Assessment of Remote Approaches for Identification of Autonomic Dysfunction Among Survivors of Leukemia and Lymphoma

NCT ID: NCT06747910

Last Updated: 2025-12-17

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

Clinical Phase

NA

Total Enrollment

188 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-03

Study Completion Date

2026-06-30

Brief Summary

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This study seeks to determine if diagnosing cardiac autonomic dysfunction (AD) can be done remotely with the same accuracy as in-person testing. If so, the identification of AD could happen sooner, facilitating remote studies of the condition and potentially reducing the risk of illness. Childhood cancer survivors, particularly survivors of acute lymphoblastic leukemia (ALL) and Hodgkins's lymphoma (HL), appear to be at increased risk for AD.

Primary Objectives:

* To determine the sensitivity and specificity of heart rate variability (HRV), measured remotely with biosensor technology (Actigraph LEAP), compared to in-person assessment using the Ewing battery as the reference standard to identify cardiac autonomic dysfunction (AD) among survivors of leukemia and lymphoma.
* To determine the sensitivity and specificity of the Composite Autonomic Symptom Scale 31 (COMPASS31) compared to the Ewing battery to identify AD among leukemia and lymphoma survivors.

Detailed Description

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Each participant will complete an in-person standardized clinical assessment for AD, called the Ewing battery. during the participants' Human Performance Lab during their SJLIFE functional exam. It is estimated it will take 60-90-minutes to complete the Ewing battery. The tests include monitoring heart rate variations during deep breathing and lying down to standing, as well as monitoring blood pressure variations when standing and maintaining hand grip. Participants will be asked to not consume aspirin, ibuprofen or acetaminophen 24-hours before the assessment. Additionally, participants will be asked to avoid alcohol or caffeine within 6-hours, and smoking 3-hours, before testing.

After the in-person assessment, each participant will be given a wrist biosensor to remotely monitor heart rate variability for 7 days after they return home. Participants will also complete an AD symptom questionnaire, COMPASS31. The AD symptom questionnaire will be completed either before or after the in-person assessment. This questionnaire will take about 20-30 minutes to complete.

Conditions

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Childhood Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will complete an in-person assessment questionnaire for autonomic dysfunction (AD), during a scheduled on-campus SJLIFE visit and a remote assessment. Participants will be randomly assigned to either complete the AD symptom questionnaire before or after the standardized clinical AD assessment. Participants will be asked to wear a heart rate variability monitor for 7 days after the on-campus visit
Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Screening (COMPASS31 + battery assessment + heart monitor)

Patients complete the COMPASS31 questionnaire and undergo an in-person Ewing battery assessment over 60-90 minutes on study. Patients then wear a biosensensor heart monitor for 7 days to monitor heart rate variability remotely on study.

Group Type EXPERIMENTAL

Exercise Intervention - Ewing Battery Assessment

Intervention Type OTHER

Undergo in-person Ewing battery assessment

Questionnaire Administration

Intervention Type OTHER

Receive COMPASS31 questionnaire

Medical Device Usage and Evaluation

Intervention Type DEVICE

Wear biosensensor heart monitor that remotely collects heart rate variability.

Screening (battery assessment + COMPASS31 + heart monitor)

Patients undergo an in-person Ewing battery assessment over 60-90 minutes and complete the COMPASS31 questionnaire on study. Patients then wear a biosensensor heart monitor for 7 days to monitor heart rate variability remotely on study.

Group Type EXPERIMENTAL

Exercise Intervention - Ewing Battery Assessment

Intervention Type OTHER

Undergo in-person Ewing battery assessment

Questionnaire Administration

Intervention Type OTHER

Receive COMPASS31 questionnaire

Medical Device Usage and Evaluation

Intervention Type DEVICE

Wear biosensensor heart monitor that remotely collects heart rate variability.

Interventions

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Exercise Intervention - Ewing Battery Assessment

Undergo in-person Ewing battery assessment

Intervention Type OTHER

Questionnaire Administration

Receive COMPASS31 questionnaire

Intervention Type OTHER

Medical Device Usage and Evaluation

Wear biosensensor heart monitor that remotely collects heart rate variability.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Participants enrolled in St. Jude Lifetime Cohort (SJLIFE) \>18 years of age.
* Primary diagnosis of acute lymphoblastic leukemia (ALL), Hodgkin's Lymphoma (HL), or Non-Hodgkin's Lymphoma (Non-HL).
* Not currently taking beta-blocker medication.

Exclusion Criteria

* Individuals who cannot speak, read, and/or understand English.
* Individuals who are unable to follow directions/instructions in order to complete the Ewing battery.
* Individuals with acute heart failure (new or worsening signs and symptoms of heart failure, including a combination of the following: dyspnea, orthopnea, lower limb swelling, elevated jugular venous pressure, and pulmonary congestion).
* Women who are currently pregnant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St. Jude Children's Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carmen Wilson, PhD

Role: PRINCIPAL_INVESTIGATOR

St. Jude Children's Research Hospital

Locations

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St. Jude Children's Research Hospital

Memphis, Tennessee, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Carmen Wilson, PhD

Role: CONTACT

866-278-5833

Facility Contacts

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Carmen Wilson, PhD

Role: primary

866-278-5833

Related Links

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http://www.stjude.org

St. Jude Children's Research Hospital

http://www.stjude.org/protocols

Clinical Trials Open at St. Jude

Other Identifiers

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NCI-2025-00603

Identifier Type: OTHER

Identifier Source: secondary_id

READ

Identifier Type: -

Identifier Source: org_study_id