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Not yet recruitingNCT07906418BCMA in MMUpdated Nov 2, 2026

BCMA Polymorphisms in Patients With Multiple Myeloma

An observational study in Multiple Myeloma, sponsored by Başakşehir Çam & Sakura City Hospital. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Başakşehir Çam & Sakura City Hospital · Observational

Updated Oct 30, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Retrospective
Enrollment
420
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to investigate the effect of B cell maturation antigen (BCMA, TNFRSF17) gene polymorphisms on treatment response and survival in patients with multiple myeloma.

BCMA is a member of the tumor necrosis factor receptor superfamily that is expressed on late memory B cells and all plasma cells. Together with the B cell activating factor receptor (BAFF-R) and transmembrane activator and calcium modulator and cyclophilin ligand interactor (TACI), BCMA binds the ligands B cell activating factor (BAFF) and a proliferation-inducing ligand (APRIL), thereby regulating the survival, maturation, and differentiation of B cells and plasma cells.

In this study, BCMA polymorphisms will be analyzed by next-generation sequencing in stored genomic DNA samples from 320 patients with multiple myeloma and 100 healthy controls. Genotype frequencies will be compared between patients and controls, and their association with response to first-line treatment, progression-free survival, and overall survival will be evaluated in patients with multiple myeloma.

Read the detailed description

Study design: This is a single-center, retrospective case-control study. Stored genomic DNA samples and clinical data of 320 patients with multiple myeloma and 100 healthy controls will be analyzed.

Clinical data: Demographic data (age and sex), Durie-Salmon stage, International Staging System (ISS) stage, Eastern Cooperative Oncology Group (ECOG) performance status, laboratory data at diagnosis, first-line treatment, response to treatment, progression-free survival (PFS), overall survival (OS), mortality, and follow-up duration will be recorded from medical records.

Treatment: All patients were considered eligible for autologous stem cell transplantation (ASCT) at diagnosis and received four cycles of induction therapy with VCD (bortezomib, cyclophosphamide, and dexamethasone). Patients achieving at least partial response proceeded to ASCT followed by lenalidomide and dexamethasone (LD) maintenance therapy. Treatment response will be assessed according to the International Myeloma Working Group (IMWG) 2016 response criteria.

DNA isolation: Leukocytes were isolated from peripheral blood samples collected in 2-mL EDTA tubes, and genomic DNA was extracted using the Quick-DNA Miniprep Plus Kit (Zymo Research) according to the manufacturer's instructions. DNA samples have been stored at -20°C.

Genotyping: Polymorphisms in the BCMA (TNFRSF17) gene will be analyzed by next-generation sequencing (NGS).

Statistical analysis: Genotype frequencies will be compared between patients and controls using the chi-square test or Fisher's exact test, as appropriate. The association of genotypes with treatment response will be evaluated using the chi-square test. PFS and OS will be estimated using the Kaplan-Meier method and compared using the log-rank test, and hazard ratios will be calculated using Cox regression analysis.

02

Conditions studied

  • Multiple Myeloma

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Keywords

  • B-cell maturation antigen
  • TNFRSF17
  • genetic polymorphism
  • next-generation sequencing
  • treatment response
  • survival
03

In context

Multiple Myeloma

3,760 studies on the registry are indexed under Multiple Myeloma; 769 are open to participants now.

This study's planned enrollment of 420 is above the median of 150 across 486 observational studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Başakşehir Çam & Sakura City Hospital is the lead sponsor of 109 studies on the registry; 36 are 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
Yes
Sampling method
Non-probability sample

Study population

Patients with diagnosed multiple myeloma who were treated at Başakşehir Çam and Sakura City Hospital and have stored genomic DNA samples and clinical follow-up data, and healthy controls without hematological disease, malignancy, or chronic inflammatory disease.

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

  • Patients with multiple myeloma:
  • Age 18 years or older at diagnosis
  • Diagnosed symptomatic multiple myeloma according to the International Myeloma Working Group (IMWG) diagnostic criteria
  • Completion of four cycles of induction therapy
  • Availability of a stored genomic DNA sample of sufficient quantity and quality for next-generation sequencing
  • Availability of baseline clinical data (Durie-Salmon stage, ISS stage, performance status, laboratory data) and treatment response and survival data
  • Written for the use of biological samples and clinical data for genetic research

Healthy controls:

  • Age 18 years or older
  • No known hematological disease, , or chronic inflammatory or disease
  • Availability of a stored genomic DNA sample of sufficient quantity and quality for next-generation sequencing
  • Written informed consent for the use of biological samples for genetic research

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of monoclonal gammopathy of undetermined significance, smoldering multiple myeloma, solitary plasmacytoma, plasma cell leukemia, POEMS syndrome, or primary AL amyloidosis without multiple myeloma
  • History of another , except adequately treated non-melanoma skin cancer or carcinoma in situ
  • Insufficient or degraded DNA sample, or failed sequencing quality control
  • First-degree relationship with another participant already included in the study
Terms in these criteria, in plain language(5)

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.

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.

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.

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Case-control
Time perspective
Retrospective
Enrollment
420 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Multiple myeloma patients

    Patients with newly diagnosed multiple myeloma who received first-line induction therapy and have stored genomic DNA samples and clinical follow-up data

    Genetic: BCMA polymorphism analysis

  • Healthy Controls

    Healthy individuals without hematological disease, malignancy, or chronic inflammatory or autoimmune disease who have stored genomic DNA samples

    Genetic: BCMA polymorphism analysis

Interventions

  • GeneticBCMA polymorphism analysis

    Stored genomic DNA, previously extracted from peripheral blood leukocytes, will be analyzed for BCMA (TNFRSF17) gene polymorphisms using next-generation sequencing. No additional blood sampling or study-related intervention will be performed.

06

What researchers measure

Primary outcomes

  1. Percentage of patients achieving partial response or better after first-line induction therapy, by BCMA genotype

    Treatment response will be assessed according to the International Myeloma Working Group (IMWG) 2016 response criteria. Patients achieving complete response, very good partial response, or partial response will be classified as responders, and those with stable or progressive disease as non-responders. The percentage of responders will be compared across BCMA (TNFRSF17) genotypes determined by next-generation sequencing.

    Time frame: After 4 cycles of induction therapy (approximately 16 weeks from the start of treatment)

Secondary outcomes

  1. Progression-free survival (PFS) by BCMA genotype

    PFS is defined as the time from diagnosis to documented disease progression according to IMWG criteria or death from any cause, whichever occurs first. PFS will be estimated using the Kaplan-Meier method, reported in months, and compared across BCMA (TNFRSF17) genotypes using the log-rank test.

    Time frame: From diagnosis to disease progression or death, assessed up to 144 months

  2. Overall survival (OS) by BCMA genotype

    OS is defined as the time from diagnosis to death from any cause. OS will be estimated using the Kaplan-Meier method, reported in months, and compared across BCMA (TNFRSF17) genotypes using the log-rank test.

    Time frame: From diagnosis to death from any cause, assessed up to 144 months

  3. Frequency of BCMA genotypes in patients with multiple myeloma and healthy controls

    Genotype frequencies of BCMA (TNFRSF17) polymorphisms, determined by next-generation sequencing, will be reported as the percentage of participants with each genotype and compared between patients with multiple myeloma and healthy controls.

    Time frame: At enrollment (single genotyping assessment)

07

Study locations

1 site
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

2 registry updates since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 30, 2026
Show all 2 updates
  1. Nov 2, 2026
    Minor edits only
    + 1 other change: arm descriptions
  2. Oct 30, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07906418
Responsible party
Sponsor
First posted
Oct 30, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Dec 15, 2026 (estimated)
Completion
Feb 1, 2027 (estimated)
Last update
Nov 2, 2026

Study contacts

Istemi SERIN IS SERIN, MD
Contact
serinistemi@hotmail.co
00905323172393

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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