Trial Outcomes & Findings for Fluoroquinolone Resistance Prevalence Study (NCT NCT05824689)

NCT ID: NCT05824689

Last Updated: 2026-06-05

Results Overview

Prevalence of FRE in patients undergoing autologous PBSC transplantation with dose-intense melphalan

Recruitment status

TERMINATED

Target enrollment

124 participants

Primary outcome timeframe

Duration between Apheresis Consultation and Day +100

Results posted on

2026-06-05

Participant Flow

Participant milestones

Participant milestones
Measure
Enrolled Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
Overall Study
STARTED
124
Overall Study
COMPLETED
117
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Enrolled Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
Overall Study
Did Not Proceed to Transplantation
7

Baseline Characteristics

Fluoroquinolone Resistance Prevalence Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enrolled Participants
n=117 Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
Age, Categorical
<=18 years
0 Participants
n=20 Participants
Age, Categorical
Between 18 and 65 years
61 Participants
n=20 Participants
Age, Categorical
>=65 years
56 Participants
n=20 Participants
Age, Continuous
64 Years
n=20 Participants
Sex: Female, Male
Female
49 Participants
n=20 Participants
Sex: Female, Male
Male
68 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
80 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
23 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
1 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
23 Participants
n=20 Participants
Race (NIH/OMB)
White
86 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=20 Participants
Region of Enrollment
United States
117 participants
n=20 Participants

PRIMARY outcome

Timeframe: Duration between Apheresis Consultation and Day +100

Population: Based on Samples Provided at Specific Timepoints

Prevalence of FRE in patients undergoing autologous PBSC transplantation with dose-intense melphalan

Outcome measures

Outcome measures
Measure
Enrolled Participants
n=117 Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
FRE Positive
FRE Positive Participants
Prevalence of FRE
Pre-CDE mobilization
11 Participants
Prevalence of FRE
Pre-transplant
23 Participants
Prevalence of FRE
Hosp discharge
29 Participants
Prevalence of FRE
Day 100
28 Participants

SECONDARY outcome

Timeframe: Within 28 days of the transplantation

Population: Analysis separated by FRE Positive and Negative Participants

Occurrence of neutropenic fever during the first 28 days (4 weeks) after autologous PBSC transplantation in the treatment of multiple myeloma.

Outcome measures

Outcome measures
Measure
Enrolled Participants
n=117 Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
FRE Positive
FRE Positive Participants
Occurrence/Risk of Febrile Neutropenia (FN)
FRE Neg Participants
22 Participants
Occurrence/Risk of Febrile Neutropenia (FN)
FRE Positive Participants
6 Participants

SECONDARY outcome

Timeframe: Within 28 days of the transplantation

The occurrence of Gram-negative BSI among the FRE carriers and FRE non-carriers

Outcome measures

Outcome measures
Measure
Enrolled Participants
n=117 Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
FRE Positive
FRE Positive Participants
Occurrence/Risk of Blood Stream Infection (BSI)
3 Participants

SECONDARY outcome

Timeframe: Duration between Day of hospital admission and Day of hospital discharge (estimated duration between 11 - 15 days)

Comparison of Length of Stay (LOS) between FRE carriers and FRE non-carriers by estimating time to discharge

Outcome measures

Outcome measures
Measure
Enrolled Participants
n=69 Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
FRE Positive
n=48 Participants
FRE Positive Participants
Comparison of Length of Stay (LOS) Between FRE Carriers and FRE Non-carriers
13 Hospitalization duration (Days)
Interval 12.0 to 14.0
13 Hospitalization duration (Days)
Interval 12.0 to 16.0

SECONDARY outcome

Timeframe: Duration between Apheresis Consultation and Day +100

Comparison of Engraftment Kinetics (absolute neutrophil count (ANC), absolute lymphocyte count (ALC), platelet) between FRE carriers and FRE non-carriers

Outcome measures

Outcome measures
Measure
Enrolled Participants
n=69 Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
FRE Positive
n=48 Participants
FRE Positive Participants
Comparison of Engraftment Kinetics Between FRE Carriers and FRE Non-carriers
ANC
11 Engraftment (Days)
Interval 10.0 to 11.0
11 Engraftment (Days)
Interval 11.0 to 11.0
Comparison of Engraftment Kinetics Between FRE Carriers and FRE Non-carriers
Platelet
13 Engraftment (Days)
Interval 11.0 to 14.0
13 Engraftment (Days)
Interval 11.0 to 15.0

SECONDARY outcome

Timeframe: Duration between Apheresis Consultation and Day +100

Population: Subject pre-transplant sample

Comparison of severity of GI toxicity between FRE carriers and FRE non-carriers per the grade of GI toxicity

Outcome measures

Outcome measures
Measure
Enrolled Participants
n=63 Participants
Subjects eligible for this study will meet the defined eligibility criteria to undergo autologous transplantation established at the transplant centers as per standard of care (SOC). All adult patients with a diagnosis of multiple myeloma undergoing autologous transplantation after dose-intense melphalan conditioning are candidates for enrollment into this study. These subjects will be approached for enrollment into this study by the transplant attending physician caring for the patient
FRE Positive
n=10 Participants
FRE Positive Participants
Comparison of Severity of GI Toxicity Between FRE Carriers and FRE Non-carriers
Documented Engraftment Syndrome
14 Participants
3 Participants
Comparison of Severity of GI Toxicity Between FRE Carriers and FRE Non-carriers
No Documented Engraftment Syndrome
49 Participants
7 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Duration between Apheresis Consultation and Day +100

Comparison of effect of FRE colonization and fluoroquinolone prophylaxis on the microbiome between FRE carriers and FRE non-carriers

Outcome measures

Outcome data not reported

Adverse Events

Enrolled Participants

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Joshua Zenreich

Hackensack Meridian Health

Phone: 551-996-4248

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place