- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05734430
Genetics of Appendix Cancer Study (GAP)
April 15, 2025 updated by: Andreana Holowatyj, PhD, MSCI
Genetics of Appendix Cancer: The GAP Study
The GAP Study is a prospective cohort study designed to comprehensively investigate genetic variations that may contribute to cancer development among individuals diagnosed with appendix/appendiceal cancer who are ages 18+ years.
Study Overview
Status
Recruiting
Conditions
- Appendix Cancer
- Appendiceal Neoplasms
- Appendix Adenocarcinoma
- Appendiceal Cancer
- Appendiceal Adenocarcinoma
- Appendix Tumor
- Appendiceal Mucinous Neoplasm
- Appendiceal Carcinoid Tumor
- Appendiceal Neoplasm Malignant Secondary
- Appendix Mucinous Neoplasm
- Appendix Cancer Metastatic
- Appendix NET
- Low-Grade Appendix Mucinous Neoplasm
- High Grade Appendix Mucinous Neoplasm
- High Grade Appendix Mucinous Adenocarcinoma
Intervention / Treatment
Detailed Description
The Genetics of Appendix Cancer (GAP) Study aims to analyze hereditary factors, tumor characteristics and clinical features/outcomes among adults diagnosed with appendix cancer and their biological parents.
Patients are recruited at any time after a diagnosis of appendix cancer and followed for up to 6 years after study enrollment.
This cohort is enriched by robust biospecimens and data collections.
Study Type
Observational
Enrollment (Estimated)
700
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: GAP Study Coordinator (Rebecca B.)
- Phone Number: 615-936-8544
- Email: gapcancerstudy@vumc.org
Study Locations
-
-
Tennessee
-
Nashville, Tennessee, United States, 37232
- Recruiting
- Vanderbilt-Ingram Cancer Center
-
Principal Investigator:
- Andreana N Holowatyj, PhD, MSCI
-
Contact:
- GAP Study Coordinator (Rebecca B.)
- Phone Number: 615-936-8544
- Email: gapcancerstudy@vumc.org
-
-
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
Yes
Sampling Method
Non-Probability Sample
Study Population
Individuals age 18+ years diagnosed with appendix cancer, and biological parents of study participants.
Description
Inclusion Criteria:
GAP Social
- Known diagnosis of appendix cancer in the United States
- Mentally and physically able to consent and participate in the study
GAP Vanderbilt
- Known diagnosis of appendix cancer
- Diagnosed by and/or consulting with a physician/clinical provider participating in the GAP Study
- Mentally and physically able to consent and participate in the study
GAP Parent
- Biological parents (mother and/or father) of individuals actively participating in the GAP Study
- Residing in the United States
- Mentally and physically able to consent and participate in the study
Exclusion Criteria:
- Women pregnant at the time of consent
- Prisoners
- Unable to provide informed consent
- Unable to read, write, or complete questionnaires in English
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 |
|---|---|
|
GAP Social
Individuals ages 18+ years with an appendix cancer diagnosis in the United States.
|
Whole exome sequencing
Collection of archived fixed-formalin, paraffin-embedded (FFPE) primary appendix tumor tissues that were previously removed
|
|
GAP Vanderbilt
Individuals ages 18+ years with an appendix cancer diagnosis seen at Vanderbilt.
|
Whole exome sequencing
Collection of archived fixed-formalin, paraffin-embedded (FFPE) primary appendix tumor tissues that were previously removed
|
|
GAP Parent
Biological parents of active GAP (Social and Vanderbilt) Study participants.
|
Whole exome sequencing
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Prevalence and spectrum of pathogenic and likely pathogenic germline variants in appendix cancer patients and their biological parents
Time Frame: Within 6 years of study enrollment
|
Within 6 years of study enrollment
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Association of germline genetic variants with clinical, pathologic and molecular features of appendix tumors
Time Frame: Within 6 years of study enrollment
|
Within 6 years of study enrollment
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Andreana N Holowatyj, PhD, MSCI, Vanderbilt-Ingram Cancer Center
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Holowatyj AN, Washington MK, Tavtigian SV, Eng C, Horton C. Inherited Cancer Susceptibility Gene Sequence Variations Among Patients With Appendix Cancer. JAMA Oncol. 2022 Nov 11;9(1):95-101. doi: 10.1001/jamaoncol.2022.5425. Online ahead of print.
- Holowatyj AN, Overman MJ, Votanopoulos KI, Lowy AM, Wagner P, Washington MK, Eng C, Foo WC, Goldberg RM, Hosseini M, Idrees K, Johnson DB, Shergill A, Ward E, Zachos NC, Shelton D; Appendix Cancer Pseudomyxoma Peritonei (ACPMP) Research Foundation. Defining a 'cells to society' research framework for appendiceal tumours. Nat Rev Cancer. 2025 Apr;25(4):293-315. doi: 10.1038/s41568-024-00788-2. Epub 2025 Feb 20.
- Janczewski LM, Browner AE, Cotler JH, Nelson H, Kakar S, Carr NJ, Hanna NN, Holowatyj AN, Goldberg RM, Washington MK, Asare EA, Overman MJ; American Joint Committee on Cancer Expert Panel on Cancers for the Lower Gastrointestinal Appendix Disease Site. Survival outcomes used to validate version 9 of the American Joint Committee on Cancer staging system for appendiceal cancer. CA Cancer J Clin. 2023 Nov-Dec;73(6):590-596. doi: 10.3322/caac.21806. Epub 2023 Jun 26.
Helpful Links
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)
November 11, 2022
Primary Completion (Estimated)
November 1, 2032
Study Completion (Estimated)
November 1, 2034
Study Registration Dates
First Submitted
February 8, 2023
First Submitted That Met QC Criteria
February 8, 2023
First Posted (Actual)
February 21, 2023
Study Record Updates
Last Update Posted (Actual)
April 18, 2025
Last Update Submitted That Met QC Criteria
April 15, 2025
Last Verified
April 1, 2025
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Intestinal Diseases
- Neoplasms by Histologic Type
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Neoplasms, Glandular and Epithelial
- Carcinoma
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Neuroendocrine Tumors
- Cecal Neoplasms
- Cecal Diseases
- Neoplasms
- Adenocarcinoma
- Adenocarcinoma, Mucinous
- Cystadenocarcinoma
- Neoplasms, Cystic, Mucinous, and Serous
- Appendiceal Neoplasms
- Carcinoid Tumor
Other Study ID Numbers
- VICC GI 2280
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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