Locally advanced or metastatic solid tumors
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * Patient with the following locally advanced or metastatic cancer for whom a new line of therapy is indicated starting within 3 months after biopsy: - Metastatic Pancreas Cancer: FOLFIRINOX (Folinic acid [leucovorin] + Fluorouracil [5-FU] + Irinotecan + Oxaliplatin) - Metastatic Bladder Cancer (including Renal Cell Cancer and all types of Urothelial Cell Cancer): Pembrolizumab * Measurable metastatic or locally advanced lesion(s), according to RECIST 1.1 criteria.. Guidelines for response evaluation are given in appendix A. * Metastatic or locally advanced lesion(s) of which a histological biopsy can safely be obtained. * Patients age > 18 years, willing and able to comply with the protocol as judged by the investigator with a signed informed consent. Patients must meet selection criteria 3 not only prior to baseline biopsy, but also prior to the (optional and if applicable, see CPCT-02 Study manual) post-treatment biopsies.
Exclusion criteria
Exclusion criteria: No locally advanced or metastatic cancer. Age below 18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of patients enrolled in clinical intervention trials based on the mutational profile of their cancer genome | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints: - Percentage of samples with sufficient DNA for sequencing analysis - Percentage of samples with an adequate mutational profile to allow enrollment in trials - Database of all (anonymized) data obtained using this protocol - Differences in mutational profile pre, post and during treatment - Number and nature of all (serious) adverse events of the performed histological biopsies - Number of samples with an adequate microRNA, (phospo)proteomic profiles and organoid cultures that allows biomarker discovery efforts. These profiles will be deposited in the CPCT database. - Number of filled in questionnaires, sufficient for performing e.g. health economic analysis or PROM research. | — |
Countries
Netherlands