Treatment Resistance Following Anti-cancer Therapies

NCT ID: NCT04436120

Last Updated: 2024-12-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-13

Study Completion Date

2020-12-14

Brief Summary

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The TRANSLATE study aims to better understand why tumors become resistant to standard anti-cancer therapies.

New tumor biopsy and blood samples are collected after disease progression on standard-of-care anti-cancer treatment and compared to the initial (archival) tumor biopsy sample taken from the same patient.

Annotated reports of results from clinical Next Generation Sequencing (NGS) gene panel tests of both tumor and blood are sent directly from the testing lab to the study physician for discussion with the patient during the study.

Patients may participate in interventional treatment clinical trials at the same time as participating in the TRANSLATE study.

Primary data will be publicly available after the study to support further research.

Detailed Description

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Background: Development of new cancer treatments requires better understanding of why tumors develop resistance to standard-of-care (SOC) therapies. However, post-progression tumor biopsies are not routinely collected, limiting the tissue available to characterize mechanisms of treatment resistance. The TRANSLATE clinical study is specifically designed to address these critical gaps.

Trial design: TRANSLATE is a global, multicenter, translational study designed to collect and compare archival pre-treatment tumor tissue with paired de novo tumor and blood samples obtained following disease progression on SOC therapies, targeting therapeutically important areas of cancer biology.

Eligible Tumor Type and Most Recent SOC Therapy:

* Non-small-cell lung and Anti-PD-1/-L1 monotherapy
* Non-small-cell lung and Anti-PD-1/-L1 + platinum
* Clear cell renal cell carcinoma and Anti-PD-1/-L1 monotherapy
* Clear cell renal cell carcinoma and Doublet anti-PD-1/-L1 + anti-CTLA-4
* Clear cell renal cell carcinoma and Pembrolizumab + axitinib
* Clear cell renal cell carcinoma and Avelumab + axitinib
* HR+ HER2- breast and Palbociclib + hormonal therapy
* germline mutated BRCA breast and Olaparib or talazoparib monotherapy
* Castration-resistant prostate and Enzalutamide
* Castration-resistant prostate and Abiraterone + prednisone

Eligibility criteria include adults with locally advanced or metastatic tumors; radiographic evidence of progressive disease during the most recent SOC regimen; sufficient archival tumor tissue; and a post-progression tumor lesion that is safely accessible for a new biopsy.

The results from clinical NGS panel testing may help inform subsequent treatment plan or identification of relevant interventional clinical trials.

Patients are enrolled after disease progression on SOC and before change in treatment and participate in 3 study visits within approximately 3 months.

Next-generation sequencing results from analysis of tumor tissue and blood will be returned to the study physician and patient for review at a subsequent study visit within this timeframe.

The primary endpoint is the change in frequency of gene alterations between pre-treatment and post-progression tumor biopsies. Secondary endpoints address prioritized scientific hypotheses specific to each target area of biology and indication.

Primary data will be publicly available after the study to support further research.

Sponsored by Pfizer Inc.; EudraCT: 2018-003612-45.

Conditions

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Disease Progression

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Tumor biopsy and blood draw

Tumor biopsy and blood draw

Group Type OTHER

De novo tumor tissue biopsy

Intervention Type PROCEDURE

De novo tissue biopsy performed following disease progression

Research blood draws

Intervention Type PROCEDURE

Blood biospecimens collected following disease progression

Interventions

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De novo tumor tissue biopsy

De novo tissue biopsy performed following disease progression

Intervention Type PROCEDURE

Research blood draws

Blood biospecimens collected following disease progression

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Histological diagnosis of locally advanced (primary or recurrent) or metastatic solid tumors treated as follows:
* Non small cell lung carcinoma (NSCLC) monotherapy: Disease progression (PD) on 1st line monotherapy anti PD-1/ L1.
* NSCLC combination: PD on 1st line anti PD-1/ L1 plus standard doublet platinum containing regimen; or PD on 1st-line anti-PD-1/-L1 plus standard doublet platinum-containing regimen followed by continuation of single agent anti-PD-1/-L1).
* Renal cell carcinoma (RCC) with clear cell component: PD on 2nd line monotherapy anti PD-1/ L1; or PD on 1st line combination of doublet anti-PD-1/ L1 with anti-CTLA-4; or PD on 1st-line combination of avelumab with axitinib or pembrolizumab with axitinib.
* HR+ HER2 adenocarcinoma of the breast: PD on 1st line combination of doublet palbociclib with hormonal therapy.
* Castrate resistant adenocarcinoma of the prostate: PD on enzalutamide monotherapy.
* Castrate resistant adenocarcinoma of the prostate: PD on abiraterone in combination with prednisone.
* germline mutated BRCA (gBRCAm), HER2- breast cancer: PD on a PARP inhibitor monotherapy in patients previously treated with chemotherapy in the neoadjuvant, adjuvant, or metastatic setting.
* Radiographic evidence of PD, including the target lesion being subjected to biopsy for the study, on the most recent regimen that requires a change in anti-cancer treatment.

Exclusion Criteria

* Tumor biopsy taken from a bone or an irradiated target lesion.
* Discontinuation of current or most recent anti cancer therapy due to toxicity and not progressive disease.
* Initiation of new anti-cancer therapy after disease progression prior to planned biopsy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Southern Cancer Center, P.C.

Daphne, Alabama, United States

Site Status

Southern Cancer Center, PC

Mobile, Alabama, United States

Site Status

Southern Cancer Center, PC

Mobile, Alabama, United States

Site Status

Alaska Urological Institute dba Alaska Clinical Research Center

Anchorage, Alaska, United States

Site Status

Arizona Oncology Associates, PC-HOPE

Tucson, Arizona, United States

Site Status

Arizona Oncology Associates, PC - HOPE

Tucson, Arizona, United States

Site Status

The Oncology Institute of Hope Innovation

Glendale, California, United States

Site Status

The Oncology Institute of Hope Innovation

Long Beach, California, United States

Site Status

UCI Medical Center-Chao Family Comprehensive Cancer Center

Orange, California, United States

Site Status

The Oncology Institute of Hope Innovation

Santa Ana, California, United States

Site Status

Sansum Clinic

Santa Barbara, California, United States

Site Status

Sansum Clinic

Solvang, California, United States

Site Status

The Oncology Institute of Hope and Innovation

Whittier, California, United States

Site Status

ICRI-Administrative and Supplies Only

Whittier, California, United States

Site Status

Woodlands Medical Specialists PA

Pensacola, Florida, United States

Site Status

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

Clínica Viedma S.A.

Viedma, Río Negro Province, Argentina

Site Status

Sanatorio de la Mujer

Rosario, Santa Fe Province, Argentina

Site Status

Hospital Britanico de Buenos Aires

CABA, , Argentina

Site Status

Centro de Educacion Medica e Investigaciones Clinicas"Norberto Quirno" CEMIC

Ciudad Autónoma de Bs As, , Argentina

Site Status

Grand Hôpital de Charleroi - Site Notre Dame

Charleroi, , Belgium

Site Status

AZ Maria Middelares

Ghent, , Belgium

Site Status

UZ Gent

Ghent, , Belgium

Site Status

Hôpital de Jolimont

Haine-Saint-Paul, , Belgium

Site Status

Clinique Saint-Pierre Ottignies

Ottignies, , Belgium

Site Status

Centre Jean Perrin

Clermont-Ferrand, , France

Site Status

Hôpitaux Civils de Colmar, Centre Hospitalier Louis Pasteur

Colmar, , France

Site Status

CHU Henri Mondor

Créteil, , France

Site Status

Hôpital La Croix du Sud

Quint-Fonsegrives, , France

Site Status

Institut Jean Godinot

Reims, , France

Site Status

Hopital Bégin

Saint-Mandé, , France

Site Status

Royal Cornwall Hospital

Cornwall, , United Kingdom

Site Status

Countries

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United States Argentina Belgium France United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=A9001502

To obtain contact information for a study center near you, click here.

Other Identifiers

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TRANSLATE

Identifier Type: OTHER

Identifier Source: secondary_id

2018-003612-45

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

A9001502

Identifier Type: -

Identifier Source: org_study_id