Multidisciplinary Intervention for Adults With Chronic Graft-versus-host Disease

NCT ID: NCT06910969

Last Updated: 2025-10-15

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

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-13

Study Completion Date

2030-02-01

Brief Summary

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The goal of this study is to demonstrate the efficacy of a multidisciplinary group-based telehealth intervention (HORIZONS) compared to minimally enhanced usual care for improving self-management and quality of life for hematopoietic stem cell transplant (HSCT) survivors living with chronic graft-versus host disease, and to identify critical facilitators and barriers for HORIZONS implementation and adoption.

Detailed Description

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This is a randomized clinical trial to determine whether a multidisciplinary group-based telehealth intervention is effective at improving the quality of life and reducing psychosocial distress in patients living with chronic graft-versus-host disease. The HORIZONS intervention was developed with the goal of improving the experience and needs of patients living with chronic graft-versus-host disease.

Participants will be randomized into one of the two study groups: HORIZONS plus usual care or minimally enhanced usual care.

Participation in this study is expected to last up to 18 weeks after enrollment.

The investigators expect that about 350 adult allogeneic hematopoietic cell transplant recipients with moderate to severe chronic graft versus host disease will take part in this research study.

Conditions

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Bone Marrow Transplant Complications Graft-versus-Host Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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HORIZONS intervention

Participants randomized to HORIZONS plus usual care will complete the following:

* Questionnaires at baseline, and weeks 10 and 18
* Receive the HORIZONS intervention from enrollment and for up to 8 weeks. HORIZONS is an 8-session multidisciplinary, patient-centered intervention that combines medical and psychosocial expertise to enhance self-management and quality of life.
* Receive usual care as determined by their local clinicians

Group Type EXPERIMENTAL

HORIZONS Intervention

Intervention Type BEHAVIORAL

Therapist-delivered multidisciplinary group-based telehealth intervention comprised of 8 sessions

Minimally enhanced usual care

Participants randomized to usual care will complete the following

* Questionnaires at baseline, and weeks 10 and 18 after enrollment
* Receive a standardized booklet containing evidence-based information on chronic GVHD management and HCT survivorship recommendations as well as receive care as determined by their local oncologists

Group Type ACTIVE_COMPARATOR

Minimally enhanced usual care

Intervention Type BEHAVIORAL

Receiving a standardized booklet with evidence-based information on chronic GHVD management and HST survivorship recommendations

Interventions

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HORIZONS Intervention

Therapist-delivered multidisciplinary group-based telehealth intervention comprised of 8 sessions

Intervention Type BEHAVIORAL

Minimally enhanced usual care

Receiving a standardized booklet with evidence-based information on chronic GHVD management and HST survivorship recommendations

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adult patients (≥ 18 years) who have undergone allogeneic HCT
* Have moderate to severe cGVHD based on patient-report
* Have ability to participate in English or Spanish language group telehealth intervention.

Exclusion Criteria

* Patients with mild cGVHD based on their self-report.
* Patients with a major untreated psychiatric or cognitive condition which the treating oncology clinicians believes interferes with the capacity to provide informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Miami Sylvester Comprehensive Cancer Center

OTHER

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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El-Jawahri, Areej,M.D.

Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Areej El-Jawahri MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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University of Miami Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Lara Traeger PhD

Role: CONTACT

304-284-3012

Areej El-Jawahri MD

Role: CONTACT

617-721-4000

Facility Contacts

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Lara Traeger, PhD

Role: primary

(305) 243-5302

Areej El-Jawahri

Role: primary

617-724-4000

Other Identifiers

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24-651

Identifier Type: -

Identifier Source: org_study_id

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