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Contact Information:

Dr Kwee Yong
kwee.yong@ucl.ac.uk


Rethina Shritharan
r.shritharan@ucl.ac.uk


Dr Kwee Yong
kwee.yong@ucl.ac.uk


Study Location:

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Be Part of Research - Trial Details - Biology and genetics of smouldering myeloma

Biology and genetics of smouldering myeloma

Medical Conditions

Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue
Neoplasms of uncertain or unknown behaviour


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Myeloma(MM) is a common bone marrow cancer with over 5,000 patients diagnosed annually in the UK. Patients with MM have cancerous cells in their bone marrow that grow in an uncontrolled fashion and although new treatments have been developed for MM in the last 5 years, it remains an incurable disease, with nearly 3000 deaths yearly. MM is always preceded by defined precursor conditions, known as monoclonal gammopathy of uncertain significance (MGUS) and smouldering myeloma (SMM). However, only 7% of MGUS patients and 50% of SMM patients develop MM over a 5-year period. In the UK, patients are only given anti-MM treatment when the cancer causes damage within the body as the benefit of giving treatment in the pre-cancerous state is uncertain.

There is increased understanding that the development of MM occurs due to changes in the cancer’s genetic make-up (genome) and in the cells surrounding the tumour in the bone marrow (immune microenvironment). The cells in the immune microenvironment can support tumour growth and lead to resistance to drugs used to kill MM cells.

This project correlates changes in the genetic make-up of the precancerous cells to progression to MM compared to that in the bloodstream and changes that also occur within the cells in the immune microenvironment at the time of disease progression. By identifying which changes in the tumour genome cause the precancerous condition to develop into MM, we can develop a way to risk stratify patients with sMM and treat them according to their risk status. Furthermore, by defining which immune cells are important in helping to drive the conversion of sMM to MM, we can potentially develop new treatments to target not only the tumour cells but also the immune cells helping to drive disease progression.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

10 Feb 2021 31 Oct 2026

Observational

Observational type: Clinical Laboratory Study;



You can take part if:



You may not be able to take part if:


Patients under the age of 18. - Patients with active symptomatic myeloma at diagnosis. - Patients with no evidence of MGUS, sMM or MM. - Patients with a known diagnosis of MGUS or sMM for more than 5 years. - Patients with rapidly rising paraprotein or serum free light chains suggestive of progressive disease at time of diagnosis or inclusion into study.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Queen's Hospital
    Rom Valley Way
    Romford
    Essex
    RM7 0AG
  • St Bartholomew's Hospital
    West Smithfield
    London
    Greater London
    EC1A 7BE
  • Cardiff & Vale University Lhb
    Woodland House
    maes-y-coed Road
    Cardiff
    CF14 4HH
  • King's College Hospital (denmark Hill)
    Denmark Hill
    London
    Greater London
    SE5 9RS
  • Pinderfields General Hospital
    Aberford Road
    Wakefield
    West Yorkshire
    WF1 4DG
  • Milton Keynes Hospital
    Standing Way
    eaglestone
    Milton Keynes
    Buckinghamshire
    MK6 5LD
  • Churchill Hospital
    Churchill Hospital
    old Road
    headington
    Oxford
    Oxfordshire
    OX3 7LE
  • Derriford Hospital
    Derriford Road
    crownhill
    Plymouth
    Devon
    PL6 8DH
  • Royal Berkshire Hospital
    London Road
    Reading
    Berkshire
    RG1 5AN
  • Musgrove Park Hospital
    Musgrove Park
    Taunton
    TA1 5DA
  • Warwick Hospital
    Lakin Road
    Warwick
    Warwickshire
    CV34 5BW
  • Southend Hospital
    Prittlewell Chase
    Westcliff-on-sea
    Essex
    SS0 0RY
  • St George's Hospital (tooting)
    Blackshaw Road
    London
    Greater London
    SW17 0QT
  • University College Hospital
    235 Euston Road
    London
    Greater London
    NW1 2BU
  • Leicester Royal Infirmary
    Infirmary Square
    Leicester
    Leicestershire
    LE1 5WW
  • Colchester General Hospital
    Turner Road
    Colchester
    Essex
    CO4 5JL
  • Royal Derby Hospital
    Uttoxeter Road
    Derby
    Derbyshire
    DE22 3NE
  • Renamed University Hospital
    Beckett Street
    Leeds
    West Yorkshire
    LS9 7TF
  • Poole Hospital
    Longfleet Road
    Poole
    BH15 2JB
  • Royal Bournemouth Hospital
    Castle Lane East
    Bournemouth
    BH7 7DW
  • Ysbyty Gwynedd
    Penrhosgarnedd
    Bangor
    Gwynedd
    LL57 2PW
  • Ysbyty Glan Clwyd
    Glan Clwyd Hospital
    rhuddlan Road
    bodelwyddan
    Rhyl
    Clwyd
    LL18 5UJ
  • Huddersfield Royal Infirmary
    Acre Street
    Huddersfield
    West Yorkshire
    HD3 3EA
  • Mid Essex Hospital
    Broomfield Hospital
    Chelmsford
    Essex
    CM1 7ET
  • Lincoln County Hospital
    Greetwell Road
    Lincoln
    Lincolnshire
    LN2 5QY
  • Pilgrim Hospital
    Sibsey Road
    Boston
    Lincolnshire
    PE21 9QS
  • Wrexham Maelor Hospital
    Croesnewydd Road
    wrexham Technology Park
    Wrexham
    Clwyd
    LL13 7TD
  • Princess Royal University Hospital
    Farnborough Common
    Orpington
    Kent
    BR6 8ND

Rethina Shritharan
r.shritharan@ucl.ac.uk


Dr Kwee Yong
kwee.yong@ucl.ac.uk


Dr Kwee Yong
kwee.yong@ucl.ac.uk



The study is sponsored by University College London and funded by CANCER RESEARCH UK .




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for Trial ID: CPMS 46567

Last updated 12 April 2025

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