Pan-tumor MRD Study

NCT ID: NCT06605404

Last Updated: 2025-08-14

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

RECRUITING

Total Enrollment

1350 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-08

Study Completion Date

2032-04-30

Brief Summary

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The purpose of this observational study is to collect clinical information, blood, and tumor tissue samples from participants diagnosed with stage I, stage II, or operable stage III cancer in select solid tumors. The information collected will be used to develop tests to better understand cancer, for example, to improve cancer detection and to assess the risk of cancer coming back.

Participants will receive routine standard of care from their doctor and their involvement is expected to last for approximately five and a half (5.5) years.

Detailed Description

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Conditions

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Muscle Invasive Bladder Urothelial Carcinoma Esophageal Cancer Gastric and Gastroesophageal Junction (GEJ) Adenocarcinoma Melanoma (Skin Cancer) NSCLC (Non-small Cell Lung Cancer) Pancreatic (Exocrine Only) Mix of Solid Tumors (MOST)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Muscle Invasive Urothelial Carcinoma of the Bladder (MIBC)

Muscle Invasive Urothelial Carcinoma of the Bladder (MIBC)

blood and tissue samples

Intervention Type DIAGNOSTIC_TEST

routine standard of care

blood and tissue samples

Intervention Type OTHER

Routine standard of care

Esophageal

Esophageal cancer

blood and tissue samples

Intervention Type DIAGNOSTIC_TEST

routine standard of care

blood and tissue samples

Intervention Type OTHER

Routine standard of care

Gastric and Gastroesophageal Junction (GEJ)

Gastric and Gastroesophageal Junction (GEJ)

blood and tissue samples

Intervention Type DIAGNOSTIC_TEST

routine standard of care

blood and tissue samples

Intervention Type OTHER

Routine standard of care

Melanoma

Melanoma

blood and tissue samples

Intervention Type DIAGNOSTIC_TEST

routine standard of care

blood and tissue samples

Intervention Type OTHER

Routine standard of care

Non-small cell lung (NSCLC)

Non-small cell lung (NSCLC)

blood and tissue samples

Intervention Type DIAGNOSTIC_TEST

routine standard of care

blood and tissue samples

Intervention Type OTHER

Routine standard of care

Pancreatic (exocrine only)

Pancreatic (exocrine only)

blood and tissue samples

Intervention Type DIAGNOSTIC_TEST

routine standard of care

blood and tissue samples

Intervention Type OTHER

Routine standard of care

Mix of Solid Tumors (MOST)

Mix of Solid Tumors (MOST)

blood and tissue samples

Intervention Type DIAGNOSTIC_TEST

routine standard of care

blood and tissue samples

Intervention Type OTHER

Routine standard of care

Interventions

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blood and tissue samples

routine standard of care

Intervention Type DIAGNOSTIC_TEST

blood and tissue samples

Routine standard of care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

a. If surgical resection has occurred, enrollment should occur within 3 months of surgical resection and before initiation of adjuvant therapy.
4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0, 1, or 2.
5. No systemic therapy for current cancer diagnosis administered before enrollment.
6. Willing and able to comply with required study procedures, including blood sample collection and primary tumor tissue submission from diagnostic biopsy or surgical excision.
7. Has completed all therapy (including endocrine therapy) 3 or more years ago for any previous invasive solid organ malignancy (with exception of nonmelanoma skin cancers) or hematologic malignancy. Individuals with a prior history of noninvasive (in situ) carcinomas may participate if they have received definitive treatment (no washout period required).
8. No concurrent diagnosis of another invasive cancer, except for nonmelanoma skin cancers.
9. No prior allogeneic hematopoietic stem cell transplant.
10. Able and willing to provide informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization for the release of personal health information.

Cohort Specific Criteria
11. Muscle-invasive urothelial carcinoma of the bladder and Melanoma Cohorts: Stage II or operable III cancer:
12. Esophageal, Gastric/GEJ, and NSCLC Cohorts: Stage I, II, or operable III cancer.
13. Pancreatic Cohort: Stage I, II or operable III cancer, exocrine only disease.
14. MOST cohort: Stage II or operable stage III solid tumor diagnosis that meets eligibility criteria and is not included in the other cohorts.

The following tumor types are excluded:

1. Central nervous system (CNS) malignancies
2. Colorectal cancer
3. Breast cancer
4. Squamous cell skin cancer
5. Basal cell carcinoma
6. Gastrointestinal stromal tumors (GIST)
7. Thyroid cancer
8. Uveal melanoma
9. Low or intermediate grade neuroendocrine tumors

â–  Eligible tumor types: High-grade neuroendocrine tumors, including neuroendocrine carcinomas, Merkel cell carcinomas, and small cell lung cancer are permissible
10. Hematologic cancers including multiple myeloma or other plasma cell dyscrasias, Hodgkin\'s lymphoma, non-Hodgkin\'s lymphoma, acute or chronic leukemias including chronic lymphocytic leukemia / small lymphocytic leukemia
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Flatiron Health

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Medical Oncology Associates of San Diego

San Diego, California, United States

Site Status RECRUITING

Taylor Cancer Research Center

Maumee, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Anosheh Afghahi, MD

Role: CONTACT

888-662-6367

Facility Contacts

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Alexis Bustamante

Role: primary

Jennifer Martinez

Role: primary

419-479-5605 ext. ext 4134

Other Identifiers

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FH-PrwS-07-002

Identifier Type: -

Identifier Source: org_study_id

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