- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02060890
Molecular Profiling in Guiding Individualized Treatment Plan in Adults With Recurrent/Progressive Glioblastoma (TGEN)
December 8, 2023 updated by: University of California, San Francisco
A Pilot Trial Testing the Feasibility of Using Molecular Profiling to Guide an Individualized Treatment Plan in Adults With Recurrent/Progressive Glioblastoma
This current study will use a new treatment approach based on each patient's tumor genomic profiling consisting of whole genome sequencing, exome analysis, and RNA sequencing as well as predictive modeling.
This new treatment strategy has shown promising results in adult patients with other solid tumors.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Patients with recurrent glioblastoma who are candidates for surgery for their clinical management will have tumor tissue taken at the time of surgery.
Tissue samples will be obtained from the contrasting edge as well as infiltrating margins.
Circulating tumor DNA will also be taken from blood samples before, and after surgery and every 2 months.
Genomic profiling of the tumor tissue will be performed and a Molecular Tumor Board will review the profiling within 28 to 35 days of surgery.
If specific potential targets are amenable to treatment, a treatment recommendation will be made.
Up to 4 drugs could be suggested to the treating physician.
The patient and the treating physician may or may not choose to use the recommendation.
Any drug from the US Pharmacopeia may be chosen.
If the treatment as suggested is given, patients will be followed for toxicity and efficacy, including progression and survival.
If the treatment is not given, patients will be followed for progression and survival.
Study Type
Observational
Enrollment (Actual)
20
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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California
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San Francisco, California, United States, 94143
- University of California, San Francisco
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Sampling Method
Probability Sample
Study Population
Patients presenting with recurrent or progressive glioblastoma that are eligible for surgical resection.
Description
Inclusion Criteria:
- Patients must understand and provide written informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization prior to initiation of any study-specific procedures
- Have a life expectancy of at least 3 months
- Patients must have a diagnosis of histologically confirmed Glioblastoma that is felt on imaging to be progressive despite standard of care treatment
- at least 18 years of age
- Patient is a good medical candidate for a standard of care surgical procedure
- Patients may enroll independent of number of prior therapies, but must have received prior radiation therapy
- Patients must have a performance status (KPS) of at least 60.
Exclusion Criteria:
- Uncontrolled concurrent illness including psychiatric illness, or situations that would limit compliance with the study requirements or the ability to willingly give written informed consent
Eligibility for treatment using the specialized Tumor Board recommendations
- Patients must have fully recovered from any toxicity associated with surgery
- Must begin treatment no longer than 35 calendar days from surgery
- Must have KPS at least 60
- Must have Absolute Neutrophil Count (ANC) at least 1500/mm3, platelets at least 125,000/mm2, Hg at least 8 gm/dl
- Must have electrolytes (Na, K, Co2, Cl) within normal limits using institutional guidelines
- Must have baseline MRI within 14 days prior to starting cycle 1, day 1 of treatment (+/- 3 days)
- Additional laboratory guidelines will be based upon therapies suggested by the specialized Tumor Board based upon anticipated, known toxicities of those agents and must be within at least 1.5 x upper normal limits of institutional normal limits
- Patient must agree to follow the recommended treatment regimen, including clinic visits, laboratory, imaging, and toxicity assessments
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Group A
Patients will undergo collection of tumor at the time of tumor resection and after confirmation of tumor progression and will have blood samples drawn pre-surgery and during standard of care follow-up visits.
Patients will then be provided with a specialized tumor board recommendations for personalized treatment options for up to 4 medications based on the specimen analysis results within 35 days of surgery.
Patients may then elect to initiate recommended therapy within 42 days of surgery.
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feasibility of a specialized tumor board to come up with treatment recommendations no later than 35 days from surgery.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants Who Received Treatment Recommendations Within 35 Days of Surgery
Time Frame: 35 days from surgery to making genomic informed treatment recommendation
|
To demonstrate feasibility, we would want the treatment recommendation to be fully complete within 35 calendar days in at least 85% of patients for which sufficient RNA and DNA is available.
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35 days from surgery to making genomic informed treatment recommendation
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Patients Who Chose to Pursue Treatment
Time Frame: Within 35 days from surgery to making genomic informed treatment recommendation
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Number of patients who chose to pursue treatment based on these genomics-informed treatment recommendations
|
Within 35 days from surgery to making genomic informed treatment recommendation
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Successful Generation of Patient-derived Xenograft (PDX) Genomic Models
Time Frame: Within 12 months after tissue collection
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Number of patient-derived xenograft (PDX) models successfully derived from patient tumor samples.
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Within 12 months after tissue collection
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Number of Participants Reaching 12 Months Progression Free Survival
Time Frame: 12 month progression free survival
|
Treatment efficacy derived from specialized Tumor Board suggestion, defined by 12 month progression free survival.
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12 month progression free survival
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Michael Prados, MD, University of California, San Francisco
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 1, 2014
Primary Completion (Actual)
September 3, 2015
Study Completion (Actual)
May 10, 2017
Study Registration Dates
First Submitted
February 7, 2014
First Submitted That Met QC Criteria
February 10, 2014
First Posted (Estimated)
February 12, 2014
Study Record Updates
Last Update Posted (Estimated)
December 12, 2023
Last Update Submitted That Met QC Criteria
December 8, 2023
Last Verified
July 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CC14101
- NCI-2017-00467 (Registry Identifier: CTRP (Clinical Trial Reporting Program)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
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.
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