Peri-Transfusion QOL Assessments (PTQA): A New Paradigm of Transfusion Decision Support for Patients With MDS

NCT ID: NCT03660228

Last Updated: 2024-06-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-17

Study Completion Date

2021-06-30

Brief Summary

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This research study is evaluating how to best tailor blood transfusion decisions to match the quality of life changes experienced by individual patients with MDS.

Detailed Description

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Each patient with MDS reacts differently to blood transfusions; some will feel better after transfusion, while others may not. The main purpose of this survey study is to determine whether it is possible to use quality of life changes - as measured by a validated questionnaire - experienced by individual patients to help physicians and patients with MDS make decisions regarding future blood transfusions. This research is being done because the investigators hope to help doctors better understand the impact of blood transfusions on the quality of life of each patient.

The study uses a standardized MDS-specific quality of life questionnaire that participants will fill out before and after an upcoming transfusion. The investigators will compare the scores of these questionnaires and notify both the participant and provider if the participant has experienced any changes (positive or negative) in his/her quality of life before and after transfusion. The investigators' hope is that doctor-patient teams will use this quality of life information to determine whether the participant should continue receiving transfusions, decrease the frequency of transfusions, or stop receiving transfusions altogether if not needed.

Conditions

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Myelodysplastic Syndromes

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Peri-Transfusion QOL Assessment

* Participants will be given a study packet containing a paper copy of the QUALMS
* Study participants will fill out the survey on the day before their first/next pRBC transfusion.
* Study participants will receive a second paper copy of the QUALMS, along with a stamped envelope addressed to the appropriate site
* The second assessment will be scored and compared with the first, and both the patient and provider will be sent a report with the results

Group Type EXPERIMENTAL

Peri-Transfusion QOL Assessment

Intervention Type OTHER

Participants will undergo a peri-transfusion quality of life assessment (PTQA) using the Quality of Life in Myelodysplasia Scale (QUALMS)

Interventions

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Peri-Transfusion QOL Assessment

Participants will undergo a peri-transfusion quality of life assessment (PTQA) using the Quality of Life in Myelodysplasia Scale (QUALMS)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years of age
* Patients with MDS
* Patients approaching an Hb of 8.5 g/dL during enrollment period OR
* Patients with \>1 transfusion scheduled during an 8-week period
* Ability to read and understand English

Exclusion Criteria

* Age \<18 years
* Cr \> 2
* Known CHF
* Unstable Angina
* Hb level below 7.5 g/dL or above 8.5 g/dL
* No plan for future transfusion.
* Patient enrollment will happen after patient has consented and scheduled their first/next transfusion.
* Patient will not be enrolled if no future transfusions are scheduled.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vera and Joseph Dresner Foundation

OTHER

Sponsor Role collaborator

Dana-Farber Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Gregory A. Abel, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gregory A Abel, MD

Role: PRINCIPAL_INVESTIGATOR

Dana-Farber Cancer Institute

Locations

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Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Abel GA, Klepin HD, Magnavita ES, Jaung T, Lu W, Shallis RM, Hantel A, Bahl NE, Dellinger-Johnson R, Winer ES, Zeidan AM. Peri-transfusion quality-of-life assessment for patients with myelodysplastic syndromes. Transfusion. 2021 Oct;61(10):2830-2836. doi: 10.1111/trf.16584. Epub 2021 Jul 12.

Reference Type RESULT
PMID: 34251040 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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18-307

Identifier Type: -

Identifier Source: org_study_id

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