LCI-SAR-BSTS-CTDNA-001: Circulating Tumor DNA Liquid Biopsy in Sarcoma Patients

NCT ID: NCT06958107

Last Updated: 2026-01-22

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

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-08-21

Study Completion Date

2030-01-31

Brief Summary

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The purpose of this research study is to see how well Low Pass Whole Genome Sequencing (LP-WGS) can detect circulating tumor deoxyribonucleic acid (ctDNA) in the blood of participants who have bone or soft tissue sarcoma (type of cancer).

Detailed Description

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In this ever-expanding age of precision oncology, the stagnant treatment algorithms and subsequent oncologic outcomes for sarcoma patients highlight the need for novel technologies to help clinicians treat these patients. While countless prognostic and therapeutic molecular biomarkers have been identified for many other cancers, sarcoma practitioners have strikingly few tumor markers to guide treatment. The development of a sarcoma-specific liquid biopsy could greatly help clinicians with diagnosis, prognostication, treatment response, minimal recurrent disease, and recurrence. The purpose of this study is to clinically evaluate ctDNA liquid biopsy approaches in adult and pediatric patients with bone and soft tissue sarcomas.

Conditions

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Sarcoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Non-Metastatic and Resectable

Cohort A1: Non-metastatic/ Resectable (with planned or you are undergoing therapy)- your cancer has not spread, may be able to remove it with operation

Non-Metastatic and Resectable

Intervention Type OTHER

Blood Draw Timepoints:

* Before any treatment begins
* After Neo-adjuvant therapy (only if you receive this type of therapy)
* After local surgery
* After Adjuvant therapy (only if you receive this type of therapy)
* Follow up after adjuvant therapy: at Months 3, 6, 9, 12, 15, 18, and 24
* After evidence of recurrence or worsening of disease, and then collected at standard of care disease evaluation visits up until 24 months from the last treatment for the initial diagnosis

Metastatic and Un-resectable

Cohort A2: Metastatic/ Unresectable (with planned or you are undergoing therapy)- your cancer has spread, not able to operate at this time to take out all the cancer

Metastatic and Un-resectable

Intervention Type OTHER

Blood Draw Timepoints:

* Before any treatment begins
* During standard of care disease evaluation visits for up to 24 months

No evidence of disease, under surveillance

Cohort B: No evidence of disease/ surveillance (you have completed initial therapy)- currently there is no evidence of your cancer/disease and you are under surveillance, meaning your physician is checking your medical situation at intervals or occasionally for any sign of changes

No evidence of disease, under surveillance

Intervention Type OTHER

Blood Draw Timepoints:

* From completion of treatment- at Months 3, 6, 9, 12, 15, 18, and 24; depending on when you enroll into the study you will start at the next timepoint in this schedule
* After evidence of recurrence or worsening of disease, and then collected at standard of care disease evaluation visits up until 24 months from the last treatment for the initial diagnosis

ALT or WDLS

Cohort C: You have been diagnosed with ALT (atypical lipoma) or WDLS (well-differentiated liposarcoma)

ALT or WDLS

Intervention Type OTHER

Blood Draw Timepoints:

• Collect once after surgery (up to six weeks after surgery)

Interventions

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Non-Metastatic and Resectable

Blood Draw Timepoints:

* Before any treatment begins
* After Neo-adjuvant therapy (only if you receive this type of therapy)
* After local surgery
* After Adjuvant therapy (only if you receive this type of therapy)
* Follow up after adjuvant therapy: at Months 3, 6, 9, 12, 15, 18, and 24
* After evidence of recurrence or worsening of disease, and then collected at standard of care disease evaluation visits up until 24 months from the last treatment for the initial diagnosis

Intervention Type OTHER

Metastatic and Un-resectable

Blood Draw Timepoints:

* Before any treatment begins
* During standard of care disease evaluation visits for up to 24 months

Intervention Type OTHER

No evidence of disease, under surveillance

Blood Draw Timepoints:

* From completion of treatment- at Months 3, 6, 9, 12, 15, 18, and 24; depending on when you enroll into the study you will start at the next timepoint in this schedule
* After evidence of recurrence or worsening of disease, and then collected at standard of care disease evaluation visits up until 24 months from the last treatment for the initial diagnosis

Intervention Type OTHER

ALT or WDLS

Blood Draw Timepoints:

• Collect once after surgery (up to six weeks after surgery)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Written informed consent or assent when applicable from the participant, LAR, parent or legal guardian and HIPAA authorization for release of personal health information.
2. All ages allowed
3. Suspected or confirmed disease (must meet one of the criteria below):

1. Suspected bone or soft tissue tumor concerning for sarcoma (pending confirmation of sarcoma diagnosis)

OR
2. Suspected lipomatous mass concerning for ALT or WDLS with planned surgery

OR
3. Confirmed bone or soft tissue sarcoma meeting one of the criteria below:

* Non-metastatic/Resectable sarcoma with either planned or currently receiving therapy
* Metastatic or unresectable sarcoma, with planned or currently receiving therapy
* Non-metastatic sarcoma under surveillance with no more than 1 year from completion of therapy

Exclusion Criteria

* none
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Paula Takacs Foundation

UNKNOWN

Sponsor Role collaborator

Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Johann Hsu, MD

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences

Locations

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Levine Cancer Institute

Charlotte, North Carolina, United States

Site Status RECRUITING

Atrium Health Wake Forest Baptist Comprehensive Cancer Center

Winston-Salem, North Carolina, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Meg Lattanze

Role: CONTACT

980-442-4239

Facility Contacts

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Meg Lattanze

Role: primary

980-442-4239

Shailaja Raj

Role: primary

336-716-7970

Other Identifiers

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LCI-SAR-BSTS-CTDNA-001

Identifier Type: OTHER

Identifier Source: secondary_id

IRB00127078

Identifier Type: -

Identifier Source: org_study_id

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