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Trial Title: TRAQinform Assessment of Immunotherapy Response

NCT ID: NCT05819255

Condition: Melanoma

Conditions: Official terms:
Melanoma

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: Non-Interventional
Description: This prospective, non-interventional clinical study will enroll patients with metastatic melanoma, who have been selected by their oncologist to receive standard of care dual-agent immunotherapy and monitored for treatment response using SOC FDG PET/CTs. The primary objective of this clinical study is to investigate intent to change treatment decisions after the addition of treatment response information from the TRAQinform Immuno technology.

Summary: The intent of this study is to evaluate the actionable information output from the TRAQinform Immuno technology in a prospective, non-interventional clinical study. Subjects with metastatic melanoma treated with standard of care (SOC) dual-agent immunotherapy will be enrolled. Subjects will receive SOC immunotherapy monitored for treatment response with FDG PET/CT's at baseline (SOC), after 3-4 weeks of treatment (non-SOC) and 12 at weeks of treatment (SOC).

Detailed description: This prospective, non-interventional clinical study will enroll patients with metastatic melanoma, who have been selected by their oncologist to receive standard of care (SOC) dual-agent immunotherapy and monitored for treatment response using SOC FDG PET/CTs. The primary objective of this clinical study is to investigate intent to change treatment decisions after the addition of treatment response information from the TRAQinform Immuno technology. For each subject, FDG PET/CT #1, #2 and #3 will be transmitted to AIQ Solutions (Madison, WI) for treatment response analysis using TRAQinform Immuno, a software technology that identifies, matches and quantifies metastatic cancer regions of interest. A TRAQinform Immuno report will be returned to the oncology/nuclear medicine paired investigator teams, after the first clinical decision point following FDG PET/CT #1 and #2 and again after the second clinical decision point following FDG PET/CT #3. The investigator team at each site will complete an "intent to change" questionnaire for each subject at Data Collection Point #1 and at Data Collection Point #2. The clinical study will evaluate the Data Collection Point questionnaires to help understand the clinical impact of the addition of TRAQinform Immuno analysis into the clinical workflow. To address the status quo bias of the investigator teams, the TRAQinform Immuno reports for subjects enrolled at each site, including the additional limited data that is necessary to make a treatment decision, will be shared between teams. The first investigator team, without knowledge of the treatment decision made by the second investigator team, will independently answer the Data Collection Point #3 questionnaire and vice versa. An exploratory objective of this clinical trial is to investigate if treatment effectiveness and adverse events could be detected on FDG PET/CT images at 3-4 weeks of the combination immunotherapy.

Criteria for eligibility:

Study pop:
Patients with metastatic melanoma.

Sampling method: Probability Sample
Criteria:
Inclusion Criteria: - Diagnosis of metastatic melanoma and is planned to start or has received one cycle of treatment with standard of care, dual-agent immunotherapy. - Previous adjuvant anti-PD-I monotherapy is allowed. Patients must be greater than 6 months from the last treatment. - Previous adjuvant BRAF/MEK therapy is allowed. - Ability to tolerate 3 FDG PET/CT procedures. One at baseline, prior to the start of the combination immuno therapy, after 3 - 4 weeks of the combination immunotherapy treatment, and at 12 weeks of the combination treatment. - Estimated life expectancy of greater than 12 months at screening. - Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 at screening. - Deemed suitable for starting standard of care combination immunotherapy for metastatic melanoma. - Willing and able to provide informed consent for FDG PET/CT imaging. Exclusion Criteria: - Any concurrent disease, infection, or comorbid condition that interferes with the ability of the patient to participate in the trial; places the patient at undue risk; or complicates the interpretation of the data, in the opinion of the investigator. - A second malignancy - Pregnancy or women who are breast feeding

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Massachusetts General Hospital

Address:
City: Boston
Zip: 02114
Country: United States

Status: Recruiting

Contact:
Last name: Aleigha Lawless

Phone: 617-643-3578
Email: ALAWLESS@PARTNERS.ORG

Facility:
Name: University of Wisconsin Carbone Cancer Center

Address:
City: Madison
Zip: 53792
Country: United States

Status: Recruiting

Contact:
Last name: Renae Quale

Phone: 608-265-2789
Email: rmq@medicine.wisc.edu

Start date: June 23, 2023

Completion date: April 30, 2025

Lead sponsor:
Agency: AIQ Solutions
Agency class: Industry

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Collaborator:
Agency: Massachusetts General Hospital
Agency class: Other

Collaborator:
Agency: University of Wisconsin, Madison
Agency class: Other

Source: AIQ Solutions

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05819255

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