Observing the natural history of certain blood cancers

Natural History Study of Monoclonal B Cell Lymphocytosis (MBL), Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL), Lymphoplasmacytic Lymphoma (LPL)/Waldenstrom Macroglobulinemia (WM), and Splenic Marginal Zone Lymphoma (SMZL)

Observational National Institutes of Health Clinical Center (CC) · NCT00923507

This study is tracking how certain blood cancers develop over time in patients to learn more about them and find new treatment options.

Quick facts

Study typeObservational
Enrollment1000 (estimated)
Ages18 Years to 110 Years
SexAll
SponsorNational Institutes of Health Clinical Center (CC) NIH
Locations1 site (Bethesda, Maryland)
Trial IDNCT00923507 on ClinicalTrials.gov

What this trial studies

This observational study aims to investigate the natural history of monoclonal B cell lymphocytosis (MBL), chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), lymphoplasmacytic lymphoma (LPL), Waldenstrom macroglobulinemia (WM), and splenic marginal zone lymphoma (SMZL). It will collect blood, tissue samples, and imaging studies from patients to characterize clinical, biological, and molecular events related to disease stability and progression. Patients will be followed over time to gather data that could lead to the discovery of new treatment targets and a better understanding of these conditions.

Who should consider this trial

Good fit: Ideal candidates include adults aged 18 and older diagnosed with CLL/SLL, LPL, WM, or SMZL, either currently on treatment or previously treated.

Not a fit: Patients with conditions other than MBL, CLL, SLL, LPL, WM, or SMZL may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved understanding and potential new treatment options for patients with these blood cancers.

How similar studies have performed: While this approach is observational and builds on existing knowledge, similar studies have shown promise in understanding the progression of blood cancers.

Eligibility criteria

Show full inclusion / exclusion criteria
-INCLUSION CRITERIA:

1. Diagnosis of CLL/SLL will be made according to the updated criteria of the NCI Working Group.

   * on treatment or previously treated
   * requiring or nearing first-line treatment

   OR

   Diagnosis of LPL/WM. LPL is defined as the presence of an intertrabecular pattern of bone marrow infiltration by small lymphocytes showing plasmacytoid/plasma cell differentiation. WM, comprising \>95% of LPL cases, describes the clinical syndrome of LPL associated with an IgM monoclonal gammopathy of any concentration. The remaining cases may be IgA, IgM, or non-secreting LPL. Immunophenotyping is required for diagnosis
2. Age greater than or equal to 18 years.
3. ECOG performance status of 0-2.
4. Able to comprehend the investigational nature of the protocol and provide informed consent

EXCLUSION CRITERIA:

1\. None

Where this trial is running

Bethesda, Maryland

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Waldenstrom MacroglobulinemiaLymphoplasmacytic LymphomaMonoclonal B-Cell LymphocytosisSmall Lymphocytic LymphomaCLLChronic Lymphocytic LeukemiaMonoclonal B Cell LymphocytosisNatural History
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.