Status:

RECRUITING

Specialty Compared to Oncology Delivered Palliative Care for Patients With Acute Myeloid Leukemia

Lead Sponsor:

Massachusetts General Hospital

Collaborating Sponsors:

Patient-Centered Outcomes Research Institute

Conditions:

Relapsed Adult AML

Primary Refractory Acute Myeloid Leukemia

Eligibility:

All Genders

18-120 years

Phase:

NA

Brief Summary

This research study is evaluating whether primary palliative care is an alternative strategy to specialty palliative care for improving quality of life, symptoms, mood, coping, and end of life outcome...

Detailed Description

Patients with newly diagnosed AML confront a sudden and life-threatening diagnosis, requiring an immediate disruption of their life and an urgent hospitalization to begin therapy. During their hospita...

Eligibility Criteria

Inclusion

  • Patient Inclusion Criteria
  • Hospitalized patients (age ≥ 18 years) with high-risk AML defined as:
  • Patients with new diagnosis ≥ 60 years of age
  • An antecedent hematologic disorder
  • Therapy related-disease
  • Relapsed or primary refractory AML
  • Within five business days of initiating therapy with either a) intensive chemotherapy (7+3) or modification of this regimen on a clinical trial, or a similar intensive regimen requiring prolonged hospitalization; or b) hypomethylating agents +/- additional agents or modification of this regimen on a clinical trial.
  • Caregiver Inclusion Criteria
  • Adult (≥18 years) relative or friend of a participating patient who the patient identifies as living with or has in-person contact with them at least twice per week.

Exclusion

  • \- Patient Exclusion Criteria
  • Patients with a diagnosis of acute promyelocytic leukemia (APML)
  • Patients with AML receiving supportive care alone
  • Patients with psychiatric or cognitive conditions which the treating clinicians believe prohibits informed consent or compliance with study procedures
  • Patients seen by a palliative care clinician (MD, DO, APP) during two previous hospitalizations in the six months prior to enrollment
  • Patients expected to be discharged within 2 days

Key Trial Info

Start Date :

June 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 1 2029

Estimated Enrollment :

2300 Patients enrolled

Trial Details

Trial ID

NCT05237258

Start Date

June 1 2022

End Date

April 1 2029

Last Update

July 25 2025

Active Locations (20)

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Page 1 of 5 (20 locations)

1

University of Alabama - Birmingham

Birmingham, Alabama, United States, 35294

2

Stanford University

Stanford, California, United States, 94305

3

University of Colorado Denver I Anschutz Medical Campus

Denver, Colorado, United States, 80204

4

University of Miami

Miami, Florida, United States, 33146