DETERMINE (Determining Extended Therapeutic Indications for Existing Drugs in Rare Molecularly Defined Indications Using a National Evaluation Platform Trial) - Master Screening Protocol
- Conditions
- Haematological MalignancySolid Tumor
- Interventions
- Registration Number
- NCT05722886
- Lead Sponsor
- Cancer Research UK
- Brief Summary
DETERMINE is an open-label phase II/III trial. It will look at targeted treatments in rare cancers or common cancers with rare genetic change (mutation). Participants must have a cancer with an identified mutation. This could be found during routine testing or as part of another research programme. The DETERMINE trial will recruit adults, teenagers and children. If a drug is found to benefit a new patient group, the study team will work with the NHS and the Cancer Drugs Funds to see if these drugs can be available for patients in the future. This clinicaltrials.gov record refers to the Overall Trial Protocol (Master Screening Record), additional records will be added to clinicaltrials.gov for each treatment arm.
- Detailed Description
DETERMINE is an umbrella-basket platform trial to evaluate the efficacy of licensed targeted therapies in rare\* adult, paediatric and teenage/young adult (TYA) cancers with actionable genomic alterations, including common cancers with rare actionable alterations.
\*Rare is defined generally as incidence less than 6 cases in 100,000 patients (includes paediatric and teenagers/young adult cancers) or common cancers with rare alterations.
The number of treatment arms opened will depend on the number of licensed medicines identified for inclusion. Each trial cohort has a target sample size of 30 evaluable patients. Sub-cohorts may be defined and further expanded where promising activity is identified to a target of 30 evaluable patients each. The total number of patients recruited to the platform will depend on the number of treatment arms and sub-cohorts opened.
This clinicaltrials.gov record refers to the Overall Trial Protocol (Master Screening Record), please refer to the references section for links to the individual treatment arm records.
The main aims of the clinical trial arms are:
* To evaluate the anti-cancer activity of licensed targeted drugs outside their license indication.
* To assess the safety and adverse event (AE) profile of licensed, targeted anti-cancer drugs in the target population.
* To understand biological mechanisms for response and resistance to targeted therapies.
* This Master Screening Record will capture the number of patients with a cancer containing the appropriate genetic alteration that have been successfully allocated and consented to each arm. The trial results (according to the protocol defined outcome measures) will be reported per-arm for each treatment arm.
The ultimate aim is to translate positive clinical findings to NHS England to provide new treatment options for rare adult, paediatric and TYA cancers.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 825
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Treatment Arm 5: Vemurafenib in combination with cobimetinib Vemurafenib in combination with cobimetinib This vemurafenib and cobimetinib appendix is for BRAF V600 mutation-positive malignancies occurring in adults only. Treatment Arm 4: Trastuzumab in combination with pertuzumab Trastuzumab in combination with pertuzumab This trastuzumab and pertuzumab treatment arm is for adult, teenage/young adult (TYA) and paediatric participants with malignancies with HER2 amplification or activating mutations. Treatment Arm 1: Alectinib Alectinib This alectinib treatment arm is for adult, teenage/young adults (TYA) and paediatric participants with ALK-positive cancers. Treatment Arm 2: Atezolizumab Atezolizumab This atezolizumab treatment arm is for adult, teenage/young adults (TYA) and paediatric participants with high tumour mutational burden (TMB) or microsatellite instability high (MSI-high) or proven (previously diagnosed) constitutional mismatch repair deficiency (CMMRD) only. Treatment Arm 3: Entrectinib Entrectinib This entrectinib treatment arm is for adult, teenage/young adult (TYA) and paediatric participants with ROS1 gene fusion-positive malignancies only.
- Primary Outcome Measures
Name Time Method Number of patients who consent to each arm. Up to 5 years. This is a master screening entry with sub-study entries to capture the results of each arm. As such a primary outcome measure for this entry is not relevant, however this entry will be used to report the number of patients with a cancer containing the appropriate genetic alteration that have been successfully allocated and consented to each arm.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (25)
Belfast City Hospital
🇬🇧Belfast, United Kingdom
Bristol Royal Hospital for Children
🇬🇧Bristol, United Kingdom
The Beatson Hospital
🇬🇧Glasgow, United Kingdom
Velindre Cancer Centre
🇬🇧Cardiff, United Kingdom
Birmingham Children's Hospital
🇬🇧Birmingham, United Kingdom
Leicester Royal Infirmary
🇬🇧Leicester, United Kingdom
University Hospital Birmingham
🇬🇧Birmingham, United Kingdom
Bristol Haematology and Oncology Centre
🇬🇧Bristol, United Kingdom
Addenbrooke's Hospital
🇬🇧Cambridge, United Kingdom
Alder Hey Hospital
🇬🇧Liverpool, United Kingdom
Great Ormond Street Hospital
🇬🇧London, United Kingdom
John Radcliffe Hospital
🇬🇧Oxford, United Kingdom
Southampton General Hospital
🇬🇧Southampton, United Kingdom
Weston Park Hospital
🇬🇧Sheffield, United Kingdom
Clatterbridge Cancer Centre
🇬🇧Wirral, United Kingdom
Western General Hospital
🇬🇧Edinburgh, United Kingdom
Royal Hospital for Children Glasgow
🇬🇧Glasgow, United Kingdom
The Royal Marsden Hospital
🇬🇧London Borough of Sutton, United Kingdom
University College London Hospital
🇬🇧London, United Kingdom
The Christie Hospital
🇬🇧Manchester, United Kingdom
Royal Manchester Children's Hospital
🇬🇧Manchester, United Kingdom
Great North Children's Hospital
🇬🇧Newcastle, United Kingdom
Freeman Hospital
🇬🇧Newcastle, United Kingdom
Churchill Hospital
🇬🇧Oxford, United Kingdom
Guy's Hospital
🇬🇧London, United Kingdom