NCT04484636

Brief Summary

PLATON (Platform for Analyzing Targetable Mutations) is a prospective, multicentre, observational cohort study with biobanking. In a first approach PLATON's pilot-study assesses genomic profiling in gastrointestinal cancer therapy and the frequencies of targetable mutations including Tumor Mutational Burden (TMB) and Microsatellite Instability Status (MSI), performing Next-generation deep sequencing (NGS) using the Foundation Medicine assays on tumor specimen and EDTA-whole blood samples. The Study Protocol does not define any further medical intervention or evaluate the efficacy or safety of the treatment decision made by the investigator. Another important objective of PLATON's pilot project is to evaluate whether and how many patients are treated based on their genomic profiles.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
400

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

46 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

First Submitted

Initial submission to the registry

July 10, 2020

Completed
13 days until next milestone

First Posted

Study publicly available on registry

July 23, 2020

Completed
3 months until next milestone

Study Start

First participant enrolled

October 28, 2020

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2024

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2024

Completed
Last Updated

March 20, 2025

Status Verified

January 1, 2025

Enrollment Period

3.8 years

First QC Date

July 10, 2020

Last Update Submit

March 17, 2025

Conditions

Keywords

Gastric cancerIndividualized cancer therapyTargetable mutationsFoundation Medicine assaysHepatocellular CancerCholangiocarcinomaGallbladder CancerPancreatic CancerOesophageal CancerStomach CancerPlatform-DesignBiobanking

Outcome Measures

Primary Outcomes (1)

  • Distribution of mutations in patients with HCC, intra- and extrahepatic CCA, GBCA, PDAC and gastric cancer

    Relative frequency of targetable mutations (incl. TMB and MSI status) computed as the number of patients who harbors at least one mutation divided by the number of total patients in the pooled patient population.

    up to 4 weeks after biospecimen provision

Secondary Outcomes (3)

  • Heterogeneity of targetable alterations in paraffin embedded specimen vs. cfDNA

    up to 4 weeks after biospecimen provision

  • Relative frequency of targetable mutations (incl. TMB and MSI status) per disease group

    up to 4 weeks after biospecimen provision

  • Number of patients receiving therapies in accordance to their genomic profiles

    up to 4 weeks after biospecimen provision

Study Arms (5)

Hepatocellular Cancer

OTHER

molecular profiling - hepatocellular cancer (HCC)

Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid

Cholangiocarcinoma

OTHER

molecular profiling - intra- and extrahepatic cholangiocellular carcinoma (CCA)

Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid

Gallbladder Cancer

OTHER

molecular profiling - gallbladder carcinoma (GBCA)

Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid

Pancreatic Cancer

OTHER

molecular profiling - pancreatic cancer (PanCa)

Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid

Oesophageal Cancer + Stomach Cancer

OTHER

molecular profiling - esophagogastric cancer (EC/GC)

Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid

Interventions

FoundationOne CDx is a FDA-approved broad companion diagnostic (CDx) that is clinically and analytically validated for solid tumors. The test is designed to provide physicians with clinically actionable information - both to consider appropriate therapies for patients and understand results with evidence of resistance - based on the individual genomic profile of each patient's cancer. Every test result includes microsatellite instability (MSI) and tumor mutational burden (TMB) to help inform immunotherapy decisions. FoundationOne®Liquid is a liquid biopsy test for solid tumors that analyzes circulating tumor DNA (ctDNA) in blood.

CholangiocarcinomaGallbladder CancerHepatocellular CancerOesophageal Cancer + Stomach CancerPancreatic Cancer

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed diagnosis of hepatocellular carcinoma or intra-/extrahepatic cholangiocarcinoma or gallbladder carcinoma or pancreatic ductal adenocarcinoma or esophagogastric adenocarcinoma in the advanced setting and no local curative therapy available.
  • Standard first line therapy is planned, or patient is currently receiving first line therapy (started within the last 2 months before enrolment)
  • ECOG 0-2
  • Life expectancy ≥ 6 months

You may not qualify if:

  • Not able to understand all implications of study participation
  • No written informed consent
  • age \< 18 years

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (46)

KHNW Frankfurt

Frankfurt am Main, Hesse, 60488, Germany

Location

Hannover Medical School

Hanover, Lower Saxony, 30625, Germany

Location

Onkologische Schwerpunktpraxis Speyer

Speyer, Rhineland-Palatinate, D-67346, Germany

Location

Elblandklinikum Riesa

Ried, Saxony, D-01589, Germany

Location

Friedrich-Ebert-Krankenhaus Neumünster

Neumünster, Schleswig-Holstein, 24534, Germany

Location

MVZ Oskar-Helene-Heim Berlin

Berlin, State of Berlin, Germany

Location

Sana Kliniken Leipziger Land

Borna, Thuringia, D-04552, Germany

Location

HELIOS Klinikum Bad Saarow

Bad Saarow, Germany

Location

Klinikum Bayreuth

Bayreuth, 95445, Germany

Location

Vivantes Klinikum Spandau

Berlin, 13585, Germany

Location

Charité - Universitätsmedizin Berlin

Berlin, Germany

Location

Evangelisches Waldkrankenhaus Spandau

Berlin, Germany

Location

Augusta-Kranken-Anstalt Bochum

Bochum, Germany

Location

Bochum Uni

Bochum, Germany

Location

Klinikum Chemnitz

Chemnitz, Germany

Location

Klinikum Darmstadt

Darmstadt, Germany

Location

GEFOS - Gesellschaft für onkologische Studien Dortmund

Dortmund, Germany

Location

Onkozentrum Dresden

Dresden, Germany

Location

Klinikum Frankfurt Höchst

Frankfurt, 65929, Germany

Location

Klinikum Fulda

Fulda, 36043, Germany

Location

MVZ Onkologische Kooperation Harz

Goslar, Germany

Location

Universitätsklinikum Halle (Saale)

Halle, Germany

Location

Hamburg Onkologisch-Hämatologische Schwerpunktpraxis

Hamburg, 22457, Germany

Location

Evangelisches Krankenhaus Hamm

Hamm, 59063, Germany

Location

St. Anna Hospital Herne

Herne, Germany

Location

Ortenau Klinikum Lahr-Ettenheim

Lahr, Germany

Location

ÜBAG - MVZ Dr. Vehling-Kaiser GmbH

Landshut, Germany

Location

Langen, Gemeinschaftspraxis für Hämatologie und Onkologie

Langen, Germany

Location

Studienzentrum UnterEms

Leer, Germany

Location

Klinikum Lippe

Lemgo, Germany

Location

Klinikum Ludwigsburg

Ludwigsburg, Germany

Location

Universitätsklinikum Giessen und Marburg GmbH

Marburg, 35043, Germany

Location

Klinik München-Bogenhausen

München, Germany

Location

Münster, Gemeinschaftspraxis für Hämatologie und Onkologie

Münster, Germany

Location

Niels-Stensen-Kliniken Osnabrück

Osnabrück, 49074, Germany

Location

Medius Klinik Osterfildern-Ruit

Ostfildern, Germany

Location

Krankenhaus Barmherzige Brüder

Regensburg, Germany

Location

Klinikum Rheine, Mathias-Spital Rheine

Rheine, Germany

Location

RoMed Klinikum Rosenheim

Rosenheim, 83022, Germany

Location

Klinikum Südstadt Rostock

Rostock, 18059, Germany

Location

CaritasKlinikum Saarbrücken

Saarbrücken, Germany

Location

Onkologie Bodensee

Singen, Germany

Location

Helios Dr. Horst Schmidt Kliniken Wiesbaden GmbH

Wiesbaden, 65199, Germany

Location

Marien Hospital Witten

Witten, Germany

Location

Klinikum Wolfsburg

Wolfsburg, Germany

Location

Onkologisches Zentrum Wolfsburg-Helmstedt MVZ GmbH

Wolfsburg, Germany

Location

Related Links

MeSH Terms

Conditions

Liver NeoplasmsCholangiocarcinomaGallbladder NeoplasmsPancreatic NeoplasmsEsophageal NeoplasmsStomach Neoplasms

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesLiver DiseasesAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeBiliary Tract NeoplasmsBiliary Tract DiseasesGallbladder DiseasesEndocrine Gland NeoplasmsPancreatic DiseasesEndocrine System DiseasesGastrointestinal NeoplasmsHead and Neck NeoplasmsEsophageal DiseasesGastrointestinal DiseasesStomach Diseases

Study Officials

  • Salah-Eddin Al-Batran, Prof.

    Institut für Klinische Krebsforschung IKF GmbH

    STUDY DIRECTOR
  • Arndt Vogel, Prof.

    Hannover Medical School

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Model Details: Experimental Study
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 10, 2020

First Posted

July 23, 2020

Study Start

October 28, 2020

Primary Completion

August 30, 2024

Study Completion

December 31, 2024

Last Updated

March 20, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will not share

Depending on particpant informed concent individual-participant data (IPD) will only be shared in research-cooperations according the terms of PLATON's Use and Access Regulation. Scientific projects have to be approved by PLATON'S Scientific Steering Committee.

Locations