- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05052372
Biomarker Research Study for Patients With FGFR-Mutant Bladder Cancer Receiving Erdafitinib
Bladder cancers are associated with genetic mutations that are present in the patient's bladder or urothelium, the lining of the lower urinary tract. Fibroblast growth factor (FGFR) alterations are present in approximately one in five patients with recurrent and refractory bladder cancer.
This study will collect biomarker data from subjects receiving erdafitinib to further investigate the relationship between treatment with erdafitinib and clinical response, progression, and/or genetic alterations.
Study Overview
Status
Conditions
- Transitional Cell Carcinoma
- Bladder Cancer
- Urothelial Carcinoma
- Metastatic Urothelial Carcinoma
- FGFR2 Gene Mutation
- FGFR3 Gene Mutation
- FGFR2 Amplification
- Bladder Urothelial Carcinoma
- Locally Advanced Urothelial Carcinoma
- Refractory Bladder Carcinoma
- Refractory Bladder Urothelial Carcinoma
- Platinum-Resistant Urothelial Carcinoma
- FGFR Mutation
Intervention / Treatment
Detailed Description
The purpose of this study is to collect biomarker data from subjects receiving standard of care erdafitinib to further investigate the relationship between treatment with erdafitinib and clinical response, progression, and/or genetic alterations in cell free tumor DNA (cfDNA) from blood and urine samples.
In this study, next generation sequencing of cfDNA isolated from blood and urine will be performed by Resolution Bioscience. Blood-based cfDNA amplification and analysis is done by a CLIA-approved assay and the results of which will thus be available to physicians and patients. Urine-based cfDNA analysis from Resolution Bioscience is not yet approved and results will only be communicated if an actionable finding is identified that is not present on the blood-based test. Samples will be collected at the patients homes by a qualified phlebotomist.
xCures may provide the treating physician and the subject the biomarker results from blood-based cfDNA tests. Because the testing of urine DNA is experimental and done solely for research, those results will not be shared unless there is an important finding known to be relevant to the subject's medical care at the time of the study. The genetic tests are not approved for bladder cancer, so the information generated from biomarker research studies is preliminary in nature. Therefore, the significance and scientific validity of the results are undetermined. xCures and/or Tyra may additionally share data with the treating physician and researchers for the purposes of publication.
Patients co-enroll in an observational research study (XCELSIOR, NCT03793088) and consent to provide xCures right of access to their full medical records under HIPAA.
Patient clinical data is structured and centralized by xCures in a 21 CFR Part 11-compliant REDCap Cloud database in Case Report Forms (CRFs). The CRFs are a set of electronic forms for each patient that provides a record of clinical data generated according to the protocol. Data is abstracted directly from medical records generated in the standard practice of medicine.
xCures will request medical records directly from treating institutions and from other providers (commercial next generation sequencing providers, for example) and will work with treating physicians to ensure the completeness and accuracy of CRF content based on electronic medical records.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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North Carolina
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Raleigh, North Carolina, United States, 27612
- xCures Virtual Site
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Subjects with a diagnosis of locally advanced or metastatic bladder cancer
- Documented proof of an FGFR alteration according to a CLIA-based test
- Subjects who are receiving or will receive erdafitinib as their standard medical therapy as a monotherapy or in combination
- Age greater than or equal to 18 years.
- Subject is a resident of or seeking care in the United States
- Able and willing to provide informed consent to this biomarker study
- Informed consent obtained for the XCELSIOR longitudinal outcomes registry (NCT03793088).
Exclusion Criteria:
- Subjects younger than 18 years of age
- Subjects unwilling or unable to provide informed consent
- Subjects that are not receiving treatment in the United States or US Territories
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Relationship between treatment with erdafitinib and clinical response
Time Frame: Time to progression will vary for each patient. We expect most patients to progress on erdafitinib within 2 to 15 months from baseline
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Specimen collection will be performed at the following timepoints to assess clinical response while being treated with erdafitinib:
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Time to progression will vary for each patient. We expect most patients to progress on erdafitinib within 2 to 15 months from baseline
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Daniel J. George, MD, Duke Health
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- TYRA-001-BC-2021
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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