Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT04341181

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

505 weeks

Total Duration

On this page

Sponsors

U

Ulrik Lassen

Lead Sponsor

R

Roche Pharma AG

Collaborating Sponsor

AI-Summary

What this Trial Is About

The ProTarget study is a phase II, prospective, non-randomized clinical trial with the primary purpose of investigating the safety and efficacy of commercially available cancer drugs that target specific changes in cancer cell DNA to treat patients with advanced cancer. The primary endpoint is anti-tumor activity or stable disease documented after 16 weeks of experimental drug treatment. The drugs used in the trial have been approved by EMA/FDA for the treatment of certain cancers. Choice of drug is based on whether the patient's cancer cells contain precisely the DNA change (i) targeted by the EMA/FDA-approved drug or (ii) related to sensitivity to the EMA/FDA-approved drug. The trial drug is thus not approved by the EMA/FDA or in Denmark for the treatment of the patient's cancer - it is so-called "off-label use". The secondary purposes are: * To detect side effects in patients treated with commercially available targeted cancer drugs. * Performing biomarker analyzes, including (but not limited to) whole-genome analysis (WGS) on a fresh tumor tissue sample (biopsy) at baseline and progression. * To investigate mechanisms of resistance using recurrent / serial fresh tumor biopsies for WGS and so-called liquid biopsies, which are blood samples in which the cancer cell DNA is analyzed. The secondary endpoints include response duration, progression-free survival, and overall survival.

CONDITIONS

Official Title

ProTarget - A Danish Nationwide Clinical Trial on Targeted Cancer Treatment Based on Genomic Profiling

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older with histologically confirmed locally advanced or metastatic cancer no longer benefiting from standard treatment or with no standard treatment available
  • ECOG performance status of 0 to 2
  • Acceptable organ function including neutrophil count ≥ 1500/µl, hemoglobin > 5.6 mmol/l, platelets > 75,000/µl, bilirubin < 1.5 times normal, liver enzymes < 2.5 times normal (or < 5 times if liver metastases), and creatinine clearance ≥ 50 mL/min/1.73 m2
  • Measurable or evaluable disease by physical or radiographic exam with at least one lesion ≥ 20 mm by conventional methods or ≥ 10 mm by CT/MRI or superficial lesion measurable by calipers; lymph nodes must be ≥ 15 mm in short axis
  • Available results from a genomic or immunohistochemistry test performed in an accredited laboratory showing at least one actionable genomic variant or protein overexpression
  • Ability to understand and willing to sign informed consent
  • Tumor genomic profile suitable for treatment with one of the approved targeted therapies in the study
  • Ability to swallow and tolerate oral medication without malabsorption syndrome (for oral drugs)
  • Agreement to use highly effective contraception during and after study participation as specified
Not Eligible

You will not qualify if you...

  • Ongoing toxicity greater than CTCAE grade 2 from prior anti-cancer treatment completed within 4 weeks, except peripheral neuropathy less than grade 3
  • Previous treatment with the selected study drug for the same cancer
  • Tumor genomic variant known to cause resistance to a study drug excludes use of that drug
  • Receiving other anti-cancer therapies except specified supportive care or ongoing castration therapy started at least 1 month prior
  • Pregnant or nursing females and patients refusing effective contraception
  • Progressive brain metastases or unstable neurological status; special restrictions for glioblastoma patients including antiepileptic drug use and recent radiotherapy
  • Preexisting uncontrolled cardiac conditions or left ventricular ejection fraction below 40%
  • Recent stroke or heart attack within 4 months
  • Acute gastrointestinal bleeding within 1 month
  • Other significant medical conditions that may interfere with study participation
  • Not meeting drug-specific eligibility requirements
  • Disease not measurable or assessable by imaging or physical exam
  • Known allergy or hypersensitivity to the study drug or its ingredients

AI-Screening

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Trial Site Locations

Total: 7 locations

1

Aalborg University Hospital

Aalborg, Aalborg, Denmark, 9000

Not Yet Recruiting

2

Aarhus University Hospital

Aarhus, Aarhus, Denmark, 8200

Not Yet Recruiting

3

Rigshospitalet

Copenhagen, Copenhagen, Denmark, 2100

Actively Recruiting

4

Herlev Hospital

Herlev, Herlev, Denmark, 2730

Not Yet Recruiting

5

Odense University Hospital

Odense, Odense, Denmark, 5000

Not Yet Recruiting

6

Zealand University Hospital

Roskilde, Roskilde, Denmark, 4000

Not Yet Recruiting

7

Vejle Sygehus

Vejle, Vejle, Denmark, 7100

Not Yet Recruiting

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Research Team

U

Ulrik Lassen, Prof.

CONTACT

K

Kristoffer S Rohrberg, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

10

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