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ARGONAUT: Stool and Blood Sample Bank for Cancer Patients


2022-07-01


2024-12-31


2025-12-31


5000

Study Overview

ARGONAUT: Stool and Blood Sample Bank for Cancer Patients

ARGONAUT is a longitudinal, prospective, observational study that will enroll up to 5,000 advanced-stage cancer patients of diverse racial backgrounds to collect data used to develop precision microbiome medicines and for the identification of clinically actionable cancer-specific biomarkers to guide therapeutic decisions. Four types of solid tumor cancers will be profiled including non-small cell lung cancer (NSCLC), triple negative breast cancer (TNBC), colorectal cancer (CRC) and pancreatic cancer. Healthy control subjects without a cancer diagnosis will also be studied, comprised of individuals at high risk for CRC and healthy individuals at low risk for CRC. Risk assessment will be based on family history or past neoplastic findings during CRC screening. Data collected from this study will be used to develop the most effective new therapies, via microbiome optimization, all to the benefit of patients and the physicians treating them. Stool and blood samples will be collected longitudinally and analyzed to determine the impact of gut microbiome composition and function on the immune system and efficacy of the treatment. Currently enrolling the CRC, high risk, and low risk cohorts. Subjects who meet the entry criteria will provide up to 5 samples each of blood and stool over a 2-year period. Approximately 10%-20% of the subjects will provide colon tissue samples, either from research biopsies during Standard of Care (SOC) screening colonoscopy or retained surgical tissue from colectomy. Electronic health records will be obtained at various times for up to 8 years, to collect tumor imaging results and any other updated medical data, with no additional samples collected. In select cases, stool and blood samples will be collected beyond 2 years.

N/A

  • Non-small Cell Lung Cancer
  • Colorectal Cancer
  • Triple Negative Breast Cancer
  • Pancreas Cancer
  • DRUG: Immunotherapy
  • DRUG: Chemotherapy
  • PROCEDURE: CRC surgical resection
  • PROCEDURE: Colonoscopy
  • PB-2020-01

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

2020-11-16  

N/A  

2024-04-03  

2020-11-16  

N/A  

2024-04-05  

2020-11-20  

N/A  

2024-04  

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:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: NSCLC

Stage 3 or stage 4 non-small cell lung cancer patients, being administered checkpoint inhibitor therapy for the first time. Dosage form, dosage, frequency and duration will be either standard of care and accessed via normal commissioning arrangements, or

DRUG: Immunotherapy

  • Checkpoint inhibitor
: Triple-negative breast cancer

Stage 3 or stage 4 metastatic triple-negative breast cancer patients, being administered any type of treatment that the patient has not experienced before. Dosage form, dosage, frequency and duration will be either standard of care and accessed via normal

DRUG: Chemotherapy

  • Any form of chemotherapy
: Colorectal cancer

Stage 3 or stage 4 colorectal cancer patients, being administered any type of treatment that the patient has not experienced before. Dosage form, dosage, frequency and duration will be either standard of care and accessed via normal commissioning arrangem

DRUG: Immunotherapy

  • Checkpoint inhibitor

DRUG: Chemotherapy

  • Any form of chemotherapy

PROCEDURE: CRC surgical resection

  • Surgical resection to remove colorectal cancer

PROCEDURE: Colonoscopy

  • Standard-of-care colonoscopy for CRC screening
: Pancreatic cancer

Stage 3 or stage 4 pancreatic cancer patients, being administered any type of treatment that the patient has not experienced before. Dosage form, dosage, frequency and duration will be either standard of care and accessed via normal commissioning arrangem

DRUG: Immunotherapy

  • Checkpoint inhibitor

DRUG: Chemotherapy

  • Any form of chemotherapy
: High risk for colorectal cancer

Subjects undergoing a standard-of-care colonoscopy for colorectal cancer (CRC) screening considered at high risk for CRC due to either 1) one or more first degree relatives with a history of CRC, or 2) a personal history of colorectal cancer, advanced ade

PROCEDURE: Colonoscopy

  • Standard-of-care colonoscopy for CRC screening
: Low risk for colorectal cancer

Subjects undergoing a standard-of-care colonoscopy for colorectal cancer (CRC) screening, who are not considered high risk for CRC based on family history or prior colonoscopy findings.

PROCEDURE: Colonoscopy

  • Standard-of-care colonoscopy for CRC screening
Primary Outcome MeasuresMeasure DescriptionTime Frame
Determine whether the microbiome composition can predict progression-free survivalWhole genome sequencing and metabolomics will be used to characterize the patient's microbiome, and whether there is any correlation with response to treatment6-12 months
Determine whether the microbiome composition can predict risk for colorectal cancerWhole genome sequencing and metabolomics will be used to characterize the patient's microbiome. High and low risk subjects will be followed for 8 years to determine if any get CRC.2-8 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Identify correlations between microbiome composition and immune markersCyTOF and cytokine analysis will be performed on the blood samples to characterize the patient's immune phenotype6-12 months
Determine whether the microbiome composition can predict overall survivalSurvival and tumor progression will be monitored for an extended time beyond sample collection6-24 months
Build a library of samples and data for future researchSamples will be stored and data saved in a HIPAA-compliant database. Samples will be linked to patient metadata.6-24 months

Contacts and Locations

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

Study Contact

Name: Stephanie Culler, PhD

Phone Number: 858-682-4777

Email: support@persephonebiome.com

Study Contact Backup

Name: Stephen Van Dien, PhD

Phone Number: 858-682-4777

Email: support@persephonebiome.com

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:
1

    Inclusion Criteria:

  • Men or women who are ≥ 18 years old with stage III or stage IV non-small cell lung cancer (NSCLC), colorectal cancer, triple-negative breast cancer, or pancreatic cancer treated by a particular cancer treatment for the first time, OR healthy subjects undergoing a standard of care colonoscopy
  • Subjects able to provide written informed consent

  • Exclusion Criteria:

  • Subjects with known HIV, Hepatitis A, Hepatitis B, Hepatitis C, or SARS-CoV2
  • Subjects without the mental capacity to complete either a written or online questionnaire, alone or with assistance, or make sound decisions
  • Women who are pregnant or who plan on becoming pregnant
  • Women who are nursing

Collaborators and Investigators

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

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