Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06676852

Feasibility and Acceptability of Primary Palliative Care Intervention in Patients Undergoing Hematopoietic Stem Cell Transplantation

Led by Massachusetts General Hospital · Updated on 2026-04-24

40

Participants Needed

1

Research Sites

12 weeks

Total Duration

On this page

Sponsors

M

Massachusetts General Hospital

Lead Sponsor

A

American Society of Transplantation and Cellular Therapy

Collaborating Sponsor

AI-Summary

What this Trial Is About

Patients undergoing hematopoietic cell transplantation (HCT) often face physical and psychological challenges that reduce their quality of life during hospitalization. Specialty palliative care can help reduce these symptoms and improve quality of life but is not widely available at all HCT centers. This research evaluates Sentinel, a primary palliative care intervention designed to train HCT clinicians to provide palliative care as part of routine practice, assessing its feasibility and acceptability in this setting. Participants will receive the Sentinel intervention before and during their HCT hospitalization. Before admission, a transplant nurse practitioner will conduct a focused palliative care visit to establish rapport, set expectations about the transplant, review possible symptoms, and discuss coping strategies. During hospitalization, physicians and advanced practice providers will integrate palliative care elements into the routine care for patients. Participants will complete patient-reported assessments at four time points: before hospital admission, two weeks into hospitalization, one month after HCT, and three months post-HCT. The study will monitor how feasible the intervention is up to 90 days and evaluate acceptability at 30 days. This approach helps researchers understand how well Sentinel works in practice and gathers important information on patient experiences during and after HCT.

CONDITIONS

Brief Title

Feasibility and Acceptability of Primary Palliative Care Intervention in Patients Undergoing Hematopoietic Stem Cell Transplantation

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Undergoing autologous or allogeneic hematopoietic cell transplantation at Massachusetts General Hospital
Not Eligible

You will not qualify if you...

  • Prior receipt of inpatient specialty palliative care on two or more admissions in the past 6 months
  • Significant uncontrolled psychiatric disorders such as psychotic disorder, bipolar disorder, or major depression
  • Other co-morbid diseases like dementia or cognitive impairment that interfere with informed consent or study participation
  • Inability to understand English as required for this preliminary study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (in-person)

Outpatient Treatment

Duration - Prior to HCT admission

Participants will have a focused palliative care visit with a transplant clinician before their hematopoietic cell transplantation (HCT) hospitalization to build rapport, manage expectations, and discuss coping strategies.

1 baseline visit (in-person)

Inpatient Treatment

Duration - Duration of HCT hospitalization

During the HCT hospitalization, participants will receive primary palliative care integrated into their routine care by HCT physicians and advanced practice providers.

Assessments at Week 2 of HCT hospitalization (in-person)

Follow-up

Duration - Up to 3 months post-HCT

Participants will complete patient-reported assessments to evaluate feasibility and acceptability of the intervention after hospital discharge.

Visits at 1 month and 3 months post-HCT (in-person or remote)

Trial Site Locations

Total: 1 location

1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02152

Actively Recruiting

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Research Team

R

Richard A Newcomb, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

1

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