Analysis of Oral Mucositis in Patient's Undergoing Melphalan Conditioning and Autologous Stem Cell Transplant

Study Overview
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Brief Summary
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This is a pilot study to explore and identify changes in molecular processes within the oral mucosa that are associated with the development of oral mucositis (OM) in patients treated with Melphalan who undergo autologous peripheral blood stem cell transplantation.

Detailed Description
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This is an exploratory observational (non-therapeutic) study to collect blood and buccal mucosal samples to evaluate RNA expression, assess bacterial colonization, and plasma Melphalan concentrations in approximately 50 eligible patients. All study samples will be collected from participants while they are hospitalized to receive standard of care high-dose Melphalan (HDM) chemotherapy and autologous peripheral blood stem cell transplantation (ASCT). Patients who receive this treatment are typically admitted the day before HDM. The day after HDM, patients receive ASCT and remain hospitalized for approximately 21 days, or until their absolute neutrophil count increases to at least 500 cells per mm3 and they are no longer considered neutropenic. Patients will have blood samples collected for pharmacokinetic analysis at approximately 0 minutes (before infusion begins), 15 minutes (during the infusion), 30 minutes (at the end of infusion), 60 minutes, 90 minutes, 120 minutes, and 180 minutes after the start of Melphalan infusion. A buccal swab will be done to collect mucosal bacterial samples using paper strips (Periopaper) or a sterile cotton tipped swab brushed against the right and left buccal mucosa for approximately 15-30 seconds at the following time points: Within 24 hours PRIOR to administration of Melphalan Day +3 AFTER transplantation Upon development of OM (approximately on days +7-10) Upon recovery of absolute neutrophil count (ANC) to greater than 500/mm3, or on discharge, whichever occurs first, in patients who developed OM A buccal scraping will be done for gene expression using a dermatologic curette taken from the right and left buccal mucosa at the following time points: Within 24 hours PRIOR to administration of Melphalan Day +3 AFTER transplantation Note: Patients' mouths will be rinsed with Mary's Magic mouthwash prior to the procedure for 15 seconds, which will allow for removal of food particles, colonized bacteria and anesthetization of oral mucosa. During procedure, any signs of patient discomfort will be monitored. If patient expresses discomfort, additional oral topical anesthetic will be utilized to de-sensitive buccal mucosa.

Official Title
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A Pilot Study: Gene Expression and Bacterial Analysis of Oral Mucositis in Patient's Undergoing Melphalan Conditioning and Autologous Stem Cell Transplant

Conditions
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Mucositis, Multiple Myeloma, Amyloidosis, Oral Mucositis

Intervention / Treatment
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* Other: Melphalan kinetic study
* Genetic: Oral bacterial study
* Genetic: Gene expression study


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with multiple myeloma (MM) or systemic light-chain amyloidosis who are receiving high-dose Melphalan (HDM) and autologous peripheral blood stem cell transplantation (ASCT). Age is greater than 18 years old Patients receiving a total Melphalan dose of 140-200 mg/m2 as the preparative regimen No prior history of allogeneic stem cell transplantation Patients otherwise meeting all standard institutional criteria for ASCT Exclusion Criteria: 1. Patients who do not meet inclusion criteria

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Melphalan kinetic study|Concentration of Melphalan in plasma samples|
|Genetic: Oral bacterial study|DNA from oral buccal mucosal cells will be sequenced for bacterial composition|
|Genetic: Gene expression study|RNA from oral buccal mucosal cells will be analyzed to compare gene expression|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gene expression | RNA sequencing from oral buccal mucosal cells | 30 days | 
| Bacterial colonization | DNA sequencing of bacteria in oral buccal mucosal cells | 30 days | 
| Melphalan exposure | Concentration of Melphalan in plasma samples | 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stem Cell Transplantation