Advanced Cancer Clinical Trial
Official title:
An Ancillary Pilot Trial Using Whole Genome Sequencing In Patients With Advanced Refractory Cancer
When a patient with advanced cancer consults with a member of the Phase I drug development
team, the investigators utilize all information possible to try to select a therapy for that
patient which has the best chance of working for them. This information includes:
1. Past published information
2. Clinical experience and judgement
3. Immunohistochemistry for specific targets (e.g., ER)
4. Standard sequencing (e.g., for K-Ras) and other methods now available.
The investigators have a new tool which warrants early exploration for what role it might
eventually play in the process of selecting the best therapy for an individual patient. The
basis of the current ancillary exploratory study is to gain initial experience with the
operational aspects of this whole genome sequencing in this setting.
1. To measure the time from biopsy to completion and final analysis of Whole Genome
Sequencing (WGS) on patient tumor and non-tumor samples.
2. To examine the frequency with which useable sequence data is obtained as a function of
tumor volume received and percent tumor involvement in the biopsy
3. To identify the frequency with which potential targets and pathways for therapy are
discovered.
4. To observe for any evidence that if anti-tumor activity from treatment is noted how
would the genome sequencing have correlated with that activity.
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