Understanding the Mechanisms of Clonal and Non-clonal Cytopenia Following CAR-T Therapy for Multiple Myeloma or CD19+ Lymphoproliferative Disorder (LPD)
NCT06630104 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 82
Last updated 2026-01-08
Summary
This clinical trial evaluates the impact of preexisting and therapy-emergent germline and somatic variants on cytopenia in patients with multiple myeloma or CD19 positive lymphoproliferative disorder (LPD) following chimeric antigen receptor T-cell (CAR-T) therapy. The most common adverse event after CAR-T therapy is lower than normal blood cells (cytopenia) and up to one third of patients experience cytopenia that last longer than 30 days post-infusion. Germline and somatic variants are changes in genes found using cancer genomic tests. Cancer genetic/genomic testing is a series of tests that find specific changes in cancer cells or in blood deoxyribonucleic acid. Identifying gene mutations may help identify the risk of cytopenia in patients with multiple myeloma or CD19 positive LPD following CAR-T therapy.
Conditions
- Lymphoproliferative Disorder
- Multiple Myeloma
Interventions
- PROCEDURE
-
Biospecimen Collection
Undergo hair, buccal, and saliva sample collection
- PROCEDURE
-
Bone Marrow Aspiration
Undergo bone marrow aspiration
- OTHER
-
Electronic Health Record Review
Ancillary studies
- PROCEDURE
-
Follow-Up
Undergo CFU
- OTHER
-
Genetic Counseling
Receive genetic counselor consultation
- OTHER
-
Genetic Testing
Undergo sequencing analysis
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Mithun V. Shah, MD · Mayo Clinic in Rochester
Study Design
- Allocation
- NA
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-11-22
- Primary Completion
- 2027-12-16
- Completion
- 2027-12-16
Countries
- United States
Study Locations
More Related Trials
-
Lenalidomide and Dexamethasone With/Without Stem Cell Transplant in Patients With Multiple Myeloma
NCT01731886 ·Status: COMPLETED ·Phase: PHASE4
-
Phase 2 Multi-center Study of Anti-PD-1 During Lymphopenic State After HDT/ASCT for Multiple Myeloma
NCT02331368 ·Status: COMPLETED ·Phase: PHASE2
-
S0833, Bortezomib, Thalidomide, Lenalidomide, Combination Chemotherapy, and Autologous Stem Cell Transplant in Treating Patients With Newly Diagnosed Multiple Myeloma
NCT01055301 ·Status: WITHDRAWN ·Phase: PHASE2
-
A Study of Daratumumab, Bortezomib, Lenalidomide and Dexamethasone (DVRd) Followed by Ciltacabtagene Autoleucel Versus Daratumumab, Bortezomib, Lenalidomide and Dexamethasone (DVRd) Followed by Autologous Stem Cell Transplant (ASCT) in Participants With Newly Diagnosed Multiple Myeloma
NCT05257083 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
A Study of Bortezomib, Lenalidomide and Dexamethasone (VRd) Followed by Cilta-cel, a CAR-T Therapy Directed Against BCMA Versus VRd Followed by Lenalidomide and Dexamethasone (Rd) Therapy in Participants With Newly Diagnosed Multiple Myeloma for Whom ASCT is Not Planned as Initial Therapy
NCT04923893 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
A Study of Different Sequences of Cilta-cel, Talquetamab in Combination With Daratumumab and Teclistamab in Combination With Daratumumab Following Induction With Daratumumab, Bortezomib, Lenalidomide and Dexamethasone in Participants With Standard-risk Newly Diagnosed Multiple Myeloma
NCT06577025 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Stem Cell Transplant With Lenalidomide Maintenance in Patients With Multiple Myeloma (BMT CTN 0702)
NCT01109004 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of MCARH109 and MCARH125 in People With Multiple Myeloma
NCT05431608 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Multiple Myeloma Outcomes Based on Maintenance Therapy Post Autologous Stem Cell Transplant
NCT05271630 ·Status: ACTIVE_NOT_RECRUITING
-
Treatment Optimization in Patients With Untreated Multiple Myeloma
NCT02145598 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Response-Based Dose Reduction of Linvoseltamab in the Treatment of Relapsed, Refractory, or Triple-Class Relapsed/Refractory Multiple Myeloma
NCT07181941 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Study to Determine Efficacy and Safety of Lenalidomide Plus Low-dose Dexamethasone Versus Melphalan, Prednisone, Thalidomide in Patients With Previously Untreated Multiple Myeloma
NCT00689936 ·Status: COMPLETED ·Phase: PHASE3
-
Stem Cell Transplantation in Individuals With Multiple Myeloma (BMT CTN 0102)
NCT00075829 ·Status: COMPLETED ·Phase: PHASE3
-
A Phase I, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, Cellular Kinetics, Immunogenicity, Pharmacodynamics, and Preliminary Efficacy of AZD0120 in Participants With Multiple Myeloma (DURGA-2)
NCT07073547 ·Status: RECRUITING ·Phase: PHASE1
-
A Study of Daratumumab Plus Lenalidomide Versus Lenalidomide Alone as Maintenance Treatment in Participants With Newly Diagnosed Multiple Myeloma Who Are Minimal Residual Disease Positive After Frontline Autologous Stem Cell Transplant
NCT03901963 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Bortezomib, Melphalan, and Total-Body Irradiation Before Stem Cell Transplant in Treating Patients With Multiple Myeloma
NCT01936090 ·Status: COMPLETED ·Phase: PHASE1
-
Alternate Doses and Dosing Schedules of Belantamab Mafodotin for Treatment of Triple-Class Refractory Multiple Myeloma
NCT05847569 ·Status: RECRUITING ·Phase: PHASE2
-
Bortezomib Based Consolidation in Multiple Myeloma Patients Completing Stem Cell Transplant
NCT01706666 ·Status: COMPLETED ·Phase: PHASE2
-
Safety & Efficacy Study High Dose Evomela Injection for MA Conditioning in MM Patients With Autologous Transplantation
NCT01660633 ·Status: COMPLETED ·Phase: PHASE2
-
Lenalidomide, Dexamethasone and MEDI-551 in Untreated Multiple Myeloma
NCT01861340 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Sonidegib and Lenalidomide After Stem Cell Transplant in Treating Patients With Multiple Myeloma
NCT02086552 ·Status: COMPLETED ·Phase: PHASE2
-
Alternating Ixazomib Citrate and Lenalidomide as Maintenance Therapy After Stem Cell Transplant in Treating Patients With Multiple Myeloma
NCT02619682 ·Status: COMPLETED ·Phase: PHASE2
-
S0120, Studying Blood and Bone Marrow Samples From Patients With Monoclonal Gammopathy of Undetermined Significance, Multiple Myeloma, or Plasmacytoma
NCT00900263 ·Status: COMPLETED
-
Chemoprevention Therapy in Treating Patients at High Risk of Developing Multiple Myeloma
NCT00006219 ·Status: COMPLETED ·Phase: PHASE2
-
Frontline Therapy in de Novo Multiple Myeloma Patients Under 65
NCT01206205 ·Status: COMPLETED ·Phase: PHASE2