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NCT Number: NCT04028479

The Registry of Oncology Outcomes Associated With Testing and Treatment

This study is to collect and validate regulatory-grade real-world data (RWD) in oncology using the novel, Master Observational Trial construct. This data can be then used in real-world evidence (RWE) generation. It will also create reusable infrastructure to allow creation or affiliation with many additional RWD/RWE efforts both prospective and retrospective in nature.

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Key information

Conditions

Adenocarcinoma Acute Lymphoblastic Leukemia Acute Myeloid Leukemia Adenocystic Carcinoma Adenoma Adnexal Diseases Adrenal Cancer Adrenal Gland Diseases Adrenal Gland Neoplasms Anal Cancer Anus Diseases Anus Neoplasms Appendiceal Neoplasms Appendix Cancer Astrocytoma Bile Duct Cancer Bile Duct Diseases Bile Duct Neoplasms Biliary Tract Diseases Biliary Tract Neoplasms Bladder Cancer Blood Protein Disorders Bone Cancer Bone Diseases Bone Marrow Diseases Bone Neoplasms Brain Diseases Brain Neoplasms Brain Stem Neoplasms Brain Tumor Breast Cancer Breast Diseases Breast Neoplasms CNS Cancer Cancer of Colon Cancer of Pancreas Cancer, Advanced Carcinoid Tumor Carcinoma Carcinoma, Adenoid Cystic Carcinoma, Renal Cell Carcinoma, Small Cell Cardiovascular Diseases Cecal Diseases Cecal Neoplasms Central Nervous System Diseases Central Nervous System Neoplasms Cervical Cancer Cholangiocarcinoma Chondrosarcoma Chronic Disease Chronic Myeloid Leukemia Colon Cancer Colonic Diseases Colonic Neoplasms Colorectal Cancer Colorectal Neoplasms Congenital, Hereditary, and Neonatal Diseases and Abnormalities DNA Virus Infections Digestive System Diseases Digestive System Neoplasms Disease Attributes Endocrine Gland Neoplasms Endocrine System Diseases Esophageal Cancer Esophageal Diseases Esophageal Neoplasms Esophagus Cancer Fallopian Tube Cancer Fallopian Tube Diseases Fallopian Tube Neoplasms Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Gastrointestinal Diseases Gastrointestinal Neoplasms Genetic Diseases, Inborn Genital Diseases Genital Diseases, Female Genital Diseases, Male Genital Neoplasms, Female Genital Neoplasms, Male Gestational Trophoblastic Disease Gestational Trophoblastic Tumor Glioblastoma Glioma Gonadal Disorders Head and Neck Neoplasms Hematologic Diseases Hemic and Lymphatic Diseases Hemorrhagic Disorders Hemostatic Disorders Hepatic Cancer Herpesviridae Infections Immune System Diseases Immunoproliferative Disorders Infections Infratentorial Neoplasms Intestinal Diseases Intestinal Neoplasms Kidney Cancer Kidney Diseases Kidney Neoplasms Laryngeal Diseases Laryngeal Neoplasms Larynx Cancer Leukemia Leukemia, Lymphoid Leukemia, Myelogenous, Chronic, BCR-ABL Positive Leukemia, Myeloid Leukemia, Myeloid, Acute Liposarcoma Liver Cancer Liver Diseases Liver Neoplasms Lung Cancer Lung Diseases Lung Neoplasms Lymphatic Diseases Lymphoma Lymphoma, Non-Hodgkin Lymphoproliferative Disorders Male Urogenital Diseases Melanoma Mesothelioma Mouth Diseases Mouth Neoplasms Multiple Endocrine Neoplasia Multiple Myeloma Musculoskeletal Diseases Myeloproliferative Disorders Nasopharyngeal Carcinoma Nasopharyngeal Diseases Nasopharyngeal Neoplasms Neoplasm Metastasis Neoplasms Neoplasms by Histologic Type Neoplasms by Site Neoplasms, Adipose Tissue Neoplasms, Bone Tissue Neoplasms, Connective Tissue Neoplasms, Connective and Soft Tissue Neoplasms, Germ Cell and Embryonal Neoplasms, Glandular and Epithelial Neoplasms, Mesothelial Neoplasms, Multiple Primary Neoplasms, Nerve Tissue Neoplasms, Neuroepithelial Neoplasms, Plasma Cell Neoplasms, Unknown Primary Neoplasms, Vascular Tissue Neoplastic Processes Neoplastic Syndromes, Hereditary Nervous System Diseases Nervous System Neoplasms Neuroectodermal Tumors Neuroendocrine Tumors Nevi and Melanomas Non Hodgkin Lymphoma Osteosarcoma Otorhinolaryngologic Diseases Otorhinolaryngologic Neoplasms Ovarian Cancer Ovarian Diseases Ovarian Neoplasms Pancreatic Cancer Pancreatic Diseases Pancreatic Neoplasms Paraganglioma Paraproteinemias Parathyroid Diseases Parathyroid Neoplasms Parotid Diseases Parotid Neoplasms Parotid Tumor Pathologic Processes Pathological Conditions, Signs and Symptoms Penile Cancer Penile Diseases Penile Neoplasms Pharyngeal Diseases Pharyngeal Neoplasms Pharynx Cancer Pheochromocytoma Precursor Cell Lymphoblastic Leukemia-Lymphoma Pregnancy Complications Pregnancy Complications, Neoplastic Prostate Cancer Prostatic Diseases Prostatic Neoplasms Pulmonary Carcinoma Rectal Cancer Rectal Diseases Rectal Neoplasms Renal Cell Carcinoma Respiratory Tract Diseases Respiratory Tract Neoplasms Salivary Gland Cancer Salivary Gland Diseases Salivary Gland Neoplasms Sarcoma Sarcoma, Kaposi Sarcoma, Synovial Sarcoma,Soft Tissue Skin Cancer Skin Diseases Skin Neoplasms Skin and Connective Tissue Diseases Small Bowel Cancer Small Cell Carcinoma Stomach Cancer Stomach Diseases Stomach Neoplasms Stomatognathic Diseases Synovial Sarcoma Testicular Cancer Testicular Diseases Testicular Neoplasms Testis Cancer Thoracic Neoplasms Thymus Cancer Thymus Neoplasms Thyroid Cancer Thyroid Diseases Thyroid Neoplasms Tongue Cancer Tongue Diseases Tongue Neoplasms Trophoblastic Neoplasms Unknown Primary Tumors Ureter Cancer Ureteral Diseases Ureteral Neoplasms Urinary Bladder Diseases Urinary Bladder Neoplasms Urogenital Diseases Urogenital Neoplasms Urologic Diseases Urologic Neoplasms Uterine Cancer Uterine Cervical Diseases Uterine Cervical Neoplasms Uterine Diseases Uterine Neoplasms Vaginal Cancer Vaginal Diseases Vaginal Neoplasms Vascular Diseases Virus Diseases Vulvar Cancer Vulvar Diseases Vulvar Neoplasms Waldenstrom Macroglobulinemia

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Teton Cancer Institute, Idaho Falls, Idaho, United States

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About this study

This is a master observational trial (MOT). Anyone who has been diagnosed with advanced cancer is eligible as long as they are a candidate for treatment. Each patient will receive testing and treatment as determined by patient in consultation with physician. ROOT will proceed in two directions: (1) Validation Cohorts. These patients will demonstrate the ability of the MOT to prospectively collect data using the same protocol and related documents, standardized data elements and processes, and accepted scientific endpoints; and (2) Analysis Cohorts. The modular nature of the study allows collection of RWD ranging from diagnosis only to the full treatment course of the of the patient. Patients are grouped to allow focused data collection or a specific analysis. Analysis cohorts can be created from patients already enrolled in ROOT or be defined prospectively. Because of the ongoing advancements of molecular based oncology, this trial allows a detailed focus on molecular testing as part of any cohort.

Data is reported by the group that is most qualified to provide this information and is proved, at point of care, using standardized data elements and processes. Physicians will report diagnosis, molecular characteristics, staging, disease burden, significant comorbidities, treatment response, and medical decision making. Molecular testing (reports and details) will be requested from testing laboratories. Any diagnostic films will be received digitally from the location the study was performed. Research staff assist in data entry and providing physicians needed data as part of the regular workflow to allow point-of-care reporting.

The Validation Cohorts and Analysis Cohorts may run sequentially or in parallel with each other.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient or representative provides written informed consent
  • Patient is diagnosed with advanced malignancy
  • Patient is willing to be treated for this malignancy according to a plan determine by them and their physician
  • patient will be willing to have regular follow up visits as part of their standard of care

Exclusion criteria

  • patient is not a candidate or does not desire any treatment for their disease

Treatment and study plan

Biomarker Testing (L)

Diagnostic Test

Patients who have received biomarker testing that could affect prognosis or treatment decisions. This generally excludes testing done to assist in the diagnosis of disease or histology where there is no treatment implication from this testing.

Other names: Biomarker Testing, Molecular Testing, Next-generation sequencing (NGS), Multiplex molecular testing

Systemic Treatment (T)

Drug

Patients who have received any treatment as part of their care. This refers to systemic treatment, but also allows other non-drug related interventions such as surgery or radiotherapy as part of the longitudinal care of the patient.

Other names: Biologic therapy, Targeted therapy, Immunotherapy, Chemotherapy

Patient Reported Outcomes (P)

Other

Patients who have provided information about their disease, treatment course, or experience directly to the study using a patient facing tool or device.

Other names: Patient experience, Quality of life, Self-reporting

Primary outcomes

  1. Best overall response (BOR) - 1st line of therapy

    Time frame: 1st line of therapy, on average less than 1 year

    The best overall response for 1st line of therapy as determined by physician assessment

  2. Best overall response (BOR) - 2nd line of therapy

    Time frame: 2nd line of therapy, on average less than 1 year

    The best overall response for 2nd line of therapy as determined by physician assessment

  3. Best overall response (BOR) - 3rd line of therapy

    Time frame: 3rd line of therapy, on average less than 1 year

    The best overall response for 3rd line of therapy as determined by physician assessment

  4. Best overall response (BOR) - 4th line of therapy

    Time frame: 4th line of therapy, on average less than 1 year

    The best overall response for 4th line of therapy as determined by physician assessment

  5. Best overall response (BOR) - 5th line of therapy

    Time frame: 5th line of therapy, on average less than 1 year

    The best overall response for 5th line of therapy as determined by physician assessment

  6. Progression-free survival (PFS) - 1st line of therapy

    Time frame: 1st line of therapy, on average less than 1 year

    The progression free survival for 1st line of therapy as determined by physician assessment

  7. Progression-free survival (PFS) - 2nd line of therapy

    Time frame: 2nd line of therapy, on average less than 1 year

    The progression free survival for 2nd line of therapy as determined by physician assessment

  8. Progression-free survival (PFS) - 3rd line of therapy

    Time frame: 3rd line of therapy, on average less than 1 year

    The progression free survival for 3rd line of therapy as determined by physician assessment

  9. Progression-free survival (PFS) - 4th line of therapy

    Time frame: 4th line of therapy, on average less than 1 year

    The progression free survival for 4th line of therapy as determined by physician assessment

  10. Progression-free survival (PFS) - 5th line of therapy

    Time frame: 5th line of therapy, on average less than 1 year

    The progression free survival for 5th line of therapy as determined by physician assessment

Secondary outcomes

  1. Overall survival (OS)

    Time frame: through study completion, on average less than 3 years

    The overall survival of a patient from the time of being diagnosed with advanced disease until death

Sponsors and collaborators

Lead sponsor

Taproot Health

Industry

Registry information

Official study title

The Registry of Oncology Outcomes Associated With Testing and Treatment (ROOT)

Acronym: ROOT

Important dates

Study start
2021
Primary completion
2024
Study completion
2024
First posted
Jul 22, 2019
Registry last updated
Dec 18, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.