ProTarget - A Danish Nationwide Clinical Trial on Targeted Cancer Treatment Based on Genomic Profiling
Led by Ulrik Lassen · Updated on 2025-07-25
300
Participants Needed
7
Research Sites
52 weeks
Total Duration
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AI-Summary
Brief Title
Who Can Participate
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Your Study Journey
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Research Team
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Frequently Asked Questions
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Sponsors
U
Ulrik Lassen
Lead Sponsor
R
Roche Pharma AG
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are conducting the ProTarget study, a phase II clinical trial, to evaluate the safety and effectiveness of commercially approved cancer drugs used off-label to target specific DNA changes in advanced cancer. The study focuses on patients whose tumors have particular genomic variants identified through accredited tests. It aims to assess anti-tumor activity or disease stability after 16 weeks of treatment while also monitoring side effects and exploring resistance mechanisms through tumor and blood sample analyses.
Participants receive targeted cancer drugs chosen based on their tumor's genomic profile. The drugs include Alectinib, Atezolizumab, Avelumab, Axitinib, Erlotinib, combinations like Vemurafenib plus Cobimetinib and Trastuzumab plus Pertuzumab, among others. Treatment begins after confirming eligibility for the selected drug, and the study allows proposals for drug use reviewed by a Molecular Tumor Board if needed. Patients are treated with drugs matched to their cancer's genomic markers, with follow-up for toxicity and efficacy.
During the study, patients undergo assessments including genomic testing of fresh tumor biopsies and liquid biopsies before and during treatment. Researchers monitor tumor response, progression-free survival, overall survival, treatment duration, and serious side effects. Participation continues under medical supervision, with data collected to understand treatment effects and potential resistance. The trial lasts as long as treatment and follow-up are conducted, involving collaboration across Denmark, the Netherlands, and the USA.
CONDITIONS
Brief Title
ProTarget - A Danish Nationwide Clinical Trial on Targeted Cancer Treatment Based on Genomic Profiling
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Age 18 years or older with histologically confirmed locally advanced or metastatic malignant disease
No longer benefiting from standard anti-cancer treatment or no suitable standard treatment available
ECOG performance status between 0 and 2
Acceptable organ function including neutrophil count, hemoglobin, platelets, bilirubin, liver enzymes, and creatinine clearance as defined in the protocol
Measurable or evaluable disease by physical or radiographic examination
Genomic or protein expression test of tumor performed in an accredited laboratory showing at least one actionable genomic variant
Ability to understand and willingness to sign informed consent
Tumor genomic profile matches potential clinical benefit from one of the approved targeted therapies in the study
Ability to swallow and tolerate oral medications (for orally administered drugs)
Agreement to use effective contraception during and after study participation for both women of childbearing potential and men
You will not qualify if you...
Ongoing toxicity greater than grade 2 from prior anti-tumor treatment within 4 weeks, except peripheral neuropathy
Previous treatment with the selected study drug for the same cancer
Tumor has a genomic variant known to cause resistance to the selected drug
Receiving other anti-cancer therapies except certain supportive medications
Pregnant or nursing women, or refusal to use effective contraception
Progressive brain metastases or unstable neurological status
Preexisting uncontrolled cardiac conditions or left ventricular ejection fraction below 40%
Stroke or heart attack within 4 months prior to study treatment
Acute gastrointestinal bleeding within 1 month prior to treatment
Other significant medical conditions that could interfere with study participation
Failure to meet drug-specific eligibility criteria
Disease not measurable or assessable by imaging or examination
Known allergy or hypersensitivity to the study drug or its ingredients
AI-Screening
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Treatment
Duration - Until disease progression or unacceptable toxicity
Participants receive targeted anti-cancer drugs matched to a genomic variant identified in their tumor profile. Treatment continues as determined by the physician based on response and tolerance.
Follow-up
Duration - Up to several years until study completion
Participants are monitored for tumor response, progression-free and overall survival, treatment duration, and treatment-related adverse events after ending treatment.
ProTarget: a Danish Nationwide Clinical Trial on Targeted Cancer Treatment based on genomic profiling - a national, phase 2, prospective, multi-drug, non-randomized, open-label basket trial.
Tina Kringelbach, Martin Højgaard, Kristoffer Rohrberg...