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PLATON - Platform for Analyzing Targetable Tumor Mutations (Pilot-study)


2020-10-28


2024-08-30


2024-12-31


400

Study Overview

PLATON - Platform for Analyzing Targetable Tumor Mutations (Pilot-study)

PLATON (Platform for Analyzing Targetable Mutations) is a prospective, multicentre, observational cohort study with biobanking. In a first approach PLATON's pilot-study assesses genomic profiling in gastrointestinal cancer therapy and the frequencies of targetable mutations including Tumor Mutational Burden (TMB) and Microsatellite Instability Status (MSI), performing Next-generation deep sequencing (NGS) using the Foundation Medicine assays on tumor specimen and EDTA-whole blood samples. The Study Protocol does not define any further medical intervention or evaluate the efficacy or safety of the treatment decision made by the investigator. Another important objective of PLATON's pilot project is to evaluate whether and how many patients are treated based on their genomic profiles.

PLATON (Platform for Analyzing Targetable Mutations) is designed to improve personalized therapy for patients in different cancer entities, such as in hepatocellular cancer (HCC), intra- and extrahepatic cholangiocellular carcinoma (CCA), gallbladder carcinoma (GBCA), pancreatic cancer (PanCa) and esophagogastric cancer (EC/GC), and elevate the treatment guidance within its framework. The key to understand the mechanisms in initiation, progression and response to treatment of cancer is the data integration of genetic mutational signatures with medical and physiological data of diseased cohorts. PLATON is a prospective, multicentre, observational cohort study with biobanking and does not define any medical intervention or evaluate the efficacy or safety of the treatment decision made by the investigator.In a first approach PLATON's pilot-study assess genomic profiling in gastrointestinal cancer therapy and the frequencies of targetable mutations including Tumor Mutational Burden (TMB) and Microsatellite Instability Status (MSI), performing Next-generation deep sequencing (NGS) using the Foundation Medicine assays on tumor specimen and EDTA-whole blood samples. Another important objective of PLATON's pilot project is to evaluate whether and how many patients are treated based on their genomic profiles. The pilot-study starts with the national-wide enrolment of 200 participants of both sexes and ages over 18 at 40 german study sites. The long-term vision is to enable cancer patients to receive the best available, scientifically founded, biomarker-based care, tailored to his or her individual needs

  • Hepatocellular Cancer
  • Cholangiocarcinoma
  • Gallbladder Cancer
  • Pancreatic Cancer
  • Oesophageal Cancer
  • Stomach Cancer
  • DIAGNOSTIC_TEST: FoundationOne®CDx and FoundationOne®Liquid
  • PLATON pilot-study
  • AIO-HEP/STO-0219/ass (OTHER Identifier) (OTHER: AIO Arbeitsgemeinschaft Internistische Onkologie)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2020-07-10  

N/A  

2025-03-17  

2020-07-21  

N/A  

2025-03-20  

2020-07-23  

N/A  

2025-01  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Other


Allocation:
Non Randomized


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
OTHER: Hepatocellular Cancer

molecular profiling - hepatocellular cancer (HCC)

DIAGNOSTIC_TEST: FoundationOne®CDx and FoundationOne®Liquid

  • FoundationOne CDx is a FDA-approved broad companion diagnostic (CDx) that is clinically and analytically validated for solid tumors. The test is designed to provide physicians with clinically actionable information - both to consider appropriate therapies
OTHER: Cholangiocarcinoma

molecular profiling - intra- and extrahepatic cholangiocellular carcinoma (CCA)

DIAGNOSTIC_TEST: FoundationOne®CDx and FoundationOne®Liquid

  • FoundationOne CDx is a FDA-approved broad companion diagnostic (CDx) that is clinically and analytically validated for solid tumors. The test is designed to provide physicians with clinically actionable information - both to consider appropriate therapies
OTHER: Gallbladder Cancer

molecular profiling - gallbladder carcinoma (GBCA)

DIAGNOSTIC_TEST: FoundationOne®CDx and FoundationOne®Liquid

  • FoundationOne CDx is a FDA-approved broad companion diagnostic (CDx) that is clinically and analytically validated for solid tumors. The test is designed to provide physicians with clinically actionable information - both to consider appropriate therapies
OTHER: Pancreatic Cancer

molecular profiling - pancreatic cancer (PanCa)

DIAGNOSTIC_TEST: FoundationOne®CDx and FoundationOne®Liquid

  • FoundationOne CDx is a FDA-approved broad companion diagnostic (CDx) that is clinically and analytically validated for solid tumors. The test is designed to provide physicians with clinically actionable information - both to consider appropriate therapies
OTHER: Oesophageal Cancer + Stomach Cancer

molecular profiling - esophagogastric cancer (EC/GC)

DIAGNOSTIC_TEST: FoundationOne®CDx and FoundationOne®Liquid

  • FoundationOne CDx is a FDA-approved broad companion diagnostic (CDx) that is clinically and analytically validated for solid tumors. The test is designed to provide physicians with clinically actionable information - both to consider appropriate therapies
Primary Outcome MeasuresMeasure DescriptionTime Frame
Distribution of mutations in patients with HCC, intra- and extrahepatic CCA, GBCA, PDAC and gastric cancerRelative frequency of targetable mutations (incl. TMB and MSI status) computed as the number of patients who harbors at least one mutation divided by the number of total patients in the pooled patient population.up to 4 weeks after biospecimen provision
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Heterogeneity of targetable alterations in paraffin embedded specimen vs. cfDNANumber of differences (heterogeneity) in targetable alterations in paraffin specimen vs. cfDNAup to 4 weeks after biospecimen provision
Relative frequency of targetable mutations (incl. TMB and MSI status) per disease groupRelative frequency of targetable mutations (incl. TMB and MSI status) per disease groupup to 4 weeks after biospecimen provision
Number of patients receiving therapies in accordance to their genomic profilesNumber of patients receiving therapies in accordance to their genomic profilesup to 4 weeks after biospecimen provision

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Histologically confirmed diagnosis of hepatocellular carcinoma or intra-/extrahepatic cholangiocarcinoma or gallbladder carcinoma or pancreatic ductal adenocarcinoma or esophagogastric adenocarcinoma in the advanced setting and no local curative therapy available.
  • Standard first line therapy is planned, or patient is currently receiving first line therapy (started within the last 2 months before enrolment)
  • ECOG 0-2
  • Life expectancy ≥ 6 months

  • Exclusion Criteria:

  • Not able to understand all implications of study participation
  • No written informed consent
  • age < 18 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Roche Pharma AG

  • STUDY_DIRECTOR: Salah-Eddin Al-Batran, Prof., Institut für Klinische Krebsforschung IKF GmbH

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available