Puyallup

Researchers are evaluating zanidatamab combined with chemotherapy for treating people with HER2-positive, early-stage breast cancer. This phase 2 study aims to assess the safety and effectiveness of this combination compared to standard treatments in participants with newly diagnosed stage II or III invasive breast carcinoma. Participants are randomly assigned to one of three treatment groups zanidatamab with paclitaxel, zanidatamab with docetaxel and carboplatin, or trastuzumab and pertuzumab with docetaxel and carboplatin. All study drugs are administered intravenously. After neoadjuvant therapy, participants will undergo either mastectomy or breast conserving surgery as decided by their physician. During the study, participants will have their response to treatment assessed through measurements such as pathologic complete response and residual cancer burden classification up to 8 months. Safety is monitored by tracking treatment-related adverse events up to 23 months. Other assessments include survival outcomes up to 46 months and serum concentrations of zanidatamab. The study participation may last several years to capture these outcomes.

Researchers are evaluating AZD0120, a dual-targeted CAR-T therapy aimed at BCMA and CD19, compared with standard treatment regimens for participants with relapsed refractory multiple myeloma RRMM. This Phase III, randomized, open-label global study aims to assess how AZD0120 performs relative to established therapies including DKd, DPd, PVd, or Kd. The study focuses on participants who have received previous treatments and now require additional therapy due to disease progression. Participants will receive either AZD0120 or one of four standard regimens chosen by their investigator, including combinations of daratumumab, carfilzomib, pomalidomide, bortezomib, and dexamethasone. The treatment period and dosing depend on the assigned regimen, and the study compares these approaches over time. The trial is designed to measure progression-free survival and response rates to evaluate the benefits of AZD0120 compared to standard care. During the study, participants will undergo regular assessments to monitor disease status and treatment effects. These include laboratory tests to measure disease markers, imaging, and safety evaluations. The primary outcomes include progression-free survival over three years and minimal residual disease negativity at nine months. Secondary outcomes assess response rates and overall survival over several years. The study duration extends up to 2030 with ongoing monitoring and follow-up to collect comprehensive data on participant health and treatment impact.

Researchers are evaluating treatments for newly diagnosed multiple myeloma in patients who cannot undergo autologous stem cell transplantation. This Phase 3 study compares two drug combinations belantamab mafodotin with lenalidomide and dexamethasone BRd versus daratumumab with lenalidomide and dexamethasone DRd. The goal is to see if BRd extends progression-free survival and improves minimal residual disease negative status compared to DRd. Participants receive either BRd or DRd treatment, continuing until disease progression, death, unacceptable side effects, withdrawal, or study end. Both treatment arms involve the administration of lenalidomide and dexamethasone alongside either belantamab mafodotin or daratumumab. Treatment duration may last up to approximately seven years. During the study, participants will undergo regular assessments including monitoring disease progression, response to treatment, and side effects. Measurements include progression-free survival, overall survival, and the number achieving minimal residual disease negative status. Quality of life questionnaires and blood tests will also be conducted. Safety monitoring includes eye exams and tracking adverse events throughout the study duration.

Researchers are evaluating the efficacy and safety of Dato-DXd in patients with hormone receptor-positive, HER2 IHC 0, locally advanced inoperable or metastatic breast cancer that is resistant to endocrine therapy. This Phase IIIb, single-arm, open-label, multinational study focuses on patients who have not undergone chemotherapy for their metastatic disease. The study aims to understand how Dato-DXd performs in this specific breast cancer group and to assess its impact on disease progression and patient outcomes. Participants will receive Dato-DXd at a dose of 6 mgkg administered intravenously every three weeks, with a maximum dose of 540 mg for participants weighing 90 kg or more. Treatment will continue until disease progression as defined by RECIST 1.1 criteria, unacceptable side effects, or participant withdrawal. The study includes collection of tumor biopsies at baseline and progression when possible, along with repeated liquid biopsies during the treatment period to analyze biomarkers related to response and resistance. Imaging scans will be conducted every 8 weeks for the first 48 weeks and then every 12 weeks until disease progression. During the study, participants will undergo regular assessments including tumor imaging, laboratory tests, and monitoring for side effects such as oral mucositis and ocular events. Researchers will track progression-free survival as the primary outcome over approximately 24 months. Secondary outcomes include response rates, duration of response, clinical benefit, overall survival, and safety measures. Participants are expected to provide informed consent and comply with study requirements, with close monitoring throughout the treatment period.

Researchers are evaluating a drug called sigvotatug vedotin SGN-B6A alone and in combination with pembrolizumab, with or without chemotherapy, to assess its safety and effects in people with advanced solid tumors. This Phase 1 study aims to determine the side effects and whether sigvotatug vedotin works to treat various solid tumors including lung, head and neck, breast, esophageal, skin, pancreatic, bladder, cervical, gastric, and ovarian cancers. The study is divided into four parts to explore dosage, safety, and combination treatments. Participants may receive sigvotatug vedotin alone or combined with pembrolizumab, sometimes alongside chemotherapy drugs carboplatin or cisplatin, depending on the study part. Part A focuses on finding the right dose of sigvotatug vedotin. Part B uses this dose to further test safety and effectiveness. Parts C and D study the drug combined with pembrolizumab and possibly chemotherapy in different tumor types and treatment settings, including people who have not previously received treatment. Treatments are given intravenously, with pembrolizumab administered every 3 or 6 weeks and chemotherapy every 3 weeks. During the study, participants undergo tumor biopsies, clinical evaluations, and monitoring for side effects, including blood tests and safety assessments. Researchers track adverse events, lab abnormalities, and dose-limiting toxicities up to 30-37 days after treatment, with some follow-up extending up to 3 years. They also measure tumor response using standard criteria and monitor survival and drug levels in the body. Participants will have regular visits for treatment and assessments throughout the study duration, which may last several years.

Researchers are evaluating the surgeon experience and surgery outcomes in participants undergoing the index Lapidus procedure to correct hallux valgus, a foot deformity where the big toe angles outward causing a painful bump. The study assesses the use of the VIRTUGUIDE System along with compatible DePuy Synthes Lapidus implants. This observational study aims to gather detailed information on surgical results and patient health following this specific procedure. Participants will undergo the primary Lapidus procedure using the VIRTUGUIDE System software and instruments and receive compatible DePuy Synthes Lapidus implants. All participants will be followed according to the surgeons standard care for up to 12 months after surgery. The study does not involve additional interventions beyond routine clinical care. During the study, participants will be monitored for up to 12 months post-procedure. Assessments include radiographic documentation of bone fusion and healing, patient-reported outcome measures such as quality of life and pain scores, and tracking of any adverse events related to the device or procedure. Researchers will also record any revisions, reoperations, or recurrences. The study collects data on participants recovery and safety throughout this period.

Researchers are evaluating whether combining the investigational drug PF-06821497 with enzalutamide works better than enzalutamide alone in men with metastatic castration-resistant prostate cancer mCRPC who have not yet received certain advanced anti-cancer treatments. This global, multicenter, randomized Phase 3 study focuses on participants who have not been treated with androgen receptor signaling inhibitors like enzalutamide or abiraterone before, except for androgen deprivation therapy or first-generation anti-androgen agents. The study is sponsored by Pfizer and aims to assess treatment effects in this patient population. Participants will be randomly assigned to one of two groups one group will receive PF-06821497 875 mg twice daily combined with enzalutamide 160 mg once daily, while the other will receive a placebo twice daily plus enzalutamide 160 mg once daily. The study includes several phases screening, randomization, treatment, safety follow-up, and long-term follow-up. Treatment continues over a period of up to approximately three years for primary outcomes, with ongoing assessments for up to five years for some secondary outcomes. During the study, participants will undergo various assessments including scans to monitor disease progression, blood tests to measure prostate-specific antigen levels and circulating tumor DNA, patient-reported pain and quality of life questionnaires, and evaluations of adverse events. The primary outcome is radiographic progression-free survival measured from randomization up to about three years. Safety and long-term effects will be monitored through follow-up visits lasting up to five years. Participants will be followed closely throughout the study duration to track treatment impact and side effects.

Researchers are studying the effects of adding olaparib, a PARP inhibitor, after surgery and chemotherapy in patients with pancreatic cancer that has been surgically removed and who have mutations in BRCA1, BRCA2, or PALB2 genes. This phase II trial aims to see if olaparib can improve relapse-free survival compared to placebo. The study also evaluates overall survival and differences in outcomes based on mutation type and prior chemotherapy treatment. Participants are randomly assigned to receive either olaparib or a placebo orally twice daily in 28-day cycles for up to 12 cycles, unless the disease progresses or side effects occur. During the treatment, patients will have CT or MRI scans and blood samples taken regularly. After treatment, participants will be followed up at 30 days, every 4 months for the first year, then every 6 months for up to 10 years. Throughout the study, patients will undergo imaging and blood tests to monitor their health and detect any recurrence of cancer. The main outcome measured is the time from randomization to disease recurrence or death. Researchers will also track overall survival for up to 10 years. Safety will be monitored, and participants will be observed regularly after treatment to assess long-term effects and disease status.

Researchers are evaluating the effectiveness of comprehensive molecular testing for patients with advanced cancers in community settings. The study focuses on breast cancer, non-small cell lung cancer, melanoma, and sarcoma. It aims to identify actionable genetic findings, assess feasibility and turnaround time of testing, and determine how often patients enroll in clinical trials based on the test results. The study uses the BostonGene Tumor Portrait test, a high-throughput sequencing platform that provides detailed genetic and molecular information about tumors and their environments. The research includes four groups of 100 patients each, categorized by cancer type. The study lasts up to two years, collecting data on demographics, medical history, treatment decisions, and patient outcomes. Participants will undergo genomic and molecular profiling with data gathered on test results, treatment plans, and patient progress. Researchers will measure how frequently actionable findings occur and the speed of test results. They will also observe how often patients receive therapies matched to their molecular profiles and track treatment decisions over time.

Researchers are collecting and storing tissue and blood samples from patients with various types of cancer to help create better models for studying cancer and testing new cancer drugs. This observational study focuses on patients with hematopoietic and lymphatic system neoplasms, malignant solid tumors, metastatic malignant solid tumors, and recurrent malignant solid tumors. The goal is to procure biological tissues and materials to develop preclinical cancer models for future laboratory analysis. During the study, tumor tissue and blood samples are collected during medical procedures required for the patients cancer treatment. These samples are then preserved using methods such as xenograft models, where tissues are transplanted to another species, or in vitro cell cultures. This process allows for future scientific study without additional invasive procedures beyond routine clinical care. Participants will be involved in routine clinical procedures during which tissue and blood samples are collected. Researchers will store these specimens and monitor their use in creating cancer models over a period of up to five years. The main outcome measured is the successful procurement and storage of tissue and blood specimens for research purposes. Participation will continue as long as samples can be collected during clinical management, with no additional treatment or interventions required specifically for this study.