Evaluation of See.d as an Automated Blood Sample Preparator for Multiple Liquid Biopsy Applications

NCT ID: NCT06097156

Last Updated: 2024-12-18

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

RECRUITING

Total Enrollment

45 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-06

Study Completion Date

2025-06-30

Brief Summary

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This study aims to evaluate the feasibility of using See.d instrument and SBS slides for preparation of plasma and cytological samples from whole blood.

Forty-five participants will be enrolled (20 healthy volunteers and 25 metastatic breast cancer patients) and each participant will be asked to provide a blood sample.

Detailed Description

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The goal of this study is the evaluation of a new instrument called See.d, to be used in conjunction with its accessories, Smart Bio Surface (SBS) slides, for preparation of cytological samples (seeded on SBS slides) and plasma from fresh whole blood (within 4-6 hours from collection).

Blood samples collected from healthy volunteers will be spiked-in with reference DNA and mock-CTC to mimic a patient sample in order to evaluate the instrument performance through the analysis of several parameters.

Blood samples from Metastatic Breast Cancer (MBC) patients will be processed with See.d instrument installed in a clinical context to perform a preliminary analytical characterization of either cell-free DNA (cfDNA) and Circulating Tumor Cells (CTC).

For its feasibility nature, no formal statistics has been planned for this study.

Conditions

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Healthy Participants Breast Cancer

Keywords

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Breast Cancer Metastatic Patients Liquid Biopsy Whole Blood Plasma White Blood Cells Pre-Analytical Standardization

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Healthy donors

Participants who are in good health and without history of cancer disease

No interventions assigned to this group

Metastatic Breast Cancer patients

Metastatic breast cancer category is based on the definition of the European Society of Medical Oncology and is defined as disease spread to other parts of the body, such as bones, liver or lungs (also called stage IV). Tumours at distant sites are called metastases.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* General (all participants)

* Participants is willing and able to give and sign a written informed consent
* Aged 18 or above
* Specific for metastatic breast cancer patients

* Female for metastatic breast cancer patients, aged 18 or above
* Histological confirmation of breast cancer
* Presence of at least one non-bone metastasis
* Disease assessed to be in clinical or radiologic progression to the last line of treatment, as evaluated by the investigator
* The biopsy, when recommended by the oncologist, is scheduled within 4 weeks after the date of blood withdrawal
* Last biopsy or any other minor surgical procedure was perfomed at least 7 days before blood withdrawal
* Known Bilirubin level ≥ 2 mg/dL on a blood sample collected within 7 days from the enrolment. If unavailable, it is not necessary to assess bilirubin
* Specific for healthy participants

* Both sexes for healthy volunteers, aged 18 or above
* Healthy participants who visit the site for reason other than cancer diagnosis (including breast cancer).

Exclusion Criteria

* Ongoing infections requiring antibiotic or antiviral treatment
* Previous history of a blood cancer or an invasive non-BC apart from cancers treated with curative intent at least 3 years previously with no recurrence since diagnosis with the exception of non-melanoma skin cancer. For healthy participants also includes breast cancer
* Undergone major surgery \< 4 weeks prior to the time of blood collection
* Initiated a new line of treatment after disease progression at the time of blood or tissue biopsy collection
* Presence of known severe coagulation or haematological disorder
* Pregnancy
* For metastatic breast cancer patients: histological confirmation of a Triple Negative Breast Cancer (TNBC)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tethis S.p.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Luca Mazzarella, MD

Role: PRINCIPAL_INVESTIGATOR

IEO Hospital

Locations

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IEO

Milan, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Luca Mazzarella, MD

Role: CONTACT

Phone: +39 0294375111

Email: [email protected]

Facility Contacts

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Luca Mazzarella, MD

Role: primary

References

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Gennari A, Andre F, Barrios CH, Cortes J, de Azambuja E, DeMichele A, Dent R, Fenlon D, Gligorov J, Hurvitz SA, Im SA, Krug D, Kunz WG, Loi S, Penault-Llorca F, Ricke J, Robson M, Rugo HS, Saura C, Schmid P, Singer CF, Spanic T, Tolaney SM, Turner NC, Curigliano G, Loibl S, Paluch-Shimon S, Harbeck N; ESMO Guidelines Committee. Electronic address: [email protected]. ESMO Clinical Practice Guideline for the diagnosis, staging and treatment of patients with metastatic breast cancer. Ann Oncol. 2021 Dec;32(12):1475-1495. doi: 10.1016/j.annonc.2021.09.019. Epub 2021 Oct 19. No abstract available.

Reference Type BACKGROUND
PMID: 34678411 (View on PubMed)

Turashvili G, Brogi E. Tumor Heterogeneity in Breast Cancer. Front Med (Lausanne). 2017 Dec 8;4:227. doi: 10.3389/fmed.2017.00227. eCollection 2017.

Reference Type BACKGROUND
PMID: 29276709 (View on PubMed)

Seale KN, Tkaczuk KHR. Circulating Biomarkers in Breast Cancer. Clin Breast Cancer. 2022 Apr;22(3):e319-e331. doi: 10.1016/j.clbc.2021.09.006. Epub 2021 Sep 22.

Reference Type BACKGROUND
PMID: 34756687 (View on PubMed)

Ignatiadis M, Sledge GW, Jeffrey SS. Liquid biopsy enters the clinic - implementation issues and future challenges. Nat Rev Clin Oncol. 2021 May;18(5):297-312. doi: 10.1038/s41571-020-00457-x. Epub 2021 Jan 20.

Reference Type BACKGROUND
PMID: 33473219 (View on PubMed)

Carbone R, Marangi I, Zanardi A, Giorgetti L, Chierici E, Berlanda G, Podesta A, Fiorentini F, Bongiorno G, Piseri P, Pelicci PG, Milani P. Biocompatibility of cluster-assembled nanostructured TiO2 with primary and cancer cells. Biomaterials. 2006 Jun;27(17):3221-9. doi: 10.1016/j.biomaterials.2006.01.056. Epub 2006 Feb 28.

Reference Type BACKGROUND
PMID: 16504283 (View on PubMed)

Krol I, Schwab FD, Carbone R, Ritter M, Picocci S, De Marni ML, Stepien G, Franchi GM, Zanardi A, Rissoglio MD, Covelli A, Guidi G, Scarinci D, Castro-Giner F, Mazzarella L, Doglioni C, Borghi F, Milani P, Kurzeder C, Weber WP, Aceto N. Detection of clustered circulating tumour cells in early breast cancer. Br J Cancer. 2021 Jul;125(1):23-27. doi: 10.1038/s41416-021-01327-8. Epub 2021 Mar 24.

Reference Type BACKGROUND
PMID: 33762721 (View on PubMed)

Other Identifiers

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TET-22-001

Identifier Type: -

Identifier Source: org_study_id