Monoclonal Gammopathy of Undetermined Significance (MGUS), Non-IgM Monoclonal Gammopathy of Undetermined Significance
Conditions
Brief summary
This study evaluates a novel laboratory method to study how certain bone marrow cells in the body take up nutrients from their environment.
Detailed description
PRIMARY OBJECTIVE: I. Evaluate differences in the amount of extracellular uptake of glucose and amino acids (AAs) between pre-malignant clonal plasma cells (cPCs) and polyclonal plasma cells (pPCs). OUTLINE: This is an observational study. Participants are assigned to 1 of 2 groups. GROUP I: Patients undergo blood collection and bone marrow aspiration as part of their standard care and have their medical records reviewed on study. GROUP II: Healthy volunteers undergo blood collection and bone marrow aspiration on study.
Interventions
Non-interventional study
Sponsors
Study design
Eligibility
Inclusion criteria
* All Participants: * At least age 18 years or older * Able to provide informed consent * MGUS Cohort: * International Myeloma Working Group (IMWG) criteria for the diagnosis of non-IgM MGUS
Exclusion criteria
* All Participants: * Unable to provide consent * Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) \>1 * Prior history of adverse events with conscious sedation * Ongoing use of immunosuppressive medications * All known pregnant and lactating women will be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Extracellular uptake of glucose and amino acids (AAs) between pre-malignant clonal plasma cells (cPCs) and polyclonal plasma cells (pPCs) | Up to 30 days | Assessed by evaluating blood and bone marrow aspirate samples for mean 13Carbon (13C) percentage enrichment of the mass isotopomers of interest of at least 6 (i.e. the difference between a mean 13C percentage enrichment of a particular mass isotopomer is 12% in the MGUS group and 6% in the healthy participant group or vice versa) using a 2-group t-test with a 2-sided significance level of 0.01. |
Countries
United States