Implementation of Liquid Biopsies During Routine Clinical Care in Patients With Advanced Malignancies (LIQPLAT) (LIQPLAT)
The goal of this study is to assess the implementation and feasibility of ctDNA measurements from blood samples obtained during routine clinical care of cancer patients in the University Hospital Basel.
Researchers will compare clinical and patient reported outcomes from the LIQPLAT study with patients who did not receive ctDNA measurements (external comparator from registry AO_2023-00091).
Blood samples will be drawn from the patients as part of routine care and ctDNA measurements will be performed on these samples.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Liquid biopsies, in particular the analysis of circulating tumor DNA (ctDNA), have emerged as a promising tool for detecting and monitoring cancer. Measuring ctDNA in patients with solid malignancies may help to identify targetable alterations, measure disease burden, identify early mutations of resistance, tailor and deescalate cancer treatment, and predict patient prognosis. Although the adoption and application of ctDNA measurements for patients with solid tumors in routine clinical care is increasing, evidence supporting the integration of ctDNA into current practice is limited, especially for patients with advanced cancers.
This is a trial using routinely collected health care data from an ongoing registry (AO_2023-00091) in cancer patients with advanced solid malignancies receiving first line systemic anticancer treatment for advanced disease.
This trial will assess the feasibility and implementation of routine measurement of ctDNA and its association with clinical outcomes, including quality of life and survival. All patients will receive routine diagnostics, treatment and follow-up. All patients with a new cancer diagnosis will be assessed for eligibility based on the routinely collected information available in the registry. We will then randomly decide which eligible patients are invited to participate in the trial. If patients accept the invitation and intend to get a measurement of ctDNA, they have to provide written informed consent.
Results from ctDNA analyses will be discussed at the molecular tumor board, an established regular interdisciplinary meeting at the University Hospital Basel (part of routine care) to discuss patients with complex findings from tumor sequencing analyses. Treatment changes occurring during the trial duration will be at the discretion of treating physician and according to patient's preference as is routine standard of care.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Benjamin Kasenda, PD. Dr. med et Dr. phil.
- Phone Number: 0041 61 265 50 75
- Email: Benjamin.Kasenda@usb.ch
Study Contact Backup
- Name: Andreas M Schmitt, Dr.
- Phone Number: 0041 61 265 50 75
- Email: AndreasMichael.Schmitt@usb.ch
Study Locations
-
-
-
Basel, Switzerland, 4031
- Department of Medical Oncology, University Hospital Basel
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with a proven solid malignant disease, i.e. with solid malignant tumors where no primary surgical resection is planned OR solid malignant tumors that are locally advanced and inoperable OR solid tumors that are metastatic
- No prior treatment for advanced/metastatic disease
- Indication for medical anti-cancer treatment (including combined chemoradiotherapy) as judged by the treating physician
- Patient age 18 years and older
- General research consent of the University Hospital Basel
Exclusion Criteria:
● Patients with primary brain tumors
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Active Comparator
Patients included in the ongoing registry AO_2023-00091. Patients will have ctDNA measurements being performed on blood samples collected as part of clinical routine. |
Blood samples are collected as part of standard of care and ctDNA measurements will be performed on these samples.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number and proportion of patients in whom ctDNA was detectable before starting medical anticancer treatment
Time Frame: 1 time assessment at baseline
|
Number and proportion of patients in whom ctDNA was detectable before starting medical anticancer treatment.
Calculated as the number of patients with detectable ctDNA over the total number of patients included, expressed as a percentage.
|
1 time assessment at baseline
|
|
Patients in whom actionable alterations were identified in ctDNA analysis
Time Frame: baseline, between month 2 and 3, between month 5 and 6, clinical event
|
Patients in whom actionable alterations were identified in ctDNA analysis. Calculated as the number of patients with actionable alterations over the total number of patients included, expressed as a percentage. Clinical event is defined as suspicious or confirmed clinical or radiological disease progression or treatment discontinuation for any reason. |
baseline, between month 2 and 3, between month 5 and 6, clinical event
|
|
Turn-around time of ctDNA analysis
Time Frame: baseline, between month 2 and 3, between month 5 and 6, clinical event
|
Time from ctDNA request until issuing the first report. Expressed as hours. Clinical event is defined as suspicious or confirmed clinical or radiological disease progression or treatment discontinuation for any reason. |
baseline, between month 2 and 3, between month 5 and 6, clinical event
|
|
ctDNA kinetics
Time Frame: up to 24 months
|
Change in allelic frequency over time including relative changes from baseline.
|
up to 24 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of ctDNA testing results that were successfully made available to the molecular tumor board
Time Frame: up to 24 months
|
Number of ctDNA testing results that were successfully made available to the molecular tumor board.
|
up to 24 months
|
|
Number of patients being positive for ctDNA and suspicious Clonal Hematopoiesis of Indeterminate Potential
Time Frame: up to 24 months
|
Number of patients being positive for ctDNA and suspicious Clonal Hematopoiesis of Indeterminate Potential
|
up to 24 months
|
|
Overall survival
Time Frame: up to 24 months
|
Overall survival.
|
up to 24 months
|
|
Survival rate 6 months
Time Frame: Month 6
|
Survival rate 6 months.
|
Month 6
|
|
Survival rate 12 months
Time Frame: Month 12
|
Survival rate 12 months.
|
Month 12
|
|
Time to next treatment line
Time Frame: up to 24 months
|
Time to next treatment line, expressed in days.
|
up to 24 months
|
|
Unplanned hospital admissions and emergency room visits
Time Frame: up to 24 months
|
Number and proportion of unplanned hospital admissions and emergency room visits.
|
up to 24 months
|
|
Progression free survival
Time Frame: up to 24 months
|
Progression free survival as determined by routine imaging (e.g.
CT scan, MRI), tumor marker (e.g.
PSA).
Defined as time from date of informed consent until disease progression or death, whatever occurs first.
|
up to 24 months
|
|
Number of ctDNA analyses with a valid result
Time Frame: up to 24 months
|
Number of ctDNA analyses with a valid result - that is all ctDNA analyses conducted without any observed technical errors.
|
up to 24 months
|
|
Quality of life and physical function
Time Frame: month 3, month 6, month 12
|
Global quality of life and physical function as measured by EORTC QLQ C30 and C15 (European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire).
Calculation of the scores follows the validated formulas as issued by the EORTC.
Scores range from 0% to 100% for all domains with higher values representing better outcome.
|
month 3, month 6, month 12
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patients being referred and recruited to a different interventional clinical trial
Time Frame: up to 24 months
|
Number and proportion of patients being referred and recruited to a different interventional clinical trial.
|
up to 24 months
|
|
Tissue biopsies per patient
Time Frame: up to 24 months
|
Number of (solid) tissue biopsies per patient and proportion of patients receiving a biopsy.
|
up to 24 months
|
|
Imaging per patient
Time Frame: up to 24 months
|
Number of imaging per patient (CT, PET/CT or MRI).
|
up to 24 months
|
|
Blood products per patient
Time Frame: up to 24 months
|
Number of blood products per patient.
|
up to 24 months
|
|
Cumulative doses of cancer drug treatments administered
Time Frame: up to 24 months
|
Cumulative doses of cancer drug treatments administered.
|
up to 24 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Benjamin Kasenda, PD. Dr. med et Dr. phil., USB
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2024-00358; th23Kasenda
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Advanced Solid Tumor
-
NCT05269316RecruitingSolid Tumor | Advanced Solid Tumor
-
NCT05315167RecruitingAdvanced Solid Tumor | Advanced Solid Malignancies
-
NCT05661461RecruitingAdvanced Solid Tumor | Tumor | Tumor, Solid
-
NCT06587295RecruitingAdvanced Solid Tumor | Metastatic Solid Tumor
-
NCT05983523RecruitingAdvanced Solid Tumor | Metastatic Solid Tumor
-
NCT04145622RecruitingAdvanced Solid Tumor | Malignant Solid Tumor
-
NCT05631327TerminatedAdvanced Solid Tumor | Metastatic Solid Tumor
-
NCT05981703RecruitingSolid Tumor | Advanced Solid Tumor
-
NCT06927297RecruitingAdvanced Solid Malignancies | Advanced Solid Tumor Malignancies
-
NCT04659629CompletedSolid Tumor | Advanced Solid Tumor
Clinical Trials on ctDNA measurement
-
NCT07125729RecruitingStage IV Colorectal Cancer AJCC v8 | Stage III Colorectal Cancer AJCC v8 | Stage II Colorectal Cancer AJCC v8 | Resectable Colorectal Carcinoma
-
NCT05067842Withdrawn
-
NCT04670588Withdrawn
-
NCT05635630RecruitingPredictive Value of ctDNA for NED Status in mCRC and Its Utility in Guiding Therapeutic InterventionMetastatic Colorectal Cancer | No Evidence of Disease Status | ctDNA Monitoring
-
NCT05029869Active, not recruitingGastric Cancer | ctDNA
-
NCT06463262RecruitingChordoma of Sacrum | Chordoma of Spine | Chordoma of Skull Base
-
NCT05629442Not yet recruitingRectal Cancer | Non Metastatic Rectal Cancer
-
NCT07546578Active, not recruitingOvarian Cancer | Liquid Biopsy
-
NCT06479460RecruitingBreast Cancer | HER2-positive Breast Cancer | Circulating Tumor DNA | Neoadjuvant
-
NCT06341855Recruiting