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Clonal Hematopoiesis and Therapy-Emergent Myeloid Neoplasms in Patients With Cancers, CHANCES Study

Clonal Hematopoiesis and Therapy-Emergent Myeloid Neoplasms in Patients With Cancers (CHANCES)

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06295965
Enrollment
2000
Registered
2024-03-06
Start date
2024-01-02
Completion date
2031-12-31
Last updated
2026-04-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Clonal Cytopenia of Undetermined Significance, Clonal Hematopoiesis, Idiopathic Cytopenia of Undetermined Significance, Myeloid Neoplasm Post Cytotoxic Therapy, Non-Neoplastic Hematopoietic and Lymphoid Cell Disorder, Ovarian Carcinoma, Recurrent Fallopian Tube Carcinoma, Recurrent Malignant Solid Neoplasm, Recurrent Ovarian Carcinoma, Recurrent Primary Peritoneal Carcinoma

Brief summary

This study is being done to investigate clonal hematopoiesis and therapy-emergent myeloid neoplasms in patients with ovarian or other solid cancers. Researchers want to identify risk factors for developing these blood cancers as well as if there is/are a genetic/environmental component(s) to developing blood cancer.

Detailed description

OUTLINE: This is an observational study. Patients undergo blood sample collection and complete surveys on study. Patients' medical records are also reviewed.

Interventions

OTHERNon-Interventional Study

Non-interventional study

Sponsors

University of Washington
Lead SponsorOTHER
National Cancer Institute (NCI)
CollaboratorNIH

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Subjects who have or have had ovarian, peritoneal, or fallopian tube carcinoma who have a life expectancy of greater than 6 months and: * Have completed or plan to complete at least 5 cycles of platinum-based chemotherapy OR * Subjects who have or have had a solid tumor diagnosis and any of the following: * At least 4 months of exposure to a PARP inhibitor * Diagnosis of a blood disorder including, but not limited to, clonal hematopoiesis of indeterminate potential, cytopenia of unknown significance, or therapy-related myeloid neoplasm

Exclusion criteria

* Individuals with a life expectancy of less than 6 months

Design outcomes

Primary

MeasureTime frameDescription
Determine the correlation between baseline TP53m VAF in blood with CH expansion in OC patientsThrough study completion, up to 5 years
Identify risk of TMN for OC survivors with and without TP53m CH treated with platinum chemotherapy and PARP inhibitorsThrough study completion, up to 5 yearsMeasurement Tool: will measure by BM biopsy confirmation done by local hematologist
Define the trajectories of clonal evolution and mechanisms of transformation from non-cancerous TP53m to TMNThrough study completion, up to 5 yearsMeasurement Tool: the variant allele fraction of the blood clone

Countries

United States

Contacts

CONTACTSwisher Lab Research Coordinators
swisherlabrc@uw.edu206-616-8927
PRINCIPAL_INVESTIGATORElizabeth Swisher

Fred Hutch/University of Washington Cancer Consortium

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 18, 2026