Cardiovascular Reserve Evaluation in Survivors of Transplant, CREST Study

NCT ID: NCT04537871

Last Updated: 2025-09-25

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

ACTIVE_NOT_RECRUITING

Total Enrollment

350 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-11-18

Study Completion Date

2026-06-30

Brief Summary

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This study evaluates how well the heart, lungs, and muscles are working individually, and how these systems are working together in transplant survivors. Information collected in this study may help doctors to understand why hematopoietic stem cell transplant survivors are at higher risk for developing cardiovascular disease.

Detailed Description

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PRIMARY OBJECTIVES:

I. Evaluate cardiovascular reserve capacity, as measured by peak oxygen consumption (VO2peak), in hematopoietic cell transplantation (HCT) survivors.

II. Define the determinants of VO2peak impairment in HCT survivors.

OUTLINE:

Patients undergo echocardiogram to assess cardiac function and mechanics, cardiopulmonary exercise test, pulmonary function test, musculoskeletal ultrasound, bioelectrical impedance analysis to measure total lean body mass and percent body fat), physical function tests, and collection of blood samples within 45 days from the start of conditioning therapy, and at 6 months, 1 year, and 2 years post-transplant.

Conditions

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Acute Lymphoblastic Leukemia Acute Myeloid Leukemia Hematopoietic and Lymphoid Cell Neoplasm Hodgkin Lymphoma Myelodysplastic Syndrome Non-Hodgkin Lymphoma Plasma Cell Myeloma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Observational (physical assessment)

Patients undergo echocardiogram to assess cardiac function and mechanics, cardiopulmonary exercise test, pulmonary function test, musculoskeletal ultrasound, bioelectrical impedance analysis to measure total lean body mass and percent body fat), physical function tests, and collection of blood samples within 45 days from the start of conditioning therapy, and at 6 months, 1 year, and 2 years post-transplant.

Bioelectric Impedance Analysis

Intervention Type PROCEDURE

Undergo bioelectric impedance analysis

Biospecimen Collection

Intervention Type PROCEDURE

Undergo collection of blood samples

Cardiopulmonary Exercise Testing

Intervention Type PROCEDURE

Undergo cardiopulmonary exercise test

Echocardiography

Intervention Type PROCEDURE

Undergo echocardiogram

Physical Performance Testing

Intervention Type PROCEDURE

Undergo physical function tests

Pulmonary Function Test

Intervention Type PROCEDURE

Undergo pulmonary function test

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Ultrasound

Intervention Type PROCEDURE

Undergo musculoskeletal ultrasound

Interventions

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Bioelectric Impedance Analysis

Undergo bioelectric impedance analysis

Intervention Type PROCEDURE

Biospecimen Collection

Undergo collection of blood samples

Intervention Type PROCEDURE

Cardiopulmonary Exercise Testing

Undergo cardiopulmonary exercise test

Intervention Type PROCEDURE

Echocardiography

Undergo echocardiogram

Intervention Type PROCEDURE

Physical Performance Testing

Undergo physical function tests

Intervention Type PROCEDURE

Pulmonary Function Test

Undergo pulmonary function test

Intervention Type PROCEDURE

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Ultrasound

Undergo musculoskeletal ultrasound

Intervention Type PROCEDURE

Other Intervention Names

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BIA Bioelectric Impedance Bioelectric Impedance Test Bioelectrical Impedance Analysis Bioimpedance Analysis CPET CPX Physical Fitness Testing Physical Function Testing lung function test PFT Pulmonary Function Testing Pulmonary Function Tests

Eligibility Criteria

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Inclusion Criteria

* Age at HCT \>= 18 years
* Diagnosis of acute leukemia (myeloid, lymphoid), lymphoma (non-Hodgkin, Hodgkin), multiple myeloma or myelodysplastic syndromes
* Planning to undergo first autologous or allogeneic transplant
* Able to fluently read and write in English
* Able to understand and sign the study specific informed consent form (ICF)
* Physically able and willing to complete all study procedures

Exclusion Criteria

* Unstable bone lesions per electronic medical record review and/or notification from patient's primary physician
* Unstable angina or history of acute myocardial Infarction (\< 5 days of any planned study procedures)
* Recurrent syncope
* Acute myocarditis or pericarditis
* Symptomatic severe aortic stenosis
* Uncontrolled arrhythmia causing symptoms
* Pulmonary embolus \< 3 month of study procedures
* Thrombosis of lower extremities
* Moderate or severe persistent asthma (National Asthma Education \& Prevention)
* Room air desaturation at rest =\< 85%
* Non-cardiopulmonary disorders that may affect exercise performance or be aggravated by exercise (i.e. infection, renal failure, thyrotoxicosis)
* Anemia (hemoglobin \[Hgb\] \< 8 g/dL)
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 Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

City of Hope Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Saro H Armenian

Role: PRINCIPAL_INVESTIGATOR

City of Hope Medical Center

Locations

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City of Hope Medical Center

Duarte, California, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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NCI-2020-06749

Identifier Type: REGISTRY

Identifier Source: secondary_id

19424

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA033572

Identifier Type: NIH

Identifier Source: secondary_id

View Link

R01HL150069

Identifier Type: NIH

Identifier Source: secondary_id

View Link

19424

Identifier Type: -

Identifier Source: org_study_id

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