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| ID | Type | Description | Link |
|---|---|---|---|
| 012M93555 | Other Identifier | Institutional Review Board, University of Minnesota |
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| Name | Class |
|---|---|
| Minnesota Medical Foundation | OTHER |
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Women undergoing myeloablative allogeneic hematopoietic cell transplant (MA HCT) will receive GnRH agonist leuprolide. Women undergoing reduced intensity allogeneic (RIC) HCT will be observed.
This study is to use gonadotropin releasing hormone (GnRH) agonist leuprolide prior myeloablative hematopoietic cell transplantation to prevent ovarian dysfunction in post-menarchal women.
The primary objective is to determine the effect of GnRH agonists on the incidence of ovarian failure.
The secondary objectives are
A total of 47 patients will be accrued in this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interventional - Received Leuprolide | Experimental | Long-acting leuprolide 11.25 mg intramuscularly (IM) pre-HCT and 3 months post-HCT PLUS Short-acting leuprolide 0.2 mg subcutaneously (SQ) daily for 14 days for patients who undergo myeloablative allogeneic or autologous hematopoietic cell transplantation. |
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| Observational Arm | Active Comparator | Women undergoing reduced intensity allogeneic HCT will be observed. Progestin contraceptives, Norethindrone acetate, and any other hormone methods can be used according to the prescription guidelines except for GnRH agonists to suppress menses. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Leuprolide | Drug | Long-acting leuprolide 11.25 mg intramuscularly (IM) pre-transplant (HCT) and 3 months post-HCT PLUS Short-acting leuprolide 0.2 mg subcutaneously (SQ) daily for 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of Number of Patients With Ovarian Failure | Comparison of treatment arms; interventional versus observational. Ovarian failure rate is based on FSH measured at 180 days after HCT; to determine the effect of GnRH agonists on the incidence of ovarian failure (i.e. FSH >40 IU/L) after transplant. | Through Day 180 Post Transplant |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of Number of Patients Who Stopped Menstrual Bleeding | Comparison of treatment arms; interventional versus observational. Count of patients who stopped menstrual bleeding; to determine how the effect of GnRH agonists are at suppressing menses during hematopoietic cell transplant | From Baseline Through Day 365 |
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Inclusion Criteria:
Interventional Arm:
Observational Arm:
Exclusion Criteria:
All Arms:
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| Name | Affiliation | Role |
|---|---|---|
| Angela Smith, M.D. | Masonic Cancer Center, University of Minnesota | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Masonic Cancer Center, University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Interventional - Received Leuprolide | Long-acting leuprolide 11.25 mg intramuscularly (IM) pre-HCT and 3 months post-HCT PLUS Short-acting leuprolide 0.2 mg subcutaneously (SQ) daily for 14 days for patients who undergo myeloablative allogeneic or autologous hematopoietic cell transplantation. Leuprolide: Long-acting leuprolide 11.25 mg intramuscularly (IM) pre-transplant (HCT) and 3 months post-HCT PLUS Short-acting leuprolide 0.2 mg subcutaneously (SQ) daily for 14 days hematopoietic cell transplant: Conventional bone marrow transplant regimen. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| hematopoietic cell transplant | Biological | Conventional bone marrow transplant regimen. |
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| reduced intensity allogeneic HCT | Biological | A reduced-intensity conditioning transplant is a bone marrow or cord blood transplant (also called a BMT) that uses less intense treatment to prepare for transplant than a standard transplant does. While a standard transplant uses the pre-transplant treatment to destroy most of the disease cells, a reduced-intensity transplant relies on the donor's immune cells to fight disease. |
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| Comparison of Follicle Stimulating Hormone (FSH) Levels |
Comparison of treatment arms; interventional versus observational average FSH levels. |
| Baseline |
| Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | Day 100 |
| Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | Day 180 |
| Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | 1 year |
| Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | 2 years |
| Comparison of Number of Patients Who Resumed Menstrual Cycles | Comparison of treatment arms; interventional versus observational. Count of patients who resumed menses after hematopoietic cell transplant | Day 365 Post Transplant |
| Comparison of Lutineizing Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | Baseline |
| Comparison of Luteinizing Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | Day 100 |
| Comparison of Luteinizing Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | Day 180 |
| Comparison of Luteinizing Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | 1 year |
| Comparison of Leuprolide Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | 2 years |
| Comparison of Antimullerian Hormone (AMH) Levels After Transplant | Comparison of treatment arms; interventional versus observational average AMH levels after receiving transplant. | Day Prior to Transplant |
| Comparison of Antimullerian Hormone (AMH) Levels After Transplant | Comparison of treatment arms; interventional versus observational average AMH levels after receiving transplant. | Day 180 after Transplant |
| FG001 | Observational Arm | Women undergoing reduced intensity allogeneic HCT will be observed. Progestin contraceptives, Norethindrone acetate, and any other hormone methods can be used according to the prescription guidelines except for GnRH agonists to suppress menses. reduced intensity allogeneic HCT: A reduced-intensity conditioning transplant is a bone marrow or cord blood transplant (also called a BMT) that uses less intense treatment to prepare for transplant than a standard transplant does. While a standard transplant uses the pre-transplant treatment to destroy most of the disease cells, a reduced-intensity transplant relies on the donor's immune cells to fight disease. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Interventional - Received Leuprolide | Long-acting leuprolide 11.25 mg intramuscularly (IM) pre-HCT and 3 months post-HCT PLUS Short-acting leuprolide 0.2 mg subcutaneously (SQ) daily for 14 days for patients who undergo myeloablative allogeneic or autologous hematopoietic cell transplantation. Leuprolide: Long-acting leuprolide 11.25 mg intramuscularly (IM) pre-transplant (HCT) and 3 months post-HCT PLUS Short-acting leuprolide 0.2 mg subcutaneously (SQ) daily for 14 days hematopoietic cell transplant: Conventional bone marrow transplant regimen. |
| BG001 | Observational Arm | Women undergoing reduced intensity allogeneic HCT will be observed. Progestin contraceptives, Norethindrone acetate, and any other hormone methods can be used according to the prescription guidelines except for GnRH agonists to suppress menses. reduced intensity allogeneic HCT: A reduced-intensity conditioning transplant is a bone marrow or cord blood transplant (also called a BMT) that uses less intense treatment to prepare for transplant than a standard transplant does. While a standard transplant uses the pre-transplant treatment to destroy most of the disease cells, a reduced-intensity transplant relies on the donor's immune cells to fight disease. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Comparison of Number of Patients With Ovarian Failure | Comparison of treatment arms; interventional versus observational. Ovarian failure rate is based on FSH measured at 180 days after HCT; to determine the effect of GnRH agonists on the incidence of ovarian failure (i.e. FSH >40 IU/L) after transplant. | Posted | Count of Participants | Participants | Through Day 180 Post Transplant |
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| Secondary | Comparison of Number of Patients Who Stopped Menstrual Bleeding | Comparison of treatment arms; interventional versus observational. Count of patients who stopped menstrual bleeding; to determine how the effect of GnRH agonists are at suppressing menses during hematopoietic cell transplant | Five patients on the Interventional arm and 10 patients on the Observational arm were lost to follow-up by Day 365. | Posted | Count of Participants | Participants | From Baseline Through Day 365 |
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| Secondary | Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | Four patients on the Observational arm never had any follow-up FSH levels drawn and were removed from this analysis. | Posted | Mean | Standard Deviation | IU/L | Baseline |
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| Secondary | Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | Four patients on the Observational arm never had any follow-up FSH levels drawn and were removed from this analysis. One patient on the Interventional arm and 7 on the Observational arm were lost to follow-up. | Posted | Mean | Standard Deviation | IU/L | Day 100 |
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| Secondary | Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | Four patients on the Observational arm never had any follow-up FSH levels drawn and were removed from this analysis. One patient on the Interventional arm and 7 on the Observational arm were lost to follow-up. | Posted | Mean | Standard Deviation | IU/L | Day 180 |
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| Secondary | Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | Four patients on the Observational arm never had any follow-up FSH levels drawn and were removed from this analysis. Three patients on the Interventional arm and 8 patients on the Observational arm were lost to follow-up. | Posted | Mean | Standard Deviation | IU/L | 1 year |
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| Secondary | Comparison of Follicle Stimulating Hormone (FSH) Levels | Comparison of treatment arms; interventional versus observational average FSH levels. | Four patients on the Observational arm never had any follow-up FSH levels drawn and were removed from this analysis. All 7 patients on the Interventional arm and 8 patients on the Observational arm were lost to follow-up. | Posted | Mean | Standard Deviation | IU/L | 2 years |
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| Secondary | Comparison of Number of Patients Who Resumed Menstrual Cycles | Comparison of treatment arms; interventional versus observational. Count of patients who resumed menses after hematopoietic cell transplant | Only 6 of the 10 patients that started on the Observational Arm were evaluable. The 2 patients were lost to follow-up. | Posted | Count of Participants | Participants | Day 365 Post Transplant |
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| Secondary | Comparison of Lutineizing Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | Four patients on the Observational arm never had any follow-up LH levels drawn and were removed from this analysis. | Posted | Mean | Standard Deviation | IU/L | Baseline |
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| Secondary | Comparison of Luteinizing Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | Four patients on the Observational arm never had any follow-up LH levels drawn and were removed from this analysis. One patient on the Interventional arm and 7 on the Observational arm were lost to follow-up. | Posted | Mean | Standard Deviation | IU/L | Day 100 |
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| Secondary | Comparison of Luteinizing Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | Four patients on the Observational arm never had any follow-up LH levels drawn and were removed from this analysis. One patient on the Interventional arm and 7 on the Observational arm were lost to follow-up. | Posted | Mean | Standard Deviation | IU/L | Day 180 |
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| Secondary | Comparison of Luteinizing Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | Four patients on the Observational arm never had any follow-up LH levels drawn and were removed from this analysis. Three patients on the Interventional arm and 8 patients on the Observational arm were lost to follow-up. | Posted | Mean | Standard Deviation | IU/L | 1 year |
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| Secondary | Comparison of Leuprolide Hormone (LH) Levels | Comparison of treatment arms; interventional versus observational average LH levels during study. | Four patients on the Observational arm never had any follow-up FSH levels drawn and were removed from this analysis. All 7 patients on the Interventional arm and 8 patients on the Observational arm were lost to follow-up. | Posted | Mean | Standard Deviation | IU/L | 2 years |
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| Secondary | Comparison of Antimullerian Hormone (AMH) Levels After Transplant | Comparison of treatment arms; interventional versus observational average AMH levels after receiving transplant. | Six patients on the Observational arm never had any follow-up AMH levels drawn and were removed from this analysis. | Posted | Mean | Standard Deviation | ng/ml | Day Prior to Transplant |
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| Secondary | Comparison of Antimullerian Hormone (AMH) Levels After Transplant | Comparison of treatment arms; interventional versus observational average AMH levels after receiving transplant. | Four patients on the Observational and 10 patients on the Observational arm never had any follow-up AMH levels drawn and were removed from this analysis. | Posted | Mean | Standard Deviation | ng/ml | Day 180 after Transplant |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Interventional - Received Leuprolide | Long-acting leuprolide 11.25 mg intramuscularly (IM) pre-HCT and 3 months post-HCT PLUS Short-acting leuprolide 0.2 mg subcutaneously (SQ) daily for 14 days for patients who undergo myeloablative allogeneic or autologous hematopoietic cell transplantation. Leuprolide: Long-acting leuprolide 11.25 mg intramuscularly (IM) pre-transplant (HCT) and 3 months post-HCT PLUS Short-acting leuprolide 0.2 mg subcutaneously (SQ) daily for 14 days hematopoietic cell transplant: Conventional bone marrow transplant regimen. | 0 | 7 | 3 | 7 | ||
| EG001 | Observational Arm | Women undergoing reduced intensity allogeneic HCT will be observed. Progestin contraceptives, Norethindrone acetate, and any other hormone methods can be used according to the prescription guidelines except for GnRH agonists to suppress menses. reduced intensity allogeneic HCT: A reduced-intensity conditioning transplant is a bone marrow or cord blood transplant (also called a BMT) that uses less intense treatment to prepare for transplant than a standard transplant does. While a standard transplant uses the pre-transplant treatment to destroy most of the disease cells, a reduced-intensity transplant relies on the donor's immune cells to fight disease. | 0 | 10 | 0 | 10 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hot Flashes | Vascular disorders |
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| Mood Liability | Psychiatric disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Angela Smith | Masonic Cancer Center, University of Minnesota | 612-626-8094 | smith719@umn.edu |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| D008228 | Lymphoma, Non-Hodgkin |
| D006689 | Hodgkin Disease |
| D015470 | Leukemia, Myeloid, Acute |
| D009196 | Myeloproliferative Disorders |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D008223 | Lymphoma |
| D008206 | Lymphatic Diseases |
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D001855 | Bone Marrow Diseases |
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| ID | Term |
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| D016729 | Leuprolide |
| ID | Term |
|---|---|
| D007987 | Gonadotropin-Releasing Hormone |
| D010906 | Pituitary Hormone-Releasing Hormones |
| D007028 | Hypothalamic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009842 | Oligopeptides |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |
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| >=65 years |
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| Male |
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