Improving Host Factors in Patients With Monoclonal Gammopathies and Other Hematologic Disorders
Roswell Park Cancer Institute
Summary
This clinical trial investigates the effect of non-chemotherapeutic interventions in patients with multiple myeloma or MDS. Non-chemotherapeutic interventions such as physical activity and nutritional interventions (e.g., modifications in diet) have been shown to positively affect the immune system and improve overall quality of life. Another purpose of this study is for researchers to learn how the addition of a beta-blocker (propranolol) to the standard treatment regimen in patients with newly diagnosed multiple myeloma affects immune response and quality of life. A study from the Mayo Clinic looked at multiple myeloma patients who were on a beta-blocker while undergoing chemotherapy and found that the use of a beta-blocker resulted in improved patient survival outcomes. Non-chemotherapeutic treatment options may help decrease symptoms and improve quality of life for patients with multiple myeloma.
Description
PRIMARY OBJECTIVES: I. To assess the impact of different lifestyle and low side effect interventions (exercise, nutrition, stress effects reduction) on immune markers in patients with monoclonal plasma cell and other hematologic disorders. SECONDARY OBJECTIVES: I. To assess the impact of different lifestyle and low side effect interventions (exercise, nutrition) on bone turnover parameters, body composition, the microbiome and physical fitness in patients with monoclonal plasma cell and other hematologic disorders. II. To assess the impact of different lifestyle and low side effect interve…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Age \>= 18 years of age * Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of: * Module A: ECOG 0 - 1 * Module B: ECOG 0 - 2 * Module C: ECOG 0 - 2 * Module D: ECOG 0-1 * MODULE A, B and C: Have a diagnosis of smoldering multiple myeloma, multiple myeloma or plasma cell leukemia (PCL) or * MODULE D: non transfusion dependent low-risk MDS * Show no signs of comorbidities, myeloma symptoms, or treatment side effects that would put them in danger when participating in the study according to the physician's discretion * Are able to understand and…
Interventions
- BehavioralBehavioral Intervention
Wear a FitBit device and receive prompts for 6 months
- DrugBeta-Adrenergic Antagonist
Receive beta-blocker regimen as per SOC
- DrugPropranolol
Given PO
- OtherQuality-of-Life Assessment
Ancillary studies
- OtherQuestionnaire Administration
Ancillary studies
- OtherResistance Training
Undergo strength training for 6 months
- OtherShort-Term Fasting
Location
- Roswell Park Cancer InstituteBuffalo, New York