A Brain Metastases Research Platform to Tackle the Challenge of CNS Metastases in Solid Tumours - BrainStorm Program
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 600
- 试验地点
- 26
- 主要终点
- Better understanding of the epidemiology of CNS metastases from solid tumours
研究概览
简要总结
Despite some encouraging data, systemic treatment of CNS metastases from solid tumors remains experimental.
Better knowledge on the evolving epidemiology and biology of BM are key elements for the development of new treatment strategies and identification of promising therapeutic targets for new compounds. Further biological findings may help to better understand the heterogeneity between the primary tumor and the CNS metastases and to identify new targets for therapy thus improving patients' outcome.
In this context, the Oncodistinct network and the Jules Bordet institute propose to build a multidisciplinary Brain Metastases Clinical Research Platform called BrainStorm. The BrainStorm program will focus on patients with newly diagnosed non-CNS metastatic solid tumors with high risk of developing CNS metastases and will allow building a large clinico pathological database for CNS metastases including ctDNA analyzes from CSF samples. Substudies will be proposed at each time-period with the final objective to develop innovative treatment approaches and strategies.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years old
- •Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
- •Female or Male
- •Eligible for part A: Subjects (from cohorts 1 to 5) with newly diagnosed or up to 24 months from diagnosis of non-CNS metastases. Enrolment of exceptional cases surpassing 24 months from diagnosis will be allowed for up to 20% of subjects enrolled with HER2+ BC (cohort 2) and NSCLC harbouring driver mutations (cohort 3).
- •Eligible for part B: Subjects (from cohorts 1 to 7) presenting with a first CNS event and not yet enrolled in the program
- •Seven cohorts of subjects are defined in this prospective multicenter study:
- •Cohort 1: Triple negative breast cancer (TNBC)
- •Cohort 2: HER 2 positive breast cancer (HER2+ BC)
- •Cohort 3: Non-small cell lung cancer (NSCLC)
- •Cohort 4: Small cell lung cancer (SCLC)
- •Cohort 5: Melanoma
- •Cohort 6: Other solid tumours (apart from the above mentioned subtypes
- •Cohort 7: Radiologically or cytologically confirmed leptomeningeal carcinomatosis
- •Availability of either primary and/or non-CNS metastatic archival tumour tissue is mandatory for inclusion.
- •Willingness to undergo lumbar puncture at diagnosis of CNS metastases unless medical contra-indications
- •Predicted life expectancy > 3 months.
- •Women of childbearing potential must have a negative urine pregnancy test done within 28 days prior to enrolment
- •Effective contraception is in place for women of childbearing potential
- •Completion of all necessary screening procedures within 28 days prior to enrolment.
- •Signed Informed Consent form (ICF) obtained prior to any study related procedure.
- •Inclusion criterion applicable to FRANCE only
- •Affiliated to the French Social Security System
排除标准
- •Pregnant and/or lactating women.
- •Previous or current malignancies of other histologies within the last 2 years, with the exception of in situ carcinoma of the cervix, and adequately treated basal cell or squamous cell carcinoma of the skin.
- •Subject with a significant medical, neuro-psychiatric, or surgical condition, currently uncontrolled by treatment, which, in the principal investigator's opinion, may interfere with completion of the study.
- •Exclusion criterion applicable to FRANCE only
- •Vulnerable persons according to the article L.1121-6 of the Public Health Code, adults who are the subject of a measure of legal protection or unable to express their consent according to article L.1121-8 of the Public Health Code.
研究组 & 干预措施
CNS metastases from solid tumours
The study will be organised on three time-periods based on the time of the 1st CNS event:
Part A - Pre-diagnosis period: before diagnosis of the 1st CNS event Part B - At 1st CNS diagnosis period Part C - Post diagnosis period: after the 1st CNS event
干预措施: Samples collection: Plasma (Other)
CNS metastases from solid tumours
The study will be organised on three time-periods based on the time of the 1st CNS event:
Part A - Pre-diagnosis period: before diagnosis of the 1st CNS event Part B - At 1st CNS diagnosis period Part C - Post diagnosis period: after the 1st CNS event
干预措施: Samples collection: CSF (Other)
CNS metastases from solid tumours
The study will be organised on three time-periods based on the time of the 1st CNS event:
Part A - Pre-diagnosis period: before diagnosis of the 1st CNS event Part B - At 1st CNS diagnosis period Part C - Post diagnosis period: after the 1st CNS event
干预措施: Samples collection: Non-CNS Metastatic Tumour Tissue (Other)
CNS metastases from solid tumours
The study will be organised on three time-periods based on the time of the 1st CNS event:
Part A - Pre-diagnosis period: before diagnosis of the 1st CNS event Part B - At 1st CNS diagnosis period Part C - Post diagnosis period: after the 1st CNS event
干预措施: Brain MRI (Other)
CNS metastases from solid tumours
The study will be organised on three time-periods based on the time of the 1st CNS event:
Part A - Pre-diagnosis period: before diagnosis of the 1st CNS event Part B - At 1st CNS diagnosis period Part C - Post diagnosis period: after the 1st CNS event
干预措施: Samples collection: Serum (Other)
结局指标
主要结局
Better understanding of the epidemiology of CNS metastases from solid tumours
时间窗: through study completion, approximately 96 months
To collect data regarding the epidemiology of CNS metastases from solid tumours and identify risk factors for CNS metastases development, including: \- Overall survival
Better understand the biology of CNS metastases (brain and leptomeningeal carcinomatosis) using CSF-ctDNA as a surrogate endpoint for CNS tumour tissue DNA.
时间窗: through study completion, approximately 96 months
\- Quantitative measurement of serum neuron-specific enolase
次要结局
未报告次要终点
