CClinicalTrials.gg
Status unknownNCT02112357FOrMATUpdated Apr 17, 2014

Feasibility of a Molecular Characterisation Approach to Treatment

An observational study in Advanced Gastrointestinal Cancers, sponsored by Royal Marsden NHS Foundation Trust. Status unknown at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-04-17.

Sponsored by Royal Marsden NHS Foundation Trust · Observational

The sponsor has not verified this record recently (last verified Apr 2014), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
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Study summary

This study will assess the feasibility of sequencing locally advanced/metastatic gastrointestinal cancers in real-time to enable future treatment stratification by molecular characteristics. Targeted next generation sequencing of a panel of genes will be performed on tumour specimens and results will be discussed at a Sequencing Tumour Board to establish if a patient is potentially suitable for a targeted therapy.

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Conditions studied

  • Advanced Gastrointestinal Cancers

Keywords

  • molecular profiling
  • genetic sequencing
  • personalised medicine
  • gastrointestinal cancer
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In context

Gastrointestinal Neoplasms

779 studies on the registry are indexed under Gastrointestinal Neoplasms; 230 are open to participants now.

This study's planned enrollment of 200 is close to the median of 197 across 176 observational studies indexed under Gastrointestinal Neoplasms.

Browse Gastrointestinal Neoplasms studies →

Lead sponsor

Royal Marsden NHS Foundation Trust is the lead sponsor of 262 studies on the registry; 49 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Locally advanced or metastatic gastrointestinal cancer (including gastroesophageal, pancreatic, biliary tract and colorectal cancer)

Inclusion criteria

  1. Locally advanced or metastatic gastrointestinal cancer (including oesophageal, oesophagogastric junction, gastric, pancreatic, biliary and colorectal cancers).
  2. Histological or cytological confirmation of diagnosis of malignancy.
  3. Patients must either:

    1. Have received at least one line of treatment for locally advanced/metastatic disease OR
    2. Be about to start/currently undergoing their first line of treatment for locally advanced/metastatic disease
  4. 18 years of age and over .
  5. Performance status less than or equal to 2.
  6. Able to provide fully informed consent.
  7. Patients must either:

    1. Have an available tumour specimen (FFPE or fresh frozen) from either the primary tumour or a metastasis. Metastatic samples may be from any site with the exception of bone. OR
    2. Have a site of disease which is amendable to biopsy

Exclusion criteria

Exclusion Criteria:

  • There are no specific exclusion criteria for this study.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Targeted genetic sequencing of tumour specimen
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What researchers measure

Primary outcomes

  1. The percentage of patients in whom a currently actionable molecular alteration was detected by genetic sequencing.

    Time frame: 18 months

Secondary outcomes

  1. The concordance of results obtained from genetic sequencing compared to standard clinically validated techniques.

    Time frame: 18 months

  2. The proportion of patients in whom genetic sequencing was successfully performed.

    Time frame: 18 months

  3. The percentage of patients with a currently actionable genetic alteration who received targeted therapy as a result of genetic sequencing.

    To assess the potential impact of genetic sequencing results on patients' treatment

    Time frame: 18 months

  4. Evaluation of the time required to obtain genetic sequencing results to see if genetic sequencing could be practically incorporated into clinical practice.

    To assess whether genetic sequencing results can be obtained within a clinically meaningful timeframe

    Time frame: 18 months

  5. The proportion of screened patients who decide to participate in the trial and their reasons for participation or deciding not to participate.

    Time frame: 18 months

  6. The concordance of results obtained from core biopsy versus fine needle aspirate specimens from individual patients.

    Time frame: 18 months

  7. The number needed to enroll into the trial to identify one patient with a targetable genetic alteration and the number needed to enroll into the trial to treat one patient with a targeted agent.

    Time frame: 18 months

Other outcomes

  1. Response rate for patients who received a targeted treatment as a result of genetic sequencing.

    Time frame: 18 months

  2. Overall survival of patients who received targeted treatment.

    Time frame: 18 months

  3. Evaluation of any changes in molecular markers at the time of disease progression or response to those from previous specimens.

    To examine tumour heterogeneity in patients with paired specimens

    Time frame: 18 months

  4. Description of the microRNA expression profile of gastrointestinal tumours

    Time frame: 18 months

  5. Evaluation of any changes in circulating tumour DNA at the time of progression or response in comparison to previous specimens

    Time frame: 18 months

  6. Duration of response for patients who received a targeted treatment as a result of genetic sequencing.

    Time frame: 18 months

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Study locations

1 of 1 sites recruiting
  • The Royal Marsden NHS Foundation Trust
    London and Surrey, SM 25PT, United Kingdom
    • Annie Woodburne, MSc, BSc · Contact · annie.woodburne@rmh.nhs.uk · +44 (0)208 661 3807
    • Dr. Naureen Starling, BSc, MBBS, MRCP · Principal investigator
    • Dr. Sing Yu Moorcraft, MB BCh, MRCP · Sub investigator
    Recruiting
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References and documents

Publications

  • Mansukhani S, Barber LJ, Kleftogiannis D, Moorcraft SY, Davidson M, Woolston A, Proszek PZ, Griffiths B, Fenwick K, Herman B, Matthews N, O'Leary B, Hulkki S, Gonzalez De Castro D, Patel A, Wotherspoon A, Okachi A, Rana I, Begum R, Davies MN, Powles T, von Loga K, Hubank M, Turner N, Watkins D, Chau I, Cunningham D, Lise S, Starling N, Gerlinger M. Ultra-Sensitive Mutation Detection and Genome-Wide DNA Copy Number Reconstruction by Error-Corrected Circulating Tumor DNA Sequencing. Clin Chem. 2018 Nov;64(11):1626-1635. doi: 10.1373/clinchem.2018.289629. Epub 2018 Aug 27. PubMed 30150316 ↗
  • Moorcraft SY, Gonzalez de Castro D, Cunningham D, Jones T, Walker BA, Peckitt C, Yuan LC, Frampton M, Begum R, Eltahir Z, Wotherspoon A, Teixeira Mendes LS, Hulkki Wilson S, Gillbanks A, Baratelli C, Fotiadis N, Patel A, Braconi C, Valeri N, Gerlinger M, Rao S, Watkins D, Chau I, Starling N. Investigating the feasibility of tumour molecular profiling in gastrointestinal malignancies in routine clinical practice. Ann Oncol. 2018 Jan 1;29(1):230-236. doi: 10.1093/annonc/mdx631. PubMed 29361134 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 17, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02112357
Lead sponsor
Royal Marsden NHS Foundation Trust
Responsible party
Sponsor
First posted
Apr 11, 2014
Start date
Feb 2014
Primary completion
Aug 2015 (estimated)
Last update
Apr 17, 2014

Study contacts

Dr. Naureen Starling, BSc, MBBS, MRCP
Contact
naureen.starling@rmh.nhs.uk
+44 (0)208 661 3156
Annie Woodburne, BSc, MSc
Contact
annie.woodburne@rmh.nhs.uk
+44 (0)208 661 3807
Dr. Naureen Starling, BSc, MBBS, MRCP
principal investigator · Royal Marsden NHS Foundation Trust

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2014. You cannot join it, but the record below documents what was studied.

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