NSABP Patient Registry and Biospecimen Profiling Repository
Study Details
Study Description
Brief Summary
This is a study to collect and analyze tissue specimens from metastatic colorectal cancer (mCRC) patients for the development of a molecularly profiled tissue repository for the primary purpose of maintaining a patient registry for future clinical trials based on the molecular profile of the tumors. The main purpose of testing these tissue specimens is to identify genetic alterations or biomarkers associated with colorectal cancer such that if new agent(s) become available, particularly those that target these genetic alterations/biomarkers, participants may be offered the opportunity to take part in a National Surgical Adjuvant Breast and Bowel Project (NSABP) treatment protocol.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Tissue blocks from the primary tumor site and an uninvolved margin of resection (normal tissue) from consenting patients will be submitted and stored at the NSABP Division of Pathology, in the NSABP Biospecimen Profiling Repository. Tissue specimens will be used to profile molecular characteristics, including actionable mutations most commonly identified in colorectal cancer. Specimens may be further interrogated by other methods to discover additional mechanisms and targetable genetic alterations that may predict sensitivity or resistance to drug therapies.
The repository will be populated, maintained, and analyzed through continuous patient recruitment. Patient tumor specimens will be interrogated to characterize an individual's molecular profile. At a future date for discovery purposes, the normal tissue may be profiled for comparison with the profile of the tumor tissue. NSABP will hold a database with molecular profiles and relevant patient information. As agents become available for clinical study, particularly those matching specified profiles, the treating physician will be contacted so that the patient may be offered participation in that trial via a separate consent process. Each NSABP trial will have a defined molecular profile for entry which will be specific to the agent(s) under study. The MPR-1 patient registry and tissue repository and all treatment protocols associated with MPR-1 are being developed as part of the NSABP Oncology-Genome Assessment Guided Medicine (N-GAMe) Program.
This registry and repository platform uses a translational science approach for more personalized therapy for patients with mCRC. This analysis provides an individual molecular profile in an attempt to direct each patient's treatment based on the pattern of genetic alterations. These efforts also may aid in the discovery of with or without new gene targets for future drug development.
Approximately 1000-2000 tumor (with or without) normal tissue specimens from living mCRC patients will be collected, stored, and analyzed as part of this biospecimen repository. It is anticipated that 200-400 participants will be registered within the first year.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Metastatic Colorectal Cancer Patients
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Outcome Measures
Primary Outcome Measures
- To characterize common genetic/molecular profiles associated with colorectal cancer (CRC) [From start of study through study completion at approximately 6 months]
This is a living registry with no end date provided continued funding.
Secondary Outcome Measures
- To identify subpopulations of registry patients on the basis of their molecular profiles that may be eligible for participation in available NSABP clinical trials involving novel agents [From start of study through study completion at approximately 6 months]
- To conduct further analysis of tumor samples for the discovery of new potential targets and mechanisms of drug resistance [From start of study through study completion at approximately 6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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The patient must have a diagnosis of metastatic colorectal adenocarcinoma.
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Representative formalin-fixed paraffin-embedded (FFPE) tissue blocks from the primary colorectal tumor surgery with corresponding pathology report must be available for release by the local pathology department (an adequate amount of tumor tissue is required for analysis). If available for release, a separate FFPE tissue block from an uninvolved margin of colorectal resection (normal tissue) is also requested.
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The patient must have a life-expectancy of greater than or equal to 6 months.
Exclusion Criteria:
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History of non-CRC malignancy unless the patient is considered by the physician to be disease-free and at low risk for recurrence.
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Known comorbid medical conditions that would preclude investigational treatment (e.g., active hepatitis B or C; symptomatic cardiac disease; renal insufficiency; bone marrow impairment).
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Psychiatric or addictive disorders or other conditions that, in the opinion of the investigator, would preclude investigational treatment.
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Colonoscopy biopsies or diagnostic core biopsy procedures without surgery or resection.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | City of Hope Comprehensive Cancer Center | Duarte | California | United States | 91010 |
2 | Kaiser Permanente-San Diego | San Diego | California | United States | 92120 |
3 | Kaiser Permanente-Vallejo | Vallejo | California | United States | 94589 |
4 | University of Florida | Gainesville | Florida | United States | 32610 |
5 | Baptist Cancer Institute - Jacksonville | Jacksonville | Florida | United States | 32207 |
6 | UF Cancer Center at Orlando Health | Orlando | Florida | United States | 32806 |
7 | Memorial University Medical Center | Savannah | Georgia | United States | 31404 |
8 | St. Luke's Mountain States Tumor Institute - Boise | Boise | Idaho | United States | 83712 |
9 | Kootenai Health Cancer Services | Post Falls | Idaho | United States | 83854 |
10 | Decatur Memorial Hospital | Decatur | Illinois | United States | 62526 |
11 | CCOP - Northern Indiana CR Consortium | South Bend | Indiana | United States | 46601 |
12 | University of Iowa Hospitals and Clinics | Iowa City | Iowa | United States | 52242 |
13 | Medstar Franklin Square Medical Center, Weinberg Cancer Institute | Baltimore | Maryland | United States | 21237 |
14 | Holy Cross Hospital | Silver Spring | Maryland | United States | 20910 |
15 | CCOP - Michigan Cancer Research Consortium | Ann Arbor | Michigan | United States | 48106 |
16 | Henry Ford Health System | Detroit | Michigan | United States | 48202 |
17 | Michigan State University | East Lansing | Michigan | United States | 48824 |
18 | Cancer Research Consortium of West Michigan | Grand Rapids | Michigan | United States | 49503 |
19 | CCOP, Kalamazoo, MI | Kalamazoo | Michigan | United States | 49007 |
20 | CCOP - Metro-Minnesota | Saint Louis Park | Minnesota | United States | 55416 |
21 | CCOP - Missouri Valley Cancer Consortium | Omaha | Nebraska | United States | 68131 |
22 | Randolph Hospital | Asheboro | North Carolina | United States | 27203 |
23 | Mission Hospitals | Asheville | North Carolina | United States | 28801 |
24 | Carolinas Medical Center/Levine Cancer Center | Charlotte | North Carolina | United States | 28203 |
25 | Presbyterian Hospital | Charlotte | North Carolina | United States | 28233 |
26 | Wayne Memorial Hospital | Goldsboro | North Carolina | United States | 27534 |
27 | CCOP - Cone Health Cancer Center | Greensboro | North Carolina | United States | 27403 |
28 | High Point Regional Hospital | High Point | North Carolina | United States | 27261 |
29 | FirstHealth of the Carolinas-Moore Regional Hosiptal | Pinehurst | North Carolina | United States | 28374 |
30 | Annie Penn Memorial Hospital | Reidsville | North Carolina | United States | 27320 |
31 | CCOP Forsyth Memorial Hospital | Winston-Salem | North Carolina | United States | 27103 |
32 | Wake Forest University School of Medicine | Winston-Salem | North Carolina | United States | 27157 |
33 | Sanford Medical Center | Fargo | North Dakota | United States | 58122 |
34 | Thomas Jefferson University Hospital | Philadelphia | Pennsylvania | United States | 19107 |
35 | Allegheny General Hospital/Allegheny-Singer Research Institute | Pittsburgh | Pennsylvania | United States | 15212 |
36 | University of Pittsburgh | Pittsburgh | Pennsylvania | United States | 15213 |
37 | Reading Hospital and Medical Center | West Reading | Pennsylvania | United States | 19611 |
38 | Roper Hospital | Charleston | South Carolina | United States | 29401 |
39 | Cancer Centers of the Carolinas (International) | Greenville | South Carolina | United States | 29615 |
40 | CCOP - Sanford Research | Sioux Falls | South Dakota | United States | 57104 |
41 | Wellmont Holston Valley Hospital and Medical Center | Kingsport | Tennessee | United States | 37660 |
42 | Virginia Oncology Associates - Hampton | Hampton | Virginia | United States | 23666 |
43 | MBCCOP, Virginia Commonwealth University | Richmond | Virginia | United States | 23298 |
44 | CCOP, St. Vincent Hospital | Green Bay | Wisconsin | United States | 54301 |
45 | CCOP, Marshfield Clinic | Marshfield | Wisconsin | United States | 54449 |
46 | Aurora Health Care | Milwaukee | Wisconsin | United States | 53215 |
Sponsors and Collaborators
- NSABP Foundation Inc
Investigators
- Principal Investigator: Norman Wolmark, MD, NSABP Foundation Inc
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NSABP MPR-1