An Ancillary Pilot Trial Using Whole Genome Sequencing In Patients With Advance Refractory Cancer

NCT ID: NCT01443390

Last Updated: 2014-05-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

11 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-09-30

Study Completion Date

2013-03-31

Brief Summary

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When a patient with advanced cancer consults with a member of the Phase I drug development team, the investigators utilize all information possible to try to select a therapy for that patient which has the best chance of working for them. This information includes:

1. Past published information
2. Clinical experience and judgement
3. Immunohistochemistry for specific targets (e.g., ER)
4. Standard sequencing (e.g., for K-Ras) and other methods now available.

The investigators have a new tool which warrants early exploration for what role it might eventually play in the process of selecting the best therapy for an individual patient. The basis of the current ancillary exploratory study is to gain initial experience with the operational aspects of this whole genome sequencing in this setting.

Detailed Description

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1. To measure the time from biopsy to completion and final analysis of Whole Genome Sequencing (WGS) on patient tumor and non-tumor samples.
2. To examine the frequency with which useable sequence data is obtained as a function of tumor volume received and percent tumor involvement in the biopsy
3. To identify the frequency with which potential targets and pathways for therapy are discovered.
4. To observe for any evidence that if anti-tumor activity from treatment is noted how would the genome sequencing have correlated with that activity.

Conditions

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Advanced Cancer

Eligibility Criteria

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Inclusion Criteria

* Have a life expectancy of greater than 3 months.
* Patients must have a diagnosis of histologically or cytologically confirmed advanced incurable cancer which has progressed on one or more prior chemotherapeutic, hormonal or biological regimens for advanced disease.
* Be a good medical candidate for and willing to undergo a biopsy or surgical procedure to obtain tissue, which may or may not be part of the patient's routine care for their malignancy.

Exclusion Criteria

* Patients with symptomatic CNS metastasis.
* Known HIV, HBV or HCV infection requiring antiviral therapy.
* Pregnant or breast-feeding patients or any patient with childbearing potential not using adequate contraception.
* Inaccessible tumor for biopsy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Foundation for Cancer Research

OTHER

Sponsor Role collaborator

Translational Genomics Research Institute

OTHER

Sponsor Role collaborator

Scottsdale Healthcare

OTHER

Sponsor Role lead

Responsible Party

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Glen Weiss

Director, Clinical Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Glen J Weiss, M.D.

Role: PRINCIPAL_INVESTIGATOR

Scottsdale Healthcare

Locations

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Virginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare

Scottsdale, Arizona, United States

Site Status

Countries

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United States

References

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Weiss GJ, Liang WS, Demeure MJ, Kiefer JA, Hostetter G, Izatt T, Sinari S, Christoforides A, Aldrich J, Kurdoglu A, Phillips L, Benson H, Reiman R, Baker A, Marsh V, Von Hoff DD, Carpten JD, Craig DW. A pilot study using next-generation sequencing in advanced cancers: feasibility and challenges. PLoS One. 2013 Oct 30;8(10):e76438. doi: 10.1371/journal.pone.0076438. eCollection 2013.

Reference Type RESULT
PMID: 24204627 (View on PubMed)

Other Identifiers

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SCRI-CA_004

Identifier Type: -

Identifier Source: org_study_id

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