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Active, not recruitingNCT04447651PRISMMUpdated Jul 21, 2026

Patient Response to Immunotherapy Using Spliceosome Mutational Markers (PRISMM)

An observational study in Metastatic Solid Tumor, SF3B1 Gene Mutation and Spliceosome Mutation, sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
6
Ages
18 Years and older
Sex
All
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Study summary

This study is being done to see if patients with metastatic solid tumors (hematologic malignancies and lymphoma excluded) who have a specific genetic mutation in patients' tumor (the SF3B1, U2AF1 or SRSF2 mutation), are more likely to respond to immunotherapy agents that are now commercially available.

Read the detailed description

This is a non-therapeutic study, meaning that while Johns Hopkins is providing a treatment recommendation based on participants' genetic information, participants and participants' oncologist will decide ultimately what to do, and participants' oncologist will monitor participants' day to day care while on therapy. Participation involves allowing the investigators access to participants' sequencing report and medical records, providing a blood sample (about 8 tablespoons) at baseline and possibly again after three months, and answering questionnaires. If participants join the study, a panel of experts (Johns Hopkins Molecular Tumor Board) will review participants' genetic information participants entered and make a determination regarding treatment recommendation. Blood will be collected at baseline irrespective of what treatment is recommended. If immunotherapy is recommended, the investigators may collect blood again at 3 months. Participants and participants' oncologist will ultimately decide if participants proceed with the recommend treatment or not; the recommendation made from Johns Hopkins is not binding in any way. Participants' oncologist will continue with usual care according to standard practices while participants are on therapy. The investigators will get health information and conduct questionnaires with participants and participants' oncologist to assess how participants are doing on therapy. The main risks are the discomforts of the blood draw (which are expected to be minor and not last), boredom from completing questionnaires and the risk that information may become known to people outside of the study. Participants may or may not benefit directly from being in the study and there is no payment for participation.

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Conditions studied

  • Metastatic Solid Tumor
  • SF3B1 Gene Mutation
  • Spliceosome Mutation
  • U2AF1 Gene Mutation
  • SRSF2 Gene Mutation

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Keywords

  • sequencing
  • metastatic solid tumor
  • spliceosome mutation
  • immune checkpoint inhibition
  • immunotherapy
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In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

This study's enrollment of 6 is below the median of 121 across 594 observational studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins is the lead sponsor of 572 studies on the registry; 73 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 67 (60%) have results posted.

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

Metastatic solid tumor patients with a SF3B1,U2AF1 or SRSF2 mutation.

Inclusion criteria

  • Performance status eligible for immune checkpoint blockade as determined by local physician
  • Able to demonstrate histologically proven locally advanced or metastatic solid tumors (hematologic malignancies and lymphoma excluded)
  • genomic testing demonstrating a spliceosome mutation (SF3B1, U2AF1 or SRSF2)

Exclusion criteria

Exclusion Criteria:

  • Local physician determines has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial
  • Local physician determines the patient has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
6 participants (actual)
Target follow-up
3 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • Patients with SF3B1, U2AF1 or SRSF2 mutation

    Metastatic solid tumor patients that have a SF3B1, U2AF1 or SRSF2 mutation

    Other: Recommendation for treatment with immunotherapy

Interventions

  • OtherRecommendation for treatment with immunotherapy

    Patients with a SF3B1, U2AF1 or SRSF2 mutation will be reviewed by the molecular tumor board and treatment recommendations will be given to the patient's treating oncologist.

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What researchers measure

Primary outcomes

  1. Feasibility of study as assessed by completion of study accrual within study time frame

    To evaluate the feasibility of conducting a prospective study using online recruitment tools to involve patients and physicians who are not usually served by clinical trials. Measured by enrolling 60 patients over 2 years.

    Time frame: 2 years

  2. Feasibility of study as assessed by physician responses

    To evaluate the feasibility of conducting a prospective study using online recruitment tools to involve patients and physicians who are not usually served by clinical trials. Measured by obtaining responses from 80 percent of physicians within 1 year of enrollment.

    Time frame: 1 year

  3. Feasibility of case review as assessed by time to issuance of recommendations

    To evaluate the feasibility of real-time case review by a centralized specialized cancer tumor board to assist in therapeutic decision making. Measured by time (days) to issuance of recommendations within 4 weeks from consent for at least 80 percent of patients.

    Time frame: 4 weeks from consent

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Study locations

1 site
  • Johns Hopkins University
    Baltimore, Maryland 21236, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2026, 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
NCT04447651
Lead sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Collaborators
Vanderbilt University, Bristol-Myers Squibb, Avon Breast Health Access Fund
Responsible party
Sponsor
First posted
Jun 25, 2020
Start date
Sep 17, 2020
Primary completion
May 15, 2023
Completion
Aug 2027 (estimated)
Last update
Jul 21, 2026

Study contacts

Cesar Santa-Maria, MD
principal investigator · Johns Hopkins University

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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