Colorectal Cancer Clinical Trial
Official title:
Tumor Markers, Liquid Biopsies, and Patient Reported Outcomes in Metastatic Colorectal, Pancreas, Biliary, and Esophagogastric Cancers
NCT number | NCT04776837 |
Other study ID # | 18-380 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | May 15, 2019 |
Est. completion date | November 19, 2021 |
Verified date | August 2022 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This is a prospective study addressing the challenge of predicting disease progression and/or recurrence in patients diagnosed with metastatic colorectal, pancreatobiliary, or esophagogastric cancer that are receiving anti-cancer therapy.
Status | Completed |
Enrollment | 200 |
Est. completion date | November 19, 2021 |
Est. primary completion date | November 19, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | - Inclusion Criteria: - Patients must have histologically confirmed colorectal, pancreatobiliary, or esophagogastric cancer. - Diagnosed with metastatic disease - Age > 18 years. - Patients must be starting new line of anti-cancer therapy. - Patient must be English-speaking. - Exclusion Criteria - Unwilling or unable to participate in the study - Non-metastatic disease - Not starting new anti-cancer treatment - Cognitive issues interfering with ability to participate. - Active, unstable, untreated serious mental illness interfering with ability to participate. - Patient does not speak English. |
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Treatment Response at 1st Scan | The primary outcome is treatment response (RECIST 1.1) at first scan (>1 month post-treatment start). Both response status (PR vs SD or PD [including death]) and clinical benefit status (PR or SD vs PD [including death]) will be examined. Primary analyses will compare one month change from baseline in tumor markers, MAF of the selected clonal mutation in ctDNA, and PROs (symptoms, mood, and QOL) individually and a composite score in predicting response and clinical benefit (CB) at first scan. | 6 months | |
Secondary | Treatment Response at 1st Scan - Continuous Outcome | Change from baseline to one month for each variable (tumor markers [CEA, CA19-9], ctDNA, and PROs [symptoms, mood, QOL]) will be evaluated individually as a predictor of percent change in tumor measurements at first scan (RECIST 1.1). | 6 months | |
Secondary | Progression Free Survival - KMC | Estimate distributions of progression free survival using the Kaplan-Meier method. | 1 year | |
Secondary | Progression Free Survival - HR | Use Cox proportional hazards models to obtain hazard ratios for Progression Free Survival for change in tumor markers, ctDNA and PROs. | 1 year | |
Secondary | Overall Survival - KMC | Estimate distributions of overall survival using the Kaplan-Meier method. | 1 year | |
Secondary | Overall Survival - HR | Use Cox proportional hazards models to obtain hazard ratios for Overall Survival for change in tumor markers, ctDNA and PROs. | 1 year | |
Secondary | ROC Curves | The investigators will compare the predictive ability of change in tumor markers, ctDNA, and PROs in these models using time-dependent ROC curves evaluated at specific timepoints including 6 and 12 months. | 1 year | |
Secondary | PROs and Biomarkers as predictor of survival using cox proportional hazards model | The investigators will run multivariable Cox proportional hazards regression with purposeful selection of covariates to explore combinations of variables (change in tumor markers [CEA, CA19-9], ctDNA, and PROs [symptoms, mood, QOL]) as predictors of survival (PFS and OS). | 6 months | |
Secondary | Association between baseline PROs, biomarkers and tumor response | The investigators will look at correlations between baseline ctDNA levels, baseline tumor markers and baseline PRO assessments and tumor response. | 6 months | |
Secondary | Associations between baseline PROs, biomarkers, and 6-month survival outcomes | The investigators will look at correlations between baseline ctDNA levels, baseline tumor markers and baseline PRO assessments and 6-month survival outcomes (PFS, OS) | 6 months | |
Secondary | Sarcopenia Analysis | As an exploratory outcome the investigators will compare differences in demographic and clinical characteristics, PROs, and clinical outcomes, between patients with and without sarcopenia. | 1 year | |
Secondary | Skeletal Muscle Analyses | As an exploratory outcome the investigators will compare differences in demographic and clinical characteristics, PROs, and clinical outcomes, between patients by skeletal muscle index and density. | 1 year |
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