About this trial
The implementation of liquid biopsy in clinical practice has been favored by the rapid development of genome sequencing techniques designed to analyze mutations in ctDNA. Among these, the Next generation sequencing (NGS) is a technique that consists in sequencing several genomes in a short time span, collecting information about a wider range of genomic alterations, using small quantities of genetic material. It is used to identify potential circulating dynamic biomarkers of treatment sensitivity or resistance in a real word multi-pathology evaluation. In this way, defining the mutational status of clinical relevance genes in real world, as a predictive biomarker to identify those patients most likely to benefit from target therapy, offers the potential to optimize access to further therapies. The aim of this study is to evaluate the real-world prevalence of clinically useful mutations in patients who are receiving therapy for advanced and locally advanced solid tumor through liquid biopsy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients, 18 years of age or older
Competent and able to comprehend, sign and date an Ethics Committee (EC) approved Informed Consent Form (ICF) before performance of any study-specific procedures or tests
Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
Histologically proven diagnosis solid tumor
Disqualifiers
Diagnosis of any secondary malignancy within the last 3 years, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the cervix.
Patients unable or unwilling to undergo as per protocol assessments at the four planned timepoints
Trial population
Patients who are receiving therapy for advanced and locally advanced solid tumor as specified in eligibility criteria
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Real world prevalence of clinically useful mutations in solid tumors
Real world prevalence of clinically useful mutations in solid tumors, defined as the proportion of patients with the detection of clinically useful mutations through ctDNA NGS, at the beginning of systemic therapies defined as per inclusion criteria for advanced disease.
Secondary outcomes
To identify emerging gene alterations associated with Progression Free Survival
To identify emerging gene alterations associated with Progression Free Survival (PFS) defined as the time from study enrollment until progression or death for any cause, whichever comes first
To identify emerging gene alterations associated with Overall Survival
To identify emerging gene alterations associated with Overall Survival, defined as the time from study enrollment until death for any cause
To describe changes in ctDNA associated biomarkers during treatment
Difference in frequency of patients with ctDNA associated biomarkers at different time point during treatment (at baseline, at start of cycle 2, at first radiological evaluation, at relapse or end of follow-up)
To evaluate the association between somatic genetic alterations and the histopathological features of the tumor
Frequency of somatic genetic alterations in subgroups of patients with different histopathological tumor characteristics
Sponsors and contacts
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