GammaGA: Prevalence of Acid Sphingomyelinase Deficiency Disease (ASMD) and Gaucher Disease in Patients With Monoclonal Gammopathies and/or Multiple Myeloma

Study Purpose

The study of splenomegaly, and the follow-up of splenectomized patients, is one of the causes of referral of these patients to pediatric gastroenterology and oncohematology clinics, and adult internal medicine and hematology. The study and management of splenomegaly is well described among the different medical specialties to which these patients arrive. After the application of the different algorithms and the different studies that are carried out, these splenomegaly are identified as being of hepatic, infectious, inflammatory, congestive, hematological origin and primary causes. Despite these studies of splenomegaly, approximately 10-15% of these patients still remain undiagnosed. Several studies have suggested that there is an increased frequency of MGUS (monoclonal gammopathy of undetermined significance) and/or multiple myeloma (MM) among Gaucher patients. Regarding ASMD (Acid Sphingomyelinase Deficiency), few studies have been published but it seems the 21% of patient with ASMD has MGUS and 15% ASMD patients have MGUS. Moreover, patients with MGUS and Gaucher disease (GD) are at increased risk of developing MM. The objective of the present study is to increase the diagnostic sensitivity of these unknown splenomegalys, or unknown splenomegaly patients with MGUS or multiple myeoloma who remain in consultations, using the usual diagnostic clinical procedures of unknown splenomegaly and unknown splenectomy patients, where we include the extraction of a blood sample for dry drop test (DBS), where the determination of the enzymatic/genetic activity will be carried out for Gaucher disease (GD) and acid sphingomyelinase deficiency (ASMD) , analysis of LisoGl1 and LisoSM.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

Unknown
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Observational
Eligible Ages 18 Years - 99 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Adult patients of both sexes.
  • - Patients with splenomegaly (spleen palpable at ≥ 1cm from the costal margin) or splenectomy not related to any specific condition, or patients with thrombocytopenia (with or without splenomegaly).
In cases where the patient is undergoing treatment for their underlying condition, the thrombocytopenia must have been present prior to the start of the treatment.
  • - Patient who gives their consent to participate in the study.

Exclusion Criteria:

  • - Splenomegaly due to portal hypertension (documented by abdominal ultrasound or other instrumental test) due to liver disease.
  • - Hematologic malignancy [documented by positive physical exam + blood smear or fine needle aspiration (FNA) or bone marrow biopsy] - Hemolytic anemia and/or thalassemia.
  • - Patients who cannot meet the requirements of the protocol due to mental and/or cognitive alterations, uncooperative patients, educational limitations and understanding of written language.
- Refusal of the patient to participate in the study

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05992532
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Fundación Española de Hematología y Hemoterapía
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries Spain
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Gaucher Disease, Acid SphingoMyelinase Deficiency

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Hospital Universitario de Álava, Vitoria, Alava, Spain

Status

Recruiting

Address

Hospital Universitario de Álava

Vitoria, Alava,

Site Contact

Xabier Gutiérrez López de Ocáriz, MD

[email protected]

91 319 19 98

Hospital Parc Taulí, Sabadell, Barcelona, Spain

Status

Recruiting

Address

Hospital Parc Taulí

Sabadell, Barcelona,

Site Contact

Marta Gomez Nuñez, MD

[email protected]

91 319 19 98

Hospital de Manises, Valencia, Comunidad Valenciana, Spain

Status

Recruiting

Address

Hospital de Manises

Valencia, Comunidad Valenciana,

Site Contact

Dolores Gómez Toboso, MD

[email protected]

91 319 19 98

Hospital Son Espases, Palma De Mallorca, Islas Baleares, Spain

Status

Recruiting

Address

Hospital Son Espases

Palma De Mallorca, Islas Baleares,

Site Contact

Albert Pérez, MD

[email protected]

91 319 19 98

Hospital del Bierzo, Ponferrada, León, Spain

Status

Recruiting

Address

Hospital del Bierzo

Ponferrada, León,

Site Contact

Erik del Cabo, MD

[email protected]

91 319 19 98

Hospital Alvaro Cunqueiro, Vigo, Pontevedra, Spain

Status

Recruiting

Address

Hospital Alvaro Cunqueiro

Vigo, Pontevedra,

Site Contact

Carmen Albo López, MD

[email protected]

91 319 19 98

Hospital Alcañiz, Alcañiz, Teruel, Spain

Status

Recruiting

Address

Hospital Alcañiz

Alcañiz, Teruel,

Site Contact

Andrés Medinaveitia, MD

[email protected]

91 319 19 98

Valladolid, Zaragoza, Spain

Status

Recruiting

Address

Hospital Clínico Universitario de Valladolid

Valladolid, Zaragoza,

Site Contact

Carmen Pérez Martínez, MD

[email protected]

91 319 19 98

Hospital Universitario Torrecárdenas, Almería, Spain

Status

Recruiting

Address

Hospital Universitario Torrecárdenas

Almería, ,

Site Contact

Alejandro Ponce Navarro, MD

[email protected]

91 319 19 98

Hospital Universitario de Burgos, Burgos, Spain

Status

Recruiting

Address

Hospital Universitario de Burgos

Burgos, ,

Site Contact

Beatriz Cuevas, MD

[email protected]

91 319 19 98

Hospital Universitario Dr. Josep Trueta, Girona, Spain

Status

Recruiting

Address

Hospital Universitario Dr. Josep Trueta

Girona, ,

Site Contact

Yolanda González, MD

[email protected]

91 319 19 98

Granada, Spain

Status

Recruiting

Address

Hospital Universitario Virgen de las Nieves

Granada, ,

Site Contact

Antonio Cruz, MD

[email protected]

91 319 19 98

Hospital San Jorge, Huesca, Spain

Status

Recruiting

Address

Hospital San Jorge

Huesca, ,

Site Contact

María Flor Yus Cebrián, MD

[email protected]

91 319 19 98

Hospital de Jaén, Jaén, Spain

Status

Recruiting

Address

Hospital de Jaén

Jaén, ,

Site Contact

Juan Antonio López López, MD

[email protected]

91 319 19 98

Hospital Arnau de Vilanova, Lleida, Spain

Status

Recruiting

Address

Hospital Arnau de Vilanova

Lleida, ,

Site Contact

Antonio García Guiñón, MD

[email protected]

91 319 19 98

Hospital Universitario Ramón y Cajal, Madrid, Spain

Status

Recruiting

Address

Hospital Universitario Ramón y Cajal

Madrid, , 28040

Site Contact

María del Mar Meijón Ortigueira, MD

[email protected]

91 319 19 98

Hospital Fundación Jiménez Díaz, Madrid, Spain

Status

Recruiting

Address

Hospital Fundación Jiménez Díaz

Madrid, ,

Site Contact

Pilar Llamas Sillero, MD

[email protected]

91 319 19 98

Málaga, Spain

Status

Recruiting

Address

Hospital Regional Universitario de Málaga

Málaga, ,

Site Contact

Alejandro Contento Gonzalo, MD

[email protected]

91 319 19 98

Orense, Spain

Status

Recruiting

Address

Complejo Hospitalario Universitario de Orense

Orense, ,

Site Contact

José Ángel Méndez Sánchez, MD

[email protected]

91 319 19 98

Valencia, Spain

Status

Recruiting

Address

Hospital Universitario y Politécnico La Fe

Valencia, ,

Site Contact

Javier de la Rubia, MD

[email protected]

91 319 19 98

Complejo Asistencial de Ávila, Ávila, Spain

Status

Recruiting

Address

Complejo Asistencial de Ávila

Ávila, ,

Site Contact

Abelardo Bárez García, MD

[email protected]

91 319 19 98

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