Melanoma, Sarcoma
Conditions
Keywords
Tumour-derived models, Organoids, Ex vivo drug testing, Personalised therapy, QPOP
Brief summary
This is a multi-cohort proof of concept study involving patients with sarcomas or melanomas. Patient models, both two- and three-dimensional, will be derived from tumour samples. These will then be used to evaluate drug sensitivities ex vivo. Enrolled patients will undergo resections or biopsies as part of standard-of-care, which will be used to generate patient models. Patients will receive standard-of-care systemic treatment. Patient models will also be subjected up to a 14-drug screening panel. The majority of drugs in the respective drug panels has been shown to have activity in the respective cancers and would be used in the standard-of-care setting by treating physicians.
Detailed description
Hypothesis: Ex vivo drug testing on patient-derived models using QPOP can identify drug sensitivities and combinations which may have clinical efficacy against sarcomas and melanomas. Specific aim 1: To derive patient models, both two- and three-dimensional, of sarcomas and melanomas Specific aim 2: To perform ex vivo drug testing on patient models of sarcoma and melanoma using QPOP Specific aim 3: To assess the efficacy of phenotype directed therapy using QPOP to assign treatment after progression on standard-of-care treatment in sarcoma and melanoma
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of sarcoma or melanoma * At least 1 tumour lesion amenable to fresh biopsy or resection * Signed informed consent from patient or legal representative * Able to comply with study-related procedures
Exclusion criteria
* There are no specific
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients with successful model generation for each tumour subtype. | 8 years. | Patients enrolled on study will undergo resection or biopsy of fresh tumour tissue to obtain cells for the generation of models. |
| Rates of radiological response from QPOP-directed treatment regimens. | 8 years. | Complete and partial clinical response and stable disease. |
| Survival outcomes from QPOP-directed treatment regimens. | 8 years. | Overall survival, progression-free survival. |
Countries
Singapore