Observational Study on Firefighters and Blood Cancers

This study is looking at firefighters aged 40-49 to see if their job exposure increases the risk of developing pre-cancerous blood conditions like Clonal Hematopoiesis of Indeterminate Potential (CHIP) or Monoclonal Gammopathy, which can sometimes lead to blood cancers such as Non-Hodgkin Lymphoma, Leukemia, or Multiple Myeloma. You would have blood collected to check for these conditions using tests like Complete Blood Count with differential (CBC w/ diff), Monoclonal Gammopathy (SPEP, immunofixation, and free light chains), and Clonal hematopoiesis (CHIP) (next generation sequencing). The study aims to understand if these pre-cancerous states are more common in firefighters. If abnormal results are found, you would be referred for further medical evaluation. This is an observational study, meaning no specific treatment is being tested, and it is currently unclear if they are actively enrolling participants.

Study design
This is an observational study planning to enroll 300 participants. It is not specified if it is randomized or blinded.
What's involved
You would have blood collected at a baseline visit for various tests and complete a Firefighter History Assessment. Buccal swabs and remaining blood may also be collected for future research if you consent.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoint, Clonal Hematopoiesis (CHIP), is measured from enrollment to availability of lab results, approximately 6 months. If abnormal results are found, you would be referred for further diagnostic work-up, and the final diagnosis would be collected.

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NCT06870760

Pre-malignant States to Hematologic Malignancies in Firefighters

Recruiting
Not specifiedAges 40–49Observational
Wake Forest University Health Sciences
~300 participants
Updated 2026-07-13 on ClinicalTrials.gov
What's tested:Monoclonal GammopathyComplete Blood Count with differential (CBC w/ diff)Clonal hematopoiesis (CHIP)

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Clonal Hematopoiesis (CHIP)
Measured over From enrollment to availability of lab results, approximately 6 months
Clonal Hematopoiesis of Indeterminate Potential
Monoclonal Gammopathy
Non Hodgkin Lymphoma
Leukemia
Multiple Myeloma
Plasma Cell Disorder
1 sites across 1 states
North Carolina1
  • Larry Druhan, PhD · PRINCIPAL_INVESTIGATOR · Wake Forest University Health Sciences

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  • Clonal Hematopoiesis (CHIP)From enrollment to availability of lab results, approximately 6 months

    The presence of positive somatic mutation will be determined for each enrolled participant as a binary variable indicating if the participant is harboring clonal hematopoiesis.