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Spanish Lung Liquid vs. Invasive Biopsy Program (SLLIP) (SLLIP)

8. januar 2019 opdateret af: MedSIR

Spanish Lung Liquid vs. Invasive Biopsy Program

Tumor Derived cell free DNA (cfDNA) is increasingly used in the clinic to obtain genotype information about lung cancer, but its concordance with concurrent tumor-derived sequenced data is not known. The primary objective of this study is to demonstrate the non-inferiority of cfDNA-based versus tumor tissue-based genotyping.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Primary objective:

To demonstrate the non-inferiority of cfDNA-based versus tumor tissue-based genotyping as it pertains to the detection of clinically-actionable biomarkers in first line, treatment naïve, metastatic non-squamous NSCLC.

The following secondary objectives will be studied:

  • Turn around Time (TAT) of cfDNA vs. tissue results.
  • Time to treatment (TtT) initiation.
  • Quantity not sufficient rate (QNS) of tissue for clinically-actionable biomarker testing.
  • Tumor Not Detected (TND) rate of cfDNA in blood.
  • Rescue rate of QNS samples using cfDNA-derived genotyping.
  • Rate response for patients that are actionable biomarker positive (either in cDNA or tissue) treated with target-drugs according investigator criteria. Up to three RECIST assessments per patient will be retrospectively done by external personnel (no investigational team).
  • Rate of discovery of genomically mediated, acquired resistance to targeted therapies in the biomarker-positive subsets.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

186

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Spanien
      • Badalona, Spanien
        • H. Can Ruti
      • Barcelona, Spanien
        • H. del Mar
      • Barcelona, Spanien
        • Dexeus
      • Barcelona, Spanien
        • H. Vall Hebron
      • Barcelona, Spanien
        • H. Sant Pau
      • L'Hospitalet de Llobregat, Spanien
        • ICO Bellvitge
      • Valencia, Spanien
        • H. Arnau de Vilanova

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Sandsynlighedsprøve

Studiebefolkning

182 patients with previously untreated non-small cell lung cancer (NSCLC), non-squamous subtype will be recruited for this study, wherein Cell free DNA (cfDNA) will be compared to biopsy-based tumor sequencing

Beskrivelse

Inclusion Criteria:

  • Patients biopsy-proven, metastatic, previously untreated, non-squamous non-small cell lung cancer (NSCLC). Patients may have received adjuvant cytotoxic chemotherapy, but not targeted neo-adjuvant or adjuvant therapy.
  • Age ≥ 18 years
  • Ability to understand a written informed consent document, and the willingness to sign it.
  • Willingness to provide blood sample at the time points defined in Table 1 [pre-treatment, Day 14 (+/- 7 days) and End of Study].
  • Patient has or will have standard-of-care tissue genotyping ordered.
  • Stable Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

Exclusion Criteria:

  • Pregnancy, recorded from clinical records
  • Any concurrent, non-cutaneous, malignancy (with the exception of early stage non-invasive cervical cancer). Any prior cancer must have occurred more than 5 years prior with no evidence of currently active disease

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Non-inferiority of cell free DNA (cfDNA)-based versus tumor tissue-based genotyping
Tidsramme: From date of inclusion until 12 months from enrollment follow-up or upon progression, death or withdrawal from study participation, whichever occurs first.
Demonstrate the non-inferiority of cell free DNA (cfDNA)-based versus tumor tissue-based genotyping as it pertains to the detection of clinically-actionable biomarkers in first line, treatment naïve, metastatic non-squamous Non-small cell lung cancer (NSCLC).
From date of inclusion until 12 months from enrollment follow-up or upon progression, death or withdrawal from study participation, whichever occurs first.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Turn around Time (TAT) of cell free DNA (cfDNA) vs. tissue results
Tidsramme: From pre-treatment visit until month 12 or upon progression, whichever occurs first
Turn around Time (TAT) of cell free DNA (cfDNA) vs. tissue results
From pre-treatment visit until month 12 or upon progression, whichever occurs first
Time to treatment (TtT) initiation
Tidsramme: From the date of enrollment in the study until D1 (treatment initiation)
Time to treatment (TtT) initiation
From the date of enrollment in the study until D1 (treatment initiation)
Quantity not sufficient rate (QNS) of tissue
Tidsramme: From day 0 to pre-treatment visit
Quantity not sufficient rate (QNS) of tissue for clinically-actionable biomarker testing
From day 0 to pre-treatment visit
Tissue Incomplete (TI) rate of tissue
Tidsramme: From day 0 to pre-treatment visit
Tissue Incomplete (TI) rate of tissue for National Cancer Center Network (NCCN) biomarker testing
From day 0 to pre-treatment visit
Tumor Not Detected (TND) rate of cell free DNA (cfDNA)
Tidsramme: From pre-treatment visit until month 12 or upon progression, whichever occurs first
Tumor Not Detected (TND) rate of cell free DNA (cfDNA) in blood
From pre-treatment visit until month 12 or upon progression, whichever occurs first
Rescue rate of Quantity not sufficient (QNS) samples using cell free DNA (cfDNA)-derived genotyping
Tidsramme: From pre-treatment visit until month 12 or upon progression, whichever occurs first
Rescue rate of Quantity not sufficient (QNS) samples using cell free DNA (cfDNA)-derived genotyping
From pre-treatment visit until month 12 or upon progression, whichever occurs first
Rate response for patients that are actionable biomarker positive (either in cell DNA (cDNA) or tissue) treated with target-drugs
Tidsramme: From visit 0 until month 12 or upon progression, whichever occurs first
Rate response for patients that are actionable biomarker positive (either in cell DNA (cDNA) or tissue) treated with target-drugs according investigator criteria.
From visit 0 until month 12 or upon progression, whichever occurs first
Rate of discovery of genomically mediated, acquired resistance to targeted therapies
Tidsramme: From visit 0 until month 12 or upon progression, whichever occurs first
Rate of discovery of genomically mediated, acquired resistance to targeted therapies in the biomarker-positive subsets.
From visit 0 until month 12 or upon progression, whichever occurs first

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

MedSIR

Samarbejdspartnere

GUARDANT HEALTH

Efterforskere

  • Ledende efterforsker: Rafael Rosell, IOR

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. juli 2016

Primær færdiggørelse (Faktiske)

1. juli 2017

Studieafslutning (Faktiske)

1. januar 2019

Datoer for studieregistrering

Først indsendt

1. august 2017

Først indsendt, der opfyldte QC-kriterier

9. august 2017

Først opslået (Faktiske)

14. august 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. januar 2019

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

8. januar 2019

Sidst verificeret

1. januar 2019

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • MedOPP125

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

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