Exome Analysis (Complexe vs Simple) to Help the Therapeutic Decision for the Precision Medicine
NCT04614480 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 7976
Last updated 2025-09-22
Summary
The "simple" analysis of the exome can determine somatic and constitutional mutations. The major challenge lies in the translation of sequencing data into clinically relevant information allowing the clinician to guide his decision-making A "complex" analysis of the exome would provide access to structural DNA data, concerning mutational signatures, tumor mutational load, analysis of large deletions, loss of heterozygosity as well as amplification of certain genes which may have an impact on the management of patients.
No data available to date makes it possible to assess the clinical interest of the availability of its additional information resulting from a "complex" analysis compared to a "simple" analysis. The objective of the EXOMA2 study is to assess the proportion of patients for whom the proposed therapy is derived from its additional information (complex analysis) and would not have been possible with a classic exome analysis (simple analysis) .
We hereby formulate the hypothesis that a "complex" analysis on a population presenting a metastatic or locally advanced disease treated early (from the 1st line of treatment) will make it possible to determine therapeutic indications which could not be discovered with a "simple" analysis.
Conditions
Interventions
- GENETIC
-
Exome analysis
Exome analysis of tumor DNA and constitutional DNA in patients included in 1st line treatment
Sponsors & Collaborators
-
Centre Georges Francois Leclerc
lead OTHER
Principal Investigators
-
Charles Coutant, PU-PH · Centre Georges François Leclerc
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-08-25
- Primary Completion
- 2028-09-02
- Completion
- 2032-09-02
Countries
- France
Study Locations
More Related Trials
-
STRucturation of Transcript Analysis of Genes Involved in Hereditary Cancers
NCT06861621 ·Status: RECRUITING
-
Genomic Investigation of Unusual Responders
NCT03740503 ·Status: RECRUITING
-
Use of Exome Sequence Analysis and Circulating Tumour in Assessing Tumour Heterogeneity in BRAF Mutant Melanoma
NCT02251314 ·Status: COMPLETED
-
A Study to Examine the Clinical Value of Comprehensive Genomic Profiling Performed by Belgian NGS Laboratories: a Belgian Precision Study of the BSMO in Collaboration With the Cancer Centre
NCT05058937 ·Status: RECRUITING ·Phase: NA
-
The Aim is to Identify Recurrent Genomic Mutations and/or Predisposing Polymorphisms in Patients With Sporadic Cases of Multiple Myeloma
NCT05331313 ·Status: UNKNOWN
-
Cancer Health Assessments Reaching Many
NCT03426878 ·Status: COMPLETED ·Phase: NA
-
Value of Information of Secondary dAta in ONCOGEnetics
NCT04972409 ·Status: UNKNOWN
-
Genomic Profiling in Cancer Patients
NCT01775072 ·Status: RECRUITING
-
Whole Exome Sequencing in Finding Causative Variants in Germline DNA Samples From Patients With Peripheral Neuropathy Receiving Paclitaxel for Breast Cancer
NCT02610439 ·Status: RECRUITING
-
Cost of Cancer Diagnosis Using Next-generation Sequencing Targeted Gene Panels in Routine Practice
NCT04656717 ·Status: COMPLETED
-
Clinical Benefit of Genetic Biomarkers for Guiding Treatment Decisions in Oncology Drugs
NCT02458040 ·Status: WITHDRAWN
-
Circulating Tumor DNA Study in Patients With Endometrial Cancer
NCT05955079 ·Status: RECRUITING
-
Genetic Analysis Using Blood or Bone Marrow From Participants With Neuroblastoma or Noncancerous Conditions
NCT00436696 ·Status: COMPLETED
-
Beliefs, Attitudes, and Response to Genetic Testing in SarcomaPatients
NCT06875700 ·Status: RECRUITING
-
Identification of Genes Associated With Cancer in Patients and Siblings Who Have Cancer
NCT00003329 ·Status: COMPLETED
-
Clinical Outcomes for Offering Genetic Testing in a Tiered Approach
NCT04902144 ·Status: COMPLETED ·Phase: NA
-
Pharmacogenomics Testing in the Optimal Use of Supportive Care Medications in Stage III-IV Cancer
NCT04067960 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
A Study to Examine the Value of Broad Agnostic Next Generation Sequencing (NGS) Panel Testing Versus Reimbursed Organ-directed NGS: a Belgian Precision Study of the BSMO in Collaboration With the Cancer Center
NCT04641676 ·Status: UNKNOWN ·Phase: NA
-
Genetic Testing for Men With Metastatic Prostate Cancer
NCT03503097 ·Status: TERMINATED
-
Prospective Registry of Multiplex Testing (PROMPT)
NCT02665195 ·Status: ACTIVE_NOT_RECRUITING
-
Genomic and Proteomic Profiling Targets Influenced Treatment in Metastatic Breast Cancer
NCT02470819 ·Status: WITHDRAWN ·Phase: NA
-
Pre-Test Genetic Education and Remote Genetic Counseling in Communicating Tumor Profiling Results to Patients With Advanced Cancer
NCT02823652 ·Status: COMPLETED ·Phase: NA
-
Deciphering the Molecular Traits of Non-canonical Responders to Advance Personalized Therapy in Gastric Cancer
NCT06877910 ·Status: ACTIVE_NOT_RECRUITING
-
5-year Study to Track Clinical Application of DecisionDx-Melanoma Gene Expression Profile Assay Results
NCT02355574 ·Status: TERMINATED
-
Correlation Between Tissue and Plasmatic EGFR in CBNPC With EGFR Mutation or Predictive Factor of EGFR Mutation
NCT03265496 ·Status: TERMINATED ·Phase: NA