NCT04479995

Brief Summary

This research is being done to evaluate the feasibility and efficacy of a multidisciplinary, patient-centered intervention, Horizons Program, versus minimally enhanced standard care to improve quality of life, symptom burden and psychological distress of adults who received an allogeneic hematopoietic stem cell transplant and developed graft versus-host disease (GVHD).

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
19mo left

Started Aug 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress79%
Aug 2020Dec 2027

First Submitted

Initial submission to the registry

July 17, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 21, 2020

Completed
12 days until next milestone

Study Start

First participant enrolled

August 2, 2020

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2022

Completed
5.7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Expected
Last Updated

January 20, 2026

Status Verified

January 1, 2026

Enrollment Period

1.7 years

First QC Date

July 17, 2020

Last Update Submit

January 15, 2026

Conditions

Keywords

Stem Cell Transplant ComplicationsGraft Vs Host DiseaseCoping SkillsQuality of Life

Outcome Measures

Primary Outcomes (3)

  • Rate of Enrollment

    Feasibility will be demonstrated if ≥50% eligible participants enroll

    Baseline (pre-randomization) to 8 week follow up

  • Rate of adherence

    Feasibility will be demonstrated if 80% complete ≥4 of 8 sessions

    Baseline (pre-randomization) to 8 week follow up

  • Rate of retention

    Feasibility will be demonstrated if 80% of participants remain in study

    Baseline (pre-randomization) to 8 week follow up

Secondary Outcomes (7)

  • Quality of life (QOL): Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT)

    Baseline (pre-randomization) up to 16 week follow up

  • Symptom Burden: Lee Chronic Graft-Versus-Host Disease Symptom Scale (Lee cGVHD)

    Baseline (pre-randomization) up to 16 week follow up

  • Psychological Distress: Hospital Anxiety and Depression Scale (HADS)

    Baseline (pre-randomization) up to 16 week follow up

  • Medical Adherence: Medication Adherence Report Scale (MARS-5)

    Baseline (pre-randomization) up to 16 week follow up

  • Social Support: Medical Outcomes Study Social Support Survey (MOS SSS)

    Baseline (pre-randomization) up to 16 week follow up

  • +2 more secondary outcomes

Study Arms (2)

Horizon Program

EXPERIMENTAL

Eight weekly, audio recorded telehealth videoconferencing sessions. Sessions are 90 minutes. Questionnaire assessments at 8 and 16 weeks after end of videoconferencing sessions

Behavioral: Horizon Program

Usual Care

EXPERIMENTAL

Standard medical visits to address chronic GVHD, with an additional standardized booklet, in electronic or paper format, containing information on the management of chronic GVHD and stem cell transplant survivorship recommendations. Questionnaire assessment at 8 weeks and 16 weeks after Horizons Program group starts

Behavioral: Usual Care

Interventions

Horizon ProgramBEHAVIORAL

Telehealth videoconferencing sessions and questionnaires.

Horizon Program
Usual CareBEHAVIORAL

Standard medical visits with additional paper or electronic booklet.

Usual Care

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • adult patients (≥ 21 years) who underwent allogeneic HCT
  • have moderate to severe chronic GVHD
  • are currently receiving their care at the MGH Blood and Marrow Transplant Clinic
  • have the ability to participate in an English language group intervention

You may not qualify if:

  • Patients with comorbid conditions or cognitive impairment that the treating clinician believes prohibits informed consent or participation in the intervention
  • Vulnerable patients, defined here as prisoners and pregnant women, will not be included in the intervention

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hospital Cancer Center

Boston, Massachusetts, 02114, United States

Location

Related Publications (1)

  • Centracchio JA, Yang DG, Jagielo AD, Greer JA, El-Jawahri A, Traeger L, Nelson AM. "They knew the same struggles": perceptions of a group coping skills intervention in patients with chronic graft-versus-host disease. Support Care Cancer. 2025 Jan 16;33(2):102. doi: 10.1007/s00520-025-09153-x.

MeSH Terms

Conditions

Graft vs Host Disease

Condition Hierarchy (Ancestors)

Immune System Diseases

Study Officials

  • Areej El-Jawahri, MD

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 17, 2020

First Posted

July 21, 2020

Study Start

August 2, 2020

Primary Completion

April 1, 2022

Study Completion (Estimated)

December 1, 2027

Last Updated

January 20, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will share

The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to: \[contact information for Sponsor Investigator or designee\]. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data can be shared no earlier than 1 year following the date of publication
Access Criteria
Contact the Partners Innovations team at http://www.partners.org/innovation

Locations