- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02867033
National Clinical-biological Prospective Cohort of Incident Cases of Aggressive Fibromatosis (ALTITUDES) (ALTITUDES)
National Clinical-biological Prospective Cohort of Incident Cases of Aggressive Fibromatosis
Study Overview
Status
Conditions
Detailed Description
Aggressive fibromatosis (AF) is a rare non-metastasizing connective tissue tumor (< 300 cases/year in France), associated with high risk of local relapse, functional impairment and pain. AF can occur at any age, but most commonly between 25 and 40 with a significant female predominance. AF is most frequently (about 85%) sporadic and then associated with a somatic mutation of the CTNNB1 gene. AF is associated with heredity condition, as complication of familial adenomatous polyposis (with germinal mutation of Adenomatous polyposis coli (APC) gene). Most of AF arises on lims or abdominal wall. Nevertheless, some particular locations are life-threatening (mesenteric or cervical locations). The natural course of AF is unpredictable. One third of tumors are spontaneously stable. One third of tumor spontaneously decreases. One third of tumor is progressive, with a non-linear tumor growth dynamic. As the consequence the decision making for starting curative intent treatment is difficult, since some treatment could be mutilating (large en bloc surgery) or associated with late and severe complications (radiotherapy) and since these treatments could fail to control this benign tumor. Therapeutic options are: wait-and-see policy, surgery (sometimes mutilating), radiotherapy or systemic treatment (non-steroidal anti-inflammatory drugs, hormonotherapy, imatinib, chemotherapy). Level of evidence associated these options is very low, based on retrospective studies and rare non-randomized phase II clinical trials.
Regarding these uncertainties, physicians can hardly answer to patient questions.
Prospective data provided by a large multi-center cohort is needed. The objective of the present study is to create a large cohort of incident cases of AF associated with tumor bank and collection of blood samples.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Angers, France, 49933
- CHU Angers
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Angers, France, 49055
- Institut de Cancerologie de l'Ouest - Paul Papin
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Besancon, France, 25030
- CHU de Besancon
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Bordeaux, France, 33076
- Institut Bergonié
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Bordeaux, France, 33076
- Hôpital Des Enfants
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Caen, France, 14076
- Centre Francois Baclesse
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Caen, France, 14033
- CHU de Caen-Côte de Nacre
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Clermont Ferrand, France, 63011
- Centre Jean Perrin
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Dijon, France, 21079
- Centre Georges Francois Leclerc
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Grenoble, France, 38043
- CHU de Grenoble- Hôpital Couple Enfant
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Lille, France, 59020
- Centre Oscar Lambret
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Lyon, France, 69373
- Centre Leon Berard
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Marseille, France, 13273
- Institut Paoli Calmettes
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Marseille, France, 13005
- Hôpital la Timone Enfants Service Oncologie Pédiatrique
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Marseille, France, 13005
- Hôpital la Timone Service Oncologie Médicale
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Montpellier, France, 34298
- ICM Val D'Aurelle
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Nantes, France, 44093
- Hôpital Mère Enfant - CHU Nantes
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Nice, France, 06202
- Hôpital Archet 2
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Paris, France, 75010
- Hopital Saint Louis
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Paris, France, 75014
- Hopital Cochin
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Paris, France
- Hopital Saint Antoine
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Paris, France, 75005
- Institut Curie Département Oncologie Médicale
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Paris, France, 75005
- Institut Curie Département Oncologie Pédiatrique
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Paris, France, 75012
- Hôpital d'Enfants Armand Trousseau
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Reims, France, 51100
- CHU de Reims
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Rennes, France, 35023
- CHU de Rennes- Hôpital Sud
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Rouen, France, 76038
- Centre Henri Becquerel
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Saint Cloud, France, 92210
- Institut Curie-Hôpital René Huguenin
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Saint Herblain, France, 44805
- Institut de Cancérologie de l'Ouest - Site René Gauducheau
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Saint Priest En Jarez, France
- institut de cancérologie Lucien Neuwirth
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Saint-Étienne, France, 42055
- CHU Saint-Etienne - Hopital Nord
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Strasbourg, France, 67098
- Hôpitaux Universitaires de Strasbourg
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Toulouse, France, 31059
- Institut Claudius Regaud
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Toulouse, France, 31059
- CHU Toulouse - Hôpital des Enfants
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Tours, France, 37044
- CHU Tours - Clocheville
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Vandoeuvre Les Nancy, France, 54511
- Hôpital d'Enfants- CHU Nancy
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Vandoeuvre Les Nancy, France, 54519
- Institut de Cancérologie de Lorraine
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Villejuif, France, 94800
- Institut Gustave Roussy
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- ADULT
- OLDER_ADULT
- CHILD
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Incident Case of aggressive fibromatosis in France, diagnosed after 01/01/2016
- Confirmed diagnosis by the French anatomopathological diagnosis network (including search for mutation of the β-Catenin Gene, CTNNB1)
- Affiliation to the National Health System
- Informed consent signed (both parents signature for non adult patients)
Exclusion Criteria:
- Administrative or legal measure of liberty privation
- Patient not able to give consent or unwilling to provide consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
OTHER: Study procedure
Tumor biobank realization (biopsy...) and biobank constitution.
coloscopy associated with colonic chromoscopy.
Blood sampling (facultative).
Pain evaluation
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pre-therapeutic or post-therapeutic biopsy or resected tissues
Constitution of a biobank with pre-therapeutic or post-therapeutic biopsy or resected tissues
For adult patients, a coloscopy with chromoscopy of ascending and sigmoid colon will be performed
Blood sample can be collected at diagnostic or after medically significant events (progressive disease, local or systemic treatment, pregnancy...)
Pain evaluation (EVA scale), anxiety (HADS questionnaire), quality of life questionnaire (EORTC-QLQ-C30)
Realization of a tumor biobank is part of classical procedure of participating centers
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incident cases of aggressive fibromatosis, diagnosed after 01/01/2016 in France
Time Frame: through study completion, an average of 5 years
|
To constitute, at a national level, the largest cohort of incident cases of desmoid tumours
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through study completion, an average of 5 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Aggressive Fibromatosis associated with familial adenomatous polyposis
Time Frame: through study completion, an average of 5 years
|
To describe and analyse the link between Aggressive Fibromatosis and familial adenomatous polyposis
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through study completion, an average of 5 years
|
Percentage of CTNNB1 mutation in non-selected cases of Aggressive Fibromatosis
Time Frame: through study completion, an average of 5 years
|
To describe the proportion of AF cases characterized by CTNNB1 somatic mutation
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through study completion, an average of 5 years
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Management of AF
Time Frame: through study completion, an average of 5 years
|
Description of the management of AF.
Study of prognosis factor for progressive disease and death.
Study of tumor response to treatments (Best response and progression-free survival) according to RECIST 1.1.
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through study completion, an average of 5 years
|
Hospital Anxiety and Depression Scale (HADS)
Time Frame: at baseline, one year
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To describe the psychological impact of the disease at diagnosis and a year after diagnosis.
And to compare changes between the time of diagnosis and one year after the treatments used.
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at baseline, one year
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Quality of Life Questionnaire (QLQC30)
Time Frame: at baseline, one year
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To describe the consequences of the disease on the quality of life at diagnosis and a year after diagnosis.
And to compare changes between the time of diagnosis and one year after the treatments used.
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at baseline, one year
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Impact of pregnancy and hormonal exposure
Time Frame: Through study completion, an average of 5 years
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To study the impact of pregnancy and hormonal exposure on the evolution of the disease according to recurrence/progression rates
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Through study completion, an average of 5 years
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Incidence of polyposis and colorectal cancer
Time Frame: Through study completion, an average of 5 years
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Rate of polyposis and colorectal cancer in the AF population
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Through study completion, an average of 5 years
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mutation rate of APC
Time Frame: through study completion, an average of 5 years
|
To determine the mutation rate of APC at constitutional and somatic levels
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through study completion, an average of 5 years
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Mutation rate of CTNNB1
Time Frame: through study completion, an average of 5 years
|
To determine the mutation rate of CTNNB1 at constitutional and somatic levels
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through study completion, an average of 5 years
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Correlation between APC and CTNNB1 mutations rates
Time Frame: through study completion, an average of 5 years
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To demonstrate that APC and CTNNB1 mutations are two mutually exclusive molecular alterations
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through study completion, an average of 5 years
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APC mutation rate
Time Frame: through study completion, an average of 5 years
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To correlate mutational somatic and constitutional rate of APC gene
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through study completion, an average of 5 years
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Occurrence of other mutations
Time Frame: through study completion, an average of 5 years
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To search other molecular anomalies for patients without APC or CTNNB1 mutations (10 % of cases)
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through study completion, an average of 5 years
|
Cell free (circulating) nucleic acid extraction technics
Time Frame: through study completion, an average of 5 years
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To determine sensibility and specificity of cell free (circulating) nucleic acid extraction techniques
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through study completion, an average of 5 years
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AF outcome
Time Frame: through study completion, an average of 5 years
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To describe patient outcomes and identify prognostic factors
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through study completion, an average of 5 years
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Treatment response
Time Frame: through study completion, an average of 5 years
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To search for factors involved in response treatment prediction
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through study completion, an average of 5 years
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- ALTITUDES-1508
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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