Actively Recruiting

Phase 2
Age: 16Years +
All Genders
NCT04817956

Improving Public Cancer Care by Implementing Precision Medicine in Norway

Led by Oslo University Hospital · Updated on 2024-02-29

3000

Participants Needed

17

Research Sites

1256 weeks

Total Duration

On this page

Sponsors

O

Oslo University Hospital

Lead Sponsor

H

Haukeland University Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

IMPRESS-Norway is a prospective, non-randomized clinical trial evaluating efficacy of commercially available, anti-cancer drugs prescribed for patients with advanced cancer diagnosed with potentially actionable alterations as revealed by molecular diagnostics. IMPRESS-Norway is a nation-wide study and all hospitals with an oncology and / or hematology department will be invited to participate in the study. The study will use a combined umbrella and basket design and a Simon two-stage model of expanding cohorts to follow up potentially effective combinations of biomarker and drug on specific indications. Sampling of biological material will be performed at presentation, during treatment and upon progression. Additional biomarker and translational analyses including whole genome sequencing (WGS) on tumour material and liquid biopsies, identifying mechanisms underlying drug sensitivity versus resistance will be performed.

CONDITIONS

Official Title

Improving Public Cancer Care by Implementing Precision Medicine in Norway

Who Can Participate

Age: 16Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient with pathology-proven locally advanced or metastatic malignant disease no longer benefiting from standard treatment or with no available standard treatment
  • ECOG performance status 0 to 2
  • Ability to swallow and tolerate oral medication if drug is administered orally
  • Acceptable organ function including neutrophil count ≥ 1.5 x10^9/L, hemoglobin > 9 g/dl, platelets > 75,000/µl, bilirubin < 1.5 x institutional upper limit, AST/ALT < 2.5 x upper limit (or < 5 x if hepatic metastases), creatinine clearance ≥ 40 mL/min/1.73 m2
  • Measurable or evaluable disease as defined by RECIST v1.1 or appropriate criteria for lymphoma, myeloma, glioblastoma, or immunotherapy cohorts
  • Molecular/genomic test showing a potentially targetable profile performed at approved laboratory
  • Genomic profile matching potential clinical benefit from approved targeted therapies included in the study
  • Meeting drug-specific eligibility criteria
  • Women of childbearing potential and men must agree to use effective contraception during and 4-24 months after study
  • Negative pregnancy test for women within 1 month prior to inclusion
  • Ability and willingness to provide informed consent or assent
Not Eligible

You will not qualify if you...

  • Eligible for other ongoing trials with equal or better benefit and manageable access
  • Ongoing toxicity greater than CTCAE grade 2 related to recent anti-tumor treatment, except peripheral neuropathy
  • Peripheral neuropathy grade 3 or higher
  • Progressive brain metastases or declining neurological function; treated/stable brain metastases allowed
  • For glioblastoma patients, use of enzyme-inducing antiepileptic drugs prohibited
  • Pre-existing uncontrolled cardiac conditions or symptomatic congestive heart failure
  • Left ventricular ejection fraction below 40%
  • Stroke or heart attack within 4 months before treatment
  • Acute gastrointestinal bleeding within 1 month before treatment
  • Other significant medical conditions that may affect study participation or compliance
  • Known allergy or hypersensitivity to study drug or excipients
  • Previous treatment with the selected study drug for the same cancer
  • Receiving other anti-cancer therapies except certain supportive medications started at least 1 month prior
  • Tumor genomic variants conferring resistance to available study drugs
  • Pregnant or nursing women
  • Not meeting drug-specific eligibility criteria for the selected drug

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 17 locations

1

Sykehuset Ålesund

Ålesund, Norway

Not Yet Recruiting

2

Haukeland universitetssykehus

Bergen, Norway

Actively Recruiting

3

Nordlandssykehuset

Bodø, Norway

Actively Recruiting

4

Vestre Viken Hospital

Drammen, Norway

Actively Recruiting

5

Førde Hospital

Førde, Norway

Actively Recruiting

6

Sykehuset Innlandet

Hamar, Norway

Actively Recruiting

7

Helse Fonna

Haugesund, Norway

Not Yet Recruiting

8

Sørlandet sykehus

Kristiansand, Norway

Actively Recruiting

9

Sykehuset Levanger

Levanger, Norway

Not Yet Recruiting

10

Oslo University Hospital

Oslo, Norway, 0379

Actively Recruiting

11

Ahus

Oslo, Norway

Actively Recruiting

12

Sykehuset Telemark

Skien, Norway

Actively Recruiting

13

Stavanger universitetssykehus

Stavanger, Norway

Actively Recruiting

14

Universitetssykehuset i Nord-Norge

Tromsø, Norway

Actively Recruiting

15

St Olavs Hospital

Trondheim, Norway, 2381

Actively Recruiting

16

Sykehuset Vestfold

Tønsberg, Norway

Not Yet Recruiting

17

Sykehuset Østfold Kalnes

Fredrikstad, Østfold fylke, Norway

Actively Recruiting

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Research Team

Å

Åslaug Helland, MD PhD

CONTACT

G

Gro LIve Fagereng, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

20

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