Actively Recruiting

Age: 18Years +
All Genders
ID05059444

ORACLE: Observation of ResiduAl Cancer With Liquid Biopsy Evaluation

Led by Guardant Health, Inc. · Updated on 2025-08-22

2020

Participants Needed

57

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the ability of a new blood test called Guardant Reveal, developed by Guardant Health, to detect cancer recurrence in people treated for early-stage solid tumors. This observational study aims to link the blood test results with clinical outcomes to show its potential value in monitoring cancer recurrence while considering healthcare costs. The study includes multiple types of cancers such as bladder, lung, breast, melanoma, esophageal, gastric, pancreatic, head and neck, ovarian, endometrial, renal, and rectal cancers. Participants are grouped into different cohorts based on their specific cancer type and stage, including muscle invasive carcinoma, non-small cell lung cancer, various types of breast cancer, melanoma, esophageal, gastric, pancreatic adenocarcinoma, head and neck squamous cell carcinoma, ovarian or fallopian tube carcinoma, endometrial carcinoma, renal cell carcinoma, and rectal adenocarcinoma. The study involves regular blood sample collection using the Guardant Reveal assay at enrollment and during routine medical visits, with follow-up lasting up to 5 years for ongoing monitoring of minimal residual disease and recurrence detection. During the study, participants will provide blood samples at scheduled visits aligned with their regular cancer care follow-up. Researchers will assess outcomes including the time without distant cancer recurrence over 3 years, along with test sensitivity, positive predictive value, and lead time for recurrence detection. Clinical data will be collected and shared anonymously with investigators, and participants will be monitored according to standard care practices throughout the study duration, which may extend up to 5 years or until the study ends in 2029.

CONDITIONS

Brief Title

ORACLE: Observation of ResiduAl Cancer With Liquid Biopsy Evaluation

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age greater than 18 years old
  • Initial cancer treatment given with curative or radical intent
  • Planning to undergo regular follow-up and monitoring for cancer recurrence per standard care
  • Provided written informed consent to participate
  • Willing to share de-identified clinical data with investigators regularly
  • Willing to provide blood samples at enrollment and at clinical visits for up to 5 years
  • Have at least one Landmark blood sample
  • Have a histologically confirmed qualifying cancer from specified cohorts including muscle invasive bladder, ureter, renal pelvis carcinoma, non-small cell lung cancer, invasive breast carcinoma with known hormone receptor and HER2 status, cutaneous melanoma, esophageal or gastroesophageal junction carcinoma, gastric adenocarcinoma, pancreatic adenocarcinoma, invasive squamous cell carcinoma of the head and neck, high-risk epithelial ovarian or fallopian tube carcinoma, high-risk endometrial carcinoma, high-risk renal cell carcinoma, or rectal adenocarcinoma
Not Eligible

You will not qualify if you...

  • History of allogeneic organ or tissue transplant
  • Index cancer has predominantly neuroendocrine histology
  • History of another primary cancer diagnosed within 3 years, except for certain in situ cancers, non-melanoma skin cancers, low/intermediate risk prostate cancers, stage I papillary thyroid carcinoma, or bilateral/multifocal tumors in the same organ
  • Known distant metastasis at enrollment, except for limited/resectable stage IV cutaneous melanoma or renal cell carcinoma

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person) for enrollment and baseline blood sample collection

Monitoring

Duration - Up to 5 years

Participants are monitored for cancer recurrence with regular blood sample collections and clinical visits over time.

Blood samples collected at enrollment and during clinical visits for up to 5 years

Trial Site Locations

Total: 57 locations

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35205

Actively Recruiting

2

Ironwood Cancer & Research Centers

Chandler, Arizona, United States, 85224

Actively Recruiting

3

Genesis Cancer Center

Hot Springs, Arkansas, United States, 71913

Terminated

4

University of California, San Diego

La Jolla, California, United States, 92093

Actively Recruiting

5

Hoag Memorial Hospital Presbyterian

Newport Beach, California, United States, 92663

Actively Recruiting

6

Redwood City

Redwood City, California, United States, 94063

Actively Recruiting

7

Sutter Institute for Medical Research

Sacramento, California, United States, 95816

Terminated

8

University of Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

9

Memorial Healthcare System

Hollywood, Florida, United States, 33021

Actively Recruiting

10

The Oncology Institute of Hope & Innovation

Lakeland, Florida, United States, 33812

Actively Recruiting

11

Tulane Cancer Center

New Orleans, Louisiana, United States, 70112

Actively Recruiting

12

Christus Highland/ Boniol

Shreveport, Louisiana, United States, 71105

Actively Recruiting

13

Central Maine Medical Center

Lewiston, Maine, United States, 04240

Actively Recruiting

14

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Terminated

15

Cancer & Hematology Centers of Western Michigan

Grand Rapids, Michigan, United States, 49503

Actively Recruiting

16

Mayo Clinic (Rochester)

Rochester, Minnesota, United States, 55905

Actively Recruiting

17

Astera Cancer Care

East Brunswick, New Jersey, United States, 08816

Actively Recruiting

18

Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029

Terminated

19

UNC- Chapel Hill

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

20

The Christ Hospital Cancer Center

Cincinnati, Ohio, United States, 45219

Terminated

21

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

22

Toledo Clinic Cancer Center

Toledo, Ohio, United States, 43623

Actively Recruiting

23

Crozer-Keystone Health System

Broomall, Pennsylvania, United States, 19008

Terminated

24

University of Pennsylvania

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

25

Cancer Care Associates of York

York, Pennsylvania, United States, 17403

Actively Recruiting

26

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States, 29572

Actively Recruiting

27

Carolina Blood and Cancer Care Associates

Rock Hill, South Carolina, United States, 29732

Actively Recruiting

28

UT Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

29

DHR Health Advance Care Center

Edinburg, Texas, United States, 78539

Actively Recruiting

30

The Center for Cancer and Blood Disorders

Forth Worth, Texas, United States, 76104

Actively Recruiting

31

The University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States, 78229

Actively Recruiting

32

Utah Cancer Specialists

Salt Lake City, Utah, United States, 84106

Actively Recruiting

33

ThedaCare Regional Cancer Center

Appleton, Wisconsin, United States, 54911

Actively Recruiting

34

CHU Besançon

Besançon, France, 25000

Actively Recruiting

35

Hôpital Franco-Britannique

Levallois-Perret, France, 92300

Actively Recruiting

36

Institut Paoli-Calmettes

Marseille, France, 13009

Actively Recruiting

37

Ambroise Paré-Hartmann

Neuilly, France, 92200

Actively Recruiting

38

APHP Tenon Hospital - Sorbonne

Paris, France, 75020

Actively Recruiting

39

Asklepios Klinik Altona

Hamburg, Germany, 22763

Actively Recruiting

40

SLK-Kliniken Heilbronn GmbH

Heilbronn, Germany, 74078

Actively Recruiting

41

Ludwig Maximilian University Munich

Munich, Germany, 81377

Actively Recruiting

42

Instituto Romagnolo per lo Studio dei Tumori "Dino Amadori" IRCCS IRST, SrL

Meldola, Italy, 47014

Actively Recruiting

43

Azienda USL-IRCCS di Reggio Emilia

Reggio Emilia, Italy, 42123

Actively Recruiting

44

Policlinico Universitario Agostino Gemelli

Roma, Italy, 00168

Actively Recruiting

45

Hospital Teresa Herrera (C.H.U.A.C)

A Coruña, Spain, 15006

Actively Recruiting

46

Vall Hebron Institute of Oncology

Barcelona, Spain, 08035

Actively Recruiting

47

Hospital Clinic of Barcelona

Barcelona, Spain, 08036

Actively Recruiting

48

ICO Institut Catala d'Oncologia

Barcelona, Spain, 08908

Actively Recruiting

49

Instituto Catalan de Oncologia de Girona

Girona, Spain, 17007

Actively Recruiting

50

Hospital Universitario Insular de Gran Canaria

Las Palmas de Gran Canaria, Spain

Actively Recruiting

51

Hospital San Carlos

Madrid, Spain, 28040

Actively Recruiting

52

Hospital Universitario La Paz

Madrid, Spain, 28046

Actively Recruiting

53

CIOSS HM Sanchinarro

Madrid, Spain, 28050

Actively Recruiting

54

Hospital Universitario Virgen de la Victoria

Málaga, Spain, 29010

Actively Recruiting

55

CCS Hospital Universitari Parc Taulí

Sabadell, Spain, 08208

Actively Recruiting

56

Hospital Clinico de Santiago de Compostela

Santiago de Compostela, Spain, 15706

Actively Recruiting

57

Hospital Clínico de Valencia

Valencia, Spain, 46010

Actively Recruiting

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Research Team

C

Clinical Trial Operations

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

12

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