Background:
People who have had an allogeneic hematopoietic stem cell transplant (HCT), cellular therapy (CT), or gene therapy (GT) have bone marrow or an immune system that is damaged. They get stem cells from a donor who is a relative. Researchers want to study stem cell donors and recipients to learn about the long-term effects of HCT, CT, or GT. They want to learn how the stem cells change and how to improve their ability to fight cancer.
Objective:
To provide long-term follow-up care for people who underwent or will undergo HCT, CT, or GT. To collect data, blood, and tissue samples to learn about late complications after HCT, CT, or GT.
Eligibility:
Adults age 18 and older who will undergo HCT or underwent HCT, Cellular Therapy (CT), or Gene Therapy (GT) and are surviving one year or more from the date of therapy. The stem cell donors for these recipients are also needed.
Design:
Recipients will have 1 visit each year. They will have a physical exam. They will answer questions about their medical history and health. They will receive screening and surveillance testing. They will complete brief questionnaires.
Recipients will have blood tests. They may have tissue biopsies or specimens (such as tissue in their cheek or skin or bone marrow biopsy).
Recipients will give their current address and phone number, and the same data for one or two other people, who can get in contact with them.
After the first visit at the clinic, some recipients may see a doctor close to home to get the necessary information and send it to NIH.
Donors will come to the clinic for 1 visit. They will answer questions about their medical history. Blood samples will be taken.
Individuals who underwent HCT or received cellular or gene therapy for any indication (malignant or non-malignant) and are surviving one year or more from the date of therapy
Age >= 4 years
Ability of individual or individual s Legally Authorized Representative (LAR) to understand and the willingness to sign a written informed consent document
Individuals will need to have a primary physician within the US (primary care, oncologist, hematologist, etc.) that will provide continued comprehensive care for the duration of participation in the study. PI may allow for established medical providers to be located outside of the US.
Related stem cell donors of patients meeting the above criteria as a donor of hematopoietic progenitor and stem cells or leukocytes
Age >= 4years
Ability of patient or patient s Legally Authorized Representative (LAR) to understand and the willingness to sign a written informed consent document
Parents/guardians of minors enrolled on the study who have undergone HCT
Patients who have received an allogeneic stem cell transplant, cellular therapy, or gene therapy as well as donors of stem cells who are related to the patients who are study participants. Parents of minor recipients may also be enrolled to complete surveys. Participants can be from any community or co-enrolled on another NIH protocol.
Cohort
Prospective
Not listed
Basic characteristics of the patient population
Survival
Monitoring of late effects after stem cell transplant, cellular therapy, or gene therapy for patients of NIH transplantation and cellular therapy protocols
Survival and observation of long-term outcomes.
Obtain blood and tissue samples to study and document immunologic reconstitution after stem cell transplant
Immune monitoring for analysis
Obtain blood samples from stem cell transplant donors to study how biological factors related to the donor are associated with late complications
Studying donor samples for potential correlations to transplant recipient complications.
Provide a mechanism to ensure implementation of standard of care recommendations for post-transplant followup
Observation of adherence and effects of standard of care recommendations
Click on the lead sponsor to view all of their trials.
