Relating Clinical Outcomes in Multiple Myeloma to Personal Assessment of Genetic Profile

NCT ID: NCT01454297

Last Updated: 2024-01-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1154 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-07-31

Study Completion Date

2023-12-31

Brief Summary

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The primary objective of this observational study is to identify the molecular profiles and clinical characteristics that define subsets of myeloma patients during the course of the disease.

Detailed Description

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Understanding the molecular basis of cancer is a critical step toward devising the most effective treatment of the patient as an individual. The promise of molecular targeted therapeutics and personalized cancer care has been demonstrated in breast and lung cancer and chronic myeloid leukemia. However, similar examples of success in multiple myeloma have not been achieved despite extensive basic research as well as clinical advances. What is well understood is that myeloma is a heterogeneous disease with great genetic and epigenetic complexity.22, 23 Therefore, there remains a critical need to understand myeloma patient biology in the context of current patient care.24 The objective of this longitudinal study is to identify patient subgroups and phenotypes defined by molecular profiling and clinical features. These profiles will enable a better understanding of mechanisms of disease, drug response and patient relapse. Ultimately the study is intended to drive successful drug development and patient care in multiple myeloma.

Conditions

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Multiple Myeloma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Newly diagnosed Multiple Myeloma

This is a prospective observational study in patients with symptomatic multiple myeloma who have not yet initiated therapy for their disease.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patient is at least 18 years old.
* Patient has been diagnosed with symptomatic MM with measurable disease that includes at least one of the following:

Serum M protein ≥ 1g/dl Urine M protein ≥ 200 mg/24 hrs Involved free light chain level ≥ 10 mg/dl and an abnormal serum free light chain ratio (\<0.26 or \>1.65).

* The patient is a candidate for systemic therapy that includes an IMiD® (e.g., lenalidomide, pomalidomide, thalidomide) and/or proteasome inhibitor (e.g., bortezomib, carfilzomib) as part of the initial regimen.
* No more than 30 days from baseline bone marrow evaluation as per this protocol to initiation of first-line therapy.
* Patient has read, understood and signed informed consent.

Exclusion Criteria

* Patient is already receiving systemic therapy for MM (a single dose of bisphosphonates and up to 100 mg total dose of dexamethasone or equivalent corticosteroids are permitted prior to registration on study).
* Patient had another malignancy within the last 5 years (except for basal or squamous cell carcinoma, or in situ cancer of the cervix).
* Patient is enrolled in a blinded clinical trial for the first-line treatment of multiple myeloma. Patients may be enrolled in subsequent clinical trials as long as continued access to data and tissue, as per this protocol, is not prohibited.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Translational Genomics Research Institute

OTHER

Sponsor Role collaborator

Spectrum Health Hospitals

OTHER

Sponsor Role collaborator

Van Andel Research Institute

OTHER

Sponsor Role collaborator

Multiple Myeloma Research Foundation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel Auclair

Role: STUDY_DIRECTOR

Multiple Myeloma Research Foundation

Locations

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Mayo Clinic Campus in Scottsdale, AZ

Scottsdale, Arizona, United States

Site Status

UC San Diego Moores Cancer Center

San Diego, California, United States

Site Status

Sharp Health Care

San Diego, California, United States

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VA San Diego Healthcare System

San Diego, California, United States

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San Francisco VA Medical Center

San Francisco, California, United States

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UCSF Medical Center

San Francisco, California, United States

Site Status

Kaiser Permanente of Colorado

Denver, Colorado, United States

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Rocky Mountain Cancer Centers

Denver, Colorado, United States

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Carl and Dorothy Bennett Cancer Center

Stamford, Connecticut, United States

Site Status

VA Medical Center, Washington DC,

Washington D.C., District of Columbia, United States

Site Status

Ocala Oncology Center

Ocala, Florida, United States

Site Status

Winship Cancer Institute - Emory University

Atlanta, Georgia, United States

Site Status

Atlanta VA Medical Center

Decatur, Georgia, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Illinois Cancer Specialists

Niles, Illinois, United States

Site Status

Cancer Center of Kansas

Wichita, Kansas, United States

Site Status

Peninsula Regional Cancer Center

Salisbury, Maryland, United States

Site Status

Holy Cross Hospital

Silver Spring, Maryland, United States

Site Status

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

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Grand Rapids Clinical Oncology Program

Grand Rapids, Michigan, United States

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Mayo Clinic-Rochester

Rochester, Minnesota, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

Kansas City VA Medical Center

Kansas City, Missouri, United States

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Washington University

St Louis, Missouri, United States

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Billings Clinic

Billings, Montana, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Saint Barnabas Medical Center

Livingston, New Jersey, United States

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Broome Oncology

Johnson City, New York, United States

Site Status

New York University Medical Center

New York, New York, United States

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Mt Sinai Medical Center

New York, New York, United States

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Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Weill Cornell Medical College-NY Presbyterian Hospital

New York, New York, United States

Site Status

St Francis Hospital

Roslyn, New York, United States

Site Status

Eastchester Center for Cancer Care

The Bronx, New York, United States

Site Status

Waverly Hematology Oncology

Cary, North Carolina, United States

Site Status

Levine Cancer Institute

Charlotte, North Carolina, United States

Site Status

Duke University Hospital

Durham, North Carolina, United States

Site Status

East Carolina University

Greenville, North Carolina, United States

Site Status

First Health Outpatient Cancer Center

Pinehurst, North Carolina, United States

Site Status

Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Northwest Cancer Specialists, PC

Tualatin, Oregon, United States

Site Status

Sarah Cannon Research Institute

Nashville, Tennessee, United States

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Baylor Research Institute

Dallas, Texas, United States

Site Status

University of Texas Southwest Medical Center

Dallas, Texas, United States

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Cancer Care Centers of South Texas

San Antonio, Texas, United States

Site Status

Central Texas VA Healthcare Center

Temple, Texas, United States

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Texas Oncology - Tyler

Tyler, Texas, United States

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Texas Oncology- Waco

Waco, Texas, United States

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Virginia Cancer Specialists PV

Fairfax, Virginia, United States

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Cancer Care Northwest

Spokane, Washington, United States

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Yakima Valley Memorial Hospital/North Star Lodge

Yakima, Washington, United States

Site Status

Marshfield Clinic

Marshfield, Wisconsin, United States

Site Status

Tom Baker Cancer Centre, Alberta Health Services

Calgary, Alberta, Canada

Site Status

Cross Cancer Institute, Alberta Health Services

Edmonton, Alberta, Canada

Site Status

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status

McGill University Health Center, Royal Victoria Hospital

Montreal, Quebec, Canada

Site Status

Hospital Clinica Universitari Lozano Blesa

Zaragoza, Aragon, Spain

Site Status

Hospital Univ Son Espases

Palma de Mallorca, Balearic Islands, Spain

Site Status

Hospital Son Llàtze

Palma de Mallorca, Balearic Islands, Spain

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Hospital University de Salamanca

Salamanca, Castille and León, Spain

Site Status

H. U. Germans Trias i Pujol

Badalona, Catalonia, Spain

Site Status

Hospital Quirón de Madrid

Pozuelo de Alarcón, Madrid, Spain

Site Status

University Hospital Infanta Sofia

San Sebastián de los Reyes, Madrid, Spain

Site Status

Clínica Universitaria de Navarra

Pamplona, Navarre, Spain

Site Status

Hospital Universitari de Canarias

Santa Cruz de Tenerife, Santa Cruz, Spain

Site Status

Hospital del Mar

Barcelona, , Spain

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Hospital Santa Creu I Sant Pau

Barcelona, , Spain

Site Status

Hospital Clinic i Provincial

Barcelona, , Spain

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Puerta de Hierro

Madrid, , Spain

Site Status

Countries

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United States Canada Spain

References

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Auclair D, Mansfield C, Fiala MA, Chari A, Cole CE, Kaufman JL, Orloff GJ, Siegel DS, Zonder JA, Mange B, Yesil J, Dalal M, Mikhael JR. Preferences and Priorities for Relapsed Multiple Myeloma Treatments Among Patients and Caregivers in the United States. Patient Prefer Adherence. 2022 Mar 1;16:573-585. doi: 10.2147/PPA.S345906. eCollection 2022.

Reference Type DERIVED
PMID: 35256844 (View on PubMed)

Barwick BG, Gupta VA, Matulis SM, Patton JC, Powell DR, Gu Y, Jaye DL, Conneely KN, Lin YC, Hofmeister CC, Nooka AK, Keats JJ, Lonial S, Vertino PM, Boise LH. Chromatin Accessibility Identifies Regulatory Elements Predictive of Gene Expression and Disease Outcome in Multiple Myeloma. Clin Cancer Res. 2021 Jun 1;27(11):3178-3189. doi: 10.1158/1078-0432.CCR-20-2931. Epub 2021 Mar 17.

Reference Type DERIVED
PMID: 33731366 (View on PubMed)

Foltz SM, Gao Q, Yoon CJ, Sun H, Yao L, Li Y, Jayasinghe RG, Cao S, King J, Kohnen DR, Fiala MA, Ding L, Vij R. Evolution and structure of clinically relevant gene fusions in multiple myeloma. Nat Commun. 2020 May 29;11(1):2666. doi: 10.1038/s41467-020-16434-y.

Reference Type DERIVED
PMID: 32471990 (View on PubMed)

Miller A, Asmann Y, Cattaneo L, Braggio E, Keats J, Auclair D, Lonial S; MMRF CoMMpass Network; Russell SJ, Stewart AK. High somatic mutation and neoantigen burden are correlated with decreased progression-free survival in multiple myeloma. Blood Cancer J. 2017 Sep 22;7(9):e612. doi: 10.1038/bcj.2017.94.

Reference Type DERIVED
PMID: 28937974 (View on PubMed)

Related Links

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http://www.themmrf.org

The Multiple Myeloma Research Foundation

Other Identifiers

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MMRF-11-001

Identifier Type: -

Identifier Source: org_study_id

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