Status:

COMPLETED

BESPOKE Study of ctDNA Guided Immunotherapy

Lead Sponsor:

Natera, Inc.

Conditions:

Colorectal Cancer

Melanoma

Eligibility:

All Genders

18+ years

Brief Summary

This is a prospective data collection study of patients with advanced solid tumors who will receive standard of care immunotherapy (IO) and will be monitored with SIGNATERA™ testing. SIGNATERA™ test w...

Detailed Description

Primary Objective: ● To examine the impact of SIGNATERA™ on clinical decision-making regarding continuation, discontinuation, escalation, or de-escalation of immunotherapy. Secondary Objective: ● T...

Eligibility Criteria

Inclusion

  • Prospective
  • Male or female patients 18 years of age or older at the time of signing informed consent form (ICF)
  • Any patient with documented metastatic or locally advanced, unresectable cancer of the types within the following cohorts:
  • Melanoma
  • Non-small cell lung cancer
  • Colorectal cancer
  • Patients must be clinically eligible and planned to receive therapy with an anti-neoplastic agent that works by immune checkpoint blockade, anti-PD-1, anti-CTLA-4, or anti-PD-L1:
  • Pembrolizumab (Keytruda)
  • Nivolumab (Opdivo)
  • Ipilimumab (Yervoy)
  • Durvalumab (Imfinzi)
  • Cemiplimab (Libtayo)
  • Atezolizumab (Tecentriq)
  • Avelumab (Bavencio)
  • Patients must have measurable disease according to RECIST criteria, and at least one lesion that can be accurately measured in at least one dimension as \>10 mm.
  • Patients must be able to follow study visit schedule and willing to provide up to 20 mL of peripheral blood samples at the indicated time points
  • ECOG Performance status 0,1, or 2
  • Able to read, understand and provide written informed consent
  • Willing and able to comply with the study requirements
  • Selected by their HCP to receive SIGNATERA testing according to the current evidence-informed schedule as part of their routine of practice
  • Prospective

Exclusion

  • Female patients that are pregnant
  • History of bone marrow or organ transplant
  • Medical condition that would place the patient at risk as a result of blood donation, such as bleeding disorder
  • Serious medical condition that may adversely affect ability to participate in the study
  • Has initiated Immunotherapy
  • Control Arm Inclusion Criteria:
  • Male or female patients 18 years of age or older at the time of signing informed consent form (ICF)
  • Any patient with documented metastatic or locally advanced, unresectable cancer of the types within the following cohorts:
  • Melanoma
  • Non-small cell lung cancer
  • Colorectal cancer
  • Patients must be clinically eligible and planned to receive therapy with an anti-neoplastic agent that works by immune checkpoint blockade, anti-PD-1, anti-CTLA-4, or anti-PD-L1:
  • Pembrolizumab (Keytruda)
  • Nivolumab (Opdivo)
  • Ipilimumab (Yervoy)
  • Durvalumab (Imfinzi)
  • Cemiplimab (Libtayo)
  • Atezolizumab (Tecentriq)
  • Avelumab (Bavencio)
  • Patients must have measurable disease according to RECIST criteria, and at least one lesion that can be accurately measured in at least one dimension as \>10 mm.
  • Patients must be able to follow study visit schedule and willing to provide up to 20 mL of peripheral blood samples at the indicated time points
  • ECOG Performance status 0,1, or 2
  • Able to read, understand and provide written informed consent
  • Willing and able to comply with the study requirements
  • Selected by their HCP to receive SIGNATERA testing according to the current evidence-informed schedule as part of their routine of practice
  • Control Arm

Key Trial Info

Start Date :

May 28 2021

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

March 30 2024

Estimated Enrollment :

290 Patients enrolled

Trial Details

Trial ID

NCT04761783

Start Date

May 28 2021

End Date

March 30 2024

Last Update

August 15 2024

Active Locations (1)

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Natera

San Carlos, California, United States, 94070