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Hematologic MalignancyS-POPNCT05238376

Survivorship Post-HCT Optimization Program

A study testing Exercise training in people with Hematologic Malignancy, run by Duke University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this project is to investigate the effects of 12 weeks of high-intensity interval training (HIIT) and resistance training on several domains of health including physical function, cognitive function, mental health, and quality of life in patients who have undergone hematopoietic stem cell transplant… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Hematologic Malignancy
What is being tested?
Exercise training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
16 participants
Where
1 siteUnited States
Study dates
2 Dec 2022to 23 Mar 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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Patient Inclusion Criteria:

  1. ≥18 years old
  2. English speaking
  3. Within 90 ± 30 days post allogenic HCT

Caregiver Inclusion Criteria:

  1. ≥18 years old
  2. English speaking
  3. Providing post-discharge care for the patient who has undergone HCT

Patient and Caregiver Exclusion Criteria:

  1. Have an absolute contraindication to exercise including a recent acute cardiac event (<6 months), unstable angina, uncontrolled dysthymias causing symptoms or hemodynamic compromise, symptomatic aortic stenosis, uncontrolled symptomatic heart failure, acute pulmonary embolus, acute myocarditis or pericarditis, suspects or known dissecting aneurism, or coronary artery disease.
  2. In addition to these absolute contraindications, the patient and caregiver will complete cardiopulmonary exercise testing (CPET) where the heart rate and heart rhythm will be monitored via a 12-lead ECG before, during, and after the test. The results from the CPET will be reviewed by a physician before the subject is cleared to participate in the HIIT and resistance training program. If the participant is not cleared by the physician following the CPET, then the patient and his or her caregiver will not be eligible to participate in the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Duke Adult Blood and Marrow Transplant Clinic

    Durham, North Carolina, 27705

Other trials in United States

About this study

Official title: The Effect of High-intensity Interval Training (HIIT) and Resistance Training on Function, Health, and Quality of Life Outcomes Following Hematopoietic Stem Cell Transplant

The purpose of this project is to investigate the effects of 12 weeks of high-intensity interval training (HIIT) and resistance training on several domains of health including physical function, cognitive function, mental health, and quality of life in patients who have undergone hematopoietic stem cell transplant (HCT). In addition, the project will determine the effects of 12 weeks of HIIT and resistance training on physical function, caregiver strain, mental health, and caregiver confidence in individuals who are providing care for patients undergoing HCT.

Being tested
Exercise training
Medical subject headings
Hematologic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Exercise trainingBehavioural

    12 weeks of high intensity interval training (HIIT) (3x/week) and resistance training (2x/week)

Study groups in NCT05238376
Study groupRoleWhat they receive
PatientExperimentalThese are patients who are 90 (±30) days post-allogeneic hematopoietic stem cell transplant. Patients will complete 12 weeks of exercise training. Patients will also complete assessments to evaluate physical function, cognitive function, mental health, social support, nutrition and diet, symptoms, quality of life, and financial status. They will use devices to capture activity data and vital signs. They will collect bio-specimens to assess microbiota and biomarkers.
Receives: Behavioral: Exercise training
CaregiverExperimentalThese are the assigned caregivers for the transplant patients. Caregivers will complete 12 weeks of exercise training. Caregivers will also complete assessments to evaluate physical function, caregiver support, and physical activity and exercise. They will collect bio-specimens to assess microbiota.
Receives: Behavioral: Exercise training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Adherence to prescribed exercise program, as measured by number of total sessions completed

    Measured: 12 weeks

  2. Compliance to prescribed HIIT sessions, as measured by total session time (in minutes)

    Measured: 12 weeks

  3. Compliance to prescribed HIIT sessions, as measured by number of intervals completed

    Measured: 12 weeks

  4. Compliance to prescribed HIIT sessions, as measured by number/percentage of intervals meeting target heart rates

    Measured: 12 weeks

  5. Compliance to prescribed resistance sessions, as measured by number of sets completed

    Measured: 12 weeks

  6. Compliance to prescribed resistance sessions, as measured by number of repetitions completed

    Measured: 12 weeks

Secondary outcomes (62)
  1. Change in physical function/activity, as measured by SPPB

    All the task points are added which make the SPPB score. The cut-point for the SPPB is a score of 10. The cumulative and sections scores are assessed individually and comprehensively. This assessment score will be used as a tool for evaluating lower extremity functioning in older persons.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  2. Change in physical function/activity, as measured by 6-minute walk test

    The baseline for each patient is made through an algorithm that factors the patients age and gender. The patient's score is compared to what a person that is the patient's same age and gender would get. This comparison is then used as a tool to assess aerobic capacity or endurance.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  3. Change in physical function/activity, as measured by 30-second sit-to-stand

    Subjects will sit in a chair with their arms crossed over their chest and rise to a standing position, then return to seated position. They will repeat this as many times as they can in 30 seconds.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  4. Change in physical function/activity, as measured by grip strength

    The hand grip is an indicator of upper body strength and has been found to be a good predictor of future functional limitations and disabilities. The hand grip score is determined based on how quickly the participant can squeeze the hand dynamometer.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  5. Change in physical function/activity, as measured by Fried Frailty

    The scores of all of the sections are added and if the patient has a score greater or equal to three this assessment deems that the patients is frail. If the patient has a score between 1-2 the patient is deemed pre-frail.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  6. Change in physical function/activity, as measured by PROMIS Physical Function

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  7. Change in physical function/activity, as measured by bioelectrical impedance (BIA)

    Participants will have body composition assessed by bioelectrical impedance spectroscopy (BIS) via a bioimpedance analysis (BIA) device. BIA equipment does not measure muscle mass directly, but instead derives an estimate of muscle mass based on whole-body electrical conductivity.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  8. Change in physical function/activity, as measured by CPET

    Exercise capacity will be assessed using a symptom-limited Cardiopulmonary Exercise Test (CPET) on a cycle ergometer or for a six-minute step test with expired gas analysis to determine VO2peak, according to guidelines for clinical populations (Jones et al., 2012). All CPET data will be recorded as the highest 30-second value elicited during the CPET.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  9. Change in physical function/activity, as measured by Intramuscular Adipose Tissue (IMAT)

    Longitudinal and transverse ultrasound images of the m. rectus femoris, vastus lateralis, m. intercostalis / m. pectoralis, (head) m. temporalis, and/or (head) styloglossus. Complex grayscale analysis of the images is used to calculate the IMAT.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  10. Change in physical function/activity, as measured by Intramuscular Glycogen Content (IMGC)

    Longitudinal and transverse ultrasound images of the m. rectus femoris, vastus lateralis, m. intercostalis / m. pectoralis, (head) m. temporalis, and/or (head) styloglossus. Complex grayscale analysis of the images is used to calculate the IMGC.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  11. Change in physical function/activity, as measured by muscle thickness

    Longitudinal and transverse ultrasound images of the m. rectus femoris, vastus lateralis, m. intercostalis / m. pectoralis, (head) m. temporalis, and/or (head) styloglossus, using greyscale analyses.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  12. Change in physical function/activity, as measured by muscle area

    Longitudinal and transverse ultrasound images of the m. rectus femoris, vastus lateralis, m. intercostalis / m. pectoralis, (head) m. temporalis, and/or (head) styloglossus, using greyscale analyses.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  13. Change in physical function/activity, as measured by subcutaneous fat layer thickness

    Longitudinal and transverse ultrasound images of the m. rectus femoris, vastus lateralis, m. intercostalis / m. pectoralis, (head) m. temporalis, and/or (head) styloglossus, using greyscale analyses.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  14. Change in cognitive function, as measured by Montreal Cognitive Assessment (MOCA)

    This administered assessment is subdivided into visuospatial/executive (5pts), naming (3pts), memory (no points), attention(5pts), language(3pts), abstraction(2pts), delayed recall(5pts), and orientation(6pts). All the subdivided sections have as many questions as they have points. For analysis, the cut point is if the patient has less than 26 points.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  15. Change in cognitive function, as measured by PROMIS Cognitive Function

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  16. Change in cognitive function, as measured by RBANS

    RBANS evaluation produces five index scores as well as a total summary score, and total scaled score. Scores range from 40 to 160, with higher scores indicating better performance (Smith et al., 2014). The scaled score classifies neuropsychological performance as: extremely low (69 and below), borderline (70-79), low average (80-89), average (90-109), high average (110-119), superior (120-129), and very superior (130 and above) (Batty et al., 2016; Randolph et al., 1998).

    Measured: Baseline, Post-intervention (week 12), 1 Year

  17. Change in cognitive function, as measured by Trail making test

    Trail Making Test parts A and B (TMT-A and -B) will be used for identification of cognitively impairment. Total time to completion will be used as outcome variable for both parts (ranging from 0 to 300 seconds, with higher scores indicating worse performance (Smith et al., 2014). An adjusted mean T-score also will be calculated ranging from 0 to 100 (mean score 50, higher score indicating better performance). The T-score can be adjusted for age, sex, education and ethnicity.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  18. Change in cognitive function, as measured by Brief Cope

    Scores are presented for three overarching coping styles as average scores (sum of item scores divided by number of items), indicating the degree to which the respondent has been engaging in that coping style.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  19. Change in mental health, as measured by PHQ-9

    The PHQ-9 consists of 9 items, each of which is scored 0 to 3, giving a 0 to 27 severity score

    Measured: Baseline, Post-intervention (week 12), 1 Year

  20. Change in mental health, as measured by PC-PTSD/PCL-5

    PC-PTSD is a 5 item screen to identify patients with probable PTSD. If the patient screens positive, they then take the PCL-5. The PCL-5 is a 20 item screen to assess symptoms of PTSD.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  21. Change in mental health, as measured by PROMIS Depression

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  22. Change in mental health, as measured by PROMIS Anxiety

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  23. Change in diet/nutrition, as measured by Perioperative Nutrition Screen (PONS)

    PONS analyzes BMI, weight loss, and food intake to screen for preoperative nutrition risk

    Measured: Baseline, Post-intervention (week 12), 1 Year

  24. Change in diet/nutrition, as measured by PG-SGA/Clinician SGA

    Scores for each section can range from 0-4 depending on severity and nutritional impact. The sum of all scores provides the Total PG-SGA score, which can be used to indicate the need for intervention (Bauer et al., 2002)

    Measured: Baseline, Post-intervention (week 12), 1 Year

  25. Change in diet/nutrition, as measured by ASA-24

    ASA-24 is a self-administered 24-hour diet recall

    Measured: Baseline, Post-intervention (week 12), 1 Year

  26. Change in diet/nutrition, as measured by Food Security

    Participants will be given the USDA food security survey to review their food securities or insecurities. This is a 10 item survey.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  27. Change in social support, as measured by PROMIS Emotional Support

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  28. Change in social support, as measured by PROMIS Social Isolation

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  29. Change in social support, as measured by Lorig Self Efficacy

    The Self-Efficacy to Manage Chronic Disease Scale is made up of 6-items on a visual analog scale, ranging from 1 (not at all confident) to 10 (totally confident).

    Measured: Baseline, Post-intervention (week 12), 1 Year

  30. Change in social support, as measured by CFC-14

    CFC-14 is a 14 item questionnaire to assess a patient's consideration of immediate and consideration of future consequences

    Measured: Baseline, Post-intervention (week 12), 1 Year

  31. Change in social support, as measured by Brief Resilience Scale

    BRS assesses the patient's ability to recover from stress. The possible score range on the BRS is from 1 (low resilience) to 5 (high resilience).

    Measured: Baseline, Post-intervention (week 12), 1 Year

  32. Change in caregiver support, as measured by Caregiver Strain index

    Tool to assess strain on long-term caregivers

    Measured: Baseline, Post-intervention (week 12), 1 Year

  33. Change in caregiver support, as measured by Preparedness for Caregiving assessment

    Items are scored by calculating the mean of all items with a range of 0-4. The higher the score, the more prepared the caregiver feels to give care.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  34. Change in caregiver support, as measured by FACT-GP

    21 item assessment scored on a 5-point Likert scale

    Measured: Baseline, Post-intervention (week 12), 1 Year

  35. Change in caregiver support, as measured by PHQ-2

    The PHQ-9 consists of 2 items, each of which is scored 0 to 3, giving a 0 to 6 severity score

    Measured: Baseline, Post-intervention (week 12), 1 Year

  36. Change in caregiver support, as measured by PCL-5

    The PCL-5 is a 20 item screen to assess symptoms of PTSD.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  37. Change in caregiver support, as measured by Ego Resiliency

    14 item survey scored from 0-56, where a higher score indicates higher level of resiliency

    Measured: Baseline, Post-intervention (week 12), 1 Year

  38. Change in caregiver support, as measured by PROMIS Depression

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  39. Change in caregiver support, as measured by PROMIS Anxiety

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  40. Change in caregiver support, as measured by PROMIS Emotional Support

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  41. Change in caregiver support, as measured by PROMIS Social Isolation

    The questions are asked as interval format with "0-Never" through "5-Always." Each of the PRO instruments will be scored on the T-score metric, where 50 is the mean of a reference population and 10 is the standard deviation of that population.

    Measured: Baseline, Post-intervention (week 12), 1 Year

  42. Change in microbiota diversity, as measured by skin swabs

    Skin swab samples batch sequenced and microbiome analyzed

    Measured: Baseline, Post-intervention (week 12), 1 Year

  43. Change in microbiota diversity, as measured by stool samples

    Changes in stool samples as measured by 16s rRNA sequencing

    Measured: Baseline, Post-intervention (week 12), 1 Year

  44. Change in biomarkers of inflammation and frailty, as measured by blood plasma samples

    Assays evaluating angiogenic, stromal, and inflammatory markers and markers of aging (the Pepper Panel) are used to assess inflammation and frailty

    Measured: Baseline, Post-intervention (week 12), 1 Year

  45. Overall survival, as measured by medical record review

    Measured: 1 year

  46. Disease-free survival, as measured by medical record review

    Measured: 1 year

  47. Rate of bacterial infection, as measured by medical record review

    Measured: 1 year

  48. Rate of fungal infection, as measured by medical record review

    Measured: 1 year

  49. Rate of viral infection, as measured by medical record review

    Measured: 1 year

  50. Rate of overall infection, as measured by medical record review

    Measured: 1 year

  51. Rate of hospital admission, as measured by medical record review

    Measured: 1 year

  52. Rate of intensive care unit admission, as measured by medical record review

    Measured: 1 year

  53. Hospital length of stay, as measured by medical record review

    Measured: 1 year

  54. Intensive care unit length of stay, as measured by medical record review

    Measured: 1 year

  55. Number of patients with grade 2+ graft-versus-host disease, as measured by medical record review

    Measured: 1 year

  56. Transplant length of stay (in days), as measured by medical record review

    Measured: 1 year

  57. Number of patients who returned to work, as assessed by Work Assessment

    Measured: 1 year

  58. Number of falls, as assessed by Falls questionnaire

    Participants will answer Yes/No to whether they have had any falls in the preceding 6 months

    Measured: 1 year

  59. Number of subjects who experienced delirium, as assessed by DOS assessment

    The Delirium Observation Screening Scale is a 13-item observational scale of verbal and nonverbal behavior. The observations can be done during regular care. The DOS is used to optimize recognition of delirium.

    Measured: 1 year

  60. Change in quality of life, as assessed by FACT-BMT assessment

    50 item assessment. Higher total and domain scores indicate greater quality of life.

    Measured: Baseline, Post-intervention (12 weeks), 1 Year

  61. Change in quality of life, as assessed by EQ-5D-5L assessment

    The 5D represents 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Five levels of severity are measured, as indicated by the "5L," ranging from "no problems" to "extreme problems." All scores are converted into a summary index.

    Measured: Baseline, Post-intervention (12 weeks), 1 Year

  62. Change in quality of life, as assessed by OARS IADL assessment

    OARS IADL is a 7 item assessment that asks what level of assistance is needed to do 7 different activities of daily living

    Measured: Baseline, Post-intervention (12 weeks), 1 Year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Feb 2022
  2. Study start2 Dec 2022
  3. Primary completion26 Feb 2025
  4. Study completion23 Mar 2025

Resources

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
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05238376
Sponsor's protocol ID
Pro00110028
Acronym
S-POP
Status last verified
Sep 2025
First submitted
2 Feb 2022
Last updated
26 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Exercise training in people with Hematologic Malignancy, run by Duke University 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?

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 26 Sep 2025. 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?

Adherence to prescribed exercise program, as measured by number of total sessions completed (time frame: 12 weeks). The study lists 6 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 26 Sep 2025.

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