Value of Analysing Under-utilised Leftover Tissue (VauLT)

ConditionOncology
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorRoyal Marsden NHS Foundation Trust

About this trial

Intratumour heterogeneity is well recognized in multiple cancer types and ultimately leads to therapeutic resistance. It also limits the ability of small samples to represent the whole tumour, having implications for diagnosis, molecular analysis and understanding of the tumour immune microenvironment. By blending- 'homogenizing'- leftover tumour tissue in excess of that required for diagnosistic purposes, one may create a more representative sample for analysis.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Leftover formalin-fixed tissue (ie that would be otherwise discarded by histopathology) from cancer surgery.

Tissues for Research consent has been provided.

Patient age >18yo.

Minimum of 1 gram of residual tumour remaining in leftover surgical tissue

Disqualifiers

Advanced Practitioner in histological dissection deems tumour sample to be inadequate.

Leftover surgical tumour tissue greater than 20kg.

Trial population

Leftover formalin-fixed tissue from cancer surgery

Trial design

Design model

Other

Time perspective

Other

Treatments tested in this trial

  • Leftover surgical tissue homogenization

    Other intervention

    Leftover surgical tissue homogenization

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

The percentage of cases from surgical lists with tumour remains greater than 1g across 8 tumour groups

Surgical lists will be generated providing cases of all surgeries containing excess tumour tissue. The tissue will be dissected and weighed to determine if tumour tissue available is greater than 1g

Time frame
24 Months

Secondary outcomes

1

Median time (in minutes) required for dissection of the leftover surgical tissue into tumour, tumour-adjacent and normal tissue

The time taken to dissected will be documented by recording the start and stop times of the procedure and noting this on a source document

Time frame
24 Months
2

Median time (in minutes) required for the blending (actual homogenization) of each tissue type

The time taken to homogenize will be documented by recording the start and stop times of the procedure and noting this on a source document

Time frame
24 Months
3

Difference in molecular profile between the diagnostic block and the homogenized sample. This will be measured by next generation sequencing techniques across the 8 primary tumour types

The molecular profile of the diagnostic block will be determined by next generation sequencing and the same will be done with the homogenized sample. This will allow a comparison to be made between the two sample types and determine the difference in molecular profile between the two

Time frame
24 Months

Other outcomes

Sponsors and contacts

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Royal Marsden NHS Foundation Trust

Lead sponsor

Ventana Medical Systems

Collaborator