Novel 3D Hematological Malignancy Organoid to Study Disease Biology and Chemosensitivity (Organoid) CHEMOSENSITIVITY STUDY

What's the purpose of this trial?

The objective of this project is to compare chemosensitivity between chemotherapy combinations in bone marrow aspirates using 3D organoid models.

This trial is currently open and accepting patients.

What will happen during the trial?

Optimize the novel 3D organoid technique already used to recreate myeloma tumors in the Regenerative Medicine laboratory.

Optimize cell viability of myeloma organoids to extend available time in culture by screening cell culture media cytokines and 3D extracellular matrix composition (current environment is able to maintain cells alive for up to 5-7 days to allow testing).

Evaluate myeloma tumor markers at different time points of organoid life to confirm accurate tumor representation, identify genetic expression characteristics, unique mutations, and tumor-stroma interaction. This will give information of the tumor characteristics to learn about tumor biology and correlate with responses.

Evaluate chemosensitivity on patient derived 3D organoids. Using myeloma patients marrow aspirate, evaluate live/kill rates of myeloma cells after being exposed to established regimen combinations after 24 and 36 hours of exposure at pre-determined concentrations.

Using patient samples, evaluate differences in gene expression and cell markers of the myeloma cells that remained alive after chemotherapy exposure to better understand mechanisms of resistance.

Validate the predictive value of the 3D organoid chemobiogram results compared with retrospective data of the donor s responses to the treatment used at that time point. This will compare in vivo/ex vivo responses and facilitate future personalized medicine. Chemobiogram is the report on chemosensitivity from the combinations tested much like an antibiogram.

You may be able to join this trial if you:

The following criteria is a partial list of reasons why patients may be eligible to participate in this clinical trial. Further evaluation with a medical professional is required.

Inclusion Criteria:

  • Patients with suspected or confirmed multiple myeloma undergoing a bone marrow biopsy as part of their care.
  • Patients with smoldering myeloma undergoing bone marrow evaluation for possible transformation are also eligible.
  • The ability to understand and willingness to sign an IRB approved informed consent document.

Exclusion Criteria:

  • They must not have other known active hematologic malignancies or amyloidosis.
  • Any participant that does not have multiple myeloma.

Additional Trial Information

Enrollment: 70 patients (estimated)

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Trial Locations

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North Carolina

Wake Forest Baptist - Comprehensive Cancer Center Atrium Health

Winston-Salem, NC

Open and Accepting
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