Rifaximin Versus No Intervention for the Treatment of IgA Monoclonal Gammopathy of Undetermined Significance

NCT ID: NCT07209371

Last Updated: 2025-12-26

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-24

Study Completion Date

2028-05-01

Brief Summary

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This phase II trial compares the effect of rifaximin to no intervention for the treatment of IgA monoclonal gammopathy of undetermined significance (MGUS). Rifaximin is a type of antibiotic that is only used in cancer chemotherapy (antineoplastic antibiotic). It works by damaging the cell's DNA and may kill cancer cells or precancerous cells like those found with MGUS. Giving rifaximin may kill more precancerous cells in patients with IgA MGUS.

Detailed Description

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OUTLINE: Patients are randomized to 1 of 2 arms.

ARM A: Patients receive rifaximin orally (PO) three times daily (TID) for 14 days in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection throughout the study.

ARM B: Patients undergo blood sample collection throughout the study.

After completion of study intervention, patients are followed up at 90 days.

Conditions

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IgA Monoclonal Gammopathy of Undetermined Significance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A (Rifaximin)

Patients receive rifaximin orally (PO) three times daily (TID) for 14 days in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection throughout the study.

Group Type EXPERIMENTAL

Rifaximin

Intervention Type DRUG

Given PO

Biospecimen Collection

Intervention Type PROCEDURE

Undergo blood sample collection

Arm B (No intervention)

Patients undergo blood sample collection throughout the study.

Group Type OTHER

Biospecimen Collection

Intervention Type PROCEDURE

Undergo blood sample collection

Interventions

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Rifaximin

Given PO

Intervention Type DRUG

Biospecimen Collection

Undergo blood sample collection

Intervention Type PROCEDURE

Other Intervention Names

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Xifaxan Biological Sample Collection Biospecimen Collected Specimen Collection

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Ability to understand and willingness to sign a written informed consent document. Legally authorized representatives may sign and give informed consent on behalf of potential study participants
* Clinical diagnosis of IgA monoclonal gammopathy of undetermined significance (MGUS) based on International Myeloma Working Group (IMWG)-2014 criteria (Rajkumar et al, Lancet Oncology, 2014)
* Agree to use adequate contraception

* For women of child-bearing potential: prior to study entry and for the duration of study participation
* For men: prior to study entry, for the duration of study participation, and one month after completion of rifaximin administration (for men)
* No antibiotic use in the preceding 2 weeks

Exclusion Criteria

* Participants who are receiving other investigational agents
* Pregnant women
* Known hypersensitivity to rifaximin
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rising Tide Foundation

OTHER

Sponsor Role collaborator

Fred Hutchinson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Madhav Dhodapkar, MBBS

Role: PRINCIPAL_INVESTIGATOR

Fred Hutch/University of Washington Cancer Consortium

Locations

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Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Madhav Dhodapkar, MBBS

Role: CONTACT

Phone: 206-606-4888

Email: [email protected]

Facility Contacts

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Madhav Dhodapkar, MBBS

Role: primary

Other Identifiers

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NCI-2025-06773

Identifier Type: REGISTRY

Identifier Source: secondary_id

FHIRB0020984

Identifier Type: OTHER

Identifier Source: secondary_id

RG1125814

Identifier Type: -

Identifier Source: org_study_id