Ocular Complications From Cancer Therapy - Patient Registry and Biobank
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Eye exam.
- Who it may be relevant to
- Registry conditions: Graft Versus Host Disease in Eye, Ocular Complications, Inflammatory Dry Eye Disease. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Registry and Biobank of Patients With a History of Cancer Therapy
Overview
The purpose of this study is to collect data on patients seen at University of Maryland after undergoing cancer therapy. Previous medications, ocular history, medical history, clinical evaluations, surgical procedures and outcomes will be gathered on the patients who consent to participate. Potential subjects will be enrolled from the clinical practice of the investigator at the time of their eye examination visit. A standard of care exam will be performed pertinent to the reason for the visit. In addition to the standard of care exam, certain biological specimens (ocular surface wash, mucocellular material, corneal filaments, impression cytology, and/or blood) will be collected, stored, and analyzed to obtain immunologic, cellular, or molecular mechanistic insights into disease pathogenesis.
Detailed description
The objective of this study is to evaluate and study the immunologic changes in patients who undergo cancer therapy, specifically identifying patients who are at risk of developing ocular complications from their cancer therapy such as ocular GVHD and corneal toxicity. By creating a detailed registry and robust biobank of patients' samples, the investigators will have the ability to (1) better define the pathogenesis of the ocular toxicity such as ocular GVHD or corneal keratopathy from cancer immunologics, (2) identify predictive factors for developing ocular complications as a result of cancer therapy. By developing a biobank of patients' samples who have undergone cancer therapy, the investigators will have the ability to evaluate clinical findings and determine factors and markers to better understand the mechanisms corneal disease in these patients. Through this biobank, the investigators would like to gather data on the clinical findings and management of ocular complications in patients who have undergone cancer treatment. Participants will fall into one of two groups: either the the Bone Marrow Transplant/Cancer Therapy group or Control group where they have no previous history of cancer therapy. The intervention in this study will be the eye exam.
Interventions
- Procedure Eye exam
Previous medications, ocular history, medical history, clinical evaluations, surgical procedures and outcomes will be gathered on the patients who consent to participate. A standard of care exam will be performed to the reason for the visit. In addition to the standard of care exam, those in the Cancer Therapy arm will have certain biological samples (tear collection, impression cytology, and/or blood) collected, stored, and analyzed so we may obtain immunologic, cellular, or molecular mechanist
Primary outcome measures
- International Chronic Ocular Graft Versus Host Disease Severity Score [Time frame: At the time of intervention (eye exam), between on average 3 months to 5 years post-transplant, but this can also extend up to 10 years post-transplant. The expected average will be 3 years post-transplant.]
Eligibility criteria
Inclusion Criteria for the Cancer Therapy Group:
- Adult patients (greater than 18 years of age)
- Deny a history of eye diseases (excluding cataract, glaucoma, mild dry eye disease, or history of cataract or refractive surgery)
- Patients who have a history of allogenic HSCT with all stem cell sources including bone marrow, PBSC, cord AND/OR patients with a history of prior cancer therapy including BMT, chemotherapy, and immunotherapy
- Patients will be recruited after their HSCT or cancer therapy at their ophthalmology appointment
- Patients can be included with a history of prior cancer therapy including chemotherapy, BMT, immunotherapy. Prior cancer therapy must be identified and documented.
- The patient must be able to understand and sign and date the informed consent form approved by the IRB.
Inclusion Criteria for the Control Group:
- No history of cancer or cancer therapy in the past
- Adult patients (greater than 18 years of age)
- Deny a history of eye diseases (excluding cataract, glaucoma, mild dry eye disease, or history of cataract or refractive surgery)
- The patient must be able to understand and sign and date the informed consent form approved by the IRB.
Exclusion Criteria for the Cancer Therapy Group:
- Vulnerable populations: neonates, children, prisoners, institutionalized individuals
- Inability or refusal to provide informed consent.
- History of ocular surgery or ocular disease (except refractive or cataract surgery, mild dry eye disease, or glaucoma).
Exclusion Criteria for the Control Group:
- Vulnerable populations: neonates, children, prisoners, institutionalized individuals
- Inability or refusal to provide informed consent.
- History of ocular surgery or ocular disease (except refractive or cataract surgery, mild dry eye disease, or glaucoma).
- History of cancer or cancer therapy including chemotherapy, immunotherapy, BMT.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Case-control
Study locations
United States · 1 center
- Stoler Outpatient Cancer Center at the University of Maryland — Baltimore
Identifiers
NCT: NCT06874283 · 24105GCCC