Cancer Clinical Trial
Official title:
Targeted Single Nucleotide Polymorphisms (SNPs) to Classify Subtypes of Chronic Graft-Versus-Host Disease (cGVHD) After Allogeneic Transplant.
RATIONALE: Studying samples of tissue from patients with cancer in the laboratory may help
doctors learn more about changes that occur in DNA and identify biomarkers related to
chronic graft-versus-host disease in patients who have undergone donor stem cell transplant.
PURPOSE: This phase I trial is studying chronic graft-versus-host disease in patients who
have undergone donor stem cell transplant.
OBJECTIVES:
- To determine and define the biological basis of different subtypes of chronic
graft-vs-host disease using a targeted single nucleotide polymorphisms approach in
patients who have undergone allogeneic stem cell transplantation.
OUTLINE: Two important aspects of the methodologies that will be employed for the analysis
of SNPs associated with GVHD are throughput efficiency to be able to perform the assays on a
reasonable number of samples as well as having the ability to add or remove SNPs to the
assay panel. While a genome-wide association study to identify variants associated with GVHD
would offer an unbiased approach, our patient cohort size would not allow significant
statistical power in the study. Therefore, a more targeted approach using two established
technologies is proposed.
The Sequenome assay uses the unique combination of a single-base primer extension assay
incorporating one of four modified nucleotides. The four modified nucleotides each have a
unique mass that allows them to be distinguished from one another using mass spectrometry.
Each SNP is determined analyzing the primer extension product from a PCR amplicon that
surrounds the SNP of interest. The development of each assay involves designing flanking PCR
primers and an internal extension assay using web-based software provided by Sequenome. The
assays can be designed to analyze up to 30 SNPs in a single reaction, providing a
customizable, efficient and high-throughput assay for SNPs of interest.
;
Observational Model: Case-Only, Time Perspective: Retrospective
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