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Profilowanie molekularne w próbkach tkanek od pacjentów z rakiem, którzy wyjątkowo reagują na leczenie

10 listopada 2026 zaktualizowane przez: National Cancer Institute (NCI)

Badanie pilotażowe osób reagujących wyjątkowo: profilowanie molekularne nowotworów u pacjentów z rakiem, którzy reagują wyjątkowo

This pilot research trial studies molecular profiling in tissue samples from patients with cancer who got better with treatment that didn't work for most other patients with the same disease. Studying samples of tissue from patients with cancer in the laboratory may help doctors learn more about changes that occur in deoxyribonucleic acid (DNA) and identify biomarkers related to how well patients respond to treatment.

Przegląd badań

Status

Aktywny, nie rekrutujący

Warunki

Interwencja / Leczenie

Szczegółowy opis

PRIMARY OBJECTIVES:

I. To identify molecular indicators in malignant tissues from patients who were exceptional responders on clinical trials or standard systemic treatments using whole exome and/or targeted deep sequencing, as well as potentially other sequencing and other molecular characterization methods (if adequate tissue exists).

II. To explore associations between the identified molecular indicators and the putative mechanism of action of the treatment received by the patient.

III. To test the feasibility of identifying "exceptional responders", obtaining the relevant tumor and normal tissue and clinical data, and performing whole exome and/or targeted deep sequencing on these samples.

OUTLINE:

Previously collected tissue samples are analyzed via whole exome sequencing and/or targeted next generation sequencing (NGS) assay deep sequencing. Cases for which sufficient nucleic acid amounts are available will undergo additional analyses including whole genome sequencing, messenger ribonucleic acid (RNA) (mRNA)-sequencing, micro (miRNA) sequencing, promoter methylation analysis, and single nucleotide polymorphism (SNP) analysis.

Typ studiów

Obserwacyjny

Zapisy (Rzeczywisty)

170

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

    • California
      • Duarte, California, Stany Zjednoczone, 91010
        • City of Hope Comprehensive Cancer Center
      • Fresno, California, Stany Zjednoczone, 93720
        • Kaiser Permanente-Fresno
      • Oakland, California, Stany Zjednoczone, 94611
        • Kaiser Permanente-Oakland
      • Richmond, California, Stany Zjednoczone, 94801
        • Kaiser Permanente-Richmond
      • San Francisco, California, Stany Zjednoczone, 94158
        • UCSF Medical Center-Mission Bay
      • Santa Clara, California, Stany Zjednoczone, 95051
        • Kaiser Permanente Medical Center - Santa Clara
      • Santa Rosa, California, Stany Zjednoczone, 95403
        • Kaiser Permanente-Santa Rosa
      • Stockton, California, Stany Zjednoczone, 95210
        • Kaiser Permanente-Stockton
      • Walnut Creek, California, Stany Zjednoczone, 94596
        • Kaiser Permanente-Walnut Creek
    • Colorado
      • Aurora, Colorado, Stany Zjednoczone, 80045
        • UCHealth University of Colorado Hospital
      • Fort Collins, Colorado, Stany Zjednoczone, 80524
        • Poudre Valley Hospital
    • Connecticut
      • Greenwich, Connecticut, Stany Zjednoczone, 06830
        • Greenwich Hospital
    • Delaware
      • Newark, Delaware, Stany Zjednoczone, 19713
        • Helen F Graham Cancer Center
      • Newark, Delaware, Stany Zjednoczone, 19713
        • Medical Oncology Hematology Consultants PA
    • District of Columbia
      • Washington D.C., District of Columbia, Stany Zjednoczone, 20016
        • Sibley Memorial Hospital
    • Georgia
      • Atlanta, Georgia, Stany Zjednoczone, 30322
        • Emory University Hospital/Winship Cancer Institute
      • Columbus, Georgia, Stany Zjednoczone, 31904
        • John B Amos Cancer Center
      • Valdosta, Georgia, Stany Zjednoczone, 31602
        • South Georgia Medical Center/Pearlman Cancer Center
    • Idaho
      • Boise, Idaho, Stany Zjednoczone, 83706
        • Saint Alphonsus Cancer Care Center-Boise
    • Illinois
      • Chicago, Illinois, Stany Zjednoczone, 60631
        • Presence Resurrection Medical Center
      • Chicago, Illinois, Stany Zjednoczone, 60612
        • Rush MD Anderson Cancer Center
      • Decatur, Illinois, Stany Zjednoczone, 62526
        • Decatur Memorial Hospital
      • Decatur, Illinois, Stany Zjednoczone, 62526
        • Cancer Care Specialists of Illinois - Decatur
      • Evanston, Illinois, Stany Zjednoczone, 60201
        • NorthShore University HealthSystem-Evanston Hospital
      • Peoria, Illinois, Stany Zjednoczone, 61615
        • Illinois CancerCare-Peoria
      • Springfield, Illinois, Stany Zjednoczone, 62702
        • Springfield Clinic
    • Iowa
      • Cedar Rapids, Iowa, Stany Zjednoczone, 52402
        • Physicians' Clinic of Iowa PC
    • Maine
      • York Village, Maine, Stany Zjednoczone, 03909
        • York Hospital
    • Maryland
      • Bethesda, Maryland, Stany Zjednoczone, 20892
        • NCI - Center for Cancer Research
      • Bethesda, Maryland, Stany Zjednoczone, 20892
        • National Cancer Institute Developmental Therapeutics Clinic
    • Michigan
      • Ann Arbor, Michigan, Stany Zjednoczone, 48109
        • University of Michigan Rogel Cancer Center
      • Ann Arbor, Michigan, Stany Zjednoczone, 48106
        • Trinity Health Saint Joseph Mercy Hospital Ann Arbor
      • Brighton, Michigan, Stany Zjednoczone, 48114
        • Trinity Health Medical Center - Brighton
      • Detroit, Michigan, Stany Zjednoczone, 48201
        • Wayne State University/Karmanos Cancer Institute
      • Grand Rapids, Michigan, Stany Zjednoczone, 49503
        • Corewell Health Grand Rapids Hospitals - Butterworth Hospital
      • Marquette, Michigan, Stany Zjednoczone, 49855
        • UP Health System Marquette
      • Marquette, Michigan, Stany Zjednoczone, 49855
        • UP Health System Hematology Oncology Marquette
      • Southfield, Michigan, Stany Zjednoczone, 48075
        • Henry Ford Health Providence Southfield Hospital
    • Missouri
      • Cape Girardeau, Missouri, Stany Zjednoczone, 63703
        • Saint Francis Medical Center
      • Springfield, Missouri, Stany Zjednoczone, 65807
        • CoxHealth South Hospital
      • Springfield, Missouri, Stany Zjednoczone, 65804
        • Mercy Hospital Springfield
      • St Louis, Missouri, Stany Zjednoczone, 63110
        • Washington University School of Medicine
      • St Louis, Missouri, Stany Zjednoczone, 63131
        • Missouri Baptist Medical Center
      • St Louis, Missouri, Stany Zjednoczone, 63141
        • Mercy Hospital Saint Louis
    • Montana
      • Great Falls, Montana, Stany Zjednoczone, 59405
        • Benefis Sletten Cancer Institute
    • New Hampshire
      • Portsmouth, New Hampshire, Stany Zjednoczone, 03802
        • Portsmouth Regional Hospital
    • New Mexico
      • Albuquerque, New Mexico, Stany Zjednoczone, 87106
        • University of New Mexico Cancer Center
    • New York
      • Rochester, New York, Stany Zjednoczone, 14642
        • University of Rochester
    • North Carolina
      • Durham, North Carolina, Stany Zjednoczone, 27710
        • Duke University Medical Center
      • Winston-Salem, North Carolina, Stany Zjednoczone, 27157
        • Wake Forest University Health Sciences
    • North Dakota
      • Fargo, North Dakota, Stany Zjednoczone, 58122
        • Sanford Roger Maris Cancer Center
    • Ohio
      • Columbus, Ohio, Stany Zjednoczone, 43214
        • Riverside Methodist Hospital
    • Oklahoma
      • Lawton, Oklahoma, Stany Zjednoczone, 73505
        • Cancer Centers of Southwest Oklahoma Research
      • Oklahoma City, Oklahoma, Stany Zjednoczone, 73104
        • University of Oklahoma Health Sciences Center
    • Oregon
      • Portland, Oregon, Stany Zjednoczone, 97227
        • Kaiser Permanente Northwest
    • Pennsylvania
      • Phoenixville, Pennsylvania, Stany Zjednoczone, 19460
        • Reading Hospital McGlinn Cancer Institute at Phoenixville
      • West Chester, Pennsylvania, Stany Zjednoczone, 19380
        • Chester County Hospital
      • West Reading, Pennsylvania, Stany Zjednoczone, 19611
        • Reading Hospital
    • South Carolina
      • Greenville, South Carolina, Stany Zjednoczone, 29605
        • Prisma Health Cancer Institute - Faris
      • Greenville, South Carolina, Stany Zjednoczone, 29605
        • Prisma Health Cancer Institute - Butternut
      • Seneca, South Carolina, Stany Zjednoczone, 29672
        • Prisma Health Cancer Institute - Seneca
    • South Dakota
      • Sioux Falls, South Dakota, Stany Zjednoczone, 57117-5134
        • Sanford USD Medical Center - Sioux Falls
      • Sioux Falls, South Dakota, Stany Zjednoczone, 57104
        • Sanford Cancer Center Oncology Clinic
    • Tennessee
      • Kingsport, Tennessee, Stany Zjednoczone, 37660
        • Wellmont Holston Valley Hospital and Medical Center
    • Texas
      • Houston, Texas, Stany Zjednoczone, 77030
        • Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
      • Houston, Texas, Stany Zjednoczone, 77030
        • Ben Taub General Hospital
      • San Antonio, Texas, Stany Zjednoczone, 78229
        • University of Texas Health Science Center at San Antonio
    • Utah
      • Salt Lake City, Utah, Stany Zjednoczone, 84112
        • Huntsman Cancer Institute/University of Utah
    • Virginia
      • Charlottesville, Virginia, Stany Zjednoczone, 22908
        • University of Virginia Cancer Center
    • West Virginia
      • Martinsburg, West Virginia, Stany Zjednoczone, 25401
        • WVUH-Berkely Medical Center
    • Wisconsin
      • Madison, Wisconsin, Stany Zjednoczone, 53792
        • University of Wisconsin Carbone Cancer Center - University Hospital
      • Summit, Wisconsin, Stany Zjednoczone, 53066
        • Aurora Medical Center in Summit
      • Waukesha, Wisconsin, Stany Zjednoczone, 53188
        • UW Cancer Center at ProHealth Care

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

18 lat i starsze (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Wszystko

Metoda próbkowania

Próbka bez prawdopodobieństwa

Badana populacja

Patients with cancer participating in the Exceptional Cases Initiative

Opis

Inclusion Criteria:

  • Documented exceptional response, defined as patients meeting the following criteria:

    • Complete response to a regimen in which complete response is expected in < 10% of similarly treated patients

    • Partial response (PR) > 6 months in a regimen in which PRs > 6 months are expected in < 10% of patients with similar disease treated with same or similar regimen

    • Complete response (CR) or PR of unusual duration, such that the internal review committee considers it to be an exceptional response; examples below:

      • PR of duration > 3 x the median expected PR duration (in cases where PR is expected in > 10% of patients with the same disease treated with the same regimen)
      • CR or duration > 3 x the median expected CR duration (in cases where CR may be seen in > 10% of patients with same disease treated with same regimen)
      • The observed duration of CR (or PR) is longer than expected for 90% of patients with same disease treated with same regimen
    • Note: it is not required that the patient be enrolled on a clinical trial when the exceptional response was observed

  • Reports of radiologic scans or other evidence documenting response will be submitted for review; cases where response is not assessable (e.g. adjuvant treatment) will not be eligible because the outcome can not be attributed to a specific treatment

  • Treatment history must be available, for prior treatment and for the drug to which the exceptional response occurred

  • Patient must meet consent criteria; this requires: (i) current exceptional responder (ER) consent by a living participant not lost to follow-up, (ii) prior consent for future research by a participant not known to be deceased, but lost to follow-up, or (iii) if patient is deceased and did not decline to participate in research at the time of tissue removal for any tissue that would be used in this study, then no consent is required

  • Tumor sample available that meets study requirements

  • Required tumor samples MUST exist and be able to be submitted; investigators wishing to submit samples must not have made agreements that would prohibit the free use of data from such samples; the National Cancer Institute (NCI) will provide investigators with a letter for the collaborator amending their existing agreement to allow for the case to be submitted

    • Tumor tissue from prior to administration of the drug to which the exceptional response occurred is required; ideally this sample will have been collected just prior to treatment, but other prior tissue will be considered; tissue may be fresh frozen or formalin-fixed paraffin embedded
    • Tumor tissue amount must be at least a core biopsy, and meet minimum specimen requirements
  • Encouraged: normal tissue sample: (optional): blood or other specimen source for germline sequencing

  • The tumor samples and clinical data submitted to the Exceptional Responders Database in database in Genotypes and Phenotypes (dbGaP) will need to have appropriate agreements in place to allow for the submission; the Exceptional Responders Database can accept clinical data and samples from cases enrolled on a Cancer Therapy Evaluation Program (CTEP) sponsored clinical trial and cases that were not enrolled on any clinical trial; if the response occurred on a trial that was not CTEP-sponsored, there are existing agreements between the submitting site and the pharmaceutical company; if existing agreements do not allow for the submission of sample and clinical data, the NCI will provide the investigators with a letter that allows the tissue to be used for the exceptional responders study if signed by the appropriate collaborator; the letter modifies the existing agreement to include the CTEP Intellectual Property (IP) Option language that would allow the case to be submitted to the Exceptional Responders Database; if the existing agreement cannot be modified and the letter cannot be signed, the proposed case will not be accepted; Note: as stated above, the patient does not need to have been enrolled on a clinical trial to be eligible for the exceptional responders study

Exclusion Criteria:

  • Patient's response did not meet criteria for an exceptional response
  • Patient's treatment regimen is expected to lead to CR or durable PR in > 10% of patients
  • Patient's duration of response is not > 3 x expected median length of response
  • Response not evaluable or not able to be attributed to systemic treatment (e.g. adjuvant treatment)
  • Patient refused consent for use of tissue for research activities included in the exceptional responders study
  • Tumor sample from prior to the exceptional response is not available, or does not meet quality metrics

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Modele obserwacyjne: CASE_CONTROL
  • Perspektywy czasowe: RETROSPECTIVE

Kohorty i interwencje

Grupa / Kohorta
Interwencja / Leczenie
Ancillary-Correlative (molecular profiling)

Previously collected tissue samples are analyzed via whole exome sequencing and/or targeted NGS assay deep sequencing. Cases for which sufficient nucleic acid amounts are available will undergo additional analyses including whole genome sequencing, mRNA-sequencing, miRNA sequencing, promoter methylation analysis, and SNP analysis.

Undergo sequencing and SNP analysis

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Molecular features in tissue samples from patients who were exceptional responders
Ramy czasowe: Baseline

The molecular features of the tumors in the patients will be discernible as distinct to the tumor by comparison to (i) samples from normal tissue in the same patient and (ii) databases of similar data for normal and other tumor types.

Baseline
Putative mechanisms of action of the treatments that the patients received when they experienced their exceptional responses
Ramy czasowe: Baseline

The associations between identified molecular features and the putative mechanisms of action of the treatments that the patients received when they experienced their exceptional responses will be explored. Statistical analyses will be primarily descriptive.

Baseline
Number of cases identified as potential exceptional responders
Ramy czasowe: Baseline

Statistical analyses will be primarily descriptive.

Baseline
Percentage of identified potential cases confirmed to be exceptional responders
Ramy czasowe: Baseline

Statistical analyses will be primarily descriptive.

Baseline
Percentage of confirmed exceptional responders for which adequate tissue with appropriate informed consent is acquired
Ramy czasowe: Baseline

Statistical analyses will be primarily descriptive.

Baseline
Percentage of acquired cases with tissue for which at least the minimum molecular characterization is successfully obtained
Ramy czasowe: Baseline

Statistical analyses will be primarily descriptive.

Baseline
Percentage of molecularly characterized cases for which a Molecular Characterization report identified (without reference to the drug received by the patient) at least one feature judged to have potential therapeutic relevance
Ramy czasowe: Baseline

Promising discoveries will be summarized for the group of cases for which the minimum molecular characterization was successfully obtained. For each such case, molecular data will be reviewed by an expert panel ("Panel") to identify interesting features. All estimated proportions will be accompanied by exact 95% confidence intervals.

Baseline
Percentage of cases with >= 1 feature on Molecular Characterization report that was judged to have potential therapeutic relevance to the specific class of drug the patient actually received when the exceptional response was experienced
Ramy czasowe: Baseline

Promising discoveries will be summarized for the group of cases for which the minimum molecular characterization was successfully obtained. For each such case, molecular data will be reviewed by the Panel to identify interesting features. All estimated proportions will be accompanied by exact 95% confidence intervals.

Baseline
Percentage of cases with >= 1 feature that correlates with the mechanism of action of the specific grant to which the exceptional response occurred that was found after further analyzing the molecular profile data for relevant molecular abnormalities
Ramy czasowe: Baseline

Promising discoveries will be summarized for the group of cases for which the minimum molecular characterization was successfully obtained. For each such case, molecular data will be reviewed by the Panel to identify interesting features. All estimated proportions will be accompanied by exact 95% confidence intervals.

Baseline

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Śledczy

  • Główny śledczy: S. P Ivy, National Cancer Institute (NCI)

Publikacje i pomocne linki

Osoba odpowiedzialna za wprowadzenie informacji o badaniu dobrowolnie udostępnia te publikacje. Mogą one dotyczyć wszystkiego, co jest związane z badaniem.

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

24 września 2014

Zakończenie podstawowe (Rzeczywisty)

4 marca 2021

Ukończenie studiów (Szacowany)

30 kwietnia 2027

Daty rejestracji na studia

Pierwszy przesłany

16 września 2014

Pierwszy przesłany, który spełnia kryteria kontroli jakości

16 września 2014

Pierwszy wysłany (Szacowany)

18 września 2014

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

12 listopada 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

10 listopada 2026

Ostatnia weryfikacja

1 września 2026

Więcej informacji

Terminy związane z tym badaniem

Dodatkowe istotne warunki MeSH

Inne numery identyfikacyjne badania

  • NCI-2014-01585
  • UM1CA186704 (Grant/umowa NIH USA)
  • 9671 (Inny identyfikator: CTEP)
  • NCI-2014-01585 (Identyfikator rejestru: CTRP (Clinical Trial Reporting Program))
  • 9671 (Inny identyfikator: National Cancer Institute)

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .