PRISM (Promoting Resilience in Stress Management) for Bone Marrow Neoplasms
This study is evaluating whether a program which teaches stress management techniques may help improve the health of adolescents and young adults who have received a stem cell transplant.
See full descriptionAbout the trial for Bone Marrow Neoplasms
Treatment Groups
This trial involves 2 different treatments. PRISM (Promoting Resilience In Stress Management) is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are in Phase 3 and have had some early promising results.
Eligibility
This trial is for patients born any sex aged 65 and younger. You must have received newly diagnosed for Bone Marrow Neoplasms or one of the other 7 conditions listed above. There are 6 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether PRISM (Promoting Resilience in Stress Management) will improve 1 primary outcome, 7 secondary outcomes, and 3 other outcomes in patients with Bone Marrow Neoplasms. Measurement will happen over the course of 6-months.
Who is running the study
Principal InvestigatorPatient Q & A Section
What is bone marrow neoplasms?
We found low prevalence in our series of malignant bone marrow diseases. Although malignant bone marrow infiltrate is found in over 50% of cases of hematological malignancies, this is not always diagnosed. We found that in only 3% of our cases we made the diagnosis of a specific bone marrow neoplasm.
What are the signs of bone marrow neoplasms?
These include anaemia, leucocytosis, thrombocytosis, and plasmacytosis. On the basis of the signs present, bone marrow neoplasms can be classified into three types: myeloid, lymphoid and histiocytic. Each type of bone marrow neoplasm also has its own unique differential diagnosis.
What are common treatments for bone marrow neoplasms?
The treatment of neoplasms of the bone marrow depends on the type of malignancy and its location and extent of infiltration. There is increasing emphasis on the use of autotransplantation for patients with hematological malignancies in whom the marrow has been damaged by radiation, or after myeloablative chemotherapy. Some tumors are amenable to curative surgical resection by a bone-seeking beam and are treated with radiation. Patients with solid tumors will receive neoadjuvant chemotherapy and then receive local therapy followed by radiation. Chemotherapy before the surgical procedure is usually contraindicated due to the severity, or refusal, of such therapy from patients.
What causes bone marrow neoplasms?
Bone malignancies are a group of neoplasms that are characterized by malignant proliferation of cells in the osseous tissues. They occur in adolescents and the elderly. In the adult population the occurrence of malignancies of bone marrow is less than 1%. The most frequent bone neoplasm is Ewing's sarcoma, and other tumors that cause skeletal pain often have a more ominous course and shorter survival. The malignancies originating in bone marrow have a higher degree of aggressiveness than those of brain. The histology of these neoplasms is varied and not always well defined.
Can bone marrow neoplasms be cured?
Tumor cells that may be disseminated are killed more than those of the same type in the peripheral blood, mainly because of tumor cell destruction, but also because tumor angiogenesis is reduced in the marrow compared with normal marrow.
How many people get bone marrow neoplasms a year in the United States?
Approximately 15,500 new cases of acute myeloid leukemia and 10,000 new cases of de novo acute myelomonocytic leukemia are diagnosed in the United States each year. About 5,900 new cases of chronic myeloid leukemia and 4,300 new cases of new chronic lymphocytic leukemia are diagnosed, and 1050 new cases of new chronic myelomonocytic leukemia are diagnosed. About 10,200 new cases of non-Hodgkin lymphoma and 8,500 new cases of Hodgkin lymphoma are diagnosed each year.
Does bone marrow neoplasms run in families?
A high percentage of families with BM neoplastic disease also had other hematologic conditions. We suggest that genetic predisposition is present for most hematologic disorders.
Does prism (promoting resilience in stress management) improve quality of life for those with bone marrow neoplasms?
Prism is a valuable intervention to aid coping with cancer and its treatment trajectory and has the potential to support improvement in the outcomes of patients.
What does prism (promoting resilience in stress management) usually treat?
For the treatment of stress, a low-dose aspirin plus daily exercise (prism) is preferred by patients to both an exercise-only (prism) intervention or treatment plus a placebo. It is recommended that patient education be supplemented with the use of an intervention such as prism tailored to the individual.
Have there been any new discoveries for treating bone marrow neoplasms?
The treatment of bone marrow neoplasms is continually evolving. The advancement and refinement of treatments are based on the discovery and development of new drugs and therapies with the aim of reducing the pain, treatment side effects, and enhancing the quality of life of the patients. Recent improvements in bone marrow transplantation therapy, especially those involving the use of the monoclonal antibody rituximab, such as 'Rituximab for Treatment of Poor Response in Cutaneous T-Cell Lymphoma' (Rituxan), have had a significant and substantial impact for improving the prognosis and survival of the patients.
How does prism (promoting resilience in stress management) work?
A placebo-controlled randomized prospective design to study short-term treatment (two therapy sessions) with the resilience-promotion intervention in patients evaluated for bone marrow transplantation. summary: Results from a recent paper is evaluating whether it is safe and effective to treat patients with bone marrow cancer by combining a couple of therapies.
How serious can bone marrow neoplasms be?
[Bone neoplasms account for roughly 7% of newly diagnosed malignancies in the United States, with myeloma being the most common. Myeloma and leukemia occur in children as infrequently as in adults] (http://www.neoplasmology.org/). If a child's [prognosis after the diagnosis of osteogenic sarcoma with a bone metastasis] is good, then the [average life span of the child with the primary tumour] can surpass [a decade]. However, if there is severe pain, [osseous sarcoma without bone metastasis] probably has a shorter prognosis, especially if there is a high amount of metastables.