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CTRI Number  CTRI/2025/04/085798 [Registered on: 28/04/2025] Trial Registered Prospectively
Last Modified On: 27/04/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   A cross sectional study on loss of sex chromosomes in myeloma patients 
Scientific Title of Study   An observational study on loss of sex chromosomes in myeloma patients 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Uday Yanamandra 
Designation  Professor 
Affiliation  Armed Forces Medical College 
Address  Room no 10 Department of internal medicine Armed Forces Medical College Pune

Pune
MAHARASHTRA
411040
India 
Phone  08195035551  
Fax    
Email  udayj2yanamandra@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Uday Yanamandra 
Designation  Professor 
Affiliation  Armed Forces Medical College 
Address  Room no 10 Department of internal medicine Armed Forces Medical College Pune

Pune
MAHARASHTRA
411040
India 
Phone  08195035551  
Fax    
Email  udayj2yanamandra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Uday Yanamandra 
Designation  Professor 
Affiliation  Armed Forces Medical College 
Address  Room no 10 Dept of internal medicine Armed Forces Medical College Pune

Pune
MAHARASHTRA
411040
India 
Phone  08195035551  
Fax    
Email  udayj2yanamandra@gmail.com  
 
Source of Monetary or Material Support  
ARMED FORCES MEDICAL COLLEGE 
 
Primary Sponsor  
Name  Armed Forces Medical College 
Address  Pune Sholapur Highway Pune Maharashtra 411040 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Uday Yanamandra  AFMC   Room no 10 Department of internal medicine Armed Forces Medical College Pune
Pune
MAHARASHTRA 
08195035551

udayj2yanamandra@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D728||Other specified disorders of whiteblood cells,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  myeloma patients 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To analyse the loss of Y chromosomes in male and X chromosomes in female patients of myeloma  Cross sectional study
Single time point 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="151"
Sample Size from India="151" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/05/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Genetic instability is a key characteristic in cells of myeloma. The loss of sex chromosomes, such as the loss of one X chromosome in females or abnormalities in the X or Y chromosomes in males could lead to genetic instability. The loss of sex chromosomes often occurs alongside other genetic mutations or chromosomal abnormalities, such as changes in the genes responsible for regulating the immune system or blood cell production. This combination of genetic changes can increase the risk of developing multiple myeloma. The loss of sex chromosomes might also have different implications based on gender. In women, the loss of an X chromosome (a phenomenon known as mosaic loss of X chromosomes) can lead to changes in gene expression that may affect immune system function and contribute to diseases like myeloma. In men, the loss of the Y chromosome or changes in the X chromosome might have a similar impact on immune function and cell regulation, potentially influencing cancer risk .In view of the above this study aims to understand the pattern of loss of sex chromosomes in patients of myeloma. Patients who fulfil the inclusion criteria are selected after taking informed written consent. Male patients are tested for loss of Y chromosomes and female patients for loss of X chromosomes by FISH (fluorescent in situ hybridization on interphase cells, lymphocytes of peripheral blood sample).The blood samples will be collected from the OPD setup and will be analyzed at AFMC. (2ml of heparin sample)Prestructured, pretested and validated proforma will be used for data collection 
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