NCT04431479

Predicting the Quality of Response to Specific Treatments in Patients With cGVHD, PQRST Study

Active, Not Recruiting
Not specifiedAges 18+Observational
Fred Hutchinson Cancer Center
~211 participants
Updated 2026-07-10 on ClinicalTrials.gov
What's tested:Biospecimen CollectionMedical Chart ReviewQuality-of-Life AssessmentQuestionnaire Administration

At a glance

Recruiting sites
0 of 10 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Clinical Response according to the 2014 criteria
Measured over Up to 6 months
+5 more outcomes measured
Chronic Graft Versus Host Disease

NCT04431479

Where you'd take part

This study runs at 10 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Cleveland Clinic Foundation

    Cleveland, Ohiono site contact published

  • Dana-Farber Harvard Cancer Center

    Boston, Massachusettsno site contact published

  • Fred Hutch/University of Washington Cancer Consortium

    Seattle, Washingtonno site contact published

  • Moffitt Cancer Center

    Tampa, Floridano site contact published

  • Roswell Park Cancer Institute

    Buffalo, New Yorkno site contact published

  • University of Florida

    Gainesville, Floridano site contact published

  • University of Minnesota/Masonic Cancer Center

    Minneapolis, Minnesotano site contact published

  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvaniano site contact published

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Stephanie J. Lee · PRINCIPAL_INVESTIGATOR · Fred Hutch/University of Washington Cancer Consortium

This trial hasn't published a contact. View it on ClinicalTrials.gov

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Eligibility criteria

Inclusion

Adults age 18 or older
Prior allogeneic stem cell transplant, with any graft source, donor type, and GVHD prophylaxis
No evidence of persistent or progressive malignancy at the time of enrollment
Agrees to be evaluated at the transplant center before a new line of treatment is started (may be concurrent with the enrollment visit), and later between 2-6 weeks, 3 months and 6 months after index treatment is started or if an additional new therapy is started before 6 months
Signed, informed consent

Exclusion

Inability to comply with study procedures
Uncontrolled psychiatric disorder
Anticipated survival \< 6 months
  • Clinical Response according to the 2014 criteriaUp to 6 months

    At the assessments, the 9 provider-reported National Institute of Health (NIH) organ severity scores (skin, eye, mouth, esophagus, upper gastrointestinal \[GI\], lower GI, liver, lung, and joint manifestations) will be collected reflecting disease activity in the past week. All scored items are single 4-7 point Likert scales. Based on past work, we anticipate it will take approximately 8 minutes to conduct the physical exam and record the relevant results. Pulmonary function testing results will be collected if available. Response will be assessed according to the recommendations of the 2014 NIH response measures publication or any applicable updates.

  • Time to next systemic treatmentFrom the start of the index medication until the addition of another systemic chronic graft versus host disease (cGVHD) treatment with death and treated recurrent malignancy considered competing events, assessed up to 3 years

    Any addition of another systemic cGVHD treatment for medical reasons will be considered a failure, whether added because of a new or worsening manifestation of cGVHD, used as a "steroid sparing agent," or substituted due to toxicity.

  • Duration of treatmentUp to 3 months

    Duration of treatment is defined as the time until discontinuation of therapeutic systemic immunosuppression (adrenal replacement and topical/local therapies are allowed) without resumption for at least 3 months.

  • SurvivalFrom the start of the index medication to death with patients lost to follow up or alive at the conclusion of the study censored, assessed up to 3 years
  • Non-relapse mortalityUp to 3 years

    Non-relapse mortality is defined as death in remission, and relapse is considered a competing risk.

  • Patient-reported outcomesUp to 3 years

    Will be assessed using Lee symptom scale and Patient Reported Outcomes Measurement Information System (PROMIS). The summary score of the Lee Symptom Scale and the PROMIS Global will be calculated according to the instructions of the developers. For analyses assessing change in quality of life, improvement or worsening of the Summary symptom score by 6 points or more or the PROMIS Physical or Mental Functioning scales by 5 points or more compared to baseline will be considered a clinically significant change.