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Enrolling by invitationNCT06585800Updated Sep 19, 2024

Exploring the Landscape of Somatic Mutations in Human Tissue

An observational study in Somatic Mutation, sponsored by The Wellcome Sanger Institute. Enrolling by invitation at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by The Wellcome Sanger Institute · Observational

From the registry’s dates

  • Primary completion was expected by Jan 2026, 8 months ago, but the record still lists the study as enrolling by invitation.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
1,800
Ages
18 Years and older
Sex
All
01

Study summary

Every cell in the human body contains a blueprint of the body called the genome. Throughout life, the genome can become damaged resulting in errors (mutations) that can change the way cells behave and may result in diseases such as cancer. Examining the mutations found the genome of both normal (non-cancerous) and diseased cells can give a valuable insight into the very earliest stages of cancer development.

Comparing the number and type of mutations in different normal tissues is revealing new insights, helping us to better understand more about why cancer develops.

Read the detailed description

The investigators are seeking to characterise somatic mutations found in normal human tissue, as well as diseased tissue. These experiments have shown that a number of mutational processes previously observed in cancer cells, may also be present in normal tissues. By further exploring normal tissue samples from across the body, the investigators will be able to better understand why certain organs are more susceptible to mutations and what underlies the mutational processes active in many different tissue types.

02

Conditions studied

  • Somatic Mutation
03

In context

Lead sponsor

The Wellcome Sanger Institute is the lead sponsor of 9 studies on the registry; 8 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
Yes
Sampling method
Non-probability sample

Study population

  1. Normal (healthy) tissue - across ages 18 - 80+ years
  2. Normal (healthy) tissue, diseased tissue and neoplastic tissue in patients with conditions associated with known disease processes, including syndromes caused by DNA repair defects
  3. Normal (healthy) and neoplastic tissue in patients previously treated with treatments known to cause somatic mutations, e.g. chemotherapy.

Clinical collaborators will identify and recruit prospective research participants into the study.

Inclusion criteria

  • Individuals undergoing surgery
  • Individuals undergoing invasive procedures, e.g.
  • Endoscopy (oesophagogastroduodenoscopy, small bowel enteroscopy, colonoscopy, sigmoidoscopy,proctoscopy) for suspected gastrointestinal disease, e.g. coeliac disease or for surveillance of known conditions/diseases.
  • Tissue biopsy - of solid organs
  • Prospective sampling will be carried out with the research participants\' consent.

Exclusion criteria

Exclusion Criteria:

  • where consent has not been received
05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
1,800 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • 1.Undergoing surgery

    For participants undergoing surgery, research tissue specimens will be sampled from resected tissue - no additional solid tissue research samples will be removed from patients undergoing surgery. Samples taken from surgery will be either from the margins of the resected specimen, or the specimen itself. However this will be done only with agreement with the clinical team and the histopathologist to ensure that clinical pathology is not affected.

    Other: sample collection

  • 2.1. Undergoing Invasive Procedures (Endoscopy)

    Endoscopy (oesophagogastroduodenoscopy, small bowel enteroscopy, colonoscopy, sigmoidoscopy, proctoscopy) for suspected gastrointestinal disease e.g. coeliac disease or for surveillance of known conditions/ diseases. For participants undergoing endoscopy as part of their routine clinical care, additional tissue biopsies will be taken for the purpose of this study only in cases where it is safe to do so.

    Other: sample collection

  • 2.2. Undergoing Invasive Procedures (Biopsy)

    Tissue Biopsies of solid organs. For participants undergoing tissue biopsy as part of their routine clinical care, additional tissue biopsies will be taken for the purpose of this study only in cases where it is safe to do so. For those undergoing high risk biopsies, e.g. liver biopsies, samples for research will only be taken from clinical specimens, i.e. no additional specimens will be taken solely for the purpose of research.

    Other: sample collection

Interventions

  • Othersample collection

    blood and/or tissue collection

06

What researchers measure

Primary outcomes

  1. Comparison of somatic mutation burden

    Identify and quantify variations that may contribute to disease development and progression between samples from the same donor and different donors, encompassing both healthy individuals and those with diseases.

    Time frame: 6.25 years

Secondary outcomes

  1. Number of Somatic Mutations

    Quantification of the total number of somatic mutations present in the tissue samples.

    Time frame: 6.25 years

  2. Spectrum of Mutational Signatures

    Analysis of the spectrum of mutational signatures, including: * Base Substitutions * Indels (Insertions and Deletions) * Genome Rearrangements * Copy Number Changes

    Time frame: 6.25 years

  3. Size of Clonal Populations

    Measurement of the size of clonal populations within the tissue samples.

    Time frame: 6.25 years

  4. Relatedness of Clonal Populations

    Analysis of the genetic relatedness of clonal populations within the tissue samples.

    Time frame: 6.25 years

07

Study locations

1 site
  • Wellcome Sanger Institute
    Cambridge, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06585800
Lead sponsor
The Wellcome Sanger Institute
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Mar 1, 2019
Primary completion
Jan 31, 2026 (estimated)
Completion
Jan 31, 2026 (estimated)
Last update
Sep 19, 2024

Study contacts

Mike Stratton
principal investigator · Wellcome Sanger Institute

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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