Aging, Geriatric Syndromes and Clonal Hematopoiesis

NCT ID: NCT02604563

Last Updated: 2025-04-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-03-10

Study Completion Date

2030-04-30

Brief Summary

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In this study the investigators will incorporate a wide range of clinical variables associated with aging and cardiovascular disease to determine whether they are associated with mutation status independent of chronologic age. Clinically, aging can be operationalized using geriatric assessment, which entails a comprehensive multi-dimensional assessment of the health of an older adult, including measures of comorbidity, polypharmacy, functional status, cognition, depression, falls, social activities and social support. Given that aging is heterogeneous, geriatric assessment allows greater specificity for aging than chronological age alone.

Detailed Description

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Conditions

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Geriatrics Aged Geriatric Syndromes Cardiovascular Diseases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Arm A: Clonal hematopoiesis

* Complete several self-administered health assessments at baseline and every 6 months until death.
* Cognitive assessment, Gait Speed, grip strength, blood pressure, height, and weight will be performed by a member of the research team at baseline and every 6 months until death.
* Peripheral blood draw will occur at baseline and no more than every 6 months until death.
* Buccal swabs will occur at baseline and repeated as necessary, but not more than every 6 months until death
* May be approached about optional bone marrow biopsy

Cognitive Assessment

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Activities of Daily Living Questionnaire

Intervention Type OTHER

* 10 items about daily functional status
* Baseline and no more frequently than every 6 months until death

Instrumental Activities of Daily Living, subscale of the OARS

Intervention Type OTHER

* 7 items about daily functional status
* Baseline and no more frequently than every 6 months until death

Karnofsky Self-reported Performance Rating Scale

Intervention Type OTHER

* 1 item about daily functional status
* Baseline and no more frequently than every 6 months until death

Number of Falls

Intervention Type OTHER

* 1 item about daily functional status
* Baseline and no more frequently than every 6 months until death

Physical Health Section, subscale of the OARS

Intervention Type OTHER

* 13 items about comorbidity
* Baseline and no more frequently than every 6 months until death

MOS Social Activity Survey

Intervention Type OTHER

* 4 items about social activity
* Baseline and no more frequently than every 6 months until death

Unintentional Weight Loss

Intervention Type OTHER

* 2 items about nutrition
* Baseline and no more frequently than every 6 months until death

Peripheral Blood Draw

Intervention Type GENETIC

-Baseline and no more frequently than every 6 months until death

Buccal Swab

Intervention Type GENETIC

* Participants will rinse their mouths 2 times with water for 20-30 seconds and discard the expectorated sample. One side of the inner cheek (buccal mucosa) will then be scraped with a cotton swab 20 times (alternatively, the tongue will be brushed 20 times with a toothbrush)
* Baseline and no more frequently than every 6 months until death

Heart Health and Smoking History from BRFSS questionnaire

Intervention Type OTHER

* 7 items about heart health and smoking history
* Baseline and no more frequently than every 6 months until death

Gait Speed

Intervention Type OTHER

* Research coordinator will test gait speed
* Baseline and no more frequently than every 6 months until death

Grip Strength

Intervention Type OTHER

* Research coordinator will test grip strength
* Baseline and no more frequently than every 6 months until death

Height and Weight measurements

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Blood pressure measurement

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Optional bone marrow biopsy

Intervention Type PROCEDURE

-1 optional bone marrow biopsy

Arm B: No clonal hematopoiesis

* Complete several self-administered health assessments at baseline and every 6 months until death.
* Cognitive assessment, Gait Speed, grip strength, blood pressure, height, and weight will be performed by a member of the research team at baseline and every 6 months until death.
* Peripheral blood draw will occur at baseline and no more than every 6 months until death.
* Buccal swabs will occur at baseline and repeated as necessary, but not more than every 6 months until death
* May be approached about optional bone marrow biopsy

Cognitive Assessment

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Activities of Daily Living Questionnaire

Intervention Type OTHER

* 10 items about daily functional status
* Baseline and no more frequently than every 6 months until death

Instrumental Activities of Daily Living, subscale of the OARS

Intervention Type OTHER

* 7 items about daily functional status
* Baseline and no more frequently than every 6 months until death

Karnofsky Self-reported Performance Rating Scale

Intervention Type OTHER

* 1 item about daily functional status
* Baseline and no more frequently than every 6 months until death

Number of Falls

Intervention Type OTHER

* 1 item about daily functional status
* Baseline and no more frequently than every 6 months until death

Physical Health Section, subscale of the OARS

Intervention Type OTHER

* 13 items about comorbidity
* Baseline and no more frequently than every 6 months until death

MOS Social Activity Survey

Intervention Type OTHER

* 4 items about social activity
* Baseline and no more frequently than every 6 months until death

Unintentional Weight Loss

Intervention Type OTHER

* 2 items about nutrition
* Baseline and no more frequently than every 6 months until death

Peripheral Blood Draw

Intervention Type GENETIC

-Baseline and no more frequently than every 6 months until death

Buccal Swab

Intervention Type GENETIC

* Participants will rinse their mouths 2 times with water for 20-30 seconds and discard the expectorated sample. One side of the inner cheek (buccal mucosa) will then be scraped with a cotton swab 20 times (alternatively, the tongue will be brushed 20 times with a toothbrush)
* Baseline and no more frequently than every 6 months until death

Heart Health and Smoking History from BRFSS questionnaire

Intervention Type OTHER

* 7 items about heart health and smoking history
* Baseline and no more frequently than every 6 months until death

Gait Speed

Intervention Type OTHER

* Research coordinator will test gait speed
* Baseline and no more frequently than every 6 months until death

Grip Strength

Intervention Type OTHER

* Research coordinator will test grip strength
* Baseline and no more frequently than every 6 months until death

Height and Weight measurements

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Blood pressure measurement

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Optional bone marrow biopsy

Intervention Type PROCEDURE

-1 optional bone marrow biopsy

Arm C: No clonal hematopoiesis & no follow-up

* Complete several self-administered health assessments at baseline with no further follow-up
* Cognitive assessment, Gait Speed, grip strength, blood pressure, height, and weight will be performed by a member of the research team at baseline with no further follow-up
* Peripheral blood draw will occur at baseline with no further follow-up
* Buccal swabs will occur at baseline with no further follow-up

Cognitive Assessment

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Activities of Daily Living Questionnaire

Intervention Type OTHER

* 10 items about daily functional status
* Baseline and no more frequently than every 6 months until death

Instrumental Activities of Daily Living, subscale of the OARS

Intervention Type OTHER

* 7 items about daily functional status
* Baseline and no more frequently than every 6 months until death

Karnofsky Self-reported Performance Rating Scale

Intervention Type OTHER

* 1 item about daily functional status
* Baseline and no more frequently than every 6 months until death

Number of Falls

Intervention Type OTHER

* 1 item about daily functional status
* Baseline and no more frequently than every 6 months until death

Physical Health Section, subscale of the OARS

Intervention Type OTHER

* 13 items about comorbidity
* Baseline and no more frequently than every 6 months until death

MOS Social Activity Survey

Intervention Type OTHER

* 4 items about social activity
* Baseline and no more frequently than every 6 months until death

Unintentional Weight Loss

Intervention Type OTHER

* 2 items about nutrition
* Baseline and no more frequently than every 6 months until death

Peripheral Blood Draw

Intervention Type GENETIC

-Baseline and no more frequently than every 6 months until death

Buccal Swab

Intervention Type GENETIC

* Participants will rinse their mouths 2 times with water for 20-30 seconds and discard the expectorated sample. One side of the inner cheek (buccal mucosa) will then be scraped with a cotton swab 20 times (alternatively, the tongue will be brushed 20 times with a toothbrush)
* Baseline and no more frequently than every 6 months until death

Heart Health and Smoking History from BRFSS questionnaire

Intervention Type OTHER

* 7 items about heart health and smoking history
* Baseline and no more frequently than every 6 months until death

Gait Speed

Intervention Type OTHER

* Research coordinator will test gait speed
* Baseline and no more frequently than every 6 months until death

Grip Strength

Intervention Type OTHER

* Research coordinator will test grip strength
* Baseline and no more frequently than every 6 months until death

Height and Weight measurements

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Blood pressure measurement

Intervention Type OTHER

-Baseline and no more frequently than every 6 months until death

Arm D: Hip replacement

* Complete several self-administered health assessments at baseline and every 6 months until death.
* Cognitive assessment, Gait Speed, grip strength, blood pressure, height, and weight will be performed by a member of the research team at baseline and every 6 months until death.
* Participants with or without clonal hematopoiesis who are undergoing hip replacement
* Peripheral blood draw will occur at baseline and no more than every 6 months until death.
* Buccal swabs will occur at baseline and repeated as necessary, but not more than every 6 months until death
* May be approached about optional bone marrow biopsy

No interventions assigned to this group

Arm E: Trauma

-Blood sample at the time of admission with initial bloodwork. For inpatient participants, weekly follow-up samples will be drawn with morning phlebotomy. A follow-up sample collection will occur 4-7 weeks after discharge.

Blood draw for trauma measurements

Intervention Type PROCEDURE

-For Arm E only

Interventions

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Cognitive Assessment

-Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Activities of Daily Living Questionnaire

* 10 items about daily functional status
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Instrumental Activities of Daily Living, subscale of the OARS

* 7 items about daily functional status
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Karnofsky Self-reported Performance Rating Scale

* 1 item about daily functional status
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Number of Falls

* 1 item about daily functional status
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Physical Health Section, subscale of the OARS

* 13 items about comorbidity
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

MOS Social Activity Survey

* 4 items about social activity
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Unintentional Weight Loss

* 2 items about nutrition
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Peripheral Blood Draw

-Baseline and no more frequently than every 6 months until death

Intervention Type GENETIC

Buccal Swab

* Participants will rinse their mouths 2 times with water for 20-30 seconds and discard the expectorated sample. One side of the inner cheek (buccal mucosa) will then be scraped with a cotton swab 20 times (alternatively, the tongue will be brushed 20 times with a toothbrush)
* Baseline and no more frequently than every 6 months until death

Intervention Type GENETIC

Heart Health and Smoking History from BRFSS questionnaire

* 7 items about heart health and smoking history
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Gait Speed

* Research coordinator will test gait speed
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Grip Strength

* Research coordinator will test grip strength
* Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Height and Weight measurements

-Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Blood pressure measurement

-Baseline and no more frequently than every 6 months until death

Intervention Type OTHER

Optional bone marrow biopsy

-1 optional bone marrow biopsy

Intervention Type PROCEDURE

Blood draw for trauma measurements

-For Arm E only

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* At least 50 years of age.
* Able to understand written and spoken English.
* Able to understand and willing to sign an IRB-approved written informed consent document (or that of a legally authorized representative, if applicable for the trauma cohort)

Exclusion Criteria

* Inability or unwillingness to complete health questionnaire.
* History of a recent (\<30 days) acute viral illness.
* Current cancer diagnosis and currently receiving chemotherapy or undergoing radiation therapy. A prior history of cancer is allowed if the participant completed therapy \> 1 year prior to enrollment; participants with a prior diagnosis of cancer will be asked to sign a release of information for the research team to obtain records regarding their prior cancer treatment.
* Current use of drugs that cause DNA damage (e.g. Cytoxan, azathioprine, etc.) for the treatment of a non-malignant disease.
* Vulnerable populations (e.g. prisoners).
* Known infection with Hepatitis B or C, HTLV, or HIV.
* Additional exclusion for optional bone marrow aspirate/biopsy substudy:

* Use of medications for anticoagulation or "blood thinning" including warfarin, low molecular weight heparins (enoxaparin, daltaparin) or direct-acting oral anticoagulants (dabigatran, rivaroxaban, apixaban, edoxaban or betrixaban)
* allergy to lidocaine or other local anesthetics.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Edward P. Evans Foundation

OTHER

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Meagan Jacoby, M.D.

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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Washington University School of Medicine

St Louis, Missouri, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Meagan Jacoby, M.D.

Role: CONTACT

314-747-8439

Kristina Williams, B.S.

Role: CONTACT

314-362-6963

Facility Contacts

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Meagan Jacoby, M.D.

Role: primary

314-747-8439

Kristi Williams, B.S.

Role: backup

314-362-6963

Related Links

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http://www.siteman.wustl.edu

Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Other Identifiers

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201511019

Identifier Type: -

Identifier Source: org_study_id

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