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NCT Number: NCT04723316

Tumour Characterisation to Guide Experimental Targeted Therapy - National

The primary aim of TARGET National is to establish a national framework to offer molecular profiling of circulating tumour DNA and/or tumour tissue (optional) to patients with advanced solid cancers referred to any of the Experimental Cancer Medicine Centres (ECMCs) across the UK, in order to help decision making for allocation to molecularly targeted experimental cancer treatments. Patients will be allocated treatment using a national Molecular Tumour Board to find the most suited therapies based on their molecular profiling results.

This study aims to recruit up to 6,000 patients with advanced solid tumours across 5 years and proposes to collect blood samples, archival tumour tissue and fresh tissue (optional)

The data may also be used for future development of predictive cancer biological markers, the design of clinical trials involving new or existing drugs, discovery of new genetic targets and exploring how resistance to specific anticancer agents arises in patients to help improve future cancer treatment management.

Recruiting

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Key information

Conditions

Cancer Neoplasms

Age range

16 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Queen's University Belfast, Belfast, United Kingdom

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Who can participate

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

Inclusion criteria

  • Aged 16 years or over.
  • Written informed consent according to GCP and national regulations.
  • Patients with confirmed histological or cytological diagnosis of advanced solid cancer who have been referred to any of the ECMCs in the UK AND considered fit enough to receive an experimental therapeutic agent.
  • Availability of archival tumour sample (if tumour profiling is required)
  • Willingness to provide blood samples during the course of the study if allocated to a matched experimental therapy.

Exclusion criteria

  • Known HIV, Hepatitis B (defined as Hepatitis B surface antigen [HBsAg] reactive) or Hepatitis C virus (defined as HCV RNA detected), due to the difficulties in handling high-risk specimens. Routine testing for hepatitis is not required. Note: Patients with past/resolved Hepatitis B infection (defined as having a negative HBsAg test and a positive antibody to hepatitis B core antigen [anti-HBc] antibody test) are eligible. Patients with a history of Hepatitis C infection are eligible only if polymerase chain reaction (PCR) analysis is negative for HCV RNA at least 6 months after completing treatment for Hepatitis C infection.
  • Known current COVID19 positive (by PCR) or active symptoms for COVID19. Routine testing for COVID19 is not required. Patients with past infection who have fully recovered may be included.
  • Patients who are unable to provide fully informed written consent.
  • Patients not considered eligible by the investigator for early phase clinical trials.
  • Patients currently receiving systemic anti-cancer therapy (due to potential impact on ctDNA analysis), unless patient has clear evidence of progression on hormone-based therapies or tyrosine kinase inhibitors. A minimum of 3 weeks is required post completion of other systemic anti-cancer therapies.
  • Presence of any medical, psychological, familial or sociological condition that, in the investigator's opinion, will hamper compliance with the study protocol and follow-up schedule.
  • Bleeding diathesis (patients' on anticoagulation are permitted to enter the trial if anticoagulation can be safely managed to enable fresh tumour biopsies and blood sampling).
  • Conditions in which research biopsies or blood sampling may increase risk of complications for the patients and/or investigator

Treatment and study plan

Primary outcomes

  1. To determine the number of patients matched to a trial of an experimental therapeutic agent based on molecular findings from ctDNA or tumour

    Time frame: 5 years

Secondary outcomes

  1. Number of patients and cancer types with successful result obtained from ctDNA.

    Time frame: 5 years

  2. Turnaround times from date of patient consent to date of genomic tumour profiling report generation.

    Time frame: 5 years

  3. Number and range of molecular alterations found in blood (and/or tumour) of cancer patients referred to Experimental Cancer Medicine Centres.

    Time frame: 5 years

  4. Overall response rates of patients who commence on a trial of an experimental therapeutic agent (matched or unmatched) on the basis of molecular findings in this study).

    Time frame: 5 years

  5. Progression-free survival of patients who commence on a trial of an experimental therapeutic agent (matched or unmatched on the basis of molecular findings in this study).

    Time frame: 5 years

  6. Overall survival of patients who commence on a trial of an experimental therapeutic agent (matched or unmatched on the basis of molecular findings in this study).

    Time frame: 5 years

Study contacts

Contact information is provided by the study sponsor or research team.

Matthew Krebs

CONTACT

[email protected]

01619187672

Sponsors and collaborators

Lead sponsor

The Christie NHS Foundation Trust

Other

Registry information

Important dates

Study start
2021
Primary completion
2026
Study completion
2028
First posted
Jan 25, 2021
Registry last updated
Feb 7, 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.

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