About this trial
This clinical trial tests next generation sequencing (NGS) for the detection of precursor features of pre-myeloid cancers and bone marrow failure syndromes. NGS is a procedure that looks at relevant cancer associated genes and what they do. Finding genetic markers for pre-malignant conditions may help identify patients who are at risk of pre-myeloid cancers and bone marrow failure syndromes and lead to earlier intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with idiopathic cytopenias of unclear significance (ICUS)
Patients with clonal hematopoiesis of indeterminate significance (clonal hematopoiesis of indeterminate potential [CHIP]), including the recently described CHIP syndrome called VEXAS (vacuoles, E1 ubiquitin ligase, X chromosomal, autoimmune and somatic)
Patients with clonal cytopenias of undetermined significance (CCUS)
Marrow failure syndromes with myeloid malignancy predisposition - telomere dysfunction, chromosomal breakage disorders
Disqualifiers
Patients under 18 years of age
Trial design
Single group
Treatments tested in this trial
Biospecimen Collection
Procedure/SurgeryUndergo blood sample, hair follicle, and saliva collection
Bone Marrow Biopsy
Procedure/SurgeryUndergo a bone marrow biopsy
Punch Biopsy
Procedure/SurgeryUndergo a skin punch biopsy
Buccal Swab
Procedure/SurgeryUndergo a saliva or buccal swab
Clinical Evaluation
Other interventionUndergo clinical assessment
Genetic Counseling
Other interventionReceive genetic counseling
Quality-of-Life Assessment
Other interventionAncillary studies
Electronic Health Record Review
Other interventionAncillary studies
Treatment groups
Trial outcomes
Primary outcomes
Occurrence of cytopenias
Assessed by the number of subjects whose cytopenias are persistent or progressive over the course of the study
Secondary outcomes
Occurrence of myelodysplastic syndrome (MDS)
Assessed by the number of subjects who have evolved to MDS over the course of the study
Occurrence of acute myeloid leukemia (AML)
Assessed by the number of subjects who have evolved to AML over the course of the study
Sponsors and contacts
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