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Not yet recruitingNCT07893730MELODYUpdated Oct 26, 2026

Mapping the Enhanced Landscape of Advanced Breast Cancer fOr DYnamic Treatment Approaches

A Phase 2 interventional study of Liquid biopsy next generation sequencing in Breast Cancer, Metastatic Breast Cancer and Locally Advanced Breast Cancer (LABC), sponsored by University College Cork. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by University College Cork · Phase 2, Interventional, and Diagnostic

Updated Oct 26, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

MELODY is a prospective, single-arm phase II study introducing routine liquid-biopsy next-generation sequencing for patients with advanced or unresectable breast cancer in Ireland. The study will characterise genomic alterations detected in plasma and tumour tissue, assess concordance and clinical actionability, and evaluate clinical, operational, economic, patient-reported and exploratory translational outcomes.

02

Conditions studied

  • Breast Cancer
  • Metastatic Breast Cancer
  • Locally Advanced Breast Cancer (LABC)

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Keywords

  • liquid biopsy
  • circulating tumour DNA
  • precision oncology
  • metastatic breast cancer
  • microbiome
  • genomic profiling
  • next-generation sequencing
03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's planned enrollment of 50 is below the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

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Lead sponsor

University College Cork is the lead sponsor of 119 studies on the registry; 25 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

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

  • Age 18 years or older, male or female
  • Locally advanced / inoperable or metastatic breast cancer suitable for systemic therapy, newly diagnosed or previously treated
  • Histologically confirmed invasive breast cancer of any subtype
  • No limitation on the number of prior lines of therapy
  • ECOG Performance Status 0-3
  • Capable of providing informed consent and willing to comply with study procedures

Exclusion criteria

Exclusion Criteria:

  • Patients who in opinion of supervising clinician are clinically too unwell to participate.
  • Patients with a prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of this study intervention are not eligible for this trial.
  • Pregnant or breastfeeding patients
05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Liquid Biopsy Genomic Profiling

    Participants with advanced or unresectable breast cancer undergo serial sampling by plasma next-generation sequencing with comparison to tumour-tissue genomic profiling, clinical follow-up and patient-reported assessments.

    Diagnostic Test: Liquid biopsy next generation sequencing

Interventions

  • Diagnostic testLiquid biopsy next generation sequencing

    Blood-based genomic profiling of circulating tumour nucleic acids, performed at baseline and serially, to identify genomic alterations and inform comparison with tumour-tissue sequencing and potential treatment actionability.

06

What researchers measure

Primary outcomes

  1. Frequency of Genomic Alterations

    The number of genomic alterations detected

    Time frame: Baseline through to study completion, an average of 2 years

  2. Relative proportion of genomic alterations

    The relative proportion of genomic alterations

    Time frame: Baseline through to study completion, an average of 2 years

Secondary outcomes

  1. Concordance of tissue genomic profiling with plasma genomic profiling

    To assess the concordance of liquid biopsy plasma genomic profiling compared to tumour-tissue genomic profiling

    Time frame: Baseline through to study completion, an average of 2 years

  2. Clinical Actionability of Detected Genomic Alterations

    Actionability classified using the European Society for Medical Oncology (ESMO) Scale for Clinical Actionability of Molecular Targets (ESCAT); classified either Tier I, II, III, IV, V or X

    Time frame: Baseline through to study completion, an average of 2 years

  3. Clinical Actionability of Detected Genomic Alterations

    Actionability measured by treatment access via clinical trial

    Time frame: Baseline through to study completion, an average of 2 years

  4. Clinical Actionability of Detected Genomic Alterations

    Actionability measured by treatment access via expanded access programme eligibility

    Time frame: Baseline through to study completion, an average of 2 years

  5. Clinical Actionability of Detected Genomic Alterations

    Actionability measured by treatment access via standard of care

    Time frame: Baseline through to study completion, an average of 2 years

  6. Overall survival

    Time (in days) from enrolment to death from any cause

    Time frame: Measured at study completion; 2 years after enrolment

  7. Time to Next Treatment

    Time (in days) from enrolment to commencement of the next line of treatment

    Time frame: Baseline through to study completion, an average of 2 years

Other outcomes

  1. Genomic Profiling Turnaround Time

    Time in days from ordering plasma genotyping to reporting results, and comparison with tissue-genotyping turnaround time where paired results are available

    Time frame: At each liquid biopsy sample collection

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07893730
Collaborators
Cork University Hospital
Responsible party
Sponsor
First posted
Oct 26, 2026
Start date
Oct 10, 2026 (estimated)
Primary completion
Oct 31, 2028 (estimated)
Completion
Oct 31, 2030 (estimated)
Last update
Oct 26, 2026

Study contacts

Roisin Connolly
Contact
roisin.connolly@ucc.ie
00353214903000
Roisin Connolly
principal investigator · University College Cork

Oversight

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

Not currently enrolling

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

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