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CompletedNCT03301493Updated Apr 10, 2025

Genomic Testing and Resulting Medical Decisions

An observational study in Cancer of Unknown Origin, Cancer Refractory and Cancer of Stomach, sponsored by Arbeitsgemeinschaft medikamentoese Tumortherapie. Completed at 11 sites in Austria. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-10.

Sponsored by Arbeitsgemeinschaft medikamentoese Tumortherapie · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
1,500
Ages
18 Years and older
Sex
All
01

Study summary

There is no evidence available about which molecular profiling methods are currently used for cancer patients in Austrian clinical practice. The construction of the registry proposed as a completely independent research endeavor, will be helpful for scientific evaluation and the establishment of highly credible data.

Read the detailed description

In the situation of enormous possible beneficial options for patients, health care systems, researchers and companies and the simultaneously present high number of uncertainties, the establishment of an independent registry for patients undergoing any type of comprehensive genomic profiling offers many advantages.

In particular, an overview of the speed of development, the "market penetration", the use of the technology in specific indications (tumor types, stages and in specific situations of unresponsiveness to certain drugs), the frequency by which treatment decisions will definitely follow the result of comprehensive genomic profiling and the reasons for this, the treatment outcome of such patients, the platform technologies applied (in-house (which types), vs. commercial) and the development of these parameters over time and in relation to the development of novel drugs will be analyzed.

The registry proposes to cover the time period from the years 2016 to 2019, which will allow for assessment of both the current and emerging landscape of genomic/molecular testing practice in Austria and effect of molecular profiling on patient care and outcome.

02

Conditions studied

  • Cancer of Unknown Origin
  • Cancer Refractory
  • Cancer of Stomach
  • Cancer Head Neck
  • Cancer of Skin
  • Cancer, Lung
  • Cancer Colorectal
  • Cancer of Esophagus
  • Cancer, Bladder
  • Cancer, Uterus
  • Cancer Cervix
  • Cancer Liver
  • Cancer, Kidney
  • Cancer, Breast
  • Hematologic Neoplasms
03

In context

Neoplasms, Unknown Primary

101 studies on the registry are indexed under Neoplasms, Unknown Primary; 19 are open to participants now.

This study's enrollment of 1,500 is above the median of 125 across 25 observational studies indexed under Neoplasms, Unknown Primary.

Browse Neoplasms, Unknown Primary studies →

Lead sponsor

Arbeitsgemeinschaft medikamentoese Tumortherapie is the lead sponsor of 43 studies on the registry; 4 are open to participants now.

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

04

Who can participate

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

Study population

A cohort of oncology patients who received or plan to receive comprehensive genomic testing anytime on or after January 1, 2016. Patient medical, testing and treatment information will be obtained through extraction of data from existing patient medical charts. Longitudinal follow-up data, including survival and tumor progression, will also be extracted from patient medical charts. This patient follow-up data will be obtained until patient death or loss to follow-up.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

This registry will include cancer patients for which broad genomic profiling is indicated as assessed by the medical need and as deemed appropriate by the physician, for example

  • cancer with high mutational load and suspicion of regular or frequent formation of neoantigens

    • skin, lung, stomach, esophagus, colorectum, bladder, uterus, cervix, liver, head and neck, kidney, breast
    • lymphoma B-cell
  • any other neoplastic disease where molecular targeting is performed but treatment fails
  • cancer of unknown primary origin (CUP)
  • planned or already carried out comprehensive genomic testing as of Jan 1, 2016 note: this registry will not initially register patients who are tested for only 1-5 mutations by conventional means, but patients undergoing genomic profiling based on NGS)
  • a patient´s signed
  • Patients ≥ 18 years of age

Exclusion criteria

Exclusion Criteria:

  • Due to the non-interventional design of the registry there are no specific exclusion criteria.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Other
Time perspective
Other
Enrollment
1,500 participants (actual)
Target follow-up
1 Year
Patient registry
Yes

Interventions

  • OtherGenomic testing

    Genomic profiling, indicated as assessed by the medical need and as deemed appropriate by the physician according to routine practice

06

What researchers measure

Primary outcomes

  1. Types of:molecular profiling methods

    To describe types of:molecular profiling methods used in the Austrian registry centres

    Time frame: 3 years

  2. Types of cancer, for which comprehensive molecular profiling is used

    To describe types of cancer, for which comprehensive molecular profiling is used

    Time frame: 3 years

  3. Timing of molecular profiling

    To describe the timing of molecular profiling in relation to stage of the disease (e.g. at diagnosis, after surgery, radiation therapy, after first/second/third/late line)

    Time frame: 3 years

Secondary outcomes

  1. Number of patients with mutations identified

    To describe targets identified: * number of patients with at least one mutation identified * number of patients with at least one druggable target identified * number of patients with more than one druggable targets identified * number of druggable targets per cancer type

    Time frame: 3 years

  2. Quality standards

    To describe tests used and quality standards: * to compare results of NGS based molecular test systems with single marker tests or small gene panel tests * quality standards of the test methods used (TAT, certification status) * to evaluate development of methods used over time * usage of commercial testing vs. in-house testing, platforms used, and number of genes as well as gene size analyzed (eg whole exome with or without selected intron sequencing vs. hot spot exome sequencing)

    Time frame: 3 years

  3. Treatment decisions

    To describe treatment decisions: * frequency by which treatment decision follows the result of NGS testing * frequency with druggable targets with available on-label therapy option * treatment decisions in the presence of more than one druggable target

    Time frame: 3 years

  4. Outcome of treatment

    To describe outcome of treatment in patients receiving therapy in concordance with the test result

    Time frame: 3 years

07

Study locations

11 sites
  • Innere Medizin II, LKH Feldkirch
    Feldkirch, 6807, Austria
  • Medizinische Universitaet Graz, Univ.-Klinik f. Innere Medizin, Onkologie
    Graz, A-8036, Austria
  • Medizinische Universität Innsbruck
    Innsbruck, 6020, Austria
  • Universitätsklinikum Krems
    Krems an der Donau, 6500, Austria
  • BHS Linz: Interne I: Internistische Onkologie, Hämatologie und Gastroenterologie
    Linz, A-4020, Austria
  • IIIrd Medical Department, Private Medical University Hospital Salzburg
    Salzburg, 5020, Austria
  • Universitätsklinikum St. Pölten
    St. Pölten, 3100, Austria
  • Salzkammergut-Klinikum Vöcklabruck
    Vöcklabruck, 4840, Austria
  • Klinikum Wels-Grieskirchen GmbH
    Wels, 4600, Austria
  • Medizinische Universität Wien
    Wien, 1090, Austria
  • St. Vinzenz Krankenhaus Betriebs GmbH
    Zams, 6511, Austria
08

References and documents

Publications

  • Heregger R, Huemer F, Hutarew G, Hecht S, Cheveresan L, Kotzot D, Schamschula E, Rinnerthaler G, Melchardt T, Weiss L, Greil R. Sustained response to brigatinib in a patient with refractory metastatic pheochromocytoma harboring R1192P anaplastic lymphoma kinase mutation: a case report from the Austrian Group Medical Tumor Therapy next-generation sequencing registry and discussion of the literature. ESMO Open. 2021 Aug;6(4):100233. doi: 10.1016/j.esmoop.2021.100233. Epub 2021 Aug 7. PubMed 34371380 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03301493
Lead sponsor
Arbeitsgemeinschaft medikamentoese Tumortherapie
Collaborators
Roche Pharma AG, AstraZeneca
Responsible party
Sponsor
First posted
Oct 4, 2017
Start date
Mar 30, 2017
Primary completion
Dec 31, 2023
Completion
Nov 30, 2024
Last update
Apr 10, 2025

Study contacts

Richard Greil, MD
principal investigator · IIIrd Medical Department, Private Medical University Hospital Salzburg

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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