A Dietary Study for People With Multiple Myeloma

NCT ID: NCT07226609

Last Updated: 2025-11-10

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

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-04

Study Completion Date

2028-11-30

Brief Summary

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The purpose of the study is to find out whether a high-fiber plant-based diet can improve treatment response or quality of life for people with multiple myeloma receiving standard induction chemotherapy with daratumumab (or isatuximab), lenalidomide, bortezomib, and dexamethasone (DRVd). The researchers will measure quality of life by having participants complete questionnaires.

Detailed Description

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Conditions

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Multiple Myeloma

Keywords

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Dietary Trial Dietary Risk Factors High fiber plant-based diet 25-237

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a nontherapeutic study testing a high fiber plant based dietary intervention.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention arm

While receiving standard induction chemotherapy as part of routine care,participants will have a phone call or video call with a dietitian every 2 weeks for 12 weeks and will receive high-fiber plant-based meals for 12 weeks.

Group Type EXPERIMENTAL

nutrition counseling and coaching

Intervention Type OTHER

In addition to individual counseling, patients will be able to join optional group sessions every 2 weeks. Patients will receive 12 frozen, fixed premade lunch and dinner shipped to their home weekly from Modify Health for 12 weeks.

Questionnaires

Intervention Type BEHAVIORAL

Block FFQ survey, EORTC QLQ C30 survey, EORTC MY20 survey, Pre intervention survey, Post intervention survey

Usual care (UC)

While receiving standard induction chemotherapy as part of routine care, participants will have phone calls with a member of the study team every 4 weeks. At the end of standard induction chemotherapy, participants will have a phone call or video call with a dietitian.

Group Type ACTIVE_COMPARATOR

dietary guidelines, research dietitian visit

Intervention Type OTHER

Participants will have phone calls with a member of the study team every 4 weeks. At the end of standard induction chemotherapy, participants will have a phone call or video call with a dietitian

Questionnaires

Intervention Type BEHAVIORAL

Block FFQ survey, EORTC QLQ C30 survey, EORTC MY20 survey, Pre intervention survey, Post intervention survey

Interventions

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nutrition counseling and coaching

In addition to individual counseling, patients will be able to join optional group sessions every 2 weeks. Patients will receive 12 frozen, fixed premade lunch and dinner shipped to their home weekly from Modify Health for 12 weeks.

Intervention Type OTHER

dietary guidelines, research dietitian visit

Participants will have phone calls with a member of the study team every 4 weeks. At the end of standard induction chemotherapy, participants will have a phone call or video call with a dietitian

Intervention Type OTHER

Questionnaires

Block FFQ survey, EORTC QLQ C30 survey, EORTC MY20 survey, Pre intervention survey, Post intervention survey

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed multiple myeloma
* Patients must have pathologically confirmed multiple myeloma on bone marrow biopsy with cytogenetics via Florescence in Situ Hybridization (FISH) or SNP array or genomic sequencing report and evaluation of blood myeloma markers (quantitative immunoglobulins, free light chains, serum protein electrophoresis and immunofixation).
* Age ≥ 18 years
* Bone marrow involvement
* Planned for four 28-day cycles of daratumumab (or isatuximab), lenalidomide, bortezomib, dexamethasone (or any other steroid) (DRVd) induction chemotherapy (with once weekly bortezomib day 1, 8, 15 and lenalidomide 21/28 days).
* All 4 planned drugs initiated by C2D1.
* Must enroll before C1D21 of induction chemotherapy as study intervention starts at C2D1.
* Treatment at a site where treating oncologist has capability and plan to send for bone marrow MRD negativity by next generation sequencing at end of 4 cycles (EOI). To be confirmed with local oncologist at enrollment.
* Treatment at MSK or at a site that uses EPIC for electronic medical records and willing to share records with MSK through EPIC's Care Everywhere or through MSK's shared care network.
* Enrollment on another trial that allows for 4 cycles of 28-day DRVd is acceptable.
* Prior dexamethasone treatment is eligible.
* Patients who have received up to one cycle of cyclophosphamide and/or bortezomib with dexamethasone for disease control are eligible.
* Able to complete study procedures and visits.
* Patients on GLP-1 drugs are eligible if it has been started at least 3 months prior to C2D1 DRVd or if it has been started more recently for diabetes mellitus control but not weight loss. If it is medically indicated and started for diabetes mellitus control while on trial they will not be removed/excluded from trial.
* Participant or caregiver must be able to complete surveys.
* Baseline 24-hour dietary recall must consume \<30 grams dietary fiber per day to be eligible.
* Patients that already follow a minimally processed (whole food) plant-based diet in the last 3 months are not eligible (ovo-lacto-vegetarian or processed junk food vegan diets are eligible).

Exclusion Criteria

* Leptomeningeal/CNS involvement
* Prior cycles of combination cytotoxic infusion chemotherapy such as VDPACE or DCEP are not eligible.
* Patients with BMI ≤19 kg/m2 are excluded.
* If in the opinion of the investigator there maybe any concerns regarding the ability of the patient to complete the study safely or any contraindications.
* Severe allergy to any legume (such as anaphylactic shock) or allergies to multiple legumes or if cross-contamination is a risk are not eligible.
* Severe allergies such as anaphylactic shock to peanuts and/or tree nuts, such as cashews are not eligible.
* Enrollment onto concurrent therapeutic study that requires patient receives treatment other than 4 cycles of DRVd induction as described above.
* Concurrent weight loss or dietary programs will be ineligible if require a specific diet or weight loss supplements.
* Plan for prolonged travel during the study that would preclude adherence to prescribed diet. Willingness to comply during travel is not an exclusion.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Leukemia and Lymphoma Society

OTHER

Sponsor Role collaborator

Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Urvi Shah, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)

Basking Ridge, New Jersey, United States

Site Status RECRUITING

Memorial Sloan Kettering Monmouth (Limited Protocol Activities)

Middletown, New Jersey, United States

Site Status RECRUITING

Memorial Sloan Kettering Bergen (Limited Protocol Activities)

Montvale, New Jersey, United States

Site Status RECRUITING

Memorial Sloan Kettering Suffolk- Commack (Limited Protocol Activities)

Commack, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Westchester (Limited Protocol Activities)

Harrison, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Cancer Center (All Protocol Activities)

New York, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Nassau (Limited Protocol Activities)

Uniondale, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Urvi Shah, MD

Role: CONTACT

Phone: 646-608-3713

Email: [email protected]

Carlyn Rose Tan, MD

Role: CONTACT

Phone: 646-608-3778

Facility Contacts

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Urvi Shah, MD

Role: primary

Urvi Shah, MD

Role: primary

Urvi Shah, MD

Role: primary

Urvi Shah, MD

Role: primary

Urvi Shah, MD

Role: primary

Urvi Shah, MD

Role: primary

Urvi Shah, MD

Role: primary

Related Links

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https://www.mskcc.org/

Memorial Sloan Kettering Cancer Center

Other Identifiers

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25-237

Identifier Type: -

Identifier Source: org_study_id