NCT03896958

Brief Summary

The PIONEER Initiative stands for Precision Insights On N-of-1 Ex vivo Effectiveness Research. The PIONEER Initiative is designed to provide access to functional precision medicine to any cancer patient with any tumor at any medical facility. Tumor tissue is saved at time of biopsy or surgery in multiple formats, including fresh and cryopreserved as a living biospecimen. SpeciCare assists with access to clinical records in order to provide information back to the patient and the patient's clinical care team. The biospecimen tumor tissue is stored in a bio-storage facility and can be shipped anywhere the patient and the clinical team require for further testing. Additionally, the cryopreservation of the biospecimen allows for decisions about testing to be made at a later date. It also facilitates participation in clinical trials. The ability to return research information from this repository back to the patient is the primary end point of the study. The secondary end point is the subjective assessment by the patient and his or her physician as to the potential benefit that this additional information provides over standard of care. Overall the goal of PIONEER is to enable best in class functional precision testing of a patient's tumor tissue to help guide optimal therapy (to date this type of analysis includes organoid drug screening approaches in addition to traditional genomic profiling).

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Mar 2019

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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

March 21, 2019

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

March 26, 2019

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 1, 2019

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 12, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 12, 2024

Completed
Last Updated

December 4, 2020

Status Verified

December 1, 2020

Enrollment Period

5 years

First QC Date

March 26, 2019

Last Update Submit

December 2, 2020

Conditions

Outcome Measures

Primary Outcomes (3)

  • Return of research information

    Monitor the ability to return research and study information back to the individual patient and cancer care team over time. We will calculate the % of patients that carry out additional genomic testing, % of patients that carry out additional functional precision testing, and % of clinicians that report that they altered their clinical therapeutic regiments based upon these results

    Two Years

  • Assessment of benefit of return of research results

    Survey of study subjects and physicians as to the benefit or not of access to this additional data in attempting to improve upon standard of care of the day. We will calculate this as a % of patients.

    Two Years

  • Assessment of benefit of return of research results by SpeciCare Outcome Monitor Board

    The primary mission of our team is to assess benefit of patient tissue ownership and functional testing to the standard of care process. We will calculate this as a % of patients.

    Two Years

Eligibility Criteria

Age1 Month - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The primary target study group is all patients with a cancer serious enough to put the patient at risk of morbidity or death.

You may qualify if:

  • \- All patients diagnosed with cancer and all patients at risk of cancer

You may not qualify if:

  • Patients who decline definitive therapies Patients with comorbidities that prevent definitive therapies Patients on hospice

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Specicare

Gainesville, Georgia, 30501, United States

RECRUITING

Biospecimen

Retention: SAMPLES WITH DNA

Biospecimens are saved in fresh and cryopreserved state. Also, FFPE, DNA, and RNA extraction.

MeSH Terms

Conditions

NeoplasmsLiver NeoplasmsStomach NeoplasmsHead and Neck NeoplasmsRectal NeoplasmsKidney NeoplasmsEsophageal NeoplasmsColonic NeoplasmsSkin NeoplasmsUterine Cervical NeoplasmsNeoplasm MetastasisLaryngeal NeoplasmsLung NeoplasmsBrain NeoplasmsNeurologic ManifestationsVulvar NeoplasmsPancreatic NeoplasmsSarcomaSmall Cell Lung CarcinomaAdenocarcinoma of LungProstatic NeoplasmsAdrenal Gland NeoplasmsTesticular NeoplasmsUterine NeoplasmsAdenocarcinoma, Bronchiolo-AlveolarNeoplasms, Unknown PrimaryGlioblastomaOligodendrogliomaBreast NeoplasmsCarcinoma, Renal CellCarcinoma, HepatocellularCholangiocarcinomaCarcinoma, Squamous CellCarcinoma, Transitional CellAnus NeoplasmsMelanomaBile Duct NeoplasmsUrinary Bladder NeoplasmsThyroid Carcinoma, Anaplastic

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesLiver DiseasesGastrointestinal NeoplasmsGastrointestinal DiseasesStomach DiseasesColorectal NeoplasmsIntestinal NeoplasmsIntestinal DiseasesRectal DiseasesUrologic NeoplasmsUrogenital NeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesKidney DiseasesUrologic DiseasesMale Urogenital DiseasesEsophageal DiseasesColonic DiseasesSkin DiseasesSkin and Connective Tissue DiseasesGenital Neoplasms, FemaleUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleGenital DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and SymptomsOtorhinolaryngologic NeoplasmsLaryngeal DiseasesRespiratory Tract DiseasesRespiratory Tract NeoplasmsOtorhinolaryngologic DiseasesThoracic NeoplasmsLung DiseasesCentral Nervous System NeoplasmsNervous System NeoplasmsBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesSigns and SymptomsVulvar DiseasesEndocrine Gland NeoplasmsPancreatic DiseasesEndocrine System DiseasesNeoplasms, Connective and Soft TissueNeoplasms by Histologic TypeCarcinoma, BronchogenicBronchial NeoplasmsAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialGenital Neoplasms, MaleGenital Diseases, MaleProstatic DiseasesAdrenal Gland DiseasesTesticular DiseasesGonadal DisordersAstrocytomaGliomaNeoplasms, NeuroepithelialNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms, Nerve TissueBreast DiseasesNeoplasms, Squamous CellAnus DiseasesNeuroendocrine TumorsNevi and MelanomasBiliary Tract NeoplasmsBile Duct DiseasesBiliary Tract DiseasesUrinary Bladder Diseases

Study Officials

  • Ken Dixon, MD

    SpeciCare

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Patrick deGrouchy, BA

CONTACT

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 26, 2019

First Posted

April 1, 2019

Study Start

March 21, 2019

Primary Completion

March 12, 2024

Study Completion

March 12, 2024

Last Updated

December 4, 2020

Record last verified: 2020-12

Data Sharing

IPD Sharing
Will share

Data will be shared with strategic partners with appropriate IRB vetting.

Shared Documents
STUDY PROTOCOL, ICF, CSR
Time Frame
Within six months of completion of study and/or publication of data driven by the study.
Access Criteria
SpeciCare has a data access committee, to which researchers can apply and receive data pending approval of this committee.

Locations