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Avera Cancer Sequencing and Analytics Protocol (ASAP) (ASAP)

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ClinicalTrials.gov Identifier: NCT05142033
Recruitment Status : Recruiting
First Posted : December 2, 2021
Last Update Posted : February 26, 2024
Sponsor:
Information provided by (Responsible Party):
Avera McKennan Hospital & University Health Center

Tracking Information
First Submitted Date November 4, 2021
First Posted Date December 2, 2021
Last Update Posted Date February 26, 2024
Actual Study Start Date November 1, 2021
Estimated Primary Completion Date December 31, 2026   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: November 18, 2021)
  • Percent of patients participating in comprehensive molecular profiling [ Time Frame: 5 years ]
  • Percent of patients referred for cascade genetic testing [ Time Frame: 5 years ]
  • Percent of patients referred for molecularly targeted clinical trials [ Time Frame: 5 years ]
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: November 18, 2021)
  • Percent of patients that had therapy changed due to comprehensive molecular profiling [ Time Frame: 5 years ]
  • Percent of patients that had therapy changed due to pharmacogenomic testing [ Time Frame: 5 years ]
  • Percent of patient participating in microbiome collection and analysis [ Time Frame: 5 years ]
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Avera Cancer Sequencing and Analytics Protocol (ASAP)
Official Title Implementation of Comprehensive Molecular Profiling and Deep Clinical Annotation of Electronic Health Records in Participants Diagnosed With or at Risk of Developing Cancer (ASAP Study)
Brief Summary

The purpose of this study is to understand the breadth of molecular characteristics present in participants cared for in a large integrated, community-based health care system. Using comprehensive genomic profiling and proteomics, the investigators seek to identify the underlying genomic drivers of premalignant or malignant conditions in participants across different stages of disease development and cancer types.

Comprehensive molecular profiling will consist of somatic tumor testing (tissue and/or blood) using whole exome sequencing, whole transcriptome sequencing, proteomics, and selected instances of whole genome sequencing. In addition, the investigators seek to perform broad hereditary cancer testing in affected participant populations. Hereditary testing has implications in screening, prognosis, and therapeutics for affected participants, as well as broad implications for genetic counseling and cascade testing.

In order to maximize the value of genomic information, participants consented to this protocol will have their electronic health records (both retrospectively and prospectively) abstracted, curated, annotated and linked to genomic information obtained though the testing performed. Given the long-term value of this data, participants will also be asked to voluntarily consent to have their samples stored in a biobank and have their de-identified information used for future research.

Information collected across this participant population will aid in advancing the investigators' knowledge of cancer biology, to discover and validate biomarkers associated with clinical outcomes, and shared in collaborative projects in order to promote the study of cancer.

Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Other
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples With DNA
Description:
Retention: Samples with DNA/RNA, and protein Description: Tissue, blood, stool, saliva, skin
Sampling Method Probability Sample
Study Population Participants with a premalignant or malignant condition and able/willing to consent/participate in the study.
Condition
  • Cancer
  • Cancer Diagnosis
  • Early Detection of Cancer
  • Breast Cancer
  • Lung Cancer
  • Colon Cancer
  • GI Cancer
  • Gynecologic Cancer
  • Ovarian Cancer
  • Endometrial Cancer
  • CNS Cancer
  • Hematologic Cancer
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: November 18, 2021)
25000
Original Estimated Enrollment Same as current
Estimated Study Completion Date December 31, 2026
Estimated Primary Completion Date December 31, 2026   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Must be at least 18 years of age
  • Must be undergoing a workup or being followed for a premalignant condition or have a diagnosis of cancer
  • Must voluntarily sign and understand the most current IRB-approved consent form prior to study participation

Exclusion Criteria:

  • Participants incapable of understanding the items listed in the consent form and process
  • Participants with a history of or known psychiatric illness deemed unable to consent or adhere to study requirements
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Not Provided
Contacts
Contact: Rachel Elsey, PharmD 605-322-3225 Rachel.Elsey@avera.org
Contact: Martha Lang, RN 605-322-3228 precisionresearch@avera.org
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT05142033
Other Study ID Numbers ASAP Protocol
Has Data Monitoring Committee Not Provided
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 Not Provided
Current Responsible Party Avera McKennan Hospital & University Health Center
Original Responsible Party Same as current
Current Study Sponsor Avera McKennan Hospital & University Health Center
Original Study Sponsor Same as current
Collaborators Not Provided
Investigators
Principal Investigator: Rachel Elsey, PharmD Avera Cancer Institute
PRS Account Avera McKennan Hospital & University Health Center
Verification Date February 2024