Fergus Falls

Researchers are studying colorectal cancer CRC in participants aged 45 to 70 who have 1 to 2 non-advanced adenomas, which are small colon polyps without high-risk features. The trial compares two surveillance colonoscopy schedules one group receives colonoscopy at 5 and 10 years after polyp detection, while the other group has colonoscopy only at 10 years. This study aims to provide randomized data to guide optimal timing for follow-up colonoscopies to help reduce CRC incidence and improve clinical practices. Participants are randomly assigned to one of two groups the first group undergoes surveillance colonoscopy at both 5 and 10 years following their qualifying colonoscopy, and the second group undergoes colonoscopy at 10 years only. All colonoscopies, including any unscheduled ones, follow current quality guidelines and institutional preparation standards. The qualifying colonoscopy must have been complete and performed within 4 years before randomization, with all polyps fully removed. During the study, participants will undergo colonoscopies according to their assigned schedules. Researchers will monitor the incidence of colorectal cancer over 10 years as the primary outcome. Participants must be able to understand English or Spanish to complete required procedures. The study may last up to several decades, with ongoing monitoring to assess long-term cancer incidence and the effectiveness of different surveillance intervals.

Researchers are studying how well inotuzumab ozogamicin works when combined with frontline chemotherapy in treating young adults aged 18 to 39 years with newly diagnosed B acute lymphoblastic leukemia that is CD22 positive. This phase III trial investigates the side effects and effectiveness of this combination compared to chemotherapy alone, aiming to improve event-free survival and other outcomes. The study also explores genetic and molecular markers to better understand treatment response and risks. Participants receive a pediatric-inspired chemotherapy regimen called CALGB 10403, which includes multiple courses of treatment remission induction, remission consolidation, interim maintenance, delayed intensification, and maintenance therapy. Some patients also receive inotuzumab ozogamicin intravenously on specific days, followed by blinatumomab if minimal residual disease is detected. Treatment cycles repeat according to response and tolerance, with additional therapies like rituximab and radiation as needed. Imaging and laboratory tests are done throughout. During the trial, participants undergo regular assessments including bone marrow biopsies, blood tests, and imaging such as echocardiography or multigated acquisition scans. Researchers measure outcomes like event-free survival, disease-free survival, overall survival, response rates, and treatment side effects for up to 10 years. After treatment, patients are followed closely every few months for up to 10 years to monitor long-term effects and disease status.

Researchers are establishing the Integrated Cancer Repository for Cancer Research iCaRe2 as a multi-institutional resource to collect and manage standardized, multi-dimensional, and longitudinal data and biospecimens from adult cancer patients, individuals at high risk, and normal controls. This resource covers a wide geographical area including small and rural hospitals and cancer centers. The goal is to advance comprehensive studies on cancer risk factors and enable development of new strategies for cancer prevention, screening, early detection, and personalized treatment. The iCaRe2 resource collects data and biospecimens such as tumor samples, germline DNA, serum, urine, and plasma from participants across multiple cancer registries covering various cancer types. It operates as a web-based, HIPAA-compliant platform allowing centers with different expertise to contribute and collaborate. This repository supports cohort and population studies by providing a secure, standardized, and interoperable system for cancer-related data collection and sharing. Participants include adult patients with cancer, individuals at risk, and normal controls who can provide informed consent. Data collected includes clinical information, biospecimens, and longitudinal follow-up. The study measures include the development and implementation of the web-based registry and banking of biological materials for future research. Participation involves consent and data contribution, with monitoring and data validation ensuring quality. The repository enables ongoing research collaborations to study cancer biology, genetics, epidemiology, and patient care.

Researchers are evaluating the effects of lenalidomide and dexamethasone with or without daratumumab in treating patients with high-risk smoldering multiple myeloma. This phase III trial aims to compare overall survival, progression-free survival, response rates, and safety between these treatments. The study also explores patient-reported quality of life, treatment adherence, minimal residual disease status, and imaging associations during therapy. Participants are randomly assigned to one of two treatment groups. The first group receives daratumumab intravenously on a detailed schedule across up to 24 courses, plus oral lenalidomide daily for 21 days and dexamethasone on specific days during the first 12 courses. The second group receives only oral lenalidomide and dexamethasone on a similar schedule for up to 24 courses. Treatment cycles repeat every 28 days unless disease progression or unacceptable side effects occur. During the study, participants complete quality-of-life questionnaires and undergo laboratory tests, including minimal residual disease assessments and PETCT imaging. Safety is closely monitored, especially infusion-related reactions and toxicity. After treatment, patients are followed for up to 15 years with periodic visits every 3 to 12 months to track long-term outcomes and survival.

Researchers are evaluating a master screening protocol called Lung-MAP for patients with previously treated non-small cell lung cancer. This phase IIIII trial aims to develop a genomic screening method for large cancer populations and assign participants to appropriate sub-studies based on specific cancer biomarkers. The goal is to compare new targeted therapies designed to block cancer growth or spread with standard care, including sub-studies for patients not eligible for biomarker-driven treatments. The study involves screening patient specimens to determine eligibility for various biomarker-driven or non-matched sub-studies within the Lung-MAP umbrella protocol. This is a screening study without direct interventions instead, patients are assigned to different treatment sub-studies, each operating independently. The protocol also includes an optional ancillary study evaluating attitudes about the return of somatic mutation findings suggestive of germline mutations. Participants provide tumor tissue for biomarker testing, including molecular profiling and PD-L1 analysis, and may submit fresh biopsies and blood samples for circulating tumor DNA testing. Researchers will monitor screening success rates up to three years and collect patient and physician feedback on genetic findings. Participation involves signing informed consent, providing smoking history, and possibly completing surveys. The study duration and assessments vary depending on sub-study assignment and patient progression.

Researchers are evaluating how well radiation therapy with or without the chemotherapy drug cisplatin works in treating patients who have stage III-IVA squamous cell carcinoma of the head and neck after surgery. This phase II trial aims to understand if adding cisplatin to radiation therapy improves disease-free survival and to explore the role of p53 mutations as a biomarker for treatment benefit. The study also assesses the safety and side effects of these treatments and looks for other genetic changes that might guide new therapies. Participants are randomly assigned to one of two groups. One group receives intensity-modulated radiation therapy IMRT once daily, five days a week for six weeks. The other group receives the same radiation schedule plus weekly intravenous cisplatin for six weeks. After treatment, participants are followed up every six months for three years and then yearly for seven years to monitor outcomes. During the study, patients will have assessments including surgical tumor tissue analysis for p53 mutation, imaging scans to check for cancer spread, and blood tests to monitor health and organ function. Researchers will track disease recurrence, new tumors, or death for up to 10 years. Side effects will be recorded during treatment. The total study participation includes treatment over six weeks followed by long-term follow-up visits lasting up to 10 years.

Researchers are evaluating the effectiveness of ramucirumab combined with paclitaxel versus the FOLFIRI regimen leucovorin calcium, fluorouracil, and irinotecan hydrochloride in treating patients with advanced or treatment-resistant small bowel adenocarcinoma. Ramucirumab is a monoclonal antibody that targets VEGFR-2 to potentially reduce tumor blood supply and growth. Chemotherapy drugs like paclitaxel, leucovorin calcium, fluorouracil, and irinotecan work by stopping tumor cell growth through different mechanisms. Participants are randomly assigned to one of two treatment groups. In the first group, patients receive ramucirumab intravenously over 30-60 minutes on days 1 and 15, and paclitaxel intravenously over 30 minutes on days 1, 8, and 15, with each cycle lasting 28 days. In the second group, patients receive irinotecan intravenously over 90 minutes on days 1 and 15, leucovorin intravenously over 2 hours on days 1 and 15, and fluorouracil both as an IV bolus on days 1 and 15 and continuously over 46-48 hours on days 1-3 and 15-17. Treatment cycles repeat every 28 days unless disease progresses or side effects become unacceptable. During the study, patients are monitored with assessments every 8 weeks until their disease progresses. After progression, follow-up continues every 6 months for up to 3 years. Researchers measure progression-free survival, overall response rate, overall survival, and track any adverse events. Tissue and blood samples are also collected for future research. Patient safety and treatment effects are carefully evaluated throughout the study.

Researchers are evaluating patients with metastatic HER-2-positive breast cancer who are receiving trastuzumab-based therapy and are at risk of heart problems. The study includes two groups one large observational group taking beta blockers, ACE inhibitors, or ARBs alongside trastuzumab, and a smaller randomized group comparing the effects of carvedilol versus no treatment. The aim is to understand the occurrence of heart issues and whether carvedilol might help prevent cardiac side effects from chemotherapy. Participants are assigned to one of three arms based on their current medications. Patients not on beta blockers, ARBs, or ACE inhibitors are randomized to either receive carvedilol orally twice daily or no study intervention. Those already taking these heart medications enter an observational arm without additional treatment. Treatment and observation continue for up to 108 weeks unless disease progression or unacceptable side effects occur. Throughout the study, participants undergo heart function monitoring with echocardiograms every 12 weeks and provide blood samples for biomarker analysis. Researchers track the time to the first sign of heart dysfunction and any cardiac events, as well as adherence to medication and side effects. The study also collects data to develop models predicting heart risk and banks samples for future research. Participant involvement may last over two years with regular assessments to monitor safety and heart health.

Researchers are evaluating the addition of pembrolizumab immunotherapy to standard chemotherapy for patients with stage IIA, IIB, IIIA, or IIIB non-small cell lung cancer NSCLC that has been completely removed by surgery. This phase III trial aims to compare disease-free survival and overall survival among different treatment approaches, including chemotherapy alone, chemotherapy followed by pembrolizumab, and chemotherapy combined with pembrolizumab. The study also assesses quality of life and adverse event rates in these patient groups. Participants are randomly assigned to one of three groups. One group receives only chemotherapy with observation afterward. The other two groups receive chemotherapy followed by pembrolizumab or chemotherapy combined with pembrolizumab. Chemotherapy involves one of four platinum doublet regimens administered every 21 days for four cycles, depending on the physicians choice. Pembrolizumab is given intravenously over 25-40 minutes, either after chemotherapy or alongside it, repeated every 21 days or every 6 weeks for multiple cycles. Patients also undergo heart ultrasound, MRI, CT scans, and blood sample collections as part of the study. During the trial, participants have regular medical assessments including imaging and blood tests to monitor their health. Follow-up visits occur 6 weeks after treatment, then every 3 months for 2 years, every 6 months for years 2-4, and annually up to 10 years from randomization. Researchers measure disease-free survival as the main outcome, tracking the time until cancer recurrence or death. They also evaluate overall survival, side effects, drug tolerability, and patient-reported quality of life over time.

Researchers are evaluating the effectiveness of combining cabozantinib with two immunotherapy drugs, nivolumab and ipilimumab, in treating patients with rare genitourinary tumors that have spread beyond their original site. This phase II study focuses on patients with various rare histological types of genitourinary cancers, aiming to assess how well this combination works compared to using each drug alone. The trial also aims to understand the safety of this treatment and to collect tissue samples and clinical data for further research. Participants receive cabozantinib orally once daily on days 1-21 of the first four cycles and continuously on days 1-28 of subsequent cycles. Nivolumab and ipilimumab are given intravenously on day 1 of the first four cycles, with nivolumab continuing as an IV infusion on day 1 of later cycles. Each treatment cycle lasts 21 days initially and 28 days thereafter, continuing for up to two years unless the disease progresses or unacceptable side effects occur. Patients may have scans such as CT, MRI, bone scans, and PETCT during the study and undergo blood and urine sample collections. Echocardiography is performed during screening. Throughout the study, participants are monitored with imaging tests and sample collections to track tumor response and safety. After completing treatment, patients have follow-up visits every two months for up to five years to observe long-term effects and survival. The main measure of success is the objective response rate, with additional assessments of progression-free survival, overall survival, clinical benefit, and adverse events. This extended monitoring helps researchers understand the lasting impact of the treatment combination.