ClinicalTrials.gg
CompletedNCT03389347Updated Sep 16, 2026Results posted

High Throughput Drug Sensitivity and Genomics Data in Developing Individualized Treatment in Patients With Relapsed or Refractory Multiple Myeloma or Plasma Cell Leukemia

An interventional study of Biospecimen Collection and High Throughput Screening in Plasma Cell Leukemia, Recurrent Multiple Myeloma and Refractory Multiple Myeloma, sponsored by University of Washington. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by University of Washington · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This pilot clinical trial studies whether using high throughput drug sensitivity and genomics data is feasible in developing individualized treatment in patients with multiple myeloma or plasma cell leukemia that has come back or does not respond to treatment. High throughput screen tests many different drugs that kill multiple myeloma cells in individual chambers at the same time. Matching a drug or drug combination to a patient using high throughput screen and genetic information may improve the ability to help patients by choosing drugs that work well for their disease.

Read the detailed description

OUTLINE:

Patients undergo collection of bone marrow aspirate and blood for high-throughput drug sensitivity assay and mutational analysis using next generation sequencing. Patients and their treating physicians receive the results of the tests. Treatment decisions are then made by the patients and their treating physicians.

After completion of study, patients are followed up every 3 months for 2 years.

02

Conditions studied

  • Plasma Cell Leukemia
  • Recurrent Multiple Myeloma
  • Refractory Multiple Myeloma
03

In context

Leukemia, Plasma Cell

60 studies on the registry are indexed under Leukemia, Plasma Cell; 33 are open to participants now.

This study's enrollment of 40 is above the median of 27 across 53 interventional studies indexed under Leukemia, Plasma Cell.

Browse Leukemia, Plasma Cell studies →

Lead sponsor

University of Washington is the lead sponsor of 1,433 studies on the registry; 225 are open to participants now.

Of its 158 completed or terminated interventional studies of FDA-regulated products, 136 (86%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of multiple myeloma or plasma cell leukemia with documented disease according to International Myeloma Working Group (IMWG) criteria, in any one of the following categories:

    • 3 including an immunomodulatory drug (IMiD) and a proteasome inhibitor (PI)
    • Less than a very good partial response (VGPR) to initial therapy
    • Early relapse (\< 12 months) after hematopoietic cell transplant (HCT) or after 1st line of therapy
  • Collection of a bone marrow, fluid or tissue sample that is expected to have enough cells to run the assay
  • defined by one of the following:

    • Serum monoclonal protein >= 0.5 g/dL by serum protein electrophoresis (SPEP)
    • >= 200 mg/monoclonal protein in urine on 24 hr urine protein electrophoresis (UPEP)
    • Involved serum free light chain (FLC) >= 10 mg/dL and abnormal involved:uninvolved ratio
    • Plasma cytomas that are palpable per exam or measurable per standard radiologic review
    • Circulating plasma cells >= 2,000 if diagnosis of plasma cell leukemia
  • (ECOG) performance status (PS) 0-3
  • Female patients of child bearing potential and non-vasectomized male patients agree to practice appropriate methods of
  • Ability to understand purpose and risks of the study and provide signed and dated , and authorization to use protected health information
  • Expected survival is > 100 days
  • Adequate organ function as determined by the investigator

Exclusion criteria

Exclusion Criteria:

  • Mucosal or internal bleeding, or transfusion
  • Any medical conditions that would impose excessive risk to the patient, or would adversely affect his/her participation in the study
  • Known active infection requiring antibiotics within 7 days of initiation of study treatment, unless considered controlled in the opinion of the investigator
  • Other with \< 1 year due to the other malignancy
  • Pregnant or breast feeding women
  • Serious psychiatric illness, alcoholism, or drug addiction
  • (HIV), or active or C infection
  • Previous treatments for multiple myeloma (MM) within 2 weeks of initiation of study treatment
  • Prior or allogeneic stem cell transplantation (SCT) within 12 weeks of initiation of study treatment
  • Prior allogeneic hematopoietic cell transplantation (HCT) with active (GVHD) on therapeutic dosing of or prednisone > 20 mg daily equivalent
  • Prior major surgical procedure or radiation treatment within 2 weeks of initiation of study treatment (not including limited radiation used for palliation of bone pain)
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Device feasibility (high-throughput assay, sequencing)

    Patients undergo collection of bone marrow aspirate and blood for high-throughput drug sensitivity assay and mutational analysis using next generation sequencing. Patients and their treating physicians receive the results of the tests. Treatment decisions are then made by the patients and their treating physicians.

    Procedure: Biospecimen Collection · Device: High Throughput Screening · Other: Laboratory Biomarker Analysis

Interventions

  • ProcedureBiospecimen Collection

    Undergo collection of bone marrow aspirate and blood

  • DeviceHigh Throughput Screening

    Anti-tumor drugs are tested against myeloma cells in the laboratory, in a high-throughput drug sensitivity assay

    Also known as: High Throughput Assay

  • OtherLaboratory Biomarker Analysis

    Correlative studies

06

What researchers measure

Primary outcomes

  1. Number of Participants With Actionable Assay Response

    The feasibility of this approach will be assessed in terms of obtaining an actionable response from the proposed assay in at least 50% of patients examined.

    Time frame: Up to 21 days

Secondary outcomes

  1. Overall Response Rate to the Therapy Chosen After Performing the Assay

    Will be assessed by the International Myeloma Working Group (IMWG) response criteria. The response among all patients who received the assay as well as among patients who obtained an actionable result from the assay will be estimated.

    Time frame: Up to 2 years

07

Results

Posted May 8, 2026

Participant flow

Participant flow — Overall Study
MilestoneDevice Feasibility (High-throughput Assay, Sequencing)
Started40
Completed40
Not completed0

Outcome measures

PrimaryNumber of Participants With Actionable Assay Response

The feasibility of this approach will be assessed in terms of obtaining an actionable response from the proposed assay in at least 50% of patients examined.

Time frame:
Up to 21 days
Reported as:
Count of participants · Participants
Number of Participants With Actionable Assay Response
ParticipantsDevice Feasibility (High-throughput Assay, Sequencing)
Number of Participants With Actionable Assay Response35
SecondaryOverall Response Rate to the Therapy Chosen After Performing the Assay

Will be assessed by the International Myeloma Working Group (IMWG) response criteria. The response among all patients who received the assay as well as among patients who obtained an actionable result from the assay will be estimated.

Time frame:
Up to 2 years

Results for this outcome have not been posted.

Adverse events

Collected over Adverse event collection started from the time of signing consent until the time at which assay results are provided to the patient and their treating physician, up to 6 weeks post-enrollment.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Device Feasibility (High-throughput Assay, Sequencing)26/40 (65%)0/40 (0%)0/40 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Device Feasibility (High-throughput Assay, Sequencing)
<=18 years0
Between 18 and 65 years21
>=65 years19
Age, Continuous
Age, Continuous(years)Device Feasibility (High-throughput Assay, Sequencing)
Mean62.33 ± 10.74
Sex: Female, Male
Sex: Female, Male(Participants)Device Feasibility (High-throughput Assay, Sequencing)
Female18
Male22
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Device Feasibility (High-throughput Assay, Sequencing)
Hispanic or Latino2
Not Hispanic or Latino37
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(participants)Device Feasibility (High-throughput Assay, Sequencing)
United States40
08

Study locations

1 site
  • Fred Hutch/University of Washington Cancer Consortium
    Seattle, Washington 98109, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03389347
Responsible party
Danai Dima (Assistant Professor, University of Washington) — Principal investigator
First posted
Jan 3, 2018
Start date
Feb 14, 2018
Primary completion
Dec 19, 2024
Completion
Jul 24, 2026
Results posted
May 8, 2026
Last update
Sep 16, 2026

Study contacts

Danai Dima, MD
principal investigator · Fred Hutch/University of Washington Cancer Consortium

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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