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Asian Multicenter Prospective Study of ctDNA Sequencing (A-TRAIN)

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ClinicalTrials.gov Identifier: NCT05099978
Recruitment Status : Recruiting
First Posted : October 29, 2021
Last Update Posted : October 24, 2023
Sponsor:
Information provided by (Responsible Party):
National Cancer Center, Japan

Brief Summary:
This study is a genetic analysis of aberrations in circulating tumor DNA (ctDNA) in patients in Asian countries. This study protocol is divided into parts describing several subanalyses that differ in terms of cancer types, analytical methods, participating countries, and participating institutions.

Condition or disease Intervention/treatment
Cervical Cancer Ovarian Clear Cell Carcinoma Nasopharyngeal Carcinoma Ovarian Cancer Endometrial Cancer Triple Negative Breast Cancer Genetic: NGS analysis of ctDNA

Detailed Description:
NGS analysis will be performed on cfDNA extracted from peripheral blood samples of target patients to determine the types and incidences of genetic abnormalities. Patient information and gene abnormality data will be integrated, and the types and incidences of gene abnormalities by cancer type will be analyzed.

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Study Type : Observational
Estimated Enrollment : 506 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Asian Multicenter Prospective Study of Circulating Tumor DNA Sequencing: A-TRAIN
Actual Study Start Date : November 1, 2021
Estimated Primary Completion Date : December 31, 2024
Estimated Study Completion Date : December 31, 2024


Group/Cohort Intervention/treatment
NGS analysis of ctDNA

This study consists of 6 cohorts; cervical cancer(n=100), ovarian clear cell cancer(n=50), nasopharyngeal cancer(n=96), ovarian cancer(n=100), breast cancer(n=100), endometrial cancer(n=60).

In each cohort, the blood samples will be collected within 2weeks after registration. ctDNA will be extracted from blood samples and somatic gene abnormalities will be analyzed using NGS, PCR, and Sanger sequencing. In addition, the analysis of DNA methylation and RNA sequencing may be performed to obtain information related to gene expression.

Genetic: NGS analysis of ctDNA
Diagnostic Test: plasma circulating tumor DNA




Primary Outcome Measures :
  1. Percentage of patients with one or more genetic abnormalities among all examination cases [ Time Frame: Through study completion, an average of 1 year ]
    DNA may be extracted from blood or tumor tissue samples, and germline gene abnormality may be analyzed using techniques such as PCR, NGS, and Sanger sequencing.

  2. Percentage of patients with each genetic abnormality among all examination cases [ Time Frame: Through study completion, an average of 1 year ]
    DNA may be extracted from blood or tumor tissue samples, and germline gene abnormality may be analyzed using techniques such as PCR, NGS, and Sanger sequencing.


Secondary Outcome Measures :
  1. Genomic abnormalities of ctDNA and tumor tissue will be combined to report the concordance rate [ Time Frame: Through study completion, an average of 1 year ]
    Concordance rate is defined by the sum of concordance on positives with the denominator as the total number of genes in which a genomic alteration is detected, i.e., genes in which alterations are not detected by one of assays are excluded from both the numerator and denominator.


Biospecimen Description:
Peripheral blood sample and unstained 5-micron formalin-fixed paraffin-embedded (FFPE) tumor tissue section


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Patients with metastatic and/or recurrent solid cancer which is targeted by each cohort in Asia.
Criteria

Inclusion Criteria:

  1. Age of 18 years or older at registration.
  2. Diagnosis of cancer which is targeted by each cohort.
  3. Metastatic and/or recurrent disease.

Exclusion Criteria:

  1. Any other malignancy within 3 years prior to registration, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the esophagus, stomach, colon, or cervix.
  2. Ongoing chemotherapy. (Chemotherapy-naïve patients or awaiting initiation of the next line of chemotherapy are eligible. There is no limit on the number of prior chemotherapies or on the time from completion of chemotherapy to registration).
  3. Ongoing radiation therapy. (There are no limits on the time from completion of radiation therapy to registration).

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05099978


Contacts
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Contact: Kan Yonemori, MD, PhD +81-3-3542-2511 NCCH1905@ml.res.ncc.go.jp

Locations
Show Show 19 study locations
Sponsors and Collaborators
National Cancer Center, Japan
Investigators
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Principal Investigator: Kan Yonemori, MD, PhD Department of Medical Oncology, National Cancer Cancer Hospital
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Responsible Party: National Cancer Center, Japan
ClinicalTrials.gov Identifier: NCT05099978    
Other Study ID Numbers: NCCH1905
First Posted: October 29, 2021    Key Record Dates
Last Update Posted: October 24, 2023
Last Verified: October 2023

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by National Cancer Center, Japan:
ctDNA
Solid tumor in Asia
Additional relevant MeSH terms:
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Carcinoma
Endometrial Neoplasms
Triple Negative Breast Neoplasms
Nasopharyngeal Carcinoma
Adenomyoepithelioma
Adenocarcinoma, Clear Cell
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Neoplasms by Site
Genital Diseases, Female
Female Urogenital Diseases
Female Urogenital Diseases and Pregnancy Complications
Urogenital Diseases
Genital Neoplasms, Female
Urogenital Neoplasms
Genital Diseases
Uterine Neoplasms
Uterine Diseases
Breast Neoplasms
Breast Diseases
Skin Diseases
Nasopharyngeal Neoplasms
Pharyngeal Neoplasms
Otorhinolaryngologic Neoplasms
Head and Neck Neoplasms
Nasopharyngeal Diseases
Pharyngeal Diseases
Stomatognathic Diseases
Otorhinolaryngologic Diseases