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PRO Data Collection Protocol

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The CIBMTR collects longitudinal or cross-sectional PRO data from recipients of cellular therapies who are also enrolled in the Protocol for a Research Database for Hematopoietic Cell Transplantation, Other Cellular Therapies, and Marrow Toxic Injuries (Research Database protocol). The time points for PRO data collection parallel the time points at which treatment centers submit clinical outcomes data from healthcare records, with an additional time point at 30 days post-treatment for cellular therapy patients. Below are the measures and time points collected for adult HCT and CAR T patients:

Time Points:
  • Pre-infusion
  • Day 30 (CAR T only)
  • Day 100
  • Day 180
  • Year 1
  • Annually
Domains:
  • PROMIS Global
  • PROMIS Physical Function
  • PROMIS Fatigue
  • PROMIS Sleep Disturbance
  • PROMIS Pain Interference
  • PROMIS Anxiety
  • PROMIS Depression
  • PROMIS Cognitive Function
  • PROMIS Ability to Participate in Social Roles and Activities
  • PROMIS Sexual Function Profile
  • COmprehensive Score for financial Toxicity (COST)
  • Occupational functioning, Social determinants of health, Demographics

Research goals

The primary purpose of the PRO Protocol is to have a centralized collection of patient-reported symptoms and functioning to supplement traditional outcomes, such as survival or disease relapse, in registration and other studies. These data may be used in research to:

  • Assess trajectories of patient symptom and functioning overtime
  • Determine and evaluate symptoms and functioning that affect HCT and cellular therapy outcomes
  • Assess long-term outcomes after HCT or cellular therapy

Recipient and donor participation

Any recipient of an unrelated or related HCT or CAR T in a CIBMTR-affiliated center may participate in the PRO protocol. Complete eligibility requirements are outlined in the study protocol.

If the recipient of HCT or cellular therapy does not consent to the Research Database protocol, they may still participate in the PRO protocol, but the use of their data will be limited to CIBMTR and NMDP process improvement analyses or study-specific analysis as laid out in the PRO protocol consent form.

The CIBMTR Survey Research Group identifies, approaches, and obtains consent from eligible recipients. Informed consent is documented in the CIBMTR electronic PRO (ePRO) system. The Survey Research Group centrally collects PRO surveys from participating recipients electronically, on paper, or by phone and follows up with non-responders.

PRO data are collected in the ePRO system and then stored in the CIBMTR database where they can be linked to CIBMTR clinical outcomes data.

Protocol enrollment

Presented here are the number of patients enrolled in the CIBMTR PRO Protocol by type and year of infusion, as of September 10, 2023.

Year of Infusion Allogeneic Hematopoietic Cell Transplantation Autologous Hematopoietic Cell Transplantation Cellular Therapy Total Patients
Total no. patients 336 480 98 914
2023* 41 40 42 123
2022 205 295 43 543
2021 86 135 12 233
2020 4 10 1 15

*Beginning in February of 2023, the CIBMTR PRO protocol team implemented a strategic goal of prioritizing recruitment of patients for who we were able to collect a baseline survey. By prioritizing patients with a potential to collect baseline, this narrowed the recruitment and outreach efforts which is why there are fewer patients with infusions/transplants in 2023 than in previous years. 

PRO data collected

Presented here are the number of completed PRO surveys available for analysis by infusion-related time point, infusion type, age at transplant, gender, and indication, as of September 10, 2023.

*Number (%) of patients who have survey completed at each time point

Characteristic Baseline* Day 30* Day 100* Day 180* Year 1* Year 2 Year 3 Total Surveys*
No. of surveys 167 49 701 735 469 115 3 2,239
No. of centers 13 13 21 23 19 7 1 26
Gender - no. (%)
     Male 88 (53) 27 (55) 416 (59) 426 (58) 284 (61) 72 (63) 1 (33) 1,314 (59)
     Female 79 (47) 22 (45) 285 (41) 309 (42) 185 (39) 43 (37) 2 (67) 925 (41)
Infusion type - no. (%)
     Allo-HCT 81 (49) 0 (0) 248 (35) 260 (35) 158 (34) 46 (40) 0 (0) 793 (35)
     Auto-HCT 69 (41) 0 (0) 386 (55) 412 (56) 285 (61) 66 (57) 3 (100) 1,221 (55)
     Cell therapy 17 (10) 49 (100) 67 (10) 63 (9) 26 (6) 3 (3) 0 (0) 225 (10)
Age at HCT / Cellular Therapy - no (%)              
     18-29 4 (2) 2 (4) 23 (3) 25 (3) 14 (3) 3 (3) 0 (0) 71 (3)
     30-39 9 (5) 2 (4) 37 (5) 40 (5) 26 (6) 9 (8) 0 (0) 123 (5)
     40-49 21 (13) 4 (8) 67 (10) 66 (9) 43 (9) 13 (11) 1 (33) 215 (10)
     50-59 39 (23) 8 (16) 167 (24) 180 (24) 111 (24) 26 (23) 0 (0) 531 (24)
     60-69 63 (38) 12 (24) 271 (39) 288 (39) 194 (41) 45 (39) 2 (67) 875 (39)
     ≥70 31 (19) 21 (43) 136 (19) 136 (19) 81 (17) 19 (17) 0 (0) 424 (19)
Primary Disease for which the transplant was performed - no. (%)
Acute myelogenous leukemia 32 (19) 0 (0) 100 (14) 102 (14) 62 (13) 19 (17) 0 (0) 315 (14)
Acute lymphoblastic leukemia 9 (5) 2 (4) 34 (5) 30 (4) 17 (4) 9 (8) 0 (0) 101 (5)
Other leukemia 2 (1) 0 (0) 4 (1) 5 (1) 1 (0) 0 (0) 0 (0) 12 (1)
Chronic myelogenous leukemia 2 (1) 0 (0) 5 (1) 7 (1) 5 (1) 3 (3) 0 (0) 22 (1)
Myelodysplastic / myeloproliferative leukemia 20 (12) 0 (0) 67 (10) 72 (10) 46 (10) 10 (9) 0 (0) 215 (10)
Other acute leukemia 0 (0) 0 (0) 6 (1) 6 (1) 4 (1) 2 (2) 0 (0) 18 (1)
Non-Hodgkin lymphoma 30 (18) 29 (59) 132 (19) 138 (19) 86 (18) 20 (17) 1 (33) 436 (19)
Hodgkin lymphoma 2 (1) 0 (0) 18 (3) 20 (3) 13 (3) 2 (2) 0 (0) 55 (2)
Plasma cell disorder / multiple myeloma 51 (31) 14 (29) 298 (43) 309 (42) 212 (45) 48 (42) 2 (67) 934 (42)
Other malignancies 1 (1) 0 (0) 4 (1) 5 (1) 3 (1) 0 (0) 0 (0) 13 (1)
Severe aplastic anemia 4 (2) 0 (0) 7 (1) 11 (1) 5 (1) 0 (0) 0 (0) 27 (1)
Paroxysmal nocturnal hemoglobinuria (PNH) 0 (0) 0 (0) 1 (0) 1 (0) 0 (0) 0 (0) 0 (0) 2 (0)
Immune Deficiencies (ID) 0 (0) 0 (0) 0 (0) 1 (0) 0 (0) 0 (0) 0 (0) 1 (0)
Autoimmune diseases 3 (2) 0 (0) 6 (1) 8 (1) 6 (1) 0 (0) 0 (0) 23 (1)
Other malignant hematologic disorders 1 (1) 1 (2) 1 (0) 0 (0) 0 (0) 0 (0) 0 (0) 3 (0)
Myeloproliferative neoplasms 8 (5) 0 (0) 12 (2) 14 (2) 8 (2) 2 (2) 0 (0) 44 (2)
Not reported 2 (1) 3 (6) 6 (1) 6 (1) 1 (0) 0 (0) 0 (0) 18 (1)

IRB requirements

The PRO protocol is a single-site CIBMTR protocol. All research activities, including enrollment and data collection, are centrally performed within the CIBMTR. Centers do not need to submit the PRO protocol or consent form to their local IRB for their patients to participate.

CIBMTR approved protocol and consent forms

The CIBMTR, through the NMDP IRB, has approved the following protocol and consent form. These are provided for reference only. Centers should not submit these materials for local IRB approval. Centers should not use these materials to consent recipients.

Protocol team contacts