Prehabilitation Program to Improve Cardiac Reserve in High-Risk Patients Undergoing Hematopoietic Stem Cell Transplantation

Purpose

To assess the feasibility and preliminary effectiveness of a Cardio-Oncology Prehabilitation program in patients at high-risk of developing Cardiovascular (CV) events in improving Cardiorespiratory fitness (CRF) and reducing acute CV complications in Hematopoietic stem cell transplant (HSCT) recipients.

Condition

  • Hematopoietic Stem Cell Transplant

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Adult 18 years or older - Referred for HSCT evaluation - Presence of least one CV risk factor at enrollment (hypertension, hyperlipidemia, atrial fibrillation, obesity, heart failure, history of coronary artery disease, diabetes) - Able to ambulate unassisted - Ability to understand and the willingness to sign a written informed consent - Ability to use Polar Flow heart rate application

Exclusion Criteria

  • Severe anemia (hemoglobin <7 gm/dl) - Untreated high-risk coronary artery disease (left main, triple vessel disease) - Severe aortic stenosis - Recent fracture as assessed via self-report - Gross balance deficits - Severe pain with basic movement - Unable to ambulate unassisted or exercise - NYHA class IV heart failure - Adults unable to give consent, pregnant women, and prisoners are excluded from this study.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Cardio-oncology program
The cardio-oncology program consists of a multimodal approach, which includes individualized exercise prescription following a detailed CV assessment and medical management of CV risk factors occurring over 8 weeks.
  • Other: Cardio-oncology program
    Consented patients will undergo an initial CV evaluation as part of standard of care then participate in an 8-week at-home, personalized exercise intervention followed by an additional CV assessment prior to HSCT (after 8-weeks)

Recruiting Locations

University of Michigan Rogel Cancer Center
Ann Arbor, Michigan 48109
Contact:
Cancer AnswerLine
800-865-1125
CancerAnswerLine@med.umich.edu

More Details

NCT ID
NCT05945121
Status
Recruiting
Sponsor
University of Michigan Rogel Cancer Center

Study Contact

Cancer AnswerLine
1-800-865-1125
CancerAnswerLine@med.umich.edu