Breast Cancer, Colorectal Cancer, Eligible for Phase I or Phase II Study, Gynecological Cancer, Melanoma Cancer, Metastatic
Conditions
Keywords
genomic analysis, genome, tumor, tissue, archival, biopsy, core needle, fine needle, DNA, gene, expression, sequencing
Brief summary
This is a feasibility study to look for genetic alterations in tissue and blood samples that may be useful in determining what treatments may be useful in the patient's cancer care.
Detailed description
As part of the study, patients will have archival tumor tissue collected, and have tumor biopsies and blood samples taken. The samples will be tested for genetic alterations, and the results will be discussed with the patient including potential treatments. If patients agree, after they have received treatment for their cancer and their disease progresses, a second biopsy procedure will be done.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years. * Histological or cytological proof of either metastatic breast, colorectal, gynecological or melanoma malignancy. * At least one biopsiable lesion deemed medically accessible and safe to biopsy. * Candidate for one or more phase I or II clinical trials at the time of study enrollment or at a later time point. * Fulfills local institution's laboratory parameters for tumor biopsy. * Willingness and ability of patient to provide signed voluntary informed consent.
Exclusion criteria
* Any condition that could interfere with a patient's ability to provide informed consent such as dementia or severe cognitive impairment. * Any contraindication to undergoing a biopsy procedure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient recruitment for paired core and fine needle biopsy greater than or equal to 50% of those screened or approached. | 2 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The rate of acceptable tumor samples from fresh core needle biopsy samples/total number of fresh core needle biopsy samples greater than or equal to 90% | 2 years | — |
| The rate of acceptable tumor samples from fresh fine needle biopsy samples/total number of fresh fine needle biopsy samples greater than or equal to 50% | 2 years | — |
| Successful analysis of fresh core needle biopsy samples and fresh fine needle biopsy samples greater than or equal to 50% | 2 years | Sequenom or MiSeq/TSCAP and MiSeq/NGS |
| Analysis of fresh core needle biopsy samples and fresh fine needle biopsy samples from time from patient recruitment to final results, less than a defined period of time, in greater than or equal to 90% | 2 years | Sequenom or MiSeq/TSCAP analysis from fresh core needle biopsy samples less than 4 weeks; sequenom or MiSeq/TSCAP analysis from fresh fine needle biopsy samples less than 8 weeks; MiSeq/NGS analysis from fresh core needle biopsy samples less than 8 weeks; MiSeq/NGS analysis from fresh fine needle biopsy samples less than 8 weeks |
| Actionable genomic result analysis of fresh core needle biopsy samples and fresh fine needle biopsy samples greater than or equal to 30% | 2 years | — |
Countries
Canada