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PLATON - Platform for Analyzing Targetable Tumor Mutations (Pilot-study) (PLATON)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04484636
Recruitment Status : Recruiting
First Posted : July 23, 2020
Last Update Posted : April 23, 2024
Sponsor:
Collaborator:
Roche Pharma AG
Information provided by (Responsible Party):
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest

Tracking Information
First Submitted Date  ICMJE July 10, 2020
First Posted Date  ICMJE July 23, 2020
Last Update Posted Date April 23, 2024
Actual Study Start Date  ICMJE October 28, 2020
Estimated Primary Completion Date June 30, 2024   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 21, 2020)
Distribution of mutations in patients with HCC, intra- and extrahepatic CCA, GBCA, PDAC and gastric cancer [ Time Frame: up to 4 weeks after biospecimen provision ]
Relative frequency of targetable mutations (incl. TMB and MSI status) computed as the number of patients who harbors at least one mutation divided by the number of total patients in the pooled patient population.
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: July 21, 2020)
  • Heterogeneity of targetable alterations in paraffin embedded specimen vs. cfDNA [ Time Frame: up to 4 weeks after biospecimen provision ]
    Number of differences (heterogeneity) in targetable alterations in paraffin specimen vs. cfDNA
  • Relative frequency of targetable mutations (incl. TMB and MSI status) per disease group [ Time Frame: up to 4 weeks after biospecimen provision ]
    Relative frequency of targetable mutations (incl. TMB and MSI status) per disease group
  • Number of patients receiving therapies in accordance to their genomic profiles [ Time Frame: up to 4 weeks after biospecimen provision ]
    Number of patients receiving therapies in accordance to their genomic profiles
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE PLATON - Platform for Analyzing Targetable Tumor Mutations (Pilot-study)
Official Title  ICMJE PLATON - Platform for Analyzing Targetable Tumor Mutations (Pilot-study) A Multicenter, Prospective, Cohort Study To Assess The Genomic Profiles And Associated Therapy Decision In Gastrointestinal Cancer
Brief Summary PLATON (Platform for Analyzing Targetable Mutations) is a prospective, multicentre, observational cohort study with biobanking. In a first approach PLATON's pilot-study assesses genomic profiling in gastrointestinal cancer therapy and the frequencies of targetable mutations including Tumor Mutational Burden (TMB) and Microsatellite Instability Status (MSI), performing Next-generation deep sequencing (NGS) using the Foundation Medicine assays on tumor specimen and EDTA-whole blood samples. The Study Protocol does not define any further medical intervention or evaluate the efficacy or safety of the treatment decision made by the investigator. Another important objective of PLATON's pilot project is to evaluate whether and how many patients are treated based on their genomic profiles.
Detailed Description

PLATON (Platform for Analyzing Targetable Mutations) is designed to improve personalized therapy for patients in different cancer entities, such as in hepatocellular cancer (HCC), intra- and extrahepatic cholangiocellular carcinoma (CCA), gallbladder carcinoma (GBCA), pancreatic cancer (PanCa) and esophagogastric cancer (EC/GC), and elevate the treatment guidance within its framework. The key to understand the mechanisms in initiation, progression and response to treatment of cancer is the data integration of genetic mutational signatures with medical and physiological data of diseased cohorts.

PLATON is a prospective, multicentre, observational cohort study with biobanking and does not define any medical intervention or evaluate the efficacy or safety of the treatment decision made by the investigator.In a first approach PLATON's pilot-study assess genomic profiling in gastrointestinal cancer therapy and the frequencies of targetable mutations including Tumor Mutational Burden (TMB) and Microsatellite Instability Status (MSI), performing Next-generation deep sequencing (NGS) using the Foundation Medicine assays on tumor specimen and EDTA-whole blood samples. Another important objective of PLATON's pilot project is to evaluate whether and how many patients are treated based on their genomic profiles.

The pilot-study starts with the national-wide enrolment of 200 participants of both sexes and ages over 18 at 40 german study sites. The long-term vision is to enable cancer patients to receive the best available, scientifically founded, biomarker-based care, tailored to his or her individual needs

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Intervention Model Description:
Experimental Study
Masking: None (Open Label)
Primary Purpose: Other
Condition  ICMJE
  • Hepatocellular Cancer
  • Cholangiocarcinoma
  • Gallbladder Cancer
  • Pancreatic Cancer
  • Oesophageal Cancer
  • Stomach Cancer
Intervention  ICMJE Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid
FoundationOne CDx is a FDA-approved broad companion diagnostic (CDx) that is clinically and analytically validated for solid tumors. The test is designed to provide physicians with clinically actionable information - both to consider appropriate therapies for patients and understand results with evidence of resistance - based on the individual genomic profile of each patient's cancer. Every test result includes microsatellite instability (MSI) and tumor mutational burden (TMB) to help inform immunotherapy decisions. FoundationOne®Liquid is a liquid biopsy test for solid tumors that analyzes circulating tumor DNA (ctDNA) in blood.
Study Arms  ICMJE
  • Hepatocellular Cancer
    molecular profiling - hepatocellular cancer (HCC)
    Intervention: Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid
  • Cholangiocarcinoma
    molecular profiling - intra- and extrahepatic cholangiocellular carcinoma (CCA)
    Intervention: Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid
  • Gallbladder Cancer
    molecular profiling - gallbladder carcinoma (GBCA)
    Intervention: Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid
  • Pancreatic Cancer
    molecular profiling - pancreatic cancer (PanCa)
    Intervention: Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid
  • Oesophageal Cancer + Stomach Cancer
    molecular profiling - esophagogastric cancer (EC/GC)
    Intervention: Diagnostic Test: FoundationOne®CDx and FoundationOne®Liquid
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: July 17, 2023)
400
Original Estimated Enrollment  ICMJE
 (submitted: July 21, 2020)
200
Estimated Study Completion Date  ICMJE July 30, 2024
Estimated Primary Completion Date June 30, 2024   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Histologically confirmed diagnosis of hepatocellular carcinoma or intra-/extrahepatic cholangiocarcinoma or gallbladder carcinoma or pancreatic ductal adenocarcinoma or esophagogastric adenocarcinoma in the advanced setting and no local curative therapy available.
  • Standard first line therapy is planned, or patient is currently receiving first line therapy (started within the last 2 months before enrolment)
  • ECOG 0-2
  • Life expectancy ≥ 6 months

Exclusion Criteria:

  • Not able to understand all implications of study participation
  • No written informed consent
  • age < 18 years
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Arndt Vogel, Prof. Dr. +4969-7601-4420 vogela@me.com
Contact: Bianca Zäpf +4969-7601-4636 zaepf.bianca@ikf-khnw.de
Listed Location Countries  ICMJE Germany
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04484636
Other Study ID Numbers  ICMJE PLATON pilot-study
AIO-HEP/STO-0219/ass ( Other Identifier: AIO Arbeitsgemeinschaft Internistische Onkologie )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Plan Description: Depending on particpant informed concent individual-participant data (IPD) will only be shared in research-cooperations according the terms of PLATON's Use and Access Regulation. Scientific projects have to be approved by PLATON'S Scientific Steering Committee.
Current Responsible Party Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
Original Responsible Party Same as current
Current Study Sponsor  ICMJE Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE Roche Pharma AG
Investigators  ICMJE
Study Director: Salah-Eddin Al-Batran, Prof. Institut für Klinische Krebsforschung IKF GmbH
Principal Investigator: Arndt Vogel, Prof. Hannover Medical School
PRS Account Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
Verification Date April 2024

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP