Understanding blood cell issues after CAR-T therapy for multiple myeloma or lymphoproliferative disorders
Official title: MC230818 Understanding the Mechanisms of Clonal and Non-Clonal Cytopenia Following CAR-T Therapy
Run by Mayo Clinic · NCT06630104 · Data updated 2026-11-12
This study is testing how certain genetic differences in people with multiple myeloma or lymphoproliferative disorders affect their chances of developing low blood cell counts after CAR-T therapy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 82 (estimated) |
| Sponsor | Mayo Clinic Academic / other |
| Drugs / interventions | CAR-T, chimeric antigen receptor |
| Locations | 7 sites (Scottsdale, Arizona and 6 other locations) |
| Status | Recruiting |
| Started | November 22, 2024 |
| Main results expected | December 16, 2029 |
| Study ends | December 16, 2031 |
| Registry record updated | October 1, 2026 |
| Trial ID | NCT06630104 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older with confirmed multiple myeloma or CD19 positive lymphoproliferative disorder who are eligible for CAR-T therapy.
✕Probably not a fit
Patients who are ineligible for CAR-T therapy or have a prior diagnosis of myeloid neoplasm may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates how genetic variations in patients with multiple myeloma or CD19 positive lymphoproliferative disorder affect the risk of developing cytopenia after receiving CAR-T therapy. The study involves collecting bone marrow, hair, buccal, and saliva samples to analyze preexisting and therapy-emergent genetic variants. Patients will be monitored for cytopenia and undergo follow-up assessments for up to two years to evaluate the impact of these genetic factors. The goal is to identify gene mutations that may help predict the risk of prolonged cytopenia following treatment.
Why it matters
Potential benefit: If successful, this study could lead to better risk assessment and management strategies for patients undergoing CAR-T therapy.
How similar studies have gone: While this approach is novel in its focus on genetic variants related to cytopenia post-CAR-T therapy, similar studies have shown promise in understanding genetic influences on treatment outcomes.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years * Histologically or cytologically confirmed diagnosis of multiple myeloma (MM) as defined in International Myeloma Working Group (IMWG) criteria or a CD19+ lymphoproliferative disorder (LPD) as defined by 2016 World Health Organization (WHO) classification * Provide written informed consent * Willingness to provide mandatory bone marrow aspirate specimens for correlative research. All bone marrow aspirate samples are collected during a clinical procedure * Willingness to provide mandatory hair follicle or skin punch biopsy specimens (skin punch biopsy specimens will be obtained from Mayo Clinic Rochester patients only) for correlative research * Willing to return to enrolling institution for follow-up (during the active monitoring phase of the study) * Willingness to provide mandatory saliva or buccal swab sample for correlative research Exclusion Criteria: * Ineligible for CAR-T therapy * Patients diagnosed with myeloid neoplasm before CAR-T therapy
Where it's running
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Mayo Clinic in Arizona
Scottsdale, Arizona, United States Recruiting -
Mayo Clinic in Florida
Jacksonville, Florida, United States Recruiting -
Mayo Clinic Health System in Albert Lea
Albert Lea, Minnesota, United States Recruiting -
Mayo Clinic Health System-Mankato
Mankato, Minnesota, United States Recruiting -
Mayo Clinic in Rochester
Rochester, Minnesota, United States Recruiting -
Mayo Clinic Health System-Eau Claire Clinic
Eau Claire, Wisconsin, United States Recruiting
Show 1 more location
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Mayo Clinic Health System-Franciscan Healthcare
La Crosse, Wisconsin, United States Recruiting
Study contacts
- Principal investigator: Mithun V. Shah, MD — Mayo Clinic in Rochester
- Study coordinator: Clinical Trials Referral Office
- Email: mayocliniccancerstudies@mayo.edu
- Phone: 855-776-0015
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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BCMA-TGFβ CAR-T Cells in Relapsed or Refractory Myeloma
A one-arm phase 1 study tests a new BCMA-TGFβ CAR-T cell therapy to see if it is safe and provides signs of benefit in adults whose multiple myeloma has come back or persisted after prior treatments.
-
CAR-T therapy outcomes and quality of life in older adults with B‑cell lymphoma
This project will see how CAR‑T therapy affects older adults (age 60+) with relapsed or refractory B‑cell lymphomas, focusing on daily function and quality of life while they receive standard care.
-
In Vivo CD19/CD20 CAR T-Cell Therapy for Relapsed or Refractory B-Cell Lymphoma
This early-phase trial tests a one-time in vivo CAR T-cell therapy (SL1617) for people with relapsed or refractory B-cell lymphoma to see if it is safe and tolerable.
-
Understanding CAR-T Toxicities After Cilta-Cel in Multiple Myeloma
This observational study tests how patients with multiple myeloma respond to cilta-cel treatment by tracking toxicities and trying to spot biomarkers to guide care.
-
PD-1Ab21-BCMA CAR-T consolidation for multiple myeloma with renal dysfunction
This trial will test a BCMA-targeted CAR-T cell therapy that secretes a PD-1 antibody and interleukin-21 fusion protein as consolidation treatment for people with multiple myeloma who have kidney dysfunction.
-
DC/MM fusion vaccine plus BCMA CAR-T for relapsed or refractory multiple myeloma
This trial will test whether adding a personalized DC/MM fusion vaccine (with GM‑CSF) to standard BCMA CAR‑T therapy helps people with relapsed or refractory multiple myeloma.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.