Concordance of Key Actionable Genomic Alterations as Assessed in Tumor Tissue and Plasma in Non Small Cell Lung Cancer

A Study to Determine the Concordance of Key Actionable Genomic Alterations as Assessed in Tumor Tissue and Plasma From Patients With Non Small Cell Lung Carcinoma (NSCLC)

A study to determine the concordance of key actionable genomic alterations as assessed in tumor tissue and plasma from patients with non small cell lung carcinoma (NSCLC)

Study Overview

• Status: Terminated
• Conditions: Non Small Cell Lung Carcinoma

Detailed Description

This is a prospective clinical study to characterize the concordance of key clinically relevant genomic alterations in tumor tissue (biopsy/excision/cytology) and liquid biopsy (blood) using the Genomic Health LBMP in patients with stage IV non squamous NSCLC, that are either newly diagnosed with metastatic disease or progressing on therapy (any line). Tissue biopsy and blood collection (liquid biopsy) should be less than eight weeks apart and with no new systemic antitumoral treatment given in the interval between the tissue biopsy and blood collection. Local assessment of tumor tissue samples will be performed at each participating institution as per their clinical standard of care practices and results from the local assessment of genomic alteration status will be used.

• Study Type: Observational
• Enrollment (Actual): 140

Contacts and Locations

Study Locations

• Chile
  • Santiago, Chile, 7500691
    • Instituto Nacional del tórax
  • Santiago, Chile, 7500836
    • Fundacion Arturo Lopez Perez
  • Santiago, Chile, 7650551
    • Clinica Alemana de Santiago
• France
  • Bordeaux, France, 33000
    • Polyclinique Bordeaux Nord Aquitaine
  • Cedex 1
    • Clermont-Ferrand, Cedex 1, France, 63011
      • Centre Jean Perrin
  • Cedex 20
    • Marseille, Cedex 20, France, 13915
      • Hopital Nord
• Ireland
  • Elm Park
    • Dublin, Elm Park, Ireland, 4
      • St. Vincent's University Hospital
• Japan
  • Shinjuku-ku
    • Tokyo, Shinjuku-ku, Japan, 160-0023
      • Tokyo Medical University Hospital
  • Tsukiji, Chuo-ku
    • Tokyo, Tsukiji, Chuo-ku, Japan, 104-0045
      • National Cancer Center
• Spain
  • Oviedo, Spain, 33011
    • Hospital Universitario Central Asturias
  • Sevilla, Spain, 41013
    • Hospital Universitario Virgen del Rocío
  • Zaragosa, Spain, 50009
    • Hospital Clinico Universitario Lozano Blesa
• United Kingdom
  • Wirral
    • Bebington, Wirral, United Kingdom, CH63 4JK
      • Clatterbridge Cancer Center NHS Foundation Trust
• United States
  • California
    • Torrance, California, United States, 90277
      • Cancer Care Associates d/b/a Torrance Memorial Physician Network
  • Georgia
    • Macon, Georgia, United States, 31201
      • Central Georgia Cancer Care
  • Minnesota
    • Minneapolis, Minnesota, United States, 55407
      • Virginia Piper Cancer Institute
  • New Jersey
    • Belleville, New Jersey, United States, 07109
      • Essex Oncology of North Jersey
    • Neptune, New Jersey, United States, 07753
      • Meridian Hospitals
  • Ohio
    • Canton, Ohio, United States, 44718
      • Gabrail Cancer Center
  • Tennessee
    • Germantown, Tennessee, United States, 38138
      • West Clinic
  • Virginia
    • Midlothian, Virginia, United States, 23114
      • Bon Secours Cancer Institute
  • Washington
    • Tacoma, Washington, United States, 98405
      • MultiCare Health System

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Non small cell lung cancer patients

Description

Inclusion Criteria:

• Subjects must be 18 years or older.
• Patients with stage IV non squamous NSCLC who are either newly diagnosed or progressing on any treatment (progression defined as increasing tumor size or new metastatic lesions on clinical or imaging assessment).
• Patients with available tissue sample from a metastatic site or, if the patient presents with stage IV disease at diagnosis, from the primary tumor or a metastatic site. If a patient is progressing on EGFR targeted therapy (erlotinib, gefitinib, afatinib), tumor tissue sample is required only if available.
• No new systemic anti-tumor therapy administered in the interval between the tissue biopsy and collection of the blood sample. (interval not to exceed eight weeks). Local radiation therapy is permitted.
• Able and willing to read, understand and sign an informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization, or equivalent privacy law, where this is applicable.

Exclusion Criteria:

• Patients who are currently receiving therapy (targeted, immune- or chemotherapy) without sign of progression.
• Patients with squamous NSCLC.
• Patients with more than 8 weeks between collection of tumor specimen and collection of blood sample for analysis. (Not applicable for patients progressing on EGFR targeted therapy with no biopsy at progression)
• Patients changing EGFR therapy due to toxicity or preference without documented disease progression.
• Patients progressing on Osimertinib treatment.
• Patients with brain metastases only.
• Inability to comply with study and/or follow-up procedures.
• Unable or unwilling to provide written informed consent.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
A; Patients with non-squamous NSCLC either newly diagnosed or progressing on any therapy (except erlotinib, gefitinib, or afatinib)
B; Patients with non-squamous NSCLC who are progressing on erlotinib, gefitinib, or afatinib

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Concordance of Genomic Alterations in EGFR Detected in Plasma Versus Tumor Tissue in Stage IV Non Squamous NSCLC Patients Who Are Newly Diagnosed or Progressing on Treatment	Assess concordance of genomic alterations in EGFR detected in plasma (using the OncotypeSEQ Liquid Select assay) versus tumor tissue (assessed centrally using FoundationOne, or locally based on the patient's clinic) in stage IV non squamous NSCLC patients who are newly diagnosed or progressing on treatment.	Time between patient tumor tissue biopsy and and blood collection, up to 8 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Concordance of Genomic Alterations in ALK (EML4-ALK Fusions) Detected in Plasma Versus Tumor Tissue.	Assess concordance of genomic alterations in ALK (EML4-ALK fusions) detected in plasma (using the OncotypeSEQ Liquid Select assay) versus tumor tissue (assessed centrally using FoundationOne OR locally based on the patient's clinic) in stage IV non squamous NSCLC patients who are newly diagnosed or progressing on treatment.	Time between patient tumor tissue biopsy and and blood collection, up to 8 weeks
Percentage of Participants With EGFR T790M Alterations in Plasma in Patients Progressing on EGFR Targeting Therapy (Erlotinib, Gefitinib, Afatinib).	Detection of EGFR T790M alterations in plasma using the OncotypeSEQ Liquid Select assay. Progression on EGFR targeting therapy (erlotinib, gefitinib, afatinib) assessed clinically or radiologically	Time between patient tumor tissue biopsy and and blood collection (blood collected after the patient progressed on EGFR targeted therapy)

Collaborators and Investigators

• Sponsor: Genomic Health®, Inc.

Study record dates

Study Major Dates

• Study Start: April 1, 2016
• Primary Completion (ACTUAL): July 1, 2018
• Study Completion (ACTUAL): June 19, 2019

Study Registration Dates

• First Submitted: April 29, 2016
• First Submitted That Met QC Criteria: May 3, 2016
• First Posted (ESTIMATE): May 5, 2016

Study Record Updates

• Last Update Posted (ACTUAL): November 17, 2020
• Last Update Submitted That Met QC Criteria: November 9, 2020
• Last Verified: November 1, 2020

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Neoplasms by Histologic Type; Neoplasms; Lung Diseases; Neoplasms by Site; Neoplasms, Glandular and Epithelial; Respiratory Tract Neoplasms; Thoracic Neoplasms; Carcinoma, Bronchogenic; Bronchial Neoplasms; Lung Neoplasms; Carcinoma, Non-Small-Cell Lung; Carcinoma
• Other Study ID Numbers: 14-009