Advanced Solid Malignancies
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Is at least 16 years of age at the time of consent. 2. Has a histopathologically confirmed solid malignancy. 3. Has unresectable lesions. 4. Has undergone or is scheduled to undergo a comprehensive genomic profile that uses tumor tissue. 5. Has personally given consent in writing to participate in this study. 6. Satisfies either i or ii below: i. Has not undergone chemotherapy. ii. Was found to have progressed in diagnostic imaging performed while receiving chemotherapy or assessed by the investigator of likely having clinical progressive disease and has not yet begun the subsequent chemotherapy. 7. Has an Eastern Cooperative Oncology Group performance status of 0 or 1. 8. Results of latest laboratory tests performed within 21 days of enrollment satisfy all of the following . 9. Has no serious comorbidities. 10. Has a remaining life expectancy of at least 12 weeks after the day of enrollment. 11. Intends to receive study treatment based on the results of genomic alteration analysis. 12. Meets the description of one of Cohorts A to D below: Cohort A: Patients with certain solid malignancies who have not undergone chemotherapy Patients who have not yet undergone initial chemotherapy for an advanced solid malignancy specified. Cohort B: Patients with certain genomic alterations Patients found to have a genomic alteration specified in Reference Material in comprehensive genomic profile, the GOZILA Study, or FoundationOne Liquid of the present study and are scheduled to undergo chemotherapy as their subsequent chemotherapy. Cohort C: Patients scheduled to undergo treatment with an immune checkpoint inhibitor Patients whose next scheduled treatment is an immune checkpoint inhibitor. Cohort D: Patients scheduled to undergo treatment with certain molecular targeted drugs Patients whose next scheduled treatment is chemotherapy with a molecular targeted drug able to cause clonal evolution.
Exclusion criteria
Exclusion criteria: 1. Has previously undergone an autologous stem cell transplant or organ transplant. 2. Has a history of other malignancies. 3. If found by the investigator to be unsuited to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Profiles of ctDNA cancer-related genomic alterations and the gut microbiome | — |
Countries
Japan
Contacts
National Cancer Center Hospital East Department of Gastroenterology and Gastrointestinal Oncology