Multiple MyelomaCOSMICNCT05831787
COVID19 OutcomeS in Myeloma and the Impact of VaCcines
An observational study of Multiple Myeloma, run by ASH Research Collaborative at 2 sites in United States.
Trial summary
The COVID-19 pandemic has had an outsized impact on individuals with underlying social and medical vulnerability, leading to increased rates of severe disease, hospitalization, and death in these groups. Participants with underlying immune compromise, such as those with multiple myeloma, represent one such group. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Multiple Myeloma
- What is being tested?
- Patient Reported Outcomes
- How many people
- 201 participants
- Where
- 2 sitesUnited States
- Study dates
- 23 Jan 2024to 31 Dec 2024
- How long will I take part?
- 6 Months
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: Individuals with a diagnosis of multiple myeloma per the International Myeloma Working Group and currently receiving active treatment for any phase of the disease, including initial therapy, maintenance, or relapsed disease.
Who may be able to join
- Diagnosis of multiple myeloma per the International Myeloma Working Group and currently receiving active treatment for any phase of the disease, including initial therapy, maintenance, or relapsed disease.
- Access to the internet
- An active patient portal (or willingness to activate)
- Willing to electronically sign the study-specific informed consent and authorization form
Who cannot join
- Non-English speaking
- Lack of internet access
- Cognitive impairment precluding ability to provide informed consent
Trial locations and contacts
2 sites in 1 country.
United States2 sites
UNC-Chapel Hill
Chapel Hill, North Carolina, 27514
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
About this study
Official title: Monitoring SARS-CoV-2 Vaccines and COVID-19 Related Outcomes in Individuals With Multiple Myeloma
The COVID-19 pandemic has had an outsized impact on individuals with underlying social and medical vulnerability, leading to increased rates of severe disease, hospitalization, and death in these groups. Participants with underlying immune compromise, such as those with multiple myeloma, represent one such group. The advent of vaccines against SARS-CoV-2 has significantly limited morbidity and mortality across all groups, but the effectiveness of vaccination in individuals who are less likely to mount sufficient antibody response is uncertain. For this reason, booster vaccines have been recommended for those with underlying immune compromise. However, several key gaps remain in our understanding of how to best protect these individuals.
There is a dearth of real-world evidence about the effectiveness of vaccination and boosters in patients who are immunocompromised, and very little information specifically about the recently approved mRNA boosters. Additionally, rates of vaccination and booster uptake in the United States remain low. A rapid, decentralized method of ascertaining information related to booster vaccine response and adverse events related to vaccines and COVID-19 infection is critical not only to answer questions about the booster vaccines, but to develop an infrastructure for answering similar questions about future vaccines or other diseases.
Read the detailed description
The purpose of this project is to implement and establish the feasibility of a decentralized real-world evidence study network for patients with multiple myeloma and to monitor outcomes related to COVID-19 infection in this immunosuppressed population. Subjects with multiple myeloma will be invited to participate. The electronic portal will handle all consenting activities. Participants will be asked to complete specific study procedures electronically, including permission for electronic health record (EHR) data transfer. Participants will be asked to complete electronic questionnaires periodically.
- Conditions
- Multiple Myeloma
- Being tested
- Patient Reported Outcomes
- Keywords
- Myeloma, COVID-19, Vaccine, COSMIC
- Medical subject headings
- Multiple Myeloma, Neoplasms, Plasma Cell, COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Patient Reported OutcomesOther
Patients will be asked to complete baseline, 30-day, and 6-month clinical and patient reported outcome health surveys.
| Study group | Role | What they receive |
|---|---|---|
| Diagnosis of multiple myeloma and currently receiving active treatment for any phase of the disease | Diagnosis of multiple myeloma must meet the International Myeloma Working Group criteria. Receives: Other: Patient Reported Outcomes |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility of Obtaining Baseline Clinical and PRO Data Capture From 200 Consented Patients.
Proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.
Measured: At Baseline
Feasibility of Obtaining 30-day Clinical and PRO Data Capture From 200 Consented Patients.
Proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.
Measured: 30 days after enrollment
Feasibility of Obtaining 6-month Clinical and PRO Data Capture From 200 Consented Patients.
proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.
Measured: 6 months after enrollment
Secondary outcomes (10)
COVID Vaccine Prevalence
Percent of patients who enroll on the study platform who had previously received a SARS-CoV-2 booster
Measured: At Baseline
COVID Booster Incidence
Percent of patients who enroll on the study platform who went on to receive a SARS-CoV-2 booster at 1 month follow up visit
Measured: 30 Days after enrollment
PRO Review
Among participants providing PROs, percentage for whom PROs were viewed by site personnel
Measured: During 6 month study period
COVID-19 Infection Baseline
Percentage of participants reporting COVID-19 infection confirmed by home-based or other testing
Measured: At Baseline
COVID-19 Infection on Study
Percentage of participants reporting COVID-19 infection confirmed by home-based or other testing
Measured: During 6 month study period
Patient Reported COVID 19 Related Outcomes at Baseline
Patient reported outcomes related to confirmed COVID-19 infection. COVID-19-related outcomes were assessed through a decentralized approach using patient-reported data collected via study questionnaires. Outcomes included participant-reported COVID-19 infection and related clinical events (e.g., hospitalization).
Measured: At Baseline
Patient Reported COVID 19 Related Outcomes on Study
Patient reported outcomes related to confirmed COVID-19 infection. COVID-19-related outcomes were assessed through a decentralized approach using patient-reported data collected via study questionnaires. Outcomes included participant-reported COVID-19 infection and related clinical events (e.g., hospitalization).
Measured: During 6 month study period
EHR COVID 19 Related Outcomes Baseline
Hospitalization related to COVID-19 was ascertained through electronic health record (EHR) data obtained with participant permission. COVID-19-related outcomes included COVID-19 infection and associated clinical events (e.g., hospitalization), as documented in the EHR.
Measured: At Baseline
EHR COVID 19 Related Outcomes on Study
Hospitalization related to COVID-19 was ascertained through electronic health record (EHR) data obtained with participant permission. COVID-19-related outcomes included COVID-19 infection and associated clinical events (e.g., hospitalization), as documented in the EHR.
Measured: During 6 month study period
COVID Booster Incidence
Percent of patients who enrolled on the study platform and subsequently received a SARS-CoV-2 booster by the 6-month follow-up visit. Booster vaccination status was assessed using a combination of patient-reported data collected through the study platform and available electronic health record (EHR) data
Measured: 6 months after enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Apr 2023
- Study start23 Jan 2024
- Primary completion31 Dec 2024
- Study completion31 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Multiple MyelomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 201 participants (actual)
- Target duration
- 6 Months
Sponsor and investigators
- Lead sponsor
- ASH Research Collaborative
- Sponsor type
- University, hospital or other
- Collaborators
- ModernaTX, Inc.
- Responsible party
- Sponsor
- Investigators
- William Wood, MD, MPH, Principal investigator, UNC-Chapel HillSaad Usmani, MD,MBA,FACP, Principal investigator, Memorial Sloan Kettering Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05831787
- Sponsor's protocol ID
- ASH RC DH 2022-00001
- Acronym
- COSMIC
- Status last verified
- Apr 2026
- First submitted
- 20 Apr 2023
- Last updated
- 18 May 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: There is no plan at this time. All study data will be stored in the ASH RC Data Hub.
Publications
Wood WA, Kumar SK, Semmel EA, James S, Schroeder MA, Chung DJ, Rosenberg A, Zonder J, Rubinstein S, D'Souza A, Martin T, Chari A, Vij R, Nooka AK, Anderson KC, Neuberg DS, Richard S, Torres K, Weiss BM, Pederson L, Derkach A, Geyer S, Usmani SZ. Feasibility of decentralized real-world monitoring of SARS-CoV-2 booster vaccines and COVID-19 outcomes in myeloma. Blood Adv. 2026 May 12;10(9):3094-3102. doi: 10.1182/bloodadvances.2025018963.
PubMed 41734388Zorger AM, Hirsch C, Baumann M, Feldmann M, Brockelmann PJ, Mellinghoff S, Monsef I, Skoetz N, Kreuzberger N. Vaccines for preventing infections in adults with haematological malignancies. Cochrane Database Syst Rev. 2025 May 21;5(5):CD015530. doi: 10.1002/14651858.CD015530.pub2.
PubMed 40396505
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Monitoring SARS-CoV-2 Vaccines and COVID-19 Related Outcomes in Individuals With Multiple Myeloma
- ClinicalTrials.gov ID
- NCT05831787
- Acronym / sponsor ID
- COSMIC / ASH RC DH 2022-00001
- Conditions
- Multiple Myeloma
- Keywords
- Myeloma, COVID-19, Vaccine, COSMIC
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 201 participants (actual)
- Lead sponsor
- ASH Research CollaborativeUniversity, hospital or other
- Collaborators
- ModernaTX, Inc.
- Study start
- 23 Jan 2024 (actual)
- Primary completion
- 31 Dec 2024 (actual)
- Study completion
- 31 Dec 2024 (actual)
- First posted
- 26 Apr 2023 (actual)
- Results
- Posted 18 May 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The COVID-19 pandemic has had an outsized impact on individuals with underlying social and medical vulnerability, leading to increased rates of severe disease, hospitalization, and death in these groups. Participants with underlying immune compromise, such as those with multiple myeloma, represent one such group. The advent of vaccines against SARS-CoV-2 has significantly limited morbidity and mortality across all groups, but the effectiveness of vaccination in individuals who are less likely to mount sufficient antibody response is uncertain. For this reason, booster vaccines have been recommended for those with underlying immune compromise. However, several key gaps remain in our understanding of how to best protect these individuals.
There is a dearth of real-world evidence about the effectiveness of vaccination and boosters in patients who are immunocompromised, and very little information specifically about the recently approved mRNA boosters. Additionally, rates of vaccination and booster uptake in the United States remain low. A rapid, decentralized method of ascertaining information related to booster vaccine response and adverse events related to vaccines and COVID-19 infection is critical not only to answer questions about the booster vaccines, but to develop an infrastructure for answering similar questions about future vaccines or other diseases.
Detailed description
The purpose of this project is to implement and establish the feasibility of a decentralized real-world evidence study network for patients with multiple myeloma and to monitor outcomes related to COVID-19 infection in this immunosuppressed population. Subjects with multiple myeloma will be invited to participate. The electronic portal will handle all consenting activities. Participants will be asked to complete specific study procedures electronically, including permission for electronic health record (EHR) data transfer. Participants will be asked to complete electronic questionnaires periodically.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 6 Months
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Diagnosis of multiple myeloma and currently receiving active treatment for any phase of the disease | – | Other: Patient Reported OutcomesDiagnosis of multiple myeloma must meet the International Myeloma Working Group criteria. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Individuals with a diagnosis of multiple myeloma per the International Myeloma Working Group and currently receiving active treatment for any phase of the disease, including initial therapy, maintenance, or relapsed disease.
Key inclusion criteria (4 listed)
- Diagnosis of multiple myeloma per the International Myeloma Working Group and currently receiving active treatment for any phase of the disease, including initial therapy, maintenance, or relapsed disease.
- Access to the internet
- An active patient portal (or willingness to activate)
- Willing to electronically sign the study-specific informed consent and authorization form
Key exclusion criteria (3 listed)
- Non-English speaking
- Lack of internet access
- Cognitive impairment precluding ability to provide informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Patient Reported OutcomesPatients will be asked to complete baseline, 30-day, and 6-month clinical and patient reported outcome health surveys. | Other | Diagnosis of multiple myeloma and currently receiving active treatment for any phase of the disease |
Primary outcome
Feasibility of Obtaining Baseline Clinical and PRO Data Capture From 200 Consented Patients.
Time frame: At Baseline
Proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.
Feasibility of Obtaining 30-day Clinical and PRO Data Capture From 200 Consented Patients.
Time frame: 30 days after enrollment
Proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.
Feasibility of Obtaining 6-month Clinical and PRO Data Capture From 200 Consented Patients.
Time frame: 6 months after enrollment
proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.
10 secondary outcomes
COVID Vaccine Prevalence
Time frame: At Baseline
COVID Booster Incidence
Time frame: 30 Days after enrollment
PRO Review
Time frame: During 6 month study period
COVID-19 Infection Baseline
Time frame: At Baseline
COVID-19 Infection on Study
Time frame: During 6 month study period
Patient Reported COVID 19 Related Outcomes at Baseline
Time frame: At Baseline
Patient Reported COVID 19 Related Outcomes on Study
Time frame: During 6 month study period
EHR COVID 19 Related Outcomes Baseline
Time frame: At Baseline
EHR COVID 19 Related Outcomes on Study
Time frame: During 6 month study period
COVID Booster Incidence
Time frame: 6 months after enrollment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 May 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41734388Wood WA, Kumar SK, Semmel EA, James S, Schroeder MA, Chung DJ, Rosenberg A, Zonder J, Rubinstein S, D'Souza A, Martin T, Chari A, Vij R, Nooka AK, Anderson KC, Neuberg DS, Richard S, Torres K, Weiss BM, Pederson L, Derkach A, Geyer S, Usmani SZ. Feasibility of decentralized real-world monitoring of SARS-CoV-2 booster vaccines and COVID-19 outcomes in myeloma. Blood Adv. 2026 May 12;10(9):3094-3102. doi: 10.1182/bloodadvances.2025018963.
- Derived from this study: PubMed 40396505Zorger AM, Hirsch C, Baumann M, Feldmann M, Brockelmann PJ, Mellinghoff S, Monsef I, Skoetz N, Kreuzberger N. Vaccines for preventing infections in adults with haematological malignancies. Cochrane Database Syst Rev. 2025 May 21;5(5):CD015530. doi: 10.1002/14651858.CD015530.pub2.
- Individual participant dataSharing planned: Undecided. There is no plan at this time. All study data will be stored in the ASH RC Data Hub.
Related trials for Multiple Myeloma
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
William Wood, MD, MPH principal investigator
UNC-Chapel Hill
Saad Usmani, MD,MBA,FACP principal investigator
Memorial Sloan Kettering Cancer Center
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Multiple Myeloma, run by ASH Research Collaborative at 2 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 May 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility of Obtaining Baseline Clinical and PRO Data Capture From 200 Consented Patients. (time frame: At Baseline). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05831787, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2026.