ClinicalTrials.gg
RecruitingNCT04504604TRACKUpdated May 26, 2026

TCF-001 TRACK (Target Rare Cancer Knowledge) Study

An interventional study of FoundationOne CDx and FoundationOne Liquid CDx in Rare Cancers, Cholangiocarcinoma and Cancer of Unknown Primary Site, sponsored by TargetCancer Foundation. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-26.

Sponsored by TargetCancer Foundation · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Oct 2020; still recruiting 6 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This open label, non-randomized, multi-center, pragmatic study aims to establish whether patients with rare tumors can benefit from matched molecular therapy as dictated by their next-generation sequencing (NGS) results.

Read the detailed description

This open label, non-randomized, multi-center, pragmatic study aims to establish whether patients with rare tumors can benefit from matched molecular therapy as dictated by their next-generation sequencing (NGS) results. The study leverages a remote consent and participation approach to open enrollment to all patients with rare tumors within the United States. Traditional, site-based patient consenting and participation is also available for enrollment to the study.

Each participant will undergo comprehensive genomic profiling (CGP) by Foundation Medicine Inc. (FMI) of their tumor as well as plasma circulating cell-free DNA. Plasma circulating cell-free DNA may be additionally collected for repeat CGP at various timepoints during the study.

The CGP findings will be provided by FMI directly to the treating physician and study sponsor TargetCancer Foundation (TCF), with TCF presenting cases with genomic findings to the Virtual Molecular Tumor Board (VMTB). The VMTB will analyze the findings and provide a written report to the treating physician on recommended treatments and/or relevant clinical trials; the treating physician makes all treatment decisions. The resultant treatments and treatment responses will be tracked longitudinally during the term of this study, thus linking molecularly informed treatments to specific patient outcomes.

02

Conditions studied

  • Rare Cancers
  • Cholangiocarcinoma
  • Cancer of Unknown Primary Site

Keywords

  • genomics
  • precision medicine
  • molecular tumor board
  • remote participation
  • targeted therapy
  • patient reported outcomes
  • understudied diseases
  • comprehensive genomic profiling
  • virtual
  • next generation sequencing
  • liquid biopsies
  • tumor biopsies
  • cell-free DNA
  • biomarker testing
  • solid tumors
03

In context

Cholangiocarcinoma

824 studies on the registry are indexed under Cholangiocarcinoma; 287 are open to participants now.

This study's planned enrollment of 400 is above the median of 50 across 623 interventional studies indexed under Cholangiocarcinoma.

Browse Cholangiocarcinoma studies →

Lead sponsor

This is the only study on the registry with TargetCancer Foundation as lead sponsor.

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

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

  • Provision of signed and dated form.
  • Stated willingness to comply with all study related blood draws and assessments for the duration of the study.
  • Individuals who are 18 years old or older at the time of consent.
  • Patients with a rare (fewer than 6 cases per 100,000 per year) solid tumor or lymphoma with evaluable disease at baseline. The complete list of included cancers are included in the study protocol; diseases not listed in the study protocol may be enrolled with the approval of the Principal Investigator.
  • May or may not have had qualifying (by Foundation Medicine) comprehensive genomic profiling before the present study. For those who have had qualifying comprehensive genomic profiling performed prior to the present study, the tested must have been harvested within 18 months of the baseline visit (i.e. date of consent) of the present study.
  • Willingness to provide existing archived and/or newly collected tissue resulting from standard of care procedures and blood samples for genomic profiling. If the submitted sample is determined to be insufficient for testing, the patient will be considered to be a screen failure.
  • For archival tissue to be used for comprehensive genomic profiling for the present study, that specimen must have been harvested within 18 months of the baseline visit (i.e. date of consent) of the present study.
  • Willingness to provide clinical and medical information to the study team as required.
  • (ECOG) performance status of 0-2.
  • Ability to read, write and communicate in English.
  • Ability to review and sign a web-based informed consent form, or review and sign an informed consent form in treating physician office.
  • Resides within the United States.

Exclusion criteria

EXCLUSION CRITERIA

  • Participants who are unable to provide .
  • Participants who are 17 years of age or younger.
  • Participants who are unable to comply with the study procedures.
  • Known existence of an uncontrolled intercurrent illness including, but not limited to, psychiatric illness or social situations that would impair compliance with study requirements.
  • Concurrent active requiring treatment within 1 year of enrollment, at the discretion of treating physician.
  • Pregnancy or breastfeeding.
  • Any unlisted criteria at the discretion of the treating physician.
Terms in these criteria, in plain language(4)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
400 participants (estimated)

Study arms

  • Active comparator
    Cholangiocarcinoma

    Eligible patients that present with Cholangiocarcinoma.

    Diagnostic Test: FoundationOne CDx and FoundationOne Liquid CDx

  • Active comparator
    Cancer of Unknown Primary (CUP)

    Eligible patients with cancer of unknown primary site (CUP).

    Diagnostic Test: FoundationOne CDx and FoundationOne Liquid CDx

  • Active comparator
    Other remaining rare cancers (solid tumors & lymphomas)

    Eligible patients that meet the definition of rare cancers (incidence of less than 6 per 100,000 in the United States).

    Diagnostic Test: FoundationOne CDx and FoundationOne Liquid CDx

Interventions

  • Diagnostic testFoundationOne CDx and FoundationOne Liquid CDx

    Eligible patients will have Foundation Medicine blood and tissue testing and have their results reviewed by the study's Virtual Molecular Tumor Board which, in turn, will make recommendations for treatment to treating physicians.

    Also known as: FoundationOne CDx, FoundationOne Liquid CDx

06

What researchers measure

Primary outcomes

  1. Percent of participants who receive a molecularly targeted matched treatment after recommendation from the VMTB.

    The primary feasibility endpoint is the percent of participants who receive a molecularly targeted matched treatment after recommendation from the VMTB. Point estimates and confidence interval estimations will be calculated for percent of participants on matched treatments.

    Time frame: 2 years

  2. Progression-free survival (PFS) among participants who received the molecularly targeted matched treatment.

    The primary efficacy endpoint is the progression-free survival (PFS) among participants who received the molecularly targeted matched treatment. Kaplan-Meier estimates will be constructed for time-to-event endpoints, including progression-free survival (PFS). Cox regression analysis will be applied to model PFS by putative covariates such as performance status, type of tumor, prior lines of treatment, and whether matched treatments are received.

    Time frame: 2 years

Secondary outcomes

  1. Comparison of Tumor Biomarker Profiling to Treatment Outcome.

    Tumor molecular profiles will be correlated to treatment outcome, assessed by measures including the response rate, the rate of stable disease (SD)\>6 months/partial response (PR)/complete response (CR), progression-free survival (PFS), PFS ratio (comparison of the PFS used after molecular profiling to PFS on prior treatment), time to treatment failure, and overall survival. Kaplan-Meier estimates will be constructed for time-to-event endpoints, including overall survival (OS).

    Time frame: 2 years

07

Study locations

1 of 1 sites recruiting
  • TargetCancer Foundation
    Cambridge, Massachusetts 02139, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04504604
Lead sponsor
TargetCancer Foundation
Collaborators
Foundation Medicine
Responsible party
Sponsor
First posted
Aug 7, 2020
Start date
Oct 1, 2020
Primary completion
Sep 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
May 26, 2026

Study contacts

Mary Oster
Contact
track@targetcancer.org
617-299-0389
Razelle Kurzrock, M.D.
principal investigator · Medical College of Wisconsin
Vivek Subbiah, M.D.
principal investigator · Stanford University
Shumei Kato, M.D.
principal investigator · University of California, San Diego
Mina Nikanjam, MD
principal investigator · University of California, San Diego

Oversight

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

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