Clinical Effectiveness Assessment of VeriStrat® Testing and Validation of Immunotherapy Tests in NSCLC Subjects

NCT ID: NCT03289780

Last Updated: 2025-09-19

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

ACTIVE_NOT_RECRUITING

Total Enrollment

5006 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-04-04

Study Completion Date

2025-12-31

Brief Summary

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The purpose of this study is to collect information about how a doctor uses the results of the VeriStrat® blood test to guide treatment for non-small cell lung cancer (NSCLC) patients. Understanding how VeriStrat test results influence doctors' decisions and patients' outcomes may help doctors to better treat NSCLC in the future. This study will also look to establish whether new investigational tests can help better predict the effectiveness of certain medications for certain patients. These new investigational tests are only for research purposes at this time.

Detailed Description

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The primary purpose of this observational study is to assess the physician's clinical practice patterns while using VeriStrat testing in subjects with NSCLC whose tumors are epidermal growth factor receptor (EGFR) wild-type (negative) or have unknown EGFR mutational status. This study will also attempt to further validate that VeriStrat test results stratify subjects by clinical outcomes in the real world, uncontrolled clinical setting while exploring whether certain therapeutic approaches may yield opportunities for further study.

Predictive tests that aid physician therapeutic decision making are critical for optimizing subject outcomes while minimizing toxicity and associated treatment costs. This study will provide data for the validation of immunotherapy tests currently being developed. Immunotherapy mechanisms are dependent upon the interactions between the tumor, tumor microenvironment, and the patient immune system. As such, a successful predictive test will reflect the complex interplay between tumor and host. The multivariate tests from Biodesix have the advantage of being able to assess this complex biology.

The information gained from this research will not only guide the adoption of the VeriStrat test and inform medical decision making, including treatment choice, but will allow the validation of additional mass-spectrometry-based proteomic tests.

Conditions

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Non-Small Cell Lung Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

1. Subject must be 18 years of age or older at time of signing informed consent form (ICF).
2. A diagnosis of NSCLC.
3. Subject is willing to provide serum samples for VeriStrat testing.
4. EGFR mutation status wild-type (negative) or a tested unknown.
5. For subjects with untested/unknown EGFR status only: The subject must be willing to provide blood samples for GeneStrat testing.
6. Subject is willing to provide serum samples for research, understanding that no test results will be made available either to the subject or the treating physician.
7. Subject is able to read and understand the ICF and agrees to comply with study procedures and requirements.

Exclusion Criteria

1\. Subject's ability to understand the requirements of the protocol or to provide informed consent is impaired or subject is unwilling to comply with the protocol requirements.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biodesix, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Steve Springmeyer, MD

Role: PRINCIPAL_INVESTIGATOR

Biodesix, Inc.

Locations

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Oncology Specialties, PC; Clearview Cancer Institute

Huntsville, Alabama, United States

Site Status

Lewis & Faye Manderson Cancer Center at DCH Regional Medical Center

Tuscaloosa, Alabama, United States

Site Status

Highlands Oncology Group

Fayetteville, Arkansas, United States

Site Status

St. Bernards Cancer Center Hematology / Oncology

Jonesboro, Arkansas, United States

Site Status

Valley Medical Oncology Consultants

Pleasanton, California, United States

Site Status

Eastern Connecticut Hematology and Oncology Associates

Norwich, Connecticut, United States

Site Status

Boca Raton Regional Hospital -Lynn Cancer Institute

Boca Raton, Florida, United States

Site Status

Lake City Cancer Care, LLC

Lake City, Florida, United States

Site Status

South Eastern Regional Medical Center

Newnan, Georgia, United States

Site Status

Summit Cancer Care

Savannah, Georgia, United States

Site Status

South Georgia Medical Center

Valdosta, Georgia, United States

Site Status

Edward-Elmhurst Healthcare

Naperville, Illinois, United States

Site Status

Illinois Cancer Care

Peoria, Illinois, United States

Site Status

Franciscan St. Francis Health

Indianapolis, Indiana, United States

Site Status

Franciscan Health Woodland Cancer Center

Michigan City, Indiana, United States

Site Status

Ponchartrain Cancer Center

Covington, Louisiana, United States

Site Status

Christus Health

Shreveport, Louisiana, United States

Site Status

North Mississippi Medical Center - Hematology and Oncology Clinic

Tupelo, Mississippi, United States

Site Status

Central Care Cancer Center

Bolivar, Missouri, United States

Site Status

Phelps County Regional Medical Center

Rolla, Missouri, United States

Site Status

Mercy Medical

Springfield, Missouri, United States

Site Status

Nebraska Methodist Hospital

Omaha, Nebraska, United States

Site Status

Essex Oncology

Belleville, New Jersey, United States

Site Status

New York Oncology Group

Albany, New York, United States

Site Status

Clinical Research Associates

Lake Success, New York, United States

Site Status

NYU Laura & Isaac Perlmutter Cancer Center

New York, New York, United States

Site Status

University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Southeastern Medical Oncology

Goldsboro, North Carolina, United States

Site Status

Leo W. Jenkins Cancer Center - East Carolina University

Greenville, North Carolina, United States

Site Status

Hematology and Oncology Associates - Mercy Medical Center

Canton, Ohio, United States

Site Status

Tri-County Hematology & Oncology Associates

Massillon, Ohio, United States

Site Status

Oregon Oncology Specialists (QCCA)

Salem, Oregon, United States

Site Status

Gettysburg Cancer Center

Gettysburg, Pennsylvania, United States

Site Status

Bon Secours St. Francis Cancer Center

Greenville, South Carolina, United States

Site Status

Arlington Cancer Center

Arlington, Texas, United States

Site Status

JPS Health Network, JPS Center for Cancer Care

Fort Worth, Texas, United States

Site Status

The Center for Cancer and Blood Disorders

Fort Worth, Texas, United States

Site Status

Scott & White Memorial Hospital and Clinic

Temple, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Virginia Cancer Institute

Richmond, Virginia, United States

Site Status

Peace Health

Bellingham, Washington, United States

Site Status

Northwest Medical Specialties, PLLC

Tacoma, Washington, United States

Site Status

Countries

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United States

References

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Akerley WL, Arnaud AM, Reddy B, Page RD. Impact of a multivariate serum-based proteomic test on physician treatment recommendations for advanced non-small-cell lung cancer. Curr Med Res Opin. 2017 Jun;33(6):1091-1097. doi: 10.1080/03007995.2017.1301903. Epub 2017 Mar 16.

Reference Type BACKGROUND
PMID: 28277859 (View on PubMed)

Grossi F, Rijavec E, Genova C, Barletta G, Biello F, Maggioni C, Burrafato G, Sini C, Dal Bello MG, Meyer K, Roder J, Roder H, Grigorieva J. Serum proteomic test in advanced non-squamous non-small cell lung cancer treated in first line with standard chemotherapy. Br J Cancer. 2017 Jan 3;116(1):36-43. doi: 10.1038/bjc.2016.387. Epub 2016 Nov 29.

Reference Type BACKGROUND
PMID: 27898657 (View on PubMed)

Rich P, Mitchell RB, Schaefer E, Walker PR, Dubay JW, Boyd J, Oubre D, Page R, Khalil M, Sinha S, Boniol S, Halawani H, Santos ES, Brenner W, Orsini JM, Pauli E, Goldberg J, Veatch A, Haut M, Ghabach B, Bidyasar S, Quejada M, Khan W, Huang K, Traylor L, Akerley W. Real-world performance of blood-based proteomic profiling in first-line immunotherapy treatment in advanced stage non-small cell lung cancer. J Immunother Cancer. 2021 Oct;9(10):e002989. doi: 10.1136/jitc-2021-002989.

Reference Type DERIVED
PMID: 34706885 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Related Links

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Other Identifiers

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BDX-00146

Identifier Type: -

Identifier Source: org_study_id

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