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Gut Microbiome Studies in Patients With POEMS Syndrome and Other Plasma Cell Disorders (Microbiome)

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ClinicalTrials.gov Identifier: NCT06252948
Recruitment Status : Recruiting
First Posted : February 12, 2024
Last Update Posted : February 13, 2024
Sponsor:
Information provided by (Responsible Party):
Mayo Clinic

Tracking Information
First Submitted Date February 2, 2024
First Posted Date February 12, 2024
Last Update Posted Date February 13, 2024
Actual Study Start Date December 29, 2021
Estimated Primary Completion Date December 1, 2028   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: February 2, 2024)
Gut Microbiome characteristics in patients with POEMS syndrome and other plasma cell disorders [ Time Frame: Baseline ]
Stool samples will be collected by the patient using a stool self- collection kit provided to the participant by the study staff. Samples will be evaluated for characteristics of gut microbiome (α-diversity and β-diversity).
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Gut Microbiome Studies in Patients With POEMS Syndrome and Other Plasma Cell Disorders
Official Title Gut Microbiome Studies in Patients With POEMS Syndrome and Other Plasma Cell Disorders
Brief Summary A Study to Evaluate Gut Microbiome with POEMS Syndrome and Other Plasma Cell Disorders
Detailed Description The characteristics and role of gut microbiome rare plasma cell disorders- POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes) and amyloid light-chain (AL) amyloidosis, have not been explored; and their pathophysiology is quite elusive. To help understand rare plasma cell disorders and its association with gut microbiome, the investigators will study the stool samples of newly diagnosed POEMS patients and AL amyloidosis and compare it with patients with newly diagnosed monoclonal gammopathy of undetermined significance and multiple myeloma as well as healthy controls. Moreover, gut microbiome in newly diagnosed POEMS patients will be compared to POEMS patients in remission. It is the overall hypothesis that in POEMS patients the gut microbiome signature will differ between active disease (at diagnosis) and inactive disease (in remission), and the gut microbiome in POEMS patients will be different from patients with other plasma cell disorders and healthy controls.
Study Type Observational
Study Design Observational Model: Case-Control
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples Without DNA
Description:
Stool donation will be requested from participants to assess gut microbiome
Sampling Method Non-Probability Sample
Study Population POEMS Syndrome and Other Plasma Cell Disorders
Condition Plasma Cell Disorders
Intervention Other: Gut microbiome studies in patients with POEMS syndrome and other plasma cell disorders.
None-Collection of samples for future analysis
Other Name: GMB
Study Groups/Cohorts
  • MULTIPLE MYELOMA at diagnosis GROUP
    Multiple myeloma (before starting chemotherapy, radiation or stem cell transplant
    Intervention: Other: Gut microbiome studies in patients with POEMS syndrome and other plasma cell disorders.
  • Amyloid at diagnosis GROUP
    AL amyloidosis (before starting chemotherapy or stem cell transplant)
    Intervention: Other: Gut microbiome studies in patients with POEMS syndrome and other plasma cell disorders.
  • Poems at diagnosis GROUP
    POEMS at diagnosis (before starting chemotherapy, radiation, or stem cell transplant
    Intervention: Other: Gut microbiome studies in patients with POEMS syndrome and other plasma cell disorders.
  • Poems in Remission GROUP
    POEMS in remission (no chemotherapy, radiation, or stem cell transplant for 2 years
    Intervention: Other: Gut microbiome studies in patients with POEMS syndrome and other plasma cell disorders.
  • MGUS GROUP
    MGUS -not treated newly diagnosed
    Intervention: Other: Gut microbiome studies in patients with POEMS syndrome and other plasma cell disorders.
  • Health controls in same household GROUP
    household member to be a healthy control (no chemotherapy or gastrointestinal illness to participate)
    Intervention: Other: Gut microbiome studies in patients with POEMS syndrome and other plasma cell disorders.
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: February 2, 2024)
240
Original Estimated Enrollment Same as current
Estimated Study Completion Date December 29, 2028
Estimated Primary Completion Date December 1, 2028   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Diagnosed with POEMS syndrome (newly diagnosed or in remission) or with newly diagnosed multiple myeloma (MM), monoclonal gammopathy of undetermined significance (MGUS), amyloid light chain (AL) amyloidosis or healthy controls from their households

Exclusion Criteria:

  • Age under 18 years
  • Pregnancy
  • Substance abuse
  • Antibiotics use or gastrointestinal endoscopy in the 3 months prior to the study participation
  • Chronic gastrointestinal disorder
  • Gastrointestinal surgeries in the past 2 years
  • Chemotherapy (including anti-plasma cell treatment and steroids) or radiation treatment for cancer within the last 2 years or active cancer (other than plasma cell disorder)
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: Laura Hawkins 507-538-1308 hawkins.laura@mayo.edu
Contact: Sarah Aug 507538-1301 aug.sarah@mayo.edu
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT06252948
Other Study ID Numbers 20-013316
NCI-2022-10547 ( Registry Identifier: CTRP (Clinical Trials Reporting Program) )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Plan Description: Gut microbiome (GMB) in patients with active POEMS syndrome will differ from POEMS patients with inactive disease. It will be also different from patients with other plasma cell disorders (amyloid light chain [AL] amyloidosis, multiple myeloma [MM] and monoclonal gammopathy of undetermined significance [MGUS]) and healthy controls.
Current Responsible Party Mayo Clinic
Original Responsible Party Same as current
Current Study Sponsor Mayo Clinic
Original Study Sponsor Same as current
Collaborators Not Provided
Investigators
Principal Investigator: Angela Dispenzieri, M.D. Mayo Clinic in Rochester
PRS Account Mayo Clinic
Verification Date February 2024