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

8. januar 2019 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert 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.

Studietype

Observasjonsmessig

Registrering (Faktiske)

186

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Sannsynlighetsprøve

Studiepopulasjon

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

MedSIR

Samarbeidspartnere

GUARDANT HEALTH

Etterforskere

  • Hovedetterforsker: Rafael Rosell, IOR

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. juli 2016

Primær fullføring (Faktiske)

1. juli 2017

Studiet fullført (Faktiske)

1. januar 2019

Datoer for studieregistrering

Først innsendt

1. august 2017

Først innsendt som oppfylte QC-kriteriene

9. august 2017

Først lagt ut (Faktiske)

14. august 2017

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

9. januar 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

8. januar 2019

Sist bekreftet

1. januar 2019

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • MedOPP125

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

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