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出境医 / 临床实验 / Personalized Functional Profiling in Metastatic Gastrointestinal Cancer or Recurrent Glioblastoma Patients in Luxembourg.

Personalized Functional Profiling in Metastatic Gastrointestinal Cancer or Recurrent Glioblastoma Patients in Luxembourg.

Study Description
Brief Summary:

The investigators are developing a novel standardized and centralized approach named Integrated Personalized Functional Profiling (PFP) in Luxembourg. Based on recent improvements in cancer biopsy-derived 3D-culture technologies the PFP process will screen patient derived cells (PDCs) with FDA/EMA-approved drugs to generate personalized functional response profiles. The selected drug through PFP technology will provide personalized treatment recommendation for the patient.

This pilot study will evaluate the clinical feasibility of setting-up an effective workflow as a first step. Outcomes from this study will be used subsequently to help plan the clinical validation of the implementation of PFP.


Condition or disease Intervention/treatment Phase
Oncology Diagnostic Test: Personalized Functional Profiling Not Applicable

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 20 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Pilot Study to Explore the Integrated Personalized Functional Profiling (PFP) for Cancer Patients With Metastatic Gastrointestinal Cancer (mGIC) or Recurrent Glioblastoma (rGBM) in Luxembourg
Actual Study Start Date : March 11, 2019
Estimated Primary Completion Date : December 1, 2021
Estimated Study Completion Date : March 30, 2022
Arms and Interventions
Arm Intervention/treatment
Personalized Functional Profiling Diagnostic Test: Personalized Functional Profiling
During this pilot study, the overall goal of the project is to establish an effective workflow between the patient, the PFP platform, the clinician and return to the patient. This includes collection of the biopsy or surgery piece and standardized processing, dissociation, drug profiling and issuing treatment recommendation to the clinician. In case the clinician follows this treatment recommendation, patient management and follow up will be performed according to standard of care.

Outcome Measures
Primary Outcome Measures :
  1. Number of patients for which a treatment recommendation for their specific cancer can be formulated, based on PFP [ Time Frame: 4 weeks ]

Secondary Outcome Measures :
  1. Quantity of cells needed for the PFP analysis [ Time Frame: 4 weeks ]
  2. Duration of the PFP process for one specific patient [ Time Frame: 4 weeks ]
  3. Number of drugs recommended by using the PFP approach [ Time Frame: 4 weeks ]
  4. Number of patients for which the treatment recommendation issued by PFP were followed by the investigator [ Time Frame: 4 weeks ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patient with recurrent Glioblastoma (rGBM) or with metastatic gastrointestinal cancer (mGIC), i.e. adenocarcinoma (any grade) of stomach, liver, pancreas, small intestine, colon, rectum
  • The patient has received previous cancer treatment for mGIC or rGBM
  • Male or female ≥ 18 years
  • Life expectancy ≥ 12 weeks
  • Histologically or cytologically confirmed diagnosis for mGIC or recurrence of a glioblastoma, WHO grade IV
  • For women of childbearing potential, a negative pregnancy test documented prior to the screening visit is required
  • Signed Inform Consent Form before any study related procedure

Exclusion Criteria:

  • For female patient, being pregnant, planning a pregnancy or breastfeeding
  • No fresh and viable tumor material available
  • Known active Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), or Hepatitis C Virus (HCV) infection
  • Uncontrolled medical conditions (i.e, diabetes mellitus, hypertension, etc), psychological, familial, sociological, or geographical conditions that do not allow compliance with the protocol; or unwillingness or inability to follow the procedures required in the protocol
  • In mGIC arm, patient with non-adenocarcinoma gastrointestinal cancer
  • Patient unable to understand and consent himself
Contacts and Locations

Contacts
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Contact: Guy Berchem, MD +35244112084 berchem.guy@chl.lu
Contact: Manon Gantenbein, PhD +35226970807 manon.gantenbein@lih.lu

Locations
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Luxembourg
Centre hospitalier de Luxembourg Recruiting
Luxembourg, Luxembourg, 1210
Contact: Guy Berchem, MD    +35244112084    berchem.guy@chl.lu   
Hôpitaux Robert Schmuan Recruiting
Luxembourg, Luxembourg, 2540
Contact: Marc Berna, MD    +352 (28) 88 6550    marc.berna@hopitauxschuman.lu   
Sponsors and Collaborators
Luxembourg Institute of Health
Integrated Biobank of Luxembourg
Laboratoire National de Santé (Luxembourg)
Centre Hospitalier du Luxembourg
Hopitaux Robert Schuman (Luxembourg)
Tracking Information
First Submitted Date  ICMJE March 11, 2019
First Posted Date  ICMJE June 25, 2019
Last Update Posted Date January 15, 2021
Actual Study Start Date  ICMJE March 11, 2019
Estimated Primary Completion Date December 1, 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 24, 2019)
Number of patients for which a treatment recommendation for their specific cancer can be formulated, based on PFP [ Time Frame: 4 weeks ]
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: June 24, 2019)
  • Quantity of cells needed for the PFP analysis [ Time Frame: 4 weeks ]
  • Duration of the PFP process for one specific patient [ Time Frame: 4 weeks ]
  • Number of drugs recommended by using the PFP approach [ Time Frame: 4 weeks ]
  • Number of patients for which the treatment recommendation issued by PFP were followed by the investigator [ Time Frame: 4 weeks ]
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 Personalized Functional Profiling in Metastatic Gastrointestinal Cancer or Recurrent Glioblastoma Patients in Luxembourg.
Official Title  ICMJE Pilot Study to Explore the Integrated Personalized Functional Profiling (PFP) for Cancer Patients With Metastatic Gastrointestinal Cancer (mGIC) or Recurrent Glioblastoma (rGBM) in Luxembourg
Brief Summary

The investigators are developing a novel standardized and centralized approach named Integrated Personalized Functional Profiling (PFP) in Luxembourg. Based on recent improvements in cancer biopsy-derived 3D-culture technologies the PFP process will screen patient derived cells (PDCs) with FDA/EMA-approved drugs to generate personalized functional response profiles. The selected drug through PFP technology will provide personalized treatment recommendation for the patient.

This pilot study will evaluate the clinical feasibility of setting-up an effective workflow as a first step. Outcomes from this study will be used subsequently to help plan the clinical validation of the implementation of PFP.

Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Condition  ICMJE Oncology
Intervention  ICMJE Diagnostic Test: Personalized Functional Profiling
During this pilot study, the overall goal of the project is to establish an effective workflow between the patient, the PFP platform, the clinician and return to the patient. This includes collection of the biopsy or surgery piece and standardized processing, dissociation, drug profiling and issuing treatment recommendation to the clinician. In case the clinician follows this treatment recommendation, patient management and follow up will be performed according to standard of care.
Study Arms  ICMJE Personalized Functional Profiling
Intervention: Diagnostic Test: Personalized Functional Profiling
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: June 24, 2019)
20
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE March 30, 2022
Estimated Primary Completion Date December 1, 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Patient with recurrent Glioblastoma (rGBM) or with metastatic gastrointestinal cancer (mGIC), i.e. adenocarcinoma (any grade) of stomach, liver, pancreas, small intestine, colon, rectum
  • The patient has received previous cancer treatment for mGIC or rGBM
  • Male or female ≥ 18 years
  • Life expectancy ≥ 12 weeks
  • Histologically or cytologically confirmed diagnosis for mGIC or recurrence of a glioblastoma, WHO grade IV
  • For women of childbearing potential, a negative pregnancy test documented prior to the screening visit is required
  • Signed Inform Consent Form before any study related procedure

Exclusion Criteria:

  • For female patient, being pregnant, planning a pregnancy or breastfeeding
  • No fresh and viable tumor material available
  • Known active Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), or Hepatitis C Virus (HCV) infection
  • Uncontrolled medical conditions (i.e, diabetes mellitus, hypertension, etc), psychological, familial, sociological, or geographical conditions that do not allow compliance with the protocol; or unwillingness or inability to follow the procedures required in the protocol
  • In mGIC arm, patient with non-adenocarcinoma gastrointestinal cancer
  • Patient unable to understand and consent himself
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: Guy Berchem, MD +35244112084 berchem.guy@chl.lu
Contact: Manon Gantenbein, PhD +35226970807 manon.gantenbein@lih.lu
Listed Location Countries  ICMJE Luxembourg
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03997617
Other Study ID Numbers  ICMJE PFP-001
Has Data Monitoring Committee Yes
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
Responsible Party Luxembourg Institute of Health
Study Sponsor  ICMJE Luxembourg Institute of Health
Collaborators  ICMJE
  • Integrated Biobank of Luxembourg
  • Laboratoire National de Santé (Luxembourg)
  • Centre Hospitalier du Luxembourg
  • Hopitaux Robert Schuman (Luxembourg)
Investigators  ICMJE Not Provided
PRS Account Luxembourg Institute of Health
Verification Date January 2021

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