Status:

RECRUITING

Rifaximin Versus No Intervention for the Treatment of IgA Monoclonal Gammopathy of Undetermined Significance

Lead Sponsor:

Fred Hutchinson Cancer Center

Collaborating Sponsors:

Rising Tide Foundation

Conditions:

IgA Monoclonal Gammopathy of Undetermined Significance

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This phase II trial compares the effect of rifaximin to no intervention for the treatment of IgA monoclonal gammopathy of undetermined significance (MGUS). Rifaximin is a type of antibiotic that is on...

Detailed Description

OUTLINE: Patients are randomized to 1 of 2 arms. ARM A: Patients receive rifaximin orally (PO) three times daily (TID) for 14 days in the absence of disease progression or unacceptable toxicity. Pati...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Ability to understand and willingness to sign a written informed consent document. Legally authorized representatives may sign and give informed consent on behalf of potential study participants
  • Clinical diagnosis of IgA monoclonal gammopathy of undetermined significance (MGUS) based on International Myeloma Working Group (IMWG)-2014 criteria (Rajkumar et al, Lancet Oncology, 2014)
  • Agree to use adequate contraception
  • For women of child-bearing potential: prior to study entry and for the duration of study participation
  • For men: prior to study entry, for the duration of study participation, and one month after completion of rifaximin administration (for men)
  • No antibiotic use in the preceding 2 weeks

Exclusion

  • Participants who are receiving other investigational agents
  • Pregnant women
  • Known hypersensitivity to rifaximin

Key Trial Info

Start Date :

January 24 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2028

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT07209371

Start Date

January 24 2026

End Date

May 1 2028

Last Update

December 26 2025

Active Locations (1)

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1

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States, 98109