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TerminatedNCT04545333Updated Aug 1, 2024

The clonoSEQ® Watch Registry

An observational study in Acute Lymphoblastic Leukemia, Adult B-Cell, Chronic Lymphocytic Leukemia and Multiple Myeloma, sponsored by Adaptive Biotechnologies. Terminated at 14 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-01.

Sponsored by Adaptive Biotechnologies · Observational

Why this study was terminated
Sufficient data collected.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
465
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, multicenter, observational study of adult patients with a diagnosis of acute lymphoblastic leukemia (ALL), multiple myeloma (MM), chronic lymphocytic leukemia (CLL), or non-Hodgkin lymphoma (NHL). This study will enroll up to 528 patients in up to 50 sites in the United States and collect data with regard to use of the clonoSEQ MRD assay in the management of lymphoid malignancies.

Read the detailed description

Data show that detection of MRD may be important to guide treatment decisions in ALL, MM, CLL, and NHL. However, there remains a lack of real-world evidence for making therapeutic decisions based upon MRD status. This study is designed to understand when in a patient's treatment continuum the assay is used and how clonoSEQ MRD data impact the treatment decisions made by investigators.

All patients enrolled in the study will be followed for at least 2 yrs. Demographic data and disease status will be captured at study enrollment. Patients must be >/= 18 yrs of age and able to sign informed consent. A given patient is eligible to enroll in the study if the treating physician has made the decision to use the clonoSEQ assay as part of that patient's routine cancer care. Reasons for placing a clonoSEQ order and subsequent decisions made as a result of MRD data will be tracked. Patient treatment will also be tracked over the course of the study in order to understand how clonoSEQ use is incorporated into current treatment regimens.

Participating centers will include sites that actively use clonoSEQ to manage their patients with lymphoid malignancies.

02

Conditions studied

  • Acute Lymphoblastic Leukemia, Adult B-Cell
  • Chronic Lymphocytic Leukemia
  • Multiple Myeloma
  • Non-hodgkin Lymphoma

Keywords

  • Minimal residual disease
  • measurable residual disease
  • MRD
  • clonoSEQ
  • ALL
  • CLL
  • MM
  • NHL
  • Watch Registry
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,121 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 492 are open to participants now.

This study's enrollment of 465 is above the median of 120 across 313 observational studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

Adaptive Biotechnologies is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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
Sampling method
Non-probability sample

Study population

Adult patients with a diagnosis of ALL, MM, CLL, or NHL whose SOC response assessments will include monitoring of MRD status by clonoSEQ Assay

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

  1. Patients must be able to provide written informed consent
  2. A decision has been made by the treating provider to use the clonoSEQ Assay as part of routine clinical care
  3. Age ≥ 18 years;
  4. Documented hematologic malignancy (any of the below):

    1. MM
    2. ALL (B and T-cell subtypes)
    3. B-cell NHL (all sub types)
    4. CLL
    5. Other lymphoid malignancies (upon review and approval by study chair)

Exclusion criteria

Exclusion Criteria:

Patients must not meet any of the following criteria in order to be enrolled into the study:

  1. Concurrent enrollment in a clinical trial where treatment decisions and patterns are dictated per protocol
  2. A decision has been made by the treating provider to not use the clonoSEQ Assay as part of routine clinical care
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
465 participants (actual)
Target follow-up
2 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • ALL

    patients diagnosed with acute lymphoblastic leukemia

    Diagnostic Test: clonoSEQ Assay

  • CLL

    patients diagnosed with chronic lymphocytic leukemia

    Diagnostic Test: clonoSEQ Assay

  • MM

    patients diagnosed with multiple myeloma

    Diagnostic Test: clonoSEQ Assay

  • NHL

    patients diagnosed with non-Hodgkin lymphoma

    Diagnostic Test: clonoSEQ Assay

Interventions

  • Diagnostic testclonoSEQ Assay

    minimal residual disease (MRD) assay using blood, bone marrow, or other tissue containing tumor cells

06

What researchers measure

Primary outcomes

  1. Distribution of timepoints at which MRD is monitored using the clonoSEQ Assay in lymphoid malignancy patients in real world settings

    Data will be collected to determine at what points lymphoid malignancy patients are in their treatment continuums when the clonoSEQ Assay is used to monitor MRD levels

    Time frame: up to 3 yrs

Secondary outcomes

  1. Numbers of lymphoid malignancy patients with intensifications to their drug regimens based upon clonoSEQ MRD results

    Data will be collected with regard to changes to treatment/drug regimens in order to determine how clonoSEQ Assay MRD results inform and impact routine clinical practice

    Time frame: up to 3 yrs

  2. Numbers of lymphoid malignancy patients with de-intensifications to their drug regimens based upon clonoSEQ MRD results

    Data will be collected with regard to changes to treatment/drug regimens in order to determine how clonoSEQ Assay MRD results inform and impact routine clinical practice

    Time frame: up to 3 yrs

Other outcomes

  1. Average numbers of clonoSEQ Assay orders placed for enrolled lymphoid malignancy patients in routine clinical practice relative to other response assessments

    Data will be collected to determine how the clonoSEQ Assay is used as part of routine disease response assessments in lymphoid malignancy patients

    Time frame: up to 3 yrs

  2. Differences in outcomes between clonoSEQ Assay MRD-negative and MRD-positive lymphoid malignancy patients

    Data will be collected to assess the following, as applicable, depending upon distribution of patients that enroll in this study: * Response to treatment, duration of response, time to next therapy, duration of maintenance therapy, and survival * Numbers of patients who proceed to transplant in the ALL and MM cohorts

    Time frame: up to 3 yrs

07

Study locations

14 sites
  • Stanford Hospital
    Stanford, California 94305, United States
  • Georgetown University
    Washington D.C., District of Columbia 20007, United States
  • Holy Cross Hospital
    Fort Lauderdale, Florida 33308, United States
  • Edward H. Kaplan MD & Associates
    Skokie, Illinois 60076, United States
  • Hematology Oncology Clinic
    Baton Rouge, Louisiana 70809, United States
  • American Oncology Partners of Maryland
    Bethesda, Maryland 20817, United States
  • Washington University
    St Louis, Missouri 63130, United States
  • Novant Health
    Charlotte, North Carolina 28204, United States
  • Oregon Health & Science University, Knight Cancer Institute
    Portland, Oregon 97239, United States
  • Hospital of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Bon Secours St Francis
    Greenville, South Carolina 29607, United States
  • University of Washington, Seattle Cancer Care Alliance
    Seattle, Washington 98102, United States
  • Swedish Cancer Institute
    Seattle, Washington 98104, United States
  • Northwest Medical Specialties
    Tacoma, Washington 98405, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04545333
Lead sponsor
Adaptive Biotechnologies
Responsible party
Sponsor
First posted
Sep 11, 2020
Start date
Oct 13, 2020
Primary completion
Oct 1, 2023
Completion
Oct 1, 2023
Last update
Aug 1, 2024

Study contacts

Heidi Simmons, PhD
study director · Adaptive Biotechnologies

Oversight

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

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This study is terminated, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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