Hematopoietic Stem Cell TransplantationNCT03803696
Multimodal Sexual Dysfunction Intervention In HCT
A study testing Multimodal Intervention to Address Sexual Dysfunction in people with Hematopoietic Stem Cell Transplantation and Hematologic Diseases, run by Massachusetts General Hospital at 1 site in United States.
Trial summary
This research study is evaluating the impact of an intervention to improve sexual function in stem cell transplant survivors on participants' sexual function, quality of life, and mood. It is expected that about 120 people who have undergone a stem cell transplant will take part in this research study. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hematopoietic Stem Cell Transplantation, Hematologic Diseases, Sexual Dysfunction
- What is being tested?
- Multimodal Intervention to Address Sexual Dysfunction
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 230 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Feb 2019to 31 Dec 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients (≥ 18 years) with hematologic malignancy who underwent autologous or allogeneic HCT ≥ three months prior to study enrollment.
- Positive screen for sexual dysfunction that is causing distress based on the National Comprehensive Cancer Network (NCCN) survivorship guidelines
- Ability to read and respond to questions in English or to complete questionnaires with assistance from an interpreter.
Who cannot join
- Patients with relapsed disease requiring treatment
- Patients with a planned second transplant
- Patients > 5 years from their HCT
- Patients with psychiatric or cognitive conditions which the treating clinicians believes prohibits compliance with study procedures.
Trial locations and contacts
1 site in 1 country.
United States1 site
Massachusetts General Hospital
Boston, Massachusetts, 02115
About this study
Official title: Randomized Trial of a Multimodal Sexual Dysfunction Intervention for Hematopoietic Stem Cell Transplant Survivors
This research study is evaluating the impact of an intervention to improve sexual function in stem cell transplant survivors on participants' sexual function, quality of life, and mood.
It is expected that about 120 people who have undergone a stem cell transplant will take part in this research study.
Read the detailed description
Frequently survivors of stem cell transplantation report significant problems with their sexual function that impacts their quality of life, mood, and their intimacy and relationship with their partners. These issues can be very distressing to patients and their loved ones. The Investigators want to know if the introduction of an intervention focused on improving sexual function may improve a participant's overall care and quality of life.
The main purpose of this study is to compare two types of care - the study intervention versus enhanced standard care which includes receiving an educational handout about sexual dysfunction. The main goal is to assess if the intervention will improve participant's sexual function, quality of life, and mood.
The intervention includes a comprehensive assessment by a transplant clinician (a transplant physician or nurse practitioner) who is trained in sexual dysfunction assessment to explore the reasons for sexual dysfunction and focus on ways to improve symptoms.
-- If the transplant clinician feels additional help is needed by a sexual health expert, the participant will be referred to the sexual health clinic. In the sexual health clinic, the participant will be evaluated by an expert physician who will also focus on strategies to improve sexual function.
The study will use a series of questionnaires to measure sexual function, quality of life, physical symptoms, and mood. Study questionnaires will be completed in the clinic or remotely with assistance provided as needed.
.
- Being tested
- Enhanced Standard Care, Multimodal Intervention to Address Sexual Dysfunction
- Keywords
- Hematopoietic Stem Cell Transplantation, Hematologic Diseases, Sexual Dysfunction
- Medical subject headings
- Hematologic Diseases, Sexual Dysfunction, Physiological
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Enhanced Standard CareBehavioural
- Baseline data collection, registration and randomization
- Inform primary transplant clinician of sexual dysfunction causing distress
- Receive American Cancer Society sexual educational material
Multimodal Intervention to Address Sexual DysfunctionBehavioural
Baseline data collection, registration and randomization
- 3 Monthly visits with trained study nurse practitioners
- Referral to specialist if
- Psychological etiology
- Sexual Trauma
- Relationship Discord
- Concern for Malignancy or anatomic scarring requiring surgery
| Study group | Role | What they receive |
|---|---|---|
| Enhanced Standard Care | Active comparator | * Baseline data collection, registration and randomization
* Inform primary transplant clinician of sexual dysfunction causing distress
* Receive American Cancer Society sexual educational material Receives: Behavioral: Enhanced Standard Care |
| Multimodal Intervention to Address Sexual Dysfunction | Active comparator | * Baseline data collection, registration and randomization
* 3 Monthly visits with trained study nurse practitioners
* Referral to specialist if
* Psychological etiology
* Sexual Trauma
* Relationship Discord
* Concern for Malignancy or anatomic scarring requiring surgery Receives: Behavioral: Multimodal Intervention to Address Sexual Dysfunction |
What is being measured
The primary outcome is the main question the study is designed to answer.
Compare Patient Global Satisfaction with Sex
compare patients' global satisfaction with sex using PROMIS Sexual Function and Satisfaction Measure (global satisfaction domain) at three months between the study groups using linear regression controlling for baseline values (as necessary for any imbalances in baseline variables
Measured: 3 Months
Secondary outcomes (17)
Compare Patient reported interest in sexual activity
PROMIS Sexual Function and Satisfaction Measure Interest in sexual activity domain)
Measured: 3 Months
Compare Patient global satisfaction with sex longitudinally
compare PROMIS Sexual function and Satisfaction Measure - global satisfaction with sex domain) longitudinally between study groups
Measured: up to 6 months
Compare Patient reported interest in sexual activity longitudinally
compare PROMIS Sexual Function and Satisfaction Measure Interest in sexual activity domain) longitudinally between study groups
Measured: up to 6 months
Compare patient-reported orgasm
Compare PROMIS Sexual Function and Satisfaction Measure - Orgasm domain
Measured: 3 Months
Compare patient-reported orgasm longitudinally
Compare PROMIS Sexual Function and Satisfaction Measure - Orgasm domain) longitudinally between the study groups
Measured: up to 6 months
For males: compare patient-reported erectile function
PROMIS Sexual Function and Satisfaction Measure - Erectile function domain
Measured: 3 Months
For males: compare patient-reported erectile function longitudinally
Compare PROMIS Sexual Function and Satisfaction Measure - Erectile function domain longitudinally between the two groups
Measured: up to 6 months
For females: compare patient-reported vaginal lubrication
compare (PROMIS Sexual Function and Satisfaction Measure - lubrication domain)
Measured: 3 Months
For females: compare patient-reported vaginal lubrication longitudinally
compare (PROMIS Sexual Function and Satisfaction Measure - lubrication domain) longitudinally between the two study groups
Measured: up to 6 months
For females: compare patient-reported vaginal comfort
compare (PROMIS Sexual Function and Satisfaction Measure - vaginal comfort domain
Measured: 3 months
For females: compare patient-reported vaginal comfort longitudinally
compare (PROMIS Sexual Function and Satisfaction Measure - vaginal comfort domain) longitudinally between the two study groups
Measured: up to 6 months
Compare Patient Reported Quality of Life
Compare patient-reported QOL using the Functional Assessment of Cancer Therapy - Bone Marrow Transplant (FACT-BMT)
Measured: 3 Months
Compare Patient Reported Quality of Life longitudinally
Compare patient-reported QOL using the Functional Assessment of Cancer Therapy - Bone Marrow Transplant (FACT-BMT) longitudinally between the two groups
Measured: up to 6 months
Compare Patient Reported Anxiety Symptoms
Compare patient reported anxiety symptoms using the Hospital Anxiety and Depression Scale (HADS- anxiety subscale). Subscale ranges from 0-21 with higher score indicating higher anxiety symptoms
Measured: 3 Months
Compare Patient Reported Anxiety Symptoms Longitudinally
Compare patient reported anxiety symptoms using the Hospital Anxiety and Depression Scale (HADS- anxiety subscale) longitudinally between the two study groups. Subscale ranges from 0-21 with higher score indicating higher anxiety symptoms
Measured: up to 6 months
Compare Patient Reported Depression Symptoms
Compare Patient Reported Depression Symptoms using the Hospital Anxiety and Depression Scale (HADS - depression subscale). Subscale ranges from 0-21 with higher score indicating higher depression symptoms
Measured: 3 Months
Compare Patient Reported Depression Symptoms Longitudinally
Compare Patient Reported Depression Symptoms using the Hospital Anxiety and Depression Scale (HADS - depression subscale) longitudinally between the two study groups. Subscale ranges from 0-21 with higher score indicating higher depression symptoms
Measured: up to 6 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jan 2019
- Study start1 Feb 2019
- Primary completion1 Jan 2023
- Study completion31 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Hematopoietic Stem Cell TransplantationStudies of the same condition, open and under way.
- More trials run by Massachusetts General HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 230 participants (actual)
Sponsor and investigators
- Lead sponsor
- Massachusetts General Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- American Cancer Society, Inc., The Leukemia and Lymphoma Society
- Responsible party
- Principal investigator, El-Jawahri, Areej,M.D., Massachusetts General Hospital
- Investigators
- Areej El-Jawhri, MD, Principal investigator, Massachusetts General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03803696
- Sponsor's protocol ID
- 18-543
- Status last verified
- Mar 2026
- First submitted
- 9 Jan 2019
- Last updated
- 6 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
El-Jawahri A, Traeger L, Reese JB, Dizon D, Bober SL, Greer JA, Vanderklish J, Horick N, Ufere N, Reynolds MJ, Rice J, Clay M, Newcomb R, DeFilipp Z, Chen YB, Temel JS. A multimodal sexual dysfunction intervention versus enhanced usual care for survivors of haematopoietic stem-cell transplantation: a single-centre, open-label, randomised clinical trial. Lancet Haematol. 2025 Aug;12(8):e611-e620. doi: 10.1016/S2352-3026(25)00160-7.
PubMed 40769685Markovitz NH, Traeger L, Vanderklish J, Horick N, Newcomb R, Larizza IS, Boardman AC, DeFilipp Z, Chen YB, Dizon DS, Reese JB, Temel J, Amonoo HL, El-Jawahri A. Sexual Health in Hematopoietic Stem Cell Transplantation Survivors. J Natl Compr Canc Netw. 2025 Jun 9;23(7):e257019. doi: 10.6004/jnccn.2025.7019.
PubMed 40490014
Study at a glance
From the registry record, last updated by the sponsor on 6 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Trial of a Multimodal Sexual Dysfunction Intervention for Hematopoietic Stem Cell Transplant Survivors
- ClinicalTrials.gov ID
- NCT03803696
- Acronym / sponsor ID
- 18-543
- Keywords
- Hematopoietic Stem Cell Transplantation, Hematologic Diseases, Sexual Dysfunction
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 230 participants (actual)
- Lead sponsor
- Massachusetts General HospitalUniversity, hospital or other
- Collaborators
- American Cancer Society, Inc., The Leukemia and Lymphoma Society
- Study start
- 1 Feb 2019 (actual)
- Primary completion
- 1 Jan 2023 (actual)
- Study completion
- 31 Dec 2025 (actual)
- First posted
- 15 Jan 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This research study is evaluating the impact of an intervention to improve sexual function in stem cell transplant survivors on participants' sexual function, quality of life, and mood.
It is expected that about 120 people who have undergone a stem cell transplant will take part in this research study.
Detailed description
Frequently survivors of stem cell transplantation report significant problems with their sexual function that impacts their quality of life, mood, and their intimacy and relationship with their partners. These issues can be very distressing to patients and their loved ones. The Investigators want to know if the introduction of an intervention focused on improving sexual function may improve a participant's overall care and quality of life.
The main purpose of this study is to compare two types of care - the study intervention versus enhanced standard care which includes receiving an educational handout about sexual dysfunction. The main goal is to assess if the intervention will improve participant's sexual function, quality of life, and mood.
The intervention includes a comprehensive assessment by a transplant clinician (a transplant physician or nurse practitioner) who is trained in sexual dysfunction assessment to explore the reasons for sexual dysfunction and focus on ways to improve symptoms.
-- If the transplant clinician feels additional help is needed by a sexual health expert, the participant will be referred to the sexual health clinic. In the sexual health clinic, the participant will be evaluated by an expert physician who will also focus on strategies to improve sexual function.
The study will use a series of questionnaires to measure sexual function, quality of life, physical symptoms, and mood. Study questionnaires will be completed in the clinic or remotely with assistance provided as needed.
.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Enhanced Standard Care | Active comparator | Behavioral: Enhanced Standard Care* Baseline data collection, registration and randomization * Inform primary transplant clinician of sexual dysfunction causing distress * Receive American Cancer Society sexual educational material |
| Multimodal Intervention to Address Sexual Dysfunction | Active comparator | Behavioral: Multimodal Intervention to Address Sexual Dysfunction* Baseline data collection, registration and randomization * 3 Monthly visits with trained study nurse practitioners * Referral to specialist if * Psychological etiology * Sexual Trauma * Relationship Discord * Concern for Malignancy or anatomic scarring requiring surgery |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Adult patients (≥ 18 years) with hematologic malignancy who underwent autologous or allogeneic HCT ≥ three months prior to study enrollment.
- Positive screen for sexual dysfunction that is causing distress based on the National Comprehensive Cancer Network (NCCN) survivorship guidelines
- Ability to read and respond to questions in English or to complete questionnaires with assistance from an interpreter.
Key exclusion criteria (4 listed)
- Patients with relapsed disease requiring treatment
- Patients with a planned second transplant
- Patients > 5 years from their HCT
- Patients with psychiatric or cognitive conditions which the treating clinicians believes prohibits compliance with study procedures.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Enhanced Standard Care* Baseline data collection, registration and randomization * Inform primary transplant clinician of sexual dysfunction causing distress * Receive American Cancer Society sexual educational material | Behavioural | Enhanced Standard Care |
| Multimodal Intervention to Address Sexual DysfunctionBaseline data collection, registration and randomization - 3 Monthly visits with trained study nurse practitioners * Referral to specialist if * Psychological etiology * Sexual Trauma * Relationship Discord * Concern for Malignancy or anatomic scarring requiring surgery | Behavioural | Multimodal Intervention to Address Sexual Dysfunction |
Primary outcome
Compare Patient Global Satisfaction with Sex
Time frame: 3 Months
compare patients' global satisfaction with sex using PROMIS Sexual Function and Satisfaction Measure (global satisfaction domain) at three months between the study groups using linear regression controlling for baseline values (as necessary for any imbalances in baseline variables
17 secondary outcomes
Compare Patient reported interest in sexual activity
Time frame: 3 Months
Compare Patient global satisfaction with sex longitudinally
Time frame: up to 6 months
Compare Patient reported interest in sexual activity longitudinally
Time frame: up to 6 months
Compare patient-reported orgasm
Time frame: 3 Months
Compare patient-reported orgasm longitudinally
Time frame: up to 6 months
For males: compare patient-reported erectile function
Time frame: 3 Months
For males: compare patient-reported erectile function longitudinally
Time frame: up to 6 months
For females: compare patient-reported vaginal lubrication
Time frame: 3 Months
For females: compare patient-reported vaginal lubrication longitudinally
Time frame: up to 6 months
For females: compare patient-reported vaginal comfort
Time frame: 3 months
For females: compare patient-reported vaginal comfort longitudinally
Time frame: up to 6 months
Compare Patient Reported Quality of Life
Time frame: 3 Months
Compare Patient Reported Quality of Life longitudinally
Time frame: up to 6 months
Compare Patient Reported Anxiety Symptoms
Time frame: 3 Months
Compare Patient Reported Anxiety Symptoms Longitudinally
Time frame: up to 6 months
Compare Patient Reported Depression Symptoms
Time frame: 3 Months
Compare Patient Reported Depression Symptoms Longitudinally
Time frame: up to 6 Months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Apr 2026.
- Derived from this study: PubMed 40769685El-Jawahri A, Traeger L, Reese JB, Dizon D, Bober SL, Greer JA, Vanderklish J, Horick N, Ufere N, Reynolds MJ, Rice J, Clay M, Newcomb R, DeFilipp Z, Chen YB, Temel JS. A multimodal sexual dysfunction intervention versus enhanced usual care for survivors of haematopoietic stem-cell transplantation: a single-centre, open-label, randomised clinical trial. Lancet Haematol. 2025 Aug;12(8):e611-e620. doi: 10.1016/S2352-3026(25)00160-7.
- Derived from this study: PubMed 40490014Markovitz NH, Traeger L, Vanderklish J, Horick N, Newcomb R, Larizza IS, Boardman AC, DeFilipp Z, Chen YB, Dizon DS, Reese JB, Temel J, Amonoo HL, El-Jawahri A. Sexual Health in Hematopoietic Stem Cell Transplantation Survivors. J Natl Compr Canc Netw. 2025 Jun 9;23(7):e257019. doi: 10.6004/jnccn.2025.7019.
- Individual participant dataSharing planned: Yes
Related trials for Hematopoietic Stem Cell Transplantation
RecruitingPhase 3
Dinutuximab With Chemotherapy, Surgery and Stem Cell Transplantation for the Treatment of Children With Newly Diagnosed High Risk Neuroblastoma
Ganglioneuroblastoma, Nodular, Neuroblastoma
RecruitingObservational study
REAL-MS: Observational Database Study of AHSCT and MS Therapies
Multiple Sclerosis, Multiple Sclerosis (MS) - Relapsing-remitting
RecruitingPhase 1
Alpha/Beta CD19+ Depleted Haploidentical Transplantation + Zometa for Pediatric Hematologic Malignancies and Solid Tumors
Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia
RecruitingPhase 2
ASCT Combined With BCMA CAR-T and GPRC5D/CD3 BiTEs Maintenance for Transplant-Eligible Ultra-High-Risk Multiple Myeloma
Multiple Myeloma, Newly Diagnosed
Not yet recruitingObservational study
Prevalence and Development of Liver Dysfunction in Hematopoietic Stem Cell Transplant
Hematopoietic Stem Cell Transplant
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Areej El-Jawhri, MD principal investigator
Massachusetts General Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Multimodal Intervention to Address Sexual Dysfunction in people with Hematopoietic Stem Cell Transplantation and Hematologic Diseases, run by Massachusetts General Hospital at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Compare Patient Global Satisfaction with Sex (time frame: 3 Months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03803696, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Apr 2026.