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Trial Title: Implementation of Liquid Biopsies During Routine Clinical Care in Patients With Advanced Malignancies (LIQPLAT)

NCT ID: NCT06367751

Condition: Advanced Solid Tumor

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
ctDNA

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: This is a trial using routinely collected health care data from an ongoing registry (AO_2023-00091) in cancer patients with advanced solid malignancies receiving first line systemic anti-cancer treatment for advanced disease. All patients will receive routine diagnostics, treatment and follow-up. All patients with a new cancer diagnosis will be assessed for eligibility based on the routinely collected information available in the registry. We will then randomly decide which eligible patients are invited to participate in the trial. If patients accept the invitation and intend to get a measurement of ctDNA, they have to provide written informed consent. The study comprises an external comparator arm with 75 (anticipated) cancer patients, and an active comparator arm with 150 (anticipated) cancer patients.

Primary purpose: Other

Masking: None (Open Label)

Intervention:

Intervention type: Diagnostic Test
Intervention name: ctDNA measurement
Description: Blood samples are collected as part of standard of care and ctDNA measurements will be performed on these samples.
Arm group label: Active Comparator

Summary: The goal of this study is to assess the implementation and feasibility of ctDNA measurements from blood samples obtained during routine clinical care of cancer patients in the University Hospital Basel. Researchers will compare clinical and patient reported outcomes from the LIQPLAT study with patients who did not receive ctDNA measurements (external comparator from registry AO_2023-00091). Blood samples will be drawn from the patients as part of routine care and ctDNA measurements will be performed on these samples.

Detailed description: Liquid biopsies, in particular the analysis of circulating tumor DNA (ctDNA), have emerged as a promising tool for detecting and monitoring cancer. Measuring ctDNA in patients with solid malignancies may help to identify targetable alterations, measure disease burden, identify early mutations of resistance, tailor and deescalate cancer treatment, and predict patient prognosis. Although the adoption and application of ctDNA measurements for patients with solid tumors in routine clinical care is increasing, evidence supporting the integration of ctDNA into current practice is limited, especially for patients with advanced cancers. This is a trial using routinely collected health care data from an ongoing registry (AO_2023-00091) in cancer patients with advanced solid malignancies receiving first line systemic anticancer treatment for advanced disease. This trial will assess the feasibility and implementation of routine measurement of ctDNA and its association with clinical outcomes, including quality of life and survival. All patients will receive routine diagnostics, treatment and follow-up. All patients with a new cancer diagnosis will be assessed for eligibility based on the routinely collected information available in the registry. We will then randomly decide which eligible patients are invited to participate in the trial. If patients accept the invitation and intend to get a measurement of ctDNA, they have to provide written informed consent. Results from ctDNA analyses will be discussed at the molecular tumor board, an established regular interdisciplinary meeting at the University Hospital Basel (part of routine care) to discuss patients with complex findings from tumor sequencing analyses. Treatment changes occurring during the trial duration will be at the discretion of treating physician and according to patient's preference as is routine standard of care.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients with a proven solid malignant disease, i.e. with solid malignant tumors where no primary surgical resection is planned OR solid malignant tumors that are locally advanced and inoperable OR solid tumors that are metastatic - No prior treatment for advanced/metastatic disease - Indication for medical anti-cancer treatment (including combined chemoradiotherapy) as judged by the treating physician - Patient age 18 years and older - General research consent of the University Hospital Basel Exclusion Criteria: ● Patients with primary brain tumors

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Department of Medical Oncology, University Hospital Basel

Address:
City: Basel
Zip: 4031
Country: Switzerland

Status: Recruiting

Contact:
Last name: Benjamin Kasenda, PD. Dr. med et Dr. phil.

Phone: +41 61 265 50 75
Email: Benjamin.Kasenda@usb.ch

Contact backup:
Last name: Andreas Michael Schmitt, Dr.

Phone: +41 61 265 50 75
Email: AndreasMichael.Schmitt@usb.ch

Investigator:
Last name: Benjamin Kasenda, PD. Dr. med et Dr. phil.
Email: Principal Investigator

Investigator:
Last name: Andreas Michael Schmitt, Dr.
Email: Sub-Investigator

Investigator:
Last name: Heinz Läubli, Prof. Dr.
Email: Sub-Investigator

Investigator:
Last name: Mascha Binder, Prof. Dr.
Email: Sub-Investigator

Start date: May 2, 2024

Completion date: October 2026

Lead sponsor:
Agency: University Hospital, Basel, Switzerland
Agency class: Other

Collaborator:
Agency: Research Center for Clinical Neuroimmunology and Neuroscience Basel
Agency class: Other

Source: University Hospital, Basel, Switzerland

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06367751

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