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Trial Title: MoleculAr Profiling for Pediatric and Young Adult Cancer Treatment Stratification 2

NCT ID: NCT05691608

Condition: Solid Tumor
Leukemia

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: Solid tumor and CT DNA
Description: Biopsy and blood sample
Arm group label: Patient with solid tumor or leukemia (no treatment)

Summary: FMG2025 continues the previous efforts to propose treatment for patients based on the molecular characteristics of their tumor at treatment failure in cancer precision medicine trials within standard of care in France. However, whereas FMG2025 is a descriptive effort providing the basis for clinical decisions, MAPPYACTS 2 will translate these findings to clinical actions. The symbiosis is critical to advance patient care. Since 2012, the molecular profiling trials "MOlecular Screening for CAncer Treatment Optimization" (MOSCATO-01) and "MoleculAr Profiling for Pediatric and Young Adult Cancer Treatment Stratification" (MAPPYACTS) have included pediatric and adolescent patients with recurrent or refractory malignancy that underwent on-purpose biopsy or surgical intervention. Whole Exome Sequencing of tumor and normal tissue and RNA Sequencing of tumor tissue have been applied to detect genomic alterations that could lead to an adapted targeted treatment. Furthermore, ancillary studies were associated exploring circulating tumor DNA, the immune contexture of tumors and developing Patient-Derived Xenografts (PDX). The FMG2025 project transfers the molecular profiling of advanced pediatric cancers into a global approach that is now considered standard of care in France. Subsequent clinical recommendations and decisions will be made based on discussions with biologists, scientist and physicians in the molecular and clinical molecular tumor boards. Associated ancillary research studies and links to clinical interventional studies remain essential elements of the program to provide clinical, translational and basic research in order to improve scientific knowledge. The program is articulated in two main parts that are closely interacting: FMG2025 - Cancers et leucémies pédiatriques en échec de traitement or equivalent international projects that cover the sequencing of tumor and blood samples and provide molecular reports. The clinical study MAPPYACTS 2 that provides clinical and therapeutic discussions of the sequencing results and therapy recommendations via the clinical molecular tumor board reports. It collects molecular and comprehensive clinical data of the patients registered in FMG2025 or equivalent international projects and thereby constitutes the critical link to clinical interventional studies and its sponsors ensuring facilitated access to these trials. It also covers and coordinates ancillary research studies.

Detailed description: MAPPYACTS 2 is a prospective international multicentric clinical study to provide clinical therapeutic recommendations, to set up the molecular and comprehensive clinical database of patients with relapsed or refractory pediatric malignancies in FMG2025 - Cancers et leucémies pédiatriques en échec de traitement or equivalent international projects, to collect the follow-up data on treatment and patients' outcome, in order to determine the outcome of the program in regard to benefit to the patient, all the patients and to health care. It will also serve as a central link to interventional study platforms and international precision medicine programs, and to cover and coordinate ancillary research studies that lead to improved treatment and outcome for children with advanced malignancies. Subsequent clinical recommendations and decisions will be made based on discussions with biologists, scientists and physicians in the molecular and clinical molecular tumor boards run by the MAPPYACTS 2 study teams. Associated ancillary research studies and links to clinical interventional studies are essential components of the program to perform clinical, translational and basic research in order to generate scientific knowledge and develop new treatment strategies that improve outcome of these patients. Research projects will be discussed and agreed on in the MAPPYACTS 2 study committee.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patient referred for sequencing of the tumor within the FMG2025 or equivalent program and written informed consent for FMG2025 "Cancers et leucémies pédiatriques en échec de traitement" or equivalent, according to local regulations - Written informed consent of MAPPYACTS 2 to collect molecular and comprehensive clinical data on cancer diagnosis, therapies, therapy outcomes, to provide clinical therapeutic recommendations, to collect follow-up data on treatment and patients' outcome; optional written consents to perform to ancillary research studies, according to local regulations. The written consent will include access to reimbursement data from the French national health insurance through linkage with the Système National des Données de Santé (SNDS) or equivalent. - Patient with histologically/cytologically confirmed solid tumor or leukemia which is relapsed or refractory to standard treatment and who is potentially eligible for an experimental treatment or an early phase clinical trial - Planned tumor biopsy, surgical resection, bone marrow or blood sample or recently (preferably within the last 3 months) archived frozen tumor material available of the current recurrent or refractory disease - Patients aged ≤ 25 years at the time of initial diagnosis - Performance status and life expectancy > 3 months expected to allow enrolment into an clinical trial - Patients affiliated with a Social Security Regimen or beneficiary of the same, as per local regulatory requirements Exclusion Criteria: - Any concurrent illness or laboratory abnormality that, in the opinion of the investigator, is likely to interfere with the interpretation of study results - Pregnant women

Gender: All

Minimum age: 6 Years

Maximum age: 25 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Gustave Roussy

Address:
City: Paris
Zip: 94800
Country: France

Status: Recruiting

Contact:
Last name: Birgit GEOERGER, MD
Email: birgit.geoerger@gustaveroussy.fr

Contact backup:
Last name: Jean-Luc JOANNIC, PhD

Phone: +33 (0)142114794
Email: jeanluc.joannic@gustaveroussy.fr

Facility:
Name: CHU Angers

Address:
City: Angers
Zip: 49933 Cedex 9
Country: France

Status: Recruiting

Contact:
Last name: Emilie DE CARLI, Dr

Phone: +33 (0)2 41 35 36 37
Email: emdecarli@chu-angers.fr

Facility:
Name: CHU Besançon

Address:
City: Besançon
Zip: 25030
Country: France

Status: Recruiting

Contact:
Last name: Sébastien KLEIN, Dr

Phone: +33 (0)3 81 66 81 66
Email: s1klein@chu-besancon.fr

Facility:
Name: CHU Pellegrin

Address:
City: Bordeaux
Zip: 33076
Country: France

Status: Recruiting

Contact:
Last name: Stéphane DUCASSOU, Dr

Phone: +33 (0)5 56 79 56 79
Email: stephane.ducassou@chu-bordeaux.fr

Facility:
Name: CHRU Morvan

Address:
City: Brest
Zip: 29200
Country: France

Status: Recruiting

Contact:
Last name: Liana CARAUSU, Dr

Phone: +33 (0)2 98 22 33 33
Email: liana.carausu@chu-brest.fr

Facility:
Name: CHU de Caen

Address:
City: Caen
Zip: 14000
Country: France

Status: Recruiting

Contact:
Last name: Damien BODET, Dr

Phone: +33 (0)2 31 06 31 06
Email: bodet-d@chu-caen.fr

Facility:
Name: CHU Estaing

Address:
City: Clermont-Ferrand
Zip: 63000
Country: France

Status: Recruiting

Contact:
Last name: Justyna KANOLD, Dr

Phone: +33 (0)4 73 75 07 50
Email: jkanold@chu-clermontferrand.fr

Facility:
Name: CHU Dijon François Mitterand

Address:
City: Dijon
Zip: 21079
Country: France

Status: Recruiting

Contact:
Last name: Florent NEUMANN, Dr

Phone: +33 (0)3 80 29 30 31
Email: florent.neumann@chu-dijon.fr

Facility:
Name: CHU Grenoble Alpes

Address:
City: Grenoble
Zip: 38043
Country: France

Status: Recruiting

Contact:
Last name: Anne PAGNIER, Dr

Phone: +33 (0)4 76 76 75 75
Email: apagnier@chu-grenoble.fr

Facility:
Name: Centre Oscar Lambret

Address:
City: Lille
Zip: 59020
Country: France

Status: Recruiting

Contact:
Last name: Sandra RAIMBAULT, Dr

Phone: +33 (0)3 20 29 59 59
Email: s-raimbault@o-lambret.fr

Facility:
Name: Chu Limoges

Address:
City: Limoges
Zip: 87000
Country: France

Status: Recruiting

Contact:
Last name: Thomas LAUVRAY, MD

Phone: +33 (0)5 55 05 55 55
Email: Thomas.LAUVRAY@chu-limoges.fr

Facility:
Name: IHOP

Address:
City: Lyon
Zip: 69373
Country: France

Status: Recruiting

Contact:
Last name: Nadège Corradini, MD,PHD

Phone: +33 (0)4 69 16 65 95
Email: nadege.corradini@ihope.fr

Facility:
Name: CHU La Timone

Address:
City: Marseille
Zip: 13005
Country: France

Status: Recruiting

Contact:
Last name: Nicolas ANDRE, Pr

Phone: +33 (0)4 91 38 00 00
Email: Nicolas.ANDRE@ap-hm.fr

Facility:
Name: CHU Arnaud de Villeneuve

Address:
City: Montpellier
Zip: 34295
Country: France

Status: Recruiting

Contact:
Last name: Stéphanie HAOUY, Dr

Phone: +33 (0)4 67 33 67 33
Email: s-haouy@chu-montpellier.fr

Facility:
Name: CHU Nantes

Address:
City: Nantes
Zip: 44093
Country: France

Status: Recruiting

Contact:
Last name: Morgane Clairec, Dr

Phone: +33 (0)2 40 08 33 33
Email: morgane.clairec@chu-nantes.fr

Facility:
Name: CHU de Nice

Address:
City: Nice
Zip: 06202
Country: France

Status: Recruiting

Contact:
Last name: Pierre ROHRLICH, Dr

Phone: +33 (0)4 92 03 77 77
Email: rohrlich.ps@chu-nice.fr

Facility:
Name: Institut Curie

Address:
City: Paris
Zip: 75005
Country: France

Status: Recruiting

Contact:
Last name: Gudrun Schleiermacher, MD,PHD

Phone: +33 (0)1 56 24 55 00
Email: gudrun.schleiermacher@curie.fr

Facility:
Name: CHU Poitiers

Address:
City: Poitiers
Zip: 86022 Cedex
Country: France

Status: Recruiting

Contact:
Last name: Frédéric MILLOT, Pr

Phone: +33 (0)5 49 44 44 44
Email: Frederic.millot@chu-poitiers.fr

Facility:
Name: CHU Reims- Hôpital Américain

Address:
City: Reims
Zip: 51100
Country: France

Status: Recruiting

Contact:
Last name: Claire PLUCHART, Dr

Phone: +33 (0)3 26 78 78 78
Email: cpluchart@chu-reims.fr

Facility:
Name: CHU Rennes Hôpital Sud

Address:
City: Rennes
Zip: 35203
Country: France

Status: Recruiting

Contact:
Last name: Chloé PUISEUX, Dr

Phone: +33 (0)2 99 28 43 21
Email: Chloe.PUISEUX@chu-rennes.fr

Facility:
Name: CHU de Rouen

Address:
City: Rouen
Zip: 76000
Country: France

Status: Recruiting

Contact:
Last name: Aude MARIE-CARDINE, Dr

Phone: +33 2 32 88 89 90
Email: aude.marie-cardine@chu-rouen.fr

Facility:
Name: CHU de La Réunion site nord

Address:
City: Saint-Denis
Zip: 97400
Country: France

Status: Recruiting

Contact:
Last name: Yves REGUERRE, Dr

Phone: +33 (0)2 62 90 50 50
Email: yves.reguerre@chu-reunion.fr

Facility:
Name: Hôpital de Hautepierre

Address:
City: Strasbourg
Zip: 67200
Country: France

Status: Recruiting

Contact:
Last name: Natacha ENTZ-WERLE, Dr

Phone: +33 (0)3 88 11 67 68
Email: Natacha.Entz-Werle@chru-strasbourg.fr

Facility:
Name: Hôpital des Enfants - CHU de Toulouse

Address:
City: Toulouse
Zip: 31059
Country: France

Status: Recruiting

Contact:
Last name: Marion GAMBART, Dr

Phone: +33 (0)5 61 77 22 33
Email: gambart.m@chu-toulouse.fr

Facility:
Name: Hôpital Clocheville

Address:
City: Tours
Zip: 37000
Country: France

Status: Recruiting

Contact:
Last name: Julien LEJEUNE, Dr

Phone: +33 (0)2 47 47 47 47
Email: j.lejeune@chu-tours.fr

Facility:
Name: CHRU Nancy Hôpital Enfants

Address:
City: Vandœuvre-lès-Nancy
Zip: 54500
Country: France

Status: Recruiting

Contact:
Last name: Ludovic MANSUY, Dr

Phone: +33 (0)3 83 85 85 85
Email: lu.mansuy@chru-nancy.fr

Start date: September 9, 2022

Completion date: September 9, 2030

Lead sponsor:
Agency: Gustave Roussy, Cancer Campus, Grand Paris
Agency class: Other

Source: Gustave Roussy, Cancer Campus, Grand Paris

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05691608

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