants
n=4 Participants
457 participants
n=21 Participants
Age, Customized
>=65 years
49 participants
n=5 Participants
34 participants
n=7 Participants
34 participants
n=5 Participants
37 participants
n=4 Participants
154 participants
n=21 Participants
Sex: Female, Male
Female
68 Participants
n=5 Participants
78 Participants
n=7 Participants
78 Participants
n=5 Participants
82 Participants
n=4 Participants
306 Participants
n=21 Participants
Sex: Female, Male
Male
112 Participants
n=5 Participants
100 Participants
n=7 Participants
100 Participants
n=5 Participants
93 Participants
n=4 Participants
405 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
11 Participants
n=7 Participants
11 Participants
n=5 Participants
6 Participants
n=4 Participants
35 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
172 Participants
n=5 Participants
167 Participants
n=7 Participants
167 Participants
n=5 Participants
167 Participants
n=4 Participants
673 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
11 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
14 Participants
n=5 Participants
17 Participants
n=7 Participants
13 Participants
n=5 Participants
16 Participants
n=4 Participants
60 Participants
n=21 Participants
Race (NIH/OMB)
White
162 Participants
n=5 Participants
152 Participants
n=7 Participants
160 Participants
n=5 Participants
152 Participants
n=4 Participants
626 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
6 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
4 Participants
n=21 Participants
Karnofsky Performance-status Score
>=90%
112 participants
n=5 Participants
111 participants
n=7 Participants
94 participants
n=5 Participants
102 participants
n=4 Participants
419 participants
n=21 Participants
Karnofsky Performance-status Score
70%-80%
65 participants
n=5 Participants
64 participants
n=7 Participants
76 participants
n=5 Participants
68 participants
n=4 Participants
273 participants
n=21 Participants
Karnofsky Performance-status Score
50%-60%
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
4 participants
n=4 Participants
10 participants
n=21 Participants
Karnofsky Performance-status Score
Missing/Not done
1 participants
n=5 Participants
2 participants
n=7 Participants
5 participants
n=5 Participants
1 participants
n=4 Participants
9 participants
n=21 Participants
Disease
AML/ANLL/ALL
42 participants
n=5 Participants
47 participants
n=7 Participants
40 participants
n=5 Participants
42 participants
n=4 Participants
171 participants
n=21 Participants
Disease
CML
5 participants
n=5 Participants
5 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
14 participants
n=21 Participants
Disease
MDS/MPS
19 participants
n=5 Participants
16 participants
n=7 Participants
15 participants
n=5 Participants
13 participants
n=4 Participants
63 participants
n=21 Participants
Disease
MM/PCD
50 participants
n=5 Participants
44 participants
n=7 Participants
45 participants
n=5 Participants
57 participants
n=4 Participants
196 participants
n=21 Participants
Disease
Lymphoma
54 participants
n=5 Participants
60 participants
n=7 Participants
66 participants
n=5 Participants
50 participants
n=4 Participants
230 participants
n=21 Participants
Disease
CLL/SLL
5 participants
n=5 Participants
3 participants
n=7 Participants
5 participants
n=5 Participants
7 participants
n=4 Participants
20 participants
n=21 Participants
Disease
Solid Tumors
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
Disease
SAA
3 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
9 participants
n=21 Participants
Disease
Other Disease
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
Disease
Missing
1 participants
n=5 Participants
0 participants
n=7 Participants
3 participants
n=5 Participants
1 participants
n=4 Participants
5 participants
n=21 Participants

PRIMARY outcome

Timeframe: 100 days

To determine whether exercise or stress management improves self-reported physical and mental functioning compared to standard care at 100 days post hematopoietic cell transplantation (HCT) using evaluated patients. The Physical Component Score (PCS) and Mental Component Score (MCS) of the SF-36 will be the primary endpoint measures of functional status. Raw scores are converted to a standard metric (0-100), with higher scores being indicative of a better health state.

Outcome measures

Outcome measures
Measure
Exercise
n=139 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=142 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=136 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=143 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Functional Status
PCS
42.2 units on a scale
Standard Deviation 10.47
41.8 units on a scale
Standard Deviation 9.59
40.6 units on a scale
Standard Deviation 10.49
42.5 units on a scale
Standard Deviation 9.22
Functional Status
MCS
50.8 units on a scale
Standard Deviation 10.44
52.4 units on a scale
Standard Deviation 9.43
52.1 units on a scale
Standard Deviation 9.70
50.4 units on a scale
Standard Deviation 10.69

SECONDARY outcome

Timeframe: 100 days

Patients will complete the MOS 36-Item Short Form (SF-36), a widely used self-report measure designed to assess perceived health and functioning, contains eight scales: Physical Functioning (PF), Role-Physical (R-P); Bodily Pain (BP); General Health (GH); Vitality (VT); Social Functioning (SF); Mental Health (MH); and Role-Emotional (R-E). Scales are comprised of different numbers of items and use a variety of rating formats. Raw scores are converted to a standard metric (0-100), with higher scores being indicative of a better health state.

Outcome measures

Outcome measures
Measure
Exercise
n=139 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=142 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=136 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=143 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Symptoms
Physical Functioning
66.46 units on a scale
Standard Deviation 24.47
66.12 units on a scale
Standard Deviation 23.95
65.83 units on a scale
Standard Deviation 23.34
67.38 units on a scale
Standard Deviation 24.30
Symptoms
Role Physical
54.79 units on a scale
Standard Deviation 30.21
53.49 units on a scale
Standard Deviation 30.72
54.74 units on a scale
Standard Deviation 29.33
58.51 units on a scale
Standard Deviation 26.98
Symptoms
Bodily Pain
67.78 units on a scale
Standard Deviation 24.74
71.55 units on a scale
Standard Deviation 25.17
67.96 units on a scale
Standard Deviation 26.18
68.19 units on a scale
Standard Deviation 24.15
Symptoms
General Health
63.62 units on a scale
Standard Deviation 19.93
60.05 units on a scale
Standard Deviation 19.86
58.06 units on a scale
Standard Deviation 20.25
59.43 units on a scale
Standard Deviation 19.38
Symptoms
Vitality
54.91 units on a scale
Standard Deviation 20.84
58.13 units on a scale
Standard Deviation 18.29
54.42 units on a scale
Standard Deviation 21.03
53.56 units on a scale
Standard Deviation 21.06
Symptoms
Social Functioning
73.83 units on a scale
Standard Deviation 25.89
76.13 units on a scale
Standard Deviation 26.52
72.64 units on a scale
Standard Deviation 26.96
72.67 units on a scale
Standard Deviation 26.68
Symptoms
Role Emotional
81.73 units on a scale
Standard Deviation 25.64
80.44 units on a scale
Standard Deviation 26.83
86.68 units on a scale
Standard Deviation 21.23
81.83 units on a scale
Standard Deviation 25.29
Symptoms
Mental Health
76.68 units on a scale
Standard Deviation 17.24
80.17 units on a scale
Standard Deviation 15.29
77.85 units on a scale
Standard Deviation 17.58
76.75 units on a scale
Standard Deviation 17.59

SECONDARY outcome

Timeframe: 100 days

Cancer and treatment distress will be measured by the acute version of the Cancer and Treatment Distress (CTXD) scale, a 27 item validated measure of distress with domains of Uncertainty, Health Burden, Family Strain, Identity and Managing the Medical System used extensively in HCT studies. The scale ranges from 0 - 3, where a higher score reflects more distress.

Outcome measures

Outcome measures
Measure
Exercise
n=140 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=144 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=138 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=144 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Cancer and Treatment Distress (CTXD)
0.96 units on a scale
Standard Deviation 0.56
0.88 units on a scale
Standard Deviation 0.60
1.04 units on a scale
Standard Deviation 0.66
0.94 units on a scale
Standard Deviation 0.57

SECONDARY outcome

Timeframe: 100 days

The Pittsburgh Sleep Quality Index (PSQI) is a widely used seven item self-report measure of sleep patterns and difficulties. A modified version will be used to obtain self-reports of the following for the past week: sleep quality, sleep latency, sleep efficiency, and use of sleeping medications. The scale ranges from 0 - 21, where a higher score reflects worse sleep quality.

Outcome measures

Outcome measures
Measure
Exercise
n=132 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=136 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=135 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=138 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
The Pittsburgh Sleep Quality Index (PSQI)
4.55 units on a scale
Standard Deviation 3.50
3.49 units on a scale
Standard Deviation 2.93
4.44 units on a scale
Standard Deviation 3.31
4.02 units on a scale
Standard Deviation 3.13

SECONDARY outcome

Timeframe: 100 days

Two questions using a similar format as the SF-36 were added to measure nausea. The scale ranges from 1 - 5, where a higher score indicates worse nausea.

Outcome measures

Outcome measures
Measure
Exercise
n=138 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=143 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=138 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=144 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Nausea
2.74 units on a scale
Standard Deviation 1.38
2.63 units on a scale
Standard Deviation 1.41
2.80 units on a scale
Standard Deviation 1.47
2.85 units on a scale
Standard Deviation 1.49

SECONDARY outcome

Timeframe: 100 days

The number of hospital days within the first 100 days after graft infusion will be collected for patients surviving at least 100 days.

Outcome measures

Outcome measures
Measure
Exercise
n=175 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=172 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=172 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=173 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Days of Hospitalization
21.1 days
Standard Deviation 20.3
22.7 days
Standard Deviation 19.6
21.6 days
Standard Deviation 20.6
20.9 days
Standard Deviation 17.0

SECONDARY outcome

Timeframe: 6 months

The SF-36 PCS and MCS will be collected from participants at six months. Raw scores are converted to a standard metric (0-100), with higher scores being indicative of a better health state.

Outcome measures

Outcome measures
Measure
Exercise
n=125 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=122 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=117 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=128 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
SF-36 Late Outcomes
PCS
44.5 units on a scale
Standard Deviation 9.4
42.3 units on a scale
Standard Deviation 10.6
43.4 units on a scale
Standard Deviation 10.0
42.8 units on a scale
Standard Deviation 10.1
SF-36 Late Outcomes
MCS
51.6 units on a scale
Standard Deviation 9.8
52.5 units on a scale
Standard Deviation 9.1
50.7 units on a scale
Standard Deviation 11.0
51.7 units on a scale
Standard Deviation 9.9

SECONDARY outcome

Timeframe: 6 months and 1 year

Both survival at 6 months and overall survival at last follow-up will be reported. Overall survival is defined as the interval between transplantation and death or last follow-up. Patients alive when the study closes or lost to follow up are censored at the date of last contact.

Outcome measures

Outcome measures
Measure
Exercise
n=180 Participants
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=178 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=178 Participants
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=175 Participants
Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Survival
6 months
89 percentage of participants
Interval 83.0 to 92.0
89 percentage of participants
Interval 84.0 to 93.0
86 percentage of participants
Interval 80.0 to 90.0
92 percentage of participants
Interval 88.0 to 96.0
Survival
1 year
85 percentage of participants
Interval 79.0 to 90.0
82 percentage of participants
Interval 75.0 to 88.0
72 percentage of participants
Interval 64.0 to 80.0
79 percentage of participants
Interval 70.0 to 86.0

Adverse Events

Exercise

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

Stress Management

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

Exercise and Stress Management

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard Care

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

Serious adverse events

Serious adverse events
Measure
Exercise
n=178 participants at risk
Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief (10 minute) personalized introduction to the home-based exercise intervention. On Day 30 post hematopoietic cell transplantation (HCT), participants will meet briefly with the same interventionist when possible. To minimize contamination across intervention conditions, participants randomized to Exercise will be provided with only general advice regarding stress management (i.e., to continue using any techniques they currently use to manage stress). The interventionist will meet with the patient again in person or by phone at approximately 60 days post transplant. Exercise: Participants assigned to the Exercise arm will receive a packet of materials from the study interventionist, along with a brief personalized introduction to the home-based exercise intervention.
Stress Management
n=175 participants at risk
Participants will receive a packet of materials from the study interventionist, along with a brief standardized introduction to the self-administered intervention. On Day 30 post HCT, the interventionist will meet with the participant to answer any questions about the intervention, encourage the continued use of stress management techniques as recommended, and monitor for any adverse reactions to use of the techniques. The interventionist will meet with the patient again in person or by phone at approximately 60 days post transplant. Whenever possible, the interventionist meeting with the patient at 30 and 60 days should be the same interventionist who previously met with the patient. Stress Management: Participants will receive a packet of materials from the study interventionist, along with a brief (10 minute) standardized introduction to the self-administered intervention.
Exercise and Stress Management
n=174 participants at risk
Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions. On Day 30 post HCT, the same interventionist will meet with the participant briefly to answer any questions about the interventions, encourage the continued use of the interventions as recommended, and monitor for any adverse reactions. The interventionist will meet with the patient again in person or by phone at approximately 60 days post transplant. Whenever possible, the interventionist meeting with the patient at 30 and 60 days should be the same interventionist who previously met with the patient. Exercise and Stress Management: Participants will receive a packet of materials from the study interventionist, along with a brief (15 minute) personalized introduction to the interventions.
Standard Care
n=174 participants at risk
Patients randomized to standard care only will be informed of their assigned condition and receive a digital video disc (DVD). The interventionist will briefly discuss the topics of the DVD and elicit questions. To minimize contamination across intervention conditions, participants randomized to the control group will be provided with only general advice about exercise and stress management during treatment (i.e., to maintain any usual patterns of exercise to the extent possible and to continue using any techniques they currently use to manage stress). Standard Care: Patients randomized to standard care only will be informed of their assigned condition and receive the DVD.
Psychiatric disorders
Depression
0.00%
0/178 • 6-months post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.
0.00%
0/175 • 6-months post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.
0.57%
1/174 • 6-months post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.
0.00%
0/174 • 6-months post-transplant
Serious adverse events are defined as events associated with death, life-threatening event, disability, congenital anomaly, required intervention to prevent permanent impairment or damage, hospitalization or other serious adverse event.

Other adverse events

Adverse event data not reported

Additional Information

Adam Mendizabal

The EMMES Corporation

Phone: 301-251-1161

Results disclosure agreements

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