About this trial
We will seek consent from participants to use the data and biospecimens collected according study protocol to address additional research questions for MGUS, SMM, MM, and other conditions.
Our overarching hypothesis is that early detection of MGUS/SMM in a high- risk population, along with the comprehensive characterization of genomic/epigenomic and microenvironmental/immune regulators of disease progression will lead to strategies that intercept disease progression and improve survival.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Must meet criteria of the high-risk population as described with one of the below criteria
≥ 30 years AND
first-degree relative of a patient with a plasma cell dyscrasia such as MGUS, SMM, MM, and Waldenström's Macroglobulinemia, or another blood cancer.
Age ≥ 18 years with 2 or more first- or second-degree relatives with a plasma cell dyscrasia such as MGUS, SMM, MM, and Waldenström's Macroglobulinemia, or another blood cancer '
Disqualifiers
• Persons diagnosed with cancer at any site (including hematologic cancers) with symptomatic disease requiring active therapy.
Persons with an already diagnosed plasma cell dyscrasia such as MGUS, SMM, MM, and Waldenström's Macroglobulinemia
Female patient who have a positive serum pregnancy test during the screening period or a positive pregnancy test.
Trial population
Healthy individuals who are first-degree relatives of hematological patients and A control group of healthy individuals who are not related to hematological patients
Trial design
Cohort
Prospective
Treatments tested in this trial
blood sampling
Diagnostic testParticipants will provide a blood sample that will be used to determine whether they have a monoclonal protein
Treatment groups
Trial outcomes
Primary outcomes
Prevalence and Incidence
Prevalence and Incidence of Monoclonal gammopathy of undetermined signiificance (MGUS)/smoldering multiple myeloma (SMM) in a high-risk population of family history positive individuals
Secondary outcomes
Presence of clinical alterations
one of the objectives of the trial is to determine clinical alterations present in individuals with monoclonal gammopathies who are diagnosed through screening of a high- risk population.
Determination of natural history of screen-detected vs. incidentally detected MGUS/SMM
One of the objectives of the trial to determine the natural history of screen-detected vs. incidentally detected MGUS/SMM. The present study of screened-detected MGUS/SMM can be compared to Dana-Farber Cancer Institute, Department of Hematologic Malignancies cohort of MGUS/SMM individuals incidentally diagnosed and longitudinally followed.
Determination clinical and epidemiological risk factors
One of the objectives of the trial to determine the clinical and epidemiological risk factors for progression of MGUS/SMM to MM in a high-risk population of family positive cases.
Sponsors and contacts
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Tel-Aviv Sourasky Medical Center
Lead sponsor
Dana-Farber Cancer Institute
Collaborator