- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04087473
Plasma Molecular Profiling in ALK Inhibitor Resistant NSCLC
January 31, 2024 updated by: National Cancer Centre, Singapore
Plasma Molecular Profiling in ALK Inhibitor Resistant Non-Small Cell Lung Cancer
The investigators plan to understand a comprehensive molecular profiling via the plasma, with the primary aim of using this form on analysis to guide subsequent treatment selection.
This study will provide a better understanding of ALK resistance in the treatment of Asian lung cancers and allow for improved clinical outcomes by 'matching' the secondary mutations to an ALK inhibitor which would allow for the greatest coverage ultimately leading to lasting duration of response.
Study Overview
Status
Recruiting
Study Type
Observational
Enrollment (Estimated)
50
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Justine Chu
- Phone Number: +65 64368000
- Email: justine.chu.j.h@nccs.com.sg
Study Locations
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-
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Hong Kong, Hong Kong
- Not yet recruiting
- The Chinese University of Hong Kong
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-
-
-
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Seoul, Korea, Republic of
- Not yet recruiting
- Seoul National University Hospital
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Seoul, Korea, Republic of, 05505
- Not yet recruiting
- Asan Medical Centre
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-
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-
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Kuala Lumpur, Malaysia
- Not yet recruiting
- University Malaya Medical Centre
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Singapore, Singapore, 169690
- Recruiting
- National Cancer Center Singapore
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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
21 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Two cohorts will be enrolled, the first cohort will consist of patients that have received prior 2nd generation ALKi only, and the second cohort with patients that have received prior 1st and 2nd generation ALKi.
Description
Inclusion Criteria:
- Patients with advanced ALK fusion oncogene positive lung adenocarcinoma that have progressed after 1-2 ALK inhibitors, with at least one prior line of 2nd generation ALKi (i.e. Ceritinib, Alectinib, Brigatinib or Ensartinib)
- The availability of sufficient plasma
- Age ≥ 21 years
- WHO performance status ≤ 2
- Life expectancy of ≥ 21 weeks
Patients should have adequate organ function for potential consideration into clinical trials (routine blood tests are valid within 14 days before enrollment):
- Adequate bone marrow function as shown by: ANC ≥ 1.0x10^9/L, Platelets ≥ 75x10^9/L, Hb ≥ 7.5 g/dL
- Alanine aminotransferase (ALT) and aspirate aminotransferase (AST) normal range (or ≤ 3.0xULN if liver metastases are present)
- Willing to provide signed informed consent
- Patients whom do not fulfill the above criteria may be discussed on a case-by-case basis within the study team, for potential enrolment
Exclusion Criteria:
- Received more than 2 prior ALK inhibitors (ALKi)
- Symptomatic or uncontrolled brain metastases requiring concurrent treatment inclusive but not limited to surgery and radiation. Stable/ tailing doses of corticosteroids is permitted
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 |
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Prior 2nd generation ALKi
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Prior 1st and 2nd generation ALKi
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Molecular profiling of plasma
Time Frame: 2 to 4 weeks after collection of plasma
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Profiling of the collected plasma samples at a molecular level to evaluate the molecular epidemiology of ALK fusion oncogene positive lung cancer
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2 to 4 weeks after collection of plasma
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Patient survival status
Time Frame: After molecular profiling has been completed, every few months up to 2 years
|
After molecular profiling has been completed, every few months up to 2 years
|
Subsequent patient treatment status
Time Frame: After molecular profiling has been completed, every few months up to 2 years
|
After molecular profiling has been completed, every few months up to 2 years
|
Clinical outcomes of the subsequent treatments the patients receive
Time Frame: After molecular profiling has been completed, every few months up to 2 years
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After molecular profiling has been completed, every few months up to 2 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Daniel SW Tan, BSc, MBBS, PhD, National Cancer Centre of Singapore
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 23, 2019
Primary Completion (Estimated)
December 31, 2024
Study Completion (Estimated)
December 31, 2025
Study Registration Dates
First Submitted
September 9, 2019
First Submitted That Met QC Criteria
September 10, 2019
First Posted (Actual)
September 12, 2019
Study Record Updates
Last Update Posted (Actual)
February 1, 2024
Last Update Submitted That Met QC Criteria
January 31, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Keywords
- NSCLC
- ALK inhibitor (ALKi)
- Anaplastic lymphoma kinase (ALK) fusion oncogene NSCLC
- Guardant360 assay
- Next-Generation Sequencing (NGS) DNA sequencing test
- Cell-free circulating tumor DNA (ctDNA)
- Plasma profiling
- Blood-based assay
- Mutational testing
- 74 genetic alterations (point mutations, copy number variants, fusions, insertions, deletions)
- ALK resistance mutations
Additional Relevant MeSH Terms
Other Study ID Numbers
- ATORG004
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
Studies a U.S. FDA-regulated device 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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