NCT06028724

Brief Summary

The implementation of liquid biopsy in clinical practice has been favored by the rapid development of genome sequencing techniques designed to analyze mutations in ctDNA. Among these, the Next generation sequencing (NGS) is a technique that consists in sequencing several genomes in a short time span, collecting information about a wider range of genomic alterations, using small quantities of genetic material. It is used to identify potential circulating dynamic biomarkers of treatment sensitivity or resistance in a real word multi-pathology evaluation. In this way, defining the mutational status of clinical relevance genes in real world, as a predictive biomarker to identify those patients most likely to benefit from target therapy, offers the potential to optimize access to further therapies. The aim of this study is to evaluate the real-world prevalence of clinically useful mutations in patients who are receiving therapy for advanced and locally advanced solid tumor through liquid biopsy.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
782

participants targeted

Target at P75+ for all trials

Timeline
49mo left

Started May 2023

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress42%
May 2023May 2030

Study Start

First participant enrolled

May 26, 2023

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

August 3, 2023

Completed
1 month until next milestone

First Posted

Study publicly available on registry

September 8, 2023

Completed
6.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2030

Last Updated

September 13, 2023

Status Verified

August 1, 2023

Enrollment Period

7 years

First QC Date

August 3, 2023

Last Update Submit

September 8, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Real world prevalence of clinically useful mutations in solid tumors

    Real world prevalence of clinically useful mutations in solid tumors, defined as the proportion of patients with the detection of clinically useful mutations through ctDNA NGS, at the beginning of systemic therapies defined as per inclusion criteria for advanced disease.

    at the beginning of treatment

Secondary Outcomes (6)

  • To identify emerging gene alterations associated with Progression Free Survival

    from study enrollment until progression or death for any cause, up to 7 years

  • To identify emerging gene alterations associated with Overall Survival

    from study enrollment until death for any cause, up to 7 years

  • To describe changes in ctDNA associated biomarkers during treatment

    up to 7 years

  • To evaluate the association between somatic genetic alterations and the histopathological features of the tumor

    up to 7 years

  • To evaluate the association between somatic genetic alterations and pattern of metastasis

    up to 7 years

  • +1 more secondary outcomes

Eligibility Criteria

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

Patients who are receiving therapy for advanced and locally advanced solid tumor as specified in eligibility criteria

You may qualify if:

  • Patients, 18 years of age or older
  • Competent and able to comprehend, sign and date an Ethics Committee (EC) approved Informed Consent Form (ICF) before performance of any study-specific procedures or tests
  • Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
  • Histologically proven diagnosis solid tumor
  • Diagnosis of advanced or locally advanced disease
  • Patients candidated to receive standard therapy in the following line:
  • first, second or third-line therapy for colon-rectal cancer in IV stage
  • first or second-line therapy for gastric cancer in IV stage
  • primary intent or first-line therapy for pancreatic cancer
  • first-line therapy for bile duct cancer
  • first or second-line therapy for hepatocarcinoma
  • first, second, third, fourth or fifth-line therapy for breast cancer in IV stage
  • chemotherapy for ovarian cancer in advanced stage (FIGO III-IV) and at the time of first relapse
  • first or second-line therapy for endometrial cancer in advanced stage (FIGO III-IV)
  • first or second-line therapy for advanced or locally advanced cervical cancer
  • +2 more criteria

You may not qualify if:

  • Diagnosis of any secondary malignancy within the last 3 years, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the cervix.
  • Patients unable or unwilling to undergo as per protocol assessments at the four planned timepoints

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

IRCCS, Centro di Riferimento Oncologico (CRO) di Aviano

Aviano, Pordonone, 33081, Italy

RECRUITING

MeSH Terms

Conditions

Colonic NeoplasmsStomach NeoplasmsPancreatic NeoplasmsBile Duct NeoplasmsCarcinoma, HepatocellularBreast NeoplasmsOvarian NeoplasmsEndometrial NeoplasmsUterine Cervical NeoplasmsVulvar NeoplasmsMelanoma

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesStomach DiseasesEndocrine Gland NeoplasmsPancreatic DiseasesEndocrine System DiseasesBiliary Tract NeoplasmsBile Duct DiseasesBiliary Tract DiseasesAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeLiver NeoplasmsLiver DiseasesBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesGonadal DisordersUterine NeoplasmsUterine DiseasesUterine Cervical DiseasesVulvar DiseasesNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms, Nerve TissueNevi and MelanomasSkin Neoplasms

Study Officials

  • Fabio Puglisi, MD, PhD

    IRCCS-Centro di Riferimento Oncologico (CRO), Aviano (PN)

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Fabio Puglisi, MD, PhD

CONTACT

Giulia Cudia, MSc

CONTACT

Study Design

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

Study Record Dates

First Submitted

August 3, 2023

First Posted

September 8, 2023

Study Start

May 26, 2023

Primary Completion (Estimated)

May 31, 2030

Study Completion (Estimated)

May 31, 2030

Last Updated

September 13, 2023

Record last verified: 2023-08

Locations