NCT03248089

Brief Summary

Tumor Derived cell free DNA (cfDNA) is increasingly used in the clinic to obtain genotype information about lung cancer, but its concordance with concurrent tumor-derived sequenced data is not known. The primary objective of this study is to demonstrate the non-inferiority of cfDNA-based versus tumor tissue-based genotyping.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
186

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jul 2016

Typical duration for all trials

Geographic Reach
1 country

7 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2016

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2017

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

August 1, 2017

Completed
13 days until next milestone

First Posted

Study publicly available on registry

August 14, 2017

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2019

Completed
Last Updated

January 9, 2019

Status Verified

January 1, 2019

Enrollment Period

1 year

First QC Date

August 1, 2017

Last Update Submit

January 8, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Non-inferiority of cell free DNA (cfDNA)-based versus tumor tissue-based genotyping

    Demonstrate the non-inferiority of cell free DNA (cfDNA)-based versus tumor tissue-based genotyping as it pertains to the detection of clinically-actionable biomarkers in first line, treatment naïve, metastatic non-squamous Non-small cell lung cancer (NSCLC).

    From date of inclusion until 12 months from enrollment follow-up or upon progression, death or withdrawal from study participation, whichever occurs first.

Secondary Outcomes (8)

  • Turn around Time (TAT) of cell free DNA (cfDNA) vs. tissue results

    From pre-treatment visit until month 12 or upon progression, whichever occurs first

  • Time to treatment (TtT) initiation

    From the date of enrollment in the study until D1 (treatment initiation)

  • Quantity not sufficient rate (QNS) of tissue

    From day 0 to pre-treatment visit

  • Tissue Incomplete (TI) rate of tissue

    From day 0 to pre-treatment visit

  • Tumor Not Detected (TND) rate of cell free DNA (cfDNA)

    From pre-treatment visit until month 12 or upon progression, whichever occurs first

  • +3 more secondary outcomes

Interventions

Guardant360DIAGNOSTIC_TEST

Cell-free circulating tumor DNA (cfDNA) targeted next-generation sequencing (NGS) panel.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

182 patients with previously untreated non-small cell lung cancer (NSCLC), non-squamous subtype will be recruited for this study, wherein Cell free DNA (cfDNA) will be compared to biopsy-based tumor sequencing

You may qualify if:

  • Patients biopsy-proven, metastatic, previously untreated, non-squamous non-small cell lung cancer (NSCLC). Patients may have received adjuvant cytotoxic chemotherapy, but not targeted neo-adjuvant or adjuvant therapy.
  • Age ≥ 18 years
  • Ability to understand a written informed consent document, and the willingness to sign it.
  • Willingness to provide blood sample at the time points defined in Table 1 \[pre-treatment, Day 14 (+/- 7 days) and End of Study\].
  • Patient has or will have standard-of-care tissue genotyping ordered.
  • Stable Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

You may not qualify if:

  • Pregnancy, recorded from clinical records
  • Any concurrent, non-cutaneous, malignancy (with the exception of early stage non-invasive cervical cancer). Any prior cancer must have occurred more than 5 years prior with no evidence of currently active disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

H. Can Ruti

Badalona, Spain

Location

Dexeus

Barcelona, Spain

Location

H. del Mar

Barcelona, Spain

Location

H. Sant Pau

Barcelona, Spain

Location

H. Vall Hebrón

Barcelona, Spain

Location

ICO Bellvitge

L'Hospitalet de Llobregat, Spain

Location

H. Arnau de Vilanova

Valencia, Spain

Location

Biospecimen

Retention: SAMPLES WITH DNA

Approximately 20 mL of peripheral blood will be collected in StreckTM tubeS. cfDNA will be drawn following blood withdraws following standard of care of the participating site, which would be, before treatment (v2); on the same date as the first standard of care labs (V3), which would be approximately 2 weeks (14 days) into first-line treatment and after one year from enrollment or upon progression whichever occurs first (EoS visit). enrollment or upon progression whichever occurs first (EoS visit).

MeSH Terms

Conditions

Lung Neoplasms

Condition Hierarchy (Ancestors)

Respiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Rafael Rosell

    IOR

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
OTHER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 1, 2017

First Posted

August 14, 2017

Study Start

July 1, 2016

Primary Completion

July 1, 2017

Study Completion

January 1, 2019

Last Updated

January 9, 2019

Record last verified: 2019-01

Data Sharing

IPD Sharing
Will not share

Locations