ctDNA Guided Treatment of Early Resistance to Targeted Treatment
NCT04148066 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 104
Last updated 2023-10-10
Summary
The current strategy is to test for treatment resistance at the time of radiological progression and design subsequent treatment based on the mechanism of resistance. However, upon disease progression patients tend to deteriorate quickly and 30% - 40% of patients will not be in the clinical condition to receive next line treatment. Therefore, there is a potential for early resistance identification and directing treatment against it in order to improve patient outcome.
Conditions
- Carcinoma, Non-Small-Cell Lung
Interventions
- DIAGNOSTIC_TEST
-
ctDNA blood sample
every six weeks during treatment and upon radiological progression blood will be drawn to analyse ctDNA with Avenio ctDNA (Expanded panel) to detect all known EGFR TKI resistance mechanisms.
Sponsors & Collaborators
-
Roche Pharma AG
collaborator INDUSTRY -
The Netherlands Cancer Institute
lead OTHER
Principal Investigators
-
J de Langen, MD, PhD · The Netherlands Cancer Institute-Antoni van Leeuwenhoek
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-07-17
- Primary Completion
- 2021-12-17
- Completion
- 2021-12-17
Countries
- Netherlands
Study Locations
More Related Trials
-
EGFR Mutations on ctDNA in Patients With Advanced NSCLC
NCT02623257 ·Status: COMPLETED
-
Study of Tarloxotinib in Pts With NSCLC (EGFR Exon 20 Insertion, HER2-activating Mutations) & Other Solid Tumors With NRG1/ERBB Gene Fusions
NCT03805841 ·Status: TERMINATED ·Phase: PHASE2
-
Erlotinib and Sequential Positron Emission Tomography (PET) in Advanced Non Small Cell Lung Cancer (NSCLC)
NCT00568841 ·Status: UNKNOWN ·Phase: PHASE2
-
Study for Treatment With TH-4000 (Tarloxotinib) in Epidermal Growth Factor Receptor (EGFR) Mutant, T790M-negative Non-small Cell Lung Cancer (NSCLC) Patients
NCT02454842 ·Status: TERMINATED ·Phase: PHASE2
-
An Expanded Access Program of Tarceva (Erlotinib) in Participants With Advanced Non-Small Cell Lung Cancer (NSCLC)
NCT00949910 ·Status: COMPLETED ·Phase: PHASE4
-
Phase 1/2 Study of the Safety and Efficacy of Rociletinib in Combination With Trametinib in Patients With mEGFR-positive Advanced or Metastatic Non-small Cell Lung Cancer
NCT02580708 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Phase III Study (Tarceva®) vs Chemotherapy to Treat Advanced Non-Small Cell Lung Cancer in Patients With Mutations in the TK Domain of EGFR
NCT00446225 ·Status: COMPLETED ·Phase: PHASE3
-
Phase 1 Study of TG01 and Erlotinib in Non-small Cell Lung Cancer (NCSLC) Patients
NCT00569114 ·Status: COMPLETED ·Phase: PHASE1
-
Neoadjuvant and Adjuvant Targeted Treatment in NSCLC With BRAF V600 or MET Exon 14 Mutations
NCT06054191 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Study to Learn About Lorlatinib in Patients With Non-Small Cell Lung Cancer Which Could Not Be Controlled
NCT06282991 ·Status: COMPLETED
-
A Study of TAS3351 in NSCLC Patients With EGFRmt
NCT05765734 ·Status: TERMINATED ·Phase: PHASE1
-
Erlotinib as First-line Treatment of Advanced Non-small Cell Lung Cancer (NSCLC) for Patients Unfit for Chemotherapy
NCT00452075 ·Status: TERMINATED ·Phase: PHASE2
-
Analysis of Re-biopsy Specimens in Advanced NSCLC With Acquired Resistance of EGFR-TKI Targeted Therapy
NCT03309462 ·Status: COMPLETED ·Phase: NA
-
Resistance & Activating Mutations Diagnosed Among NSCLC Community Dwelling EGFR Mutation Positive Patients
NCT03137264 ·Status: COMPLETED
-
Non Small Cell Lung Cancer Patients Treated With Erlotinib Six Months or Longer
NCT01522833 ·Status: COMPLETED
-
Tumour Characterisation to Guide Experimental Targeted Therapy - National
NCT04723316 ·Status: RECRUITING
-
Taletrectinib Phase 2 Global Study in ROS1 Positive NSCLC
NCT04919811 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Study of DS-1062a in Advanced or Metastatic Non-small Cell Lung Cancer With Actionable Genomic Alterations (TROPION-Lung05)
NCT04484142 ·Status: COMPLETED ·Phase: PHASE2
-
Real-world Observational Study of Targeted Therapy in Patients With Advanced ROS1-positive NSCLC
NCT06694129 ·Status: NOT_YET_RECRUITING
-
ctDNA-MRD Based Adjuvant Targeted Therapy for EGFR Positive Stage I Lung Adenocarcinomas
NCT05079022 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Study of Atezolizumab Plus Carboplatin and Etoposide With or Without Tiragolumab in Participants With Untreated Extensive-Stage Small Cell Lung Cancer
NCT04665856 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Molecular Determinants of Acquired Clinical Resistance to Crizotinib in Non-small Cell Lung Cancer Harboring a Translocation or Inversion Event Involving the ALK Gene Locus
NCT01300429 ·Status: COMPLETED
-
Clinical Study of SHR-A1921 or SHR-A2009 in Previously Treated Advanced NSCLC
NCT06465238 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Evaluation of Blood TMB for the Efficacy of Atezolizumab [BUDDY]
NCT04059887 ·Status: COMPLETED ·Phase: PHASE4
-
Biomarkers Predicting Response in Patients With Non-Small Cell Lung Cancer Previously Treated With Erlotinib Hydrochloride
NCT01123460 ·Status: COMPLETED