Acute Lymphoblastic LeukemiaNCT04537871
Cardiovascular Reserve Evaluation in Survivors of Transplant, CREST Study
An observational study of Acute Lymphoblastic Leukemia and Acute Myeloid Leukemia, run by City of Hope Medical Center at 1 site in United States.
Trial summary
This study evaluates how well the heart, lungs, and muscles are working individually, and how these systems are working together in transplant survivors. Information collected in this study may help doctors to understand why hematopoietic stem cell transplant survivors are at higher risk for developing cardiovascular… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Lymphoblastic Leukemia, Acute Myeloid Leukemia, Hematopoietic and Lymphoid Cell Neoplasm
- What is being tested?
- Bioelectric Impedance Analysis, Biospecimen Collection and Cardiopulmonary Exercise Testing
- Type of treatment
- Surgery or procedure
- How many people
- 350 participants
- Where
- 1 siteUnited States
- Study dates
- 18 Nov 2020to 25 May 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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
Study population: Patients with acute leukemia (myeloid, lymphoid), lymphoma (non-Hodgkin, Hodgkin), multiple myeloma or myelodysplastic syndromes
Who may be able to join
- Age at HCT >= 18 years
- Diagnosis of acute leukemia (myeloid, lymphoid), lymphoma (non-Hodgkin, Hodgkin), multiple myeloma or myelodysplastic syndromes
- Planning to undergo first autologous or allogeneic transplant
- Able to fluently read and write in English
- Able to understand and sign the study specific informed consent form (ICF)
- Physically able and willing to complete all study procedures
Who cannot join
- Unstable bone lesions per electronic medical record review and/or notification from patient's primary physician
- Unstable angina or history of acute myocardial Infarction (< 5 days of any planned study procedures)
- Recurrent syncope
- Acute myocarditis or pericarditis
- Symptomatic severe aortic stenosis
- Uncontrolled arrhythmia causing symptoms
Show all 12Show fewer
- Pulmonary embolus < 3 month of study procedures
- Thrombosis of lower extremities
- Moderate or severe persistent asthma (National Asthma Education \& Prevention)
- Room air desaturation at rest =< 85%
- Non-cardiopulmonary disorders that may affect exercise performance or be aggravated by exercise (i.e. infection, renal failure, thyrotoxicosis)
- Anemia (hemoglobin [Hgb] < 8 g/dL)
Trial locations and contacts
1 site in 1 country.
United States1 site
City of Hope Medical Center
Duarte, California, 91010
About this study
Official title: Cardiovascular Reserve Evaluation in Survivors of Transplantation (CREST)
This study evaluates how well the heart, lungs, and muscles are working individually, and how these systems are working together in transplant survivors. Information collected in this study may help doctors to understand why hematopoietic stem cell transplant survivors are at higher risk for developing cardiovascular disease.
Read the detailed description
PRIMARY OBJECTIVES:
- Evaluate cardiovascular reserve capacity, as measured by peak oxygen consumption (VO2peak), in hematopoietic cell transplantation (HCT) survivors.
II. Define the determinants of VO2peak impairment in HCT survivors.
OUTLINE:
Patients undergo echocardiogram to assess cardiac function and mechanics, cardiopulmonary exercise test, pulmonary function test, musculoskeletal ultrasound, bioelectrical impedance analysis to measure total lean body mass and percent body fat), physical function tests, and collection of blood samples within 45 days from the start of conditioning therapy, and at 6 months, 1 year, and 2 years post-transplant.
- Conditions
- Acute Lymphoblastic Leukemia, Acute Myeloid Leukemia, Hematopoietic and Lymphoid Cell Neoplasm, Hodgkin Lymphoma, Myelodysplastic Syndrome, Non-Hodgkin Lymphoma
- Being tested
- Bioelectric Impedance Analysis, Biospecimen Collection, Cardiopulmonary Exercise Testing, Echocardiography, Physical Performance Testing
- Medical subject headings
- Precursor Cell Lymphoblastic Leukemia-Lymphoma, Leukemia, Myeloid, Acute, Hematologic Neoplasms, Hodgkin Disease, Myelodysplastic Syndromes, Lymphoma, Non-Hodgkin, Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Bioelectric Impedance AnalysisProcedure or surgery
Also called BIA, Bioelectric Impedance, Bioelectric Impedance Test, Bioelectrical Impedance Analysis
Undergo bioelectric impedance analysis
Biospecimen CollectionProcedure or surgery
Undergo collection of blood samples
Cardiopulmonary Exercise TestingProcedure or surgery
Also called CPET, CPX
Undergo cardiopulmonary exercise test
EchocardiographyProcedure or surgery
Undergo echocardiogram
Physical Performance TestingProcedure or surgery
Also called Physical Fitness Testing, Physical Function Testing
Undergo physical function tests
Pulmonary Function TestProcedure or surgery
Also called lung function test, PFT, Pulmonary Function Testing, Pulmonary Function Tests
Undergo pulmonary function test
Questionnaire AdministrationOther
Ancillary studies
UltrasoundProcedure or surgery
Undergo musculoskeletal ultrasound
| Study group | Role | What they receive |
|---|---|---|
| Observational (physical assessment) | Patients undergo echocardiogram to assess cardiac function and mechanics, cardiopulmonary exercise test, pulmonary function test, musculoskeletal ultrasound, bioelectrical impedance analysis to measure total lean body mass and percent body fat), physical function tests, and collection of blood samples within 45 days from the start of conditioning therapy, and at 6 months, 1 year, and 2 years post-transplant. Receives: Procedure: Bioelectric Impedance Analysis; Procedure: Biospecimen Collection; Procedure: Cardiopulmonary Exercise Testing; Procedure: Echocardiography; Procedure: Physical Performance Testing; Procedure: Pulmonary Function Test; Other: Questionnaire Administration; Procedure: Ultrasound |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cardiovascular reserve capacity, as measured by VO2peak, in HCT survivors
We will measure initial VO2peak in patients prior to HCT and its post-HCT trajectory over time; compare VO2peak in HCT survivors at baseline (pre-HCT), 6m, 1Y, and 2Y post-HCT to established age- and sex-normative data; and define the association between VO2peak and self-reported health-related quality of life (HRQOL) at baseline/over time.
Measured: Up to 24 months post-hematopoietic cell transplantation (HCT)
Determinants of VO2peak impairment in HCT survivors
We will use Generalized Estimating Equation(GEE) and generalized linear models to examine the correlation between VO2peak and measures of:
- cardiac (left ventricular function/ contractility [systolic, diastolic, cardiac output, strain], ventricular-arterial (VA) coupling, arterial elastance);
- pulmonary (obstructive, restrictive lung disease, diffusion capacity);
- musculoskeletal (body composition [% lean muscle mass], muscle quality, two minute step in place test, 30 second sit to stand test, timed up and go); and
- hematologic function, adjusting for potential confounding variables (e.g. age, sex) and time since HCT.
Measured: Up to 24 months post-hematopoietic cell transplantation (HCT)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Sep 2020
- Study start18 Nov 2020
- Primary completion25 May 2027 (estimated)
- Study completion25 May 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acute Lymphoblastic LeukemiaStudies of the same condition, open and under way.
- More trials run by City of Hope Medical CenterThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 350 participants (actual)
Sponsor and investigators
- Lead sponsor
- City of Hope Medical Center
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Saro H Armenian, Principal investigator, City of Hope Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04537871
- Sponsor's protocol ID
- 19424
- Other IDs
- NCI-2020-06749, 19424, P30CA033572, R01HL150069
- Status last verified
- Aug 2026
- First submitted
- 27 Aug 2020
- Last updated
- 14 Aug 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cardiovascular Reserve Evaluation in Survivors of Transplantation (CREST)
- ClinicalTrials.gov ID
- NCT04537871
- Acronym / sponsor ID
- 19424
- Conditions
- Acute Lymphoblastic Leukemia, Acute Myeloid Leukemia, Hematopoietic and Lymphoid Cell Neoplasm, Hodgkin Lymphoma, Myelodysplastic Syndrome, Non-Hodgkin Lymphoma
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 350 participants (actual)
- Lead sponsor
- City of Hope Medical CenterUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI), National Heart, Lung, and Blood Institute (NHLBI)
- Study start
- 18 Nov 2020 (actual)
- Primary completion
- 25 May 2027 (estimated)
- Study completion
- 25 May 2027 (estimated)
- First posted
- 3 Sep 2020 (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 study evaluates how well the heart, lungs, and muscles are working individually, and how these systems are working together in transplant survivors. Information collected in this study may help doctors to understand why hematopoietic stem cell transplant survivors are at higher risk for developing cardiovascular disease.
Detailed description
PRIMARY OBJECTIVES:
- Evaluate cardiovascular reserve capacity, as measured by peak oxygen consumption (VO2peak), in hematopoietic cell transplantation (HCT) survivors.
II. Define the determinants of VO2peak impairment in HCT survivors.
OUTLINE:
Patients undergo echocardiogram to assess cardiac function and mechanics, cardiopulmonary exercise test, pulmonary function test, musculoskeletal ultrasound, bioelectrical impedance analysis to measure total lean body mass and percent body fat), physical function tests, and collection of blood samples within 45 days from the start of conditioning therapy, and at 6 months, 1 year, and 2 years post-transplant.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Observational (physical assessment) | – | Procedure: Bioelectric Impedance Analysis, Procedure: Biospecimen Collection, Procedure: Cardiopulmonary Exercise Testing, Procedure: Echocardiography, Procedure: Physical Performance Testing, Procedure: Pulmonary Function Test, Other: Questionnaire Administration, Procedure: UltrasoundPatients undergo echocardiogram to assess cardiac function and mechanics, cardiopulmonary exercise test, pulmonary function test, musculoskeletal ultrasound, bioelectrical impedance analysis to measure total lean body mass and percent body fat), physical function tests, and collection of blood samples within 45 days from the start of conditioning therapy, and at 6 months, 1 year, and 2 years post-transplant. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with acute leukemia (myeloid, lymphoid), lymphoma (non-Hodgkin, Hodgkin), multiple myeloma or myelodysplastic syndromes
Key inclusion criteria (6 listed)
- Age at HCT >= 18 years
- Diagnosis of acute leukemia (myeloid, lymphoid), lymphoma (non-Hodgkin, Hodgkin), multiple myeloma or myelodysplastic syndromes
- Planning to undergo first autologous or allogeneic transplant
- Able to fluently read and write in English
- Able to understand and sign the study specific informed consent form (ICF)
Key exclusion criteria (12 listed)
- Unstable bone lesions per electronic medical record review and/or notification from patient's primary physician
- Unstable angina or history of acute myocardial Infarction (< 5 days of any planned study procedures)
- Recurrent syncope
- Acute myocarditis or pericarditis
- Symptomatic severe aortic stenosis
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 |
|---|---|---|
| Bioelectric Impedance AnalysisAlso: BIA, Bioelectric Impedance, Bioelectric Impedance Test, Bioelectrical Impedance AnalysisUndergo bioelectric impedance analysis | Procedure or surgery | Observational (physical assessment) |
| Biospecimen CollectionUndergo collection of blood samples | Procedure or surgery | Observational (physical assessment) |
| Cardiopulmonary Exercise TestingAlso: CPET, CPXUndergo cardiopulmonary exercise test | Procedure or surgery | Observational (physical assessment) |
| EchocardiographyUndergo echocardiogram | Procedure or surgery | Observational (physical assessment) |
| Physical Performance TestingAlso: Physical Fitness Testing, Physical Function TestingUndergo physical function tests | Procedure or surgery | Observational (physical assessment) |
| Pulmonary Function TestAlso: lung function test, PFT, Pulmonary Function Testing, Pulmonary Function TestsUndergo pulmonary function test | Procedure or surgery | Observational (physical assessment) |
| Questionnaire AdministrationAncillary studies | Other | Observational (physical assessment) |
| UltrasoundUndergo musculoskeletal ultrasound | Procedure or surgery | Observational (physical assessment) |
Primary outcome
Cardiovascular reserve capacity, as measured by VO2peak, in HCT survivors
Time frame: Up to 24 months post-hematopoietic cell transplantation (HCT)
We will measure initial VO2peak in patients prior to HCT and its post-HCT trajectory over time; compare VO2peak in HCT survivors at baseline (pre-HCT), 6m, 1Y, and 2Y post-HCT to established age- and sex-normative data; and define the association between VO2peak and self-reported health-related quality of life (HRQOL) at baseline/over time.
Determinants of VO2peak impairment in HCT survivors
Time frame: Up to 24 months post-hematopoietic cell transplantation (HCT)
We will use Generalized Estimating Equation(GEE) and generalized linear models to examine the correlation between VO2peak and measures of: 1. cardiac (left ventricular function/ contractility [systolic, diastolic, cardiac output, strain], ventricular-arterial (VA) coupling, arterial elastance); 2. pulmonary (obstructive, restrictive lung disease, diffusion capacity); 3. musculoskeletal (body composition [% lean muscle mass], muscle quality, two minute step in place test, 30 second sit to stand test, timed up and go); and 4. hematologic function, adjusting for potential confounding variables (e.g. age, sex) and time since HCT.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2026.
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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.
Saro H Armenian principal investigator
City of Hope Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Acute Lymphoblastic Leukemia and Acute Myeloid Leukemia, run by City of Hope Medical Center 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 6 inclusion and 12 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: under way, not looking for participants, as of the sponsor's last update on 14 Aug 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?
This study is still under way. Results are not available in the source record yet.
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?
Cardiovascular reserve capacity, as measured by VO2peak, in HCT survivors (time frame: Up to 24 months post-hematopoietic cell transplantation (HCT)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 14 Aug 2026.