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New study maps the path from smoldering to active myeloma
NCT ID NCT06472778
First seen Jun 27, 2026 · Last updated Jul 07, 2026 · Updated 2 times
Summary
This study reviewed medical records of 431 people with smoldering multiple myeloma (SMM), a pre-cancerous condition, to see how the disease progresses over time. Researchers looked at which patients are at higher risk of developing active multiple myeloma and what treatments they received. The goal is to better predict and manage the transition from smoldering to active disease.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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408 people
The number who actually took part.
- Started
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May 2024
- Finished
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Dec 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population will include participants aged at least 18 years of age on the date of documented diagnosis of smoldering multiple myeloma (SMM) between 01 January 2016 and 31 December 2021.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Have a documented diagnosis of smoldering multiple myeloma (SMM). SMM is defined as: (a) Clonal bone marrow plasma cells (BMPCs) greater than or equal to (\>=) 10 percent (%) and/or serum M-protein \>= 3 grams per deciliter (g/dL) and/or urine M-protein \>= 500 milligram per 24 hours (mg/24hrs). (b) Absence of SLiM-CRAB criteria: \>= 60 % clonal BMPCs, involved/uninvolved free light chain (FLC) ratio \>= 100 and involved FLC \>= 10 and magnetic resonance imaging (MRI) lesions; calcium elevation, renal insufficiency, anemia, and bone lesions (AB) criteria * Informed consent obtained prior to retrospective data collection in accordance with local requirements, either an informed consent form (ICF) indicating that the participants signed a consent for data collection for this research and agrees to have their data collected and analyzed, with source data verification (SDV), or the country does accept the ICF waiver for such type of studies * Data recorded in participants' medical charts from date of SMM diagnosis and at least 2 years after should be available in the participant's medical chart at the participating site. However, participants who died within the 2 years from SMM diagnosis are eligible Exclusion Criteria: * Therapy for multiple myeloma (MM) initiated within 90 days of SMM diagnosis * Date of SMM diagnosis is missing * Participants who have participated/are participating in any SMM interventional (either active treatment or control arm) study are not eligible. Participation in observational studies is allowed. Participants who have participated/are participating in any MM study after evolution to MM are eligible
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Azienda Ospedaliera Universitaria Careggi
Florence, 50134, Italy
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Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino
Torino, 10126, Italy
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Azienda Ospedaliera Universitaria Policlinico Umberto I - Universita di Roma La Sapienza
Roma, 00161, Italy
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Barts Hospital
London, EC1 7ED, United Kingdom
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Birmingham Heartlands Hospital
Birmingham, B9 5SS, United Kingdom
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CH Rene Dubos
Pontoise, 95303, France
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CHRU de Tours - Hopital Trousseau
Chambray-lès-Tours, 37170, France
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CHU Montpellier
Montpellier, 34295, France
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Centre Hospitalier Regional d'Orleans (CHRO) - Hopital La Source
Orléans, 45100, France
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Churchill Hospital
Oxford, OX3 7LE, United Kingdom
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ELBLANDKLINIKUM Riesa
Riesa, 1589, Germany
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Hopital Pitie Salpetriere
Paris, 75013, France
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Hosp Clinico Univ de Salamanca
Salamanca, 37007, Spain
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Hosp Univ A Coruna
A Coruña, 15006, Spain
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Hosp. Clinico Univ. de Valladolid
Valladolid, 47003, Spain
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Hosp. Prov. de Avila
Ávila, 05004, Spain
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Hosp. San Pedro de Alcantara
Cáceres, 10003, Spain
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Hosp. Univ. Lucus Augusti
Lugo, 27003, Spain
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Hosp. Univ. de Alava
Vitoria-Gasteiz, 01005, Spain
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Kent and Canterbury Hospital
Canterbury, CT1 3NG, United Kingdom
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Manchester Royal Infirmary
Manchester, M13 9WL, United Kingdom
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Ospedale San Raffaele
Milan, 20132, Italy
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Policlinico Universitario Agostino Gemelli
Roma, 00168, Italy
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South Tees Hospitals NHS Foundation Trust
North Yorks, TS4 3BY, United Kingdom
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Studienzentrum Gefos Dortmund mbH
Dortmund, 44263, Germany
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Universitaetsklinikum Hamburg Eppendorf
Hamburg, 20246, Germany
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Universitaetsklinikum Tuebingen
Tübingen, 72076, Germany
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University Hospital of Wales
Cardiff, CF14 4XW, United Kingdom
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University Hospitals Of Leicester Nhs Trust
Leicester, LE1 5WW, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Banking blood and bone marrow to decode plasma cell disorders
- Can a new drug stop smoldering myeloma from becoming active cancer?
- Could a new immunotherapy stop smoldering myeloma before it becomes active cancer?
- New blood test screening targets hidden cancer in black communities
- New antibody shows promise in slowing early myeloma
- 1,000 volunteers help scientists unlock the mystery of myeloma progression