Close Assessment and Testing for Chronic Graft Versus Host Disease, CATCH Study

NCT ID: NCT04188912

Last Updated: 2025-10-02

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

COMPLETED

Total Enrollment

267 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-09-13

Study Completion Date

2025-09-29

Brief Summary

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This trial observes and collects samples from patients before and after stem cell transplantation to learn more about how and why a complication called chronic graft-versus-host disease (GVHD) develops after stem cell transplantation. Performing close observation and various types of testing may enable doctors to notice symptoms or problems sooner than they would normally have been noticed and predict which patients will develop chronic GVHD.

Detailed Description

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OUTLINE:

Patients undergo collection of tears, saliva, buccal mucosa, and fecal samples before stem cell transplant, at 2-3, 4, 6, 8, 10, and 12 months after stem cell transplant, and at cGVHD onset. Patients also undergo collection of blood samples before stem cell transplant, at 1-2, 2-3, 4, 6, 8, 10, and 12 months after stem cell transplant, and at cGVHD onset. Patients may undergo skin and mouth biopsy over 15-30 minutes before stem cell transplant, at 2-3 and 12 months after stem cell transplant, and at cGVHD onset. Patients undergo digital pictures of the eyes, mouth and skin, and optical coherence tomographybefore stem cell transplant, at 2-3, 4, 6, 8, 10, and 12 months after stem cell transplant, and at cGVHD onset. Patients without standard of care formal pulmonary function test undergo portable spirometry at 2-3, 4, 6, 8, 10, and 12 months after stem cell transplant, and at cGVHD onset. Patients also complete surveys and have their medical records reviewed.

After completion of study, patients are followed up periodically.

Conditions

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Hematopoietic and Lymphoid Cell Neoplasm

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Observational (sample collection, survey, imaging, spirometry)

Patients undergo collection of tears, saliva, buccal mucosa, and fecal samples before stem cell transplant, at 2-3, 4, 6, 8, 10, and 12 months after stem cell transplant, and at cGVHD onset. Patients also undergo collection of blood samples before stem cell transplant, at 1-2, 2-3, 4, 6, 8, 10, and 12 months after stem cell transplant, and at cGVHD onset. Patients may undergo skin and mouth biopsy over 15-30 minutes before stem cell transplant, at 2-3 and 12 months after stem cell transplant, and at cGVHD onset. Patients undergo digital pictures of the eyes, mouth and skin, and optical coherence tomography before stem cell transplant, at 2-3, 4, 6, 8, 10, and 12 months after stem cell transplant, and at cGVHD onset. Patients without standard of care formal pulmonary function test undergo portable spirometry at 2-3, 4, 6, 8, 10, and 12 months after stem cell transplant, and at cGVHD onset. Patients also complete surveys and have their medical records reviewed.

Biospecimen Collection

Intervention Type PROCEDURE

Undergo collection of blood, tears, saliva, buccal mucosa, feces, and tissue samples

Optical Coherence Tomography

Intervention Type PROCEDURE

Undergo optical coherence tomography

Spirometry

Intervention Type PROCEDURE

Undergo portable spirometry

Survey Administration

Intervention Type OTHER

Complete survey

Digital Photography

Intervention Type OTHER

Undergo digital photography

Quality-of-Life Assessment

Intervention Type OTHER

Ancillary studies

Medical Chart Review

Intervention Type OTHER

Review of medical charts

Interventions

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Biospecimen Collection

Undergo collection of blood, tears, saliva, buccal mucosa, feces, and tissue samples

Intervention Type PROCEDURE

Optical Coherence Tomography

Undergo optical coherence tomography

Intervention Type PROCEDURE

Spirometry

Undergo portable spirometry

Intervention Type PROCEDURE

Survey Administration

Complete survey

Intervention Type OTHER

Digital Photography

Undergo digital photography

Intervention Type OTHER

Quality-of-Life Assessment

Ancillary studies

Intervention Type OTHER

Medical Chart Review

Review of medical charts

Intervention Type OTHER

Other Intervention Names

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OCT Quality of Life Assessment Chart Review

Eligibility Criteria

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Inclusion Criteria

* Adults age 18 or older

Exclusion Criteria

* Ability and willingness to comply with the intensive assessment schedule including evaluation every other month at a participating site
* Ability to communicate in English or Spanish, to allow completion of patient surveys and clear communication with the study team


* Receipt of umbilical cord blood, bone marrow with post-transplant cyclophosphamide (peripheral blood with post-transplant cyclophosphamide is allowed), anti-thymocyte globulin, alemtuzumab, or ex-vivo T-cell depletion. These patients are excluded because they have a cGVHD risk of \< 25%
* Hematologic malignancy with active disease at the time of transplant. Minimal residual disease is allowed
* Hematopoietic cell transplant co-morbidity index \> 4 based on parameters known at time of enrollment
* Prior allogeneic transplant
* Prior autoimmune disease with ongoing symptoms
* History of noncompliance
* Inability to comply with study requirements due to geographic, logistic, social or any other factors
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Fred Hutchinson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephanie Lee

Role: PRINCIPAL_INVESTIGATOR

Fred Hutch/University of Washington Cancer Consortium

Locations

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University of Florida

Gainesville, Florida, United States

Site Status

Moffitt Cancer Center

Tampa, Florida, United States

Site Status

National Cancer Institute

Bethesda, Maryland, United States

Site Status

Roswell Park

Buffalo, New York, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Vanderbilt

Nashville, Tennessee, United States

Site Status

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Pidala J, Carpenter PA, Onstad L, Pavletic SZ, Hamilton BK, Chen GL, Farhadfar N, Hall M, Lee SJ. Study protocol: Close Assessment and Testing for Chronic Graft-vs.-Host disease (CATCH). PLoS One. 2024 May 16;19(5):e0298026. doi: 10.1371/journal.pone.0298026. eCollection 2024.

Reference Type DERIVED
PMID: 38753616 (View on PubMed)

Other Identifiers

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NCI-2019-07293

Identifier Type: REGISTRY

Identifier Source: secondary_id

10134

Identifier Type: OTHER

Identifier Source: secondary_id

U01CA236229

Identifier Type: NIH

Identifier Source: secondary_id

View Link

RG1005155

Identifier Type: -

Identifier Source: org_study_id

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