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Using Tumour DNA and Proteins to Better Understand How Pancreatic Cancer Responds to Treatment


2025-04


2028-12


2031-12


200

Study Overview

Using Tumour DNA and Proteins to Better Understand How Pancreatic Cancer Responds to Treatment

The goal of this study is to learn if the genetic information and proteins from tumours can help treat pancreatic ductal adenocarcinoma (PDAC). The main questions it aims to answer are: * Is it feasible to obtain genetic test results within a timeframe that can help inform treatment decisions for individuals with PDAC? * Can the genetic test results provide information about how a tumour will respond to or resist treatment? Participants will: * Receive standard chemotherapy to treat their cancer. * Provide samples of their blood, tissue, and fluid for genetic testing. * Visit the clinic every 4 weeks for check-ups and tests. * Complete questionnaires every 12 weeks.

N/A

  • Pancreatic Ductal Adenocarcinoma
  • Resectable Pancreatic Ductal Adenocarcinoma
  • Borderline Resectable Pancreatic Ductal Adenocarcinoma
  • Locally Advanced Pancreatic Ductal Adenocarcinoma
  • GENETIC: Genetic testing
  • PROCEDURE: Optional biopsy
  • H24-01809

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

2024-08-26  

N/A  

2025-02-04  

2024-08-26  

N/A  

2025-02-06  

2024-08-28  

N/A  

2025-02  

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:
Basic Science


Allocation:
Non Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
OTHER: Resectable Cohort

Participants with resectable PDAC. Participants will provide tumour, fluid, and blood samples for genetic testing and other analyses. Tumour samples will be collected from standard resection surgery and optional biopsies. Fluid samples will be collected f

GENETIC: Genetic testing

  • Analyses of the deoxyribonucleic acid (DNA), ribonucleic acid (RNA), proteins, and other molecules in the sample.

PROCEDURE: Optional biopsy

  • Optional collection of tumour tissue and normal tissue prior to the first dose of treatment and/or after the last dose of treatment.
OTHER: Borderline Resectable Cohort

Participants with borderline resectable PDAC. Participants will provide tumour, fluid, and blood samples for genetic testing and other analyses. Tumour samples will be collected from standard resection surgery and optional biopsies. Fluid samples will be

GENETIC: Genetic testing

  • Analyses of the deoxyribonucleic acid (DNA), ribonucleic acid (RNA), proteins, and other molecules in the sample.

PROCEDURE: Optional biopsy

  • Optional collection of tumour tissue and normal tissue prior to the first dose of treatment and/or after the last dose of treatment.
OTHER: Locally Advanced Cohort

Participants with locally advanced PDAC. Participants will provide fluid and blood samples for genetic testing and other analyses. Fluid samples will be collected from a standard laparoscopy procedure. Blood samples will be collected at several timepoints

GENETIC: Genetic testing

  • Analyses of the deoxyribonucleic acid (DNA), ribonucleic acid (RNA), proteins, and other molecules in the sample.

PROCEDURE: Optional biopsy

  • Optional collection of tumour tissue and normal tissue prior to the first dose of treatment and/or after the last dose of treatment.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Frequency of comprehensive genomic results returned within 8 weeks of sample collection.The percentage of participants with comprehensive genomic results for their baseline tumour tissue and/or circulating tumour deoxyribonucleic acid (ctDNA) within 8 weeks of their collection.From the date of resection surgery or baseline ctDNA collection until genomic results are available (typically 8 weeks).
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Overall response rate (ORR) in each study arm, as defined by Response Evaluation Criteria in Solid Tumours (RECIST) 1.1The proportion of participants in each study arm who have a complete response (CR) or partial response (PR) to treatment, as defined by RECIST 1.1.From the date of the baseline scan (within 28 days of first dose) until the date of confirmed progression, withdrawal, date of death, or end of study, whichever comes first, assessed up to 72 months.
Disease control rate in each study arm, as defined by RECIST 1.1The proportion of participants in each study arm who have a complete response (CR), partial response (PR), or stable disease (SD) to treatment, as defined by RECIST 1.1.From the date of the baseline scan (within 28 days of first dose) until the date of confirmed progression, withdrawal, date of death, or end of study, whichever comes first, assessed up to 72 months.
Duration of response (DoR) in each study arm, as defined by RECIST 1.1The number of days between the first date of complete response (CR) or partial response (PR) and the earliest date of disease recurrence/progression or death due to any cause.From the first date of CR or PR until the first date of confirmed progression, withdrawal, date of death, or end of study, whichever comes first, assessed up to 72 months.
Progression-free survival (PFS) in each study arm from the initiation of chemotherapyThe number of days from the first dose of chemotherapy until the date of progressive disease (PD), as defined by RECIST 1.1, for participants in each study arm.From the date of first dose of chemotherapy until the date of confirmed progression, withdrawal, date of death, or end of study, whichever comes first, assessed up to 72 months.
Overall survival (OS) in each study arm from the initiation of chemotherapyThe number of days from the initiation of chemotherapy that participants survive in each study arm.From the date of first dose of chemotherapy until the date of death or end of study, whichever comes first, assessed up to 72 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: Daniel J Renouf, MD

Phone Number: 604-877-6000

Email: drenouf@bccancer.bc.ca

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:
    Participants must meet all of the following criteria prior to Pre-Baseline registration:
    1. Age 18 years or older. 2. Histological or radiological diagnosis of resectable, borderline resectable, or locally advanced PDAC. 3. Medically fit and planned to undergo laparoscopic procedure as part of standard of care. 4. Able to give informed consent for the study-related procedures performed during laparoscopy.
    Participants must meet all of the following criteria to be eligible for enrollment in the Main Study:
    1. Age 18 years or older. 2. Enrolled in the Personalized Oncogenomics (POG) Program at BC Cancer. 3. Histological and/or radiological diagnosis of resectable, borderline resectable, or locally advanced PDAC. Participants without a histological diagnosis of PDAC must undergo confirmatory histological diagnosis prior to treatment start date. 4. Medically fit to undergo surgical resection of the primary lesion(s) as judged by the investigator (Resectable and Borderline Resectable Cohorts only). 5. Planned for adjuvant (Resectable and Borderline Resectable Cohorts) or first-line (Locally Advanced Cohort) therapy with FOLFIRINOX or a gemcitabine-based regimen, either as part of routine care or in combination with an investigational agent(s) within another clinical trial. Participants may have received pre-operative therapy. 6. Eastern Cooperative Oncology Group (ECOG) performance status 0-1. 7. Adequate organ function as defined by the following laboratory results obtained within 28 days prior to enrollment date:
    1. Absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L. 2. Hemoglobin ≥ 9 g/dL. 3. Platelets ≥ 75 x 10^9/L. 4. Prothrombin time test and international normalized ratio (PT/INR) and partial thromboplastin time (PTT) ≤ 1.5 x Upper Limit of Normal (ULN). 5. Total bilirubin ≤ 1.5 x ULN. Isolated bilirubin > 1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin < 35%. 6. Aspartate aminotransferase (AST) and alanine aminotransferase (AST) ≤ 1.5 x ULN. If liver metastases are present, AST and ALT ≤ 5 x ULN is permitted. 7. Albumin ≥ 25 g/L. 8. One of the following:

  • Creatinine ≤ 1.5 x ULN.
  • Calculated creatinine clearance (as calculated by Cockcroft-Gault formula) ≥ 40 mL/min.
  • 24-hour urine creatinine clearance ≥ 40 mL/min. 8. Life expectancy greater than 90 days as judged by the investigator. 9. Able to give informed consent for the study procedures defined in this protocol. 10. Measurable disease by RECIST 1.1. For those in the Resectable and Borderline Resectable Cohorts, measurable disease must be present prior to resection surgery.

  • Exclusion Criteria:
    1. Presence of distant or lymph node metastases. Individuals with metastatic PDAC are not eligible. 2. Currently receiving adjuvant (Resectable and Borderline Resectable Cohorts) or systemic (Locally Advanced Cohort) anti-cancer therapy (chemotherapy or any other anti-cancer agent) with one exception: pre-operative therapy is permitted. 3. Not fit for chemotherapy as judged by the investigator. 4. Presence of brain metastases. 5. Positive pregnancy test. 6. Unable to comply with the study assessments and procedures defined in this protocol. 7. Individuals who are otherwise judged by the investigator to be unfit to proceed with this protocol.

Collaborators and Investigators

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

  • Terry Fox Research Institute
  • BC Cancer Foundation

  • PRINCIPAL_INVESTIGATOR: Daniel J Renouf, MD, BC Cancer

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

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