leptomeningeal metastasis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who are treated for advanced EpCam positive solid tumors (such as breast cancer, lung cancer, gastrointestinal cancer) or melanoma 2. Age >=18 years; 3. Able and willing to give written informed consent; 4. WHO performance status of 0, 1, 2, 3 or 4; 5. Able and willing to undergo lumbar puncture and veni-puncture.
Exclusion criteria
Exclusion criteria: Lumbar puncture not clinically / diagnostically indicated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Determine the sensitivity and specificity of detection of circulating tumor cells (CTCs) in patients with Epcam expressing tumors compared to cytology in the cerebrospinal fluid of patients, clinically suspected for leptomeningeal metastases | — |
Secondary
| Measure | Time frame |
|---|---|
| - To determine the relationship between the number of CTCs in CSF and the patient*s neurological condition and Karnofsky performance score - To determine the change in the CTC number between two sampling points and correlate this with the patient*s neurological condition and therapy - To determine the relationships between demographics/tumor status and CTCs number in CSF. - To determine the relationship between the CTC cells in the CSF and the CTCs in the peripheral blood - To confirm EPCAM positivity in archived primary tumor tissue and tumorcells in CSF. • To compare the predictive values of two CTC enumeration methods - To investigate CNS distribution of tyrosine kinase inhibitors (e.g. crizotinib,vemurafenib, dabrafenib, erlotinib, gefitinib, afatinib, dacomitinib, trametinib and/or olaparib) - To explore the levels of circulating tumor ctDNA in liquor | — |
Countries
Netherlands