About this trial
The aim of this prospective research project is to better understand vulvovaginal cGVHD to improve care of allografted women. The expected outcomes include better knowledge of the incidence and manifestations of vulvovaginal cGVHD, risk factors, response to treatments and impact on sexual health of allotransplanted female patients. The knowledge acquired will allow transplant clinicians to make more precise recommendations for gynecological management of future allografted women.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All women aged 18 and over who will receive a first allogeneic HSCT (bone marrow, peripheral blood stem cells from a related, unrelated (including cord blood) or haploidentical donor) at the CIUSSS-EMTL. Recruitment will begin when the project receives ethical approval. Recruitment period will be of 2 to 3 years.
Disqualifiers
Those who receive a second HSCT allograft.
Those who receive an autologous transplant.
Inability to give informed consent.
Unable to communicate in French or English.
Trial population
Allotransplanted women who receive a first allogeneic stem cell transplant.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Define the incidence and describe clinical presentation of vulvovaginal cGVHD after allogeneic stem cell transplants reflecting modern transplant practice.
Prospective history, physical exam with focus on cGVHD.
Secondary outcomes
Evaluate genital cGVHD treatment response
Medical evaluation of vulvovaginal cGVHD according to NIH 2014 criteria
Evaluate the frequency of premature ovarian failure
Percentage of patients with premature ovarian failure
Measure the incidence and prevalence of HPV infection
Number of patients with HPV infection
Evaluate the quality of life (QoL) of allografted women
Measure of QoL using FACT-BMT standardized questionnaire
Sponsors and contacts
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Ciusss de L'Est de l'Île de Montréal
Lead sponsor
Centre hospitalier de l'Université de Montréal (CHUM)
Collaborator