Actively Recruiting

Age: 18Years - 85Years
All Genders
NCT03042221

Early Rebiopsy to Identify Biomarkers of Tumor Cell Survival Following EGFR, ALK, ROS1 or BRAF TKI Therapy

Led by University of Colorado, Denver · Updated on 2026-02-20

100

Participants Needed

1

Research Sites

594 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

A comparison of baseline tumor characteristics in oncogene-driven cancers to tumor characteristics after early response to Tyrosine Kinase Inhibitor (TKI) targeted treatment will allow identification of early adaptive mechanisms of cell survival. This will facilitate targeting and termination of these survival/ resistance pathways before they develop with rational combinations of therapeutic agents to improve outcomes.

CONDITIONS

Official Title

Early Rebiopsy to Identify Biomarkers of Tumor Cell Survival Following EGFR, ALK, ROS1 or BRAF TKI Therapy

Who Can Participate

Age: 18Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of locally advanced or stage IV non-small cell lung cancer (NSCLC) responsive to targeted therapies per NCCN guidelines
  • Age 18 years or older
  • ECOG performance status 0-2
  • Histologically confirmed NSCLC with activating mutation responsive to targeted therapy per NCCN guidelines
  • No prior systemic therapy for locally advanced or metastatic disease
  • Planned treatment with targeted therapy specific to oncogene driver mutation
  • At least one measurable disease site 2 cm or larger
  • Disease site amenable to biopsy (for biopsy cohort)
  • Ability to understand and willingness to sign informed consent
  • For blood draw only cohort: patients who decline biopsy or do not have biopsy-amenable tumor site
  • For immunotherapy cohort: histologically confirmed NSCLC without treatable activating mutation, planned first line immunotherapy or chemo-immunotherapy
  • No prior systemic therapy or radiation therapy for lung cancer (surgery alone permitted)
Not Eligible

You will not qualify if you...

  • Concurrent health problems that prevent tissue biopsy (e.g., bleeding disorders)
  • Biopsy source involving high procedural risk areas (e.g., pericardium, kidney)
  • Biopsy source likely insufficient for genomic evaluation (e.g., cerebrospinal or ascitic fluid)
  • Planned follow-up care outside the University of Colorado Health System (for blood draw cohorts)
  • Unwillingness to allow use of residual clinical biopsy specimens in the study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University of Colorado, Cancer Center

Aurora, Colorado, United States, 80045

Actively Recruiting

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Research Team

B

Brandi Kubala

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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