Patients with gastrointestinal stromal tumour MedDRA version: 20.0 Level: LLT Classification code 10062427 Term: Gastrointestinal stromal tumor System Organ Class: 100000004864
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Histologically or cytologically confirmed diagnosis of metastatic GIST eligible for imatinib treatment according to the routine clinical practice criteria; Age =18; Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, with adequate liver, renal and bone marrow functions; Life expectancy > 3 months; Just for patients already on-treatment with imatinib, the therapy must be initiated more than 3 months prior to the first sample collection (to reach a stable blood drug concentration); Signed informed consent and local Ethical Committee (EC) approval availability; All patients in fertile age must have been under contraceptive treatment; Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 18
Exclusion criteria
Exclusion criteria: Pregnancy status; Refusal of informed consent; non-collaborative and/or unreliable patients; Patients who could not attend periodic clinical check-ups.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: 2 YEARS;Main Objective: This pilot study primarily aims to verify the feasibility of practicing the combined approach on GIST patients treated with imatinib, evaluating: 1. The proportion of patients successfully monitored according to the protocol among the enrolled patients; 2. The time required for Cmin determination with conventional and new strategies for a simplified sample collection (DBS and microcapillary tubes); 3. The time required for giving the clinicians the results of the combined analysis (Cmin and ctDNA).;Secondary Objective: • To evaluate the possibility to early detect tumour progression through ctDNA analysis in patients’ plasma samples in course of treatment. • To verify the possible correlation between imatinib exposure and response (TTP), overall and by tumour mutational subtype; • To validate a point-of-care-testing (POCT) TDM (electrochemical biosensors and molecularly imprinted polymers); ;Primary end point(s): 1. Number of patients successfully monitored according to the protocol among the enrolled patients 2. The time required for TDM with conventional and new strategies for a simplified sample collection (DBS and microcapillary tubes) 3. The time required for giving the clinicians the results of the combined analysis (TDM and liquid biopsy) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): To evaluate the possibility to early detect tumour progression through ctDNA analysis in patients’ plasma samples in course of treatment; To verify the possible correlation between imatinib exposure and response (TTP), overall and by tumour mutational subtype; To validate a point-of-care-testing (POCT) TDM ;Timepoint(s) of evaluation of this end point: 2 years | — |
Countries
Italy, Netherlands, United States
Contacts
Centro di Riferimento Oncologico (CRO) IRCCS Aviano