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Trial record 70 of 141 for:    MPL

Diagnostic Platform to Perform Centralized and Standardized Rapid Molecular Diagnosis by Next Generation Sequencing (NGS) in Patients Diagnosed With Acute Myeloid Leukemia.

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ClinicalTrials.gov Identifier: NCT03311815
Recruitment Status : Recruiting
First Posted : October 17, 2017
Last Update Posted : October 25, 2018
Sponsor:
Information provided by (Responsible Party):
PETHEMA Foundation

Brief Summary:

NGS studies will be done in stem cell leukemic population. The analysis of the samples to the diagnosis will be carried out using the 26 consensus genes: ASXL1 had, CBL, CEBPA, DNMT3A, EZH2, FLT3, GATA2, IDH1, IDH2, JAK2, KIT, KRAS, MPL, MLL, NPM1, NRAS, PTPN11, RUNX1, SETBP1, SF3B1, SRSF2, TET2, TP53, U2AF1, WT1. Regarding the 26 genes panel, it would have the advantage that the quantification of DNA from each sample will be carried out by fluorimetry using the AmpliSeq or TruSeq on Ion platforms torrent Proton or MySeq are handled in different laboratories.

Using NGS techniques the investigator will detect the recurrently mutated genes in AML to establish the biological role of each mutation.

The molecular characterization of the 700 samples which are estimated to pick up during the project will consist of massive sequencing of genes recurrently mutated in AML (ASXL1, had, CBL, CEBPA, DNMT3A, EZH2, FLT3, GATA2, IDH1, IDH2, JAK2, KIT, KRAS, MPL, MLL, NPM1, NRAS, PTPN11, RUNX1, SETBP1, SF3B1, SRSF2, TET2, TP53, U2AF1, WT1). Found mutations will be collated in the different databases of somatic variations to establish which of them could be classified as a driver or passenger.


Condition or disease Intervention/treatment
Acute Myeloid Leukemia Diagnostic Test: NGS techniques

Detailed Description:

All patients diagnosed with AML (new diagnosis or relapsed/refractory disease) can be included.

This project aims to establish a platform for comprehensive diagnostic and research platform in the context of the Spanish PETHEMA cooperative group, constituted by 80 institutions and seven central laboratories with extensive technological capacity.

This will be a prospective, multicenter, non-interventional study. It will be performed in 7 central laboratories (Hospital Universitario la Fe, Hospital Universitario de Salamanca, Hospital 12 de Octubre, Hospital Universitario Virgen del Rocío, Hospital Reina Sofía, Hospital Dr. Negrín and Clínica Universidad de Navarra) from the spanish PETHEMA group that will receive and process bone marrow and peripheral blood samples from AML patients at diagnosis and at resistance or first and subsequent relapses. In parallel, all patients will be enrolled in the ongoing PETHEMA epidemiologic registry of AML with a large number of clinical data however no safety information/Adverse Events about drug treatments will be collected. Currently, the PETHEMA group is reporting 600 newly diagnosed patients per year and accounts for 5000 cases in the data-base.

It is expected that the investigator will analyze 450 samples from 450 newly diagnosed patients that will participate in this study in a period of 2 years (225 per year). This means that roughly 40% of all AML patients from the PETHEMA group institutions will be included in the study.

In addition, other 250 samples from relapsing/refractory patients will be included in 2 years. Of these 250 samples form relapsing/refractory patients, it is expected that 150 samples will be drawn from patients in whom the sample was already analyzed at diagnosis in the current study, and 100 samples will be drawn form 100 additional patients that were not previously included in the study at the initial diagnosis. So, the expected distribution of analyzed samples will be: 450 at diagnosis, 150 resampling at first relapse from patients already analyzed at diagnosis, and 100 samples at first or subsequent relapse from patients not included in the study at the time of diagnosis. The investigator expect at least 500 patients and 700 samples.

Molecular diagnosis by NGS will be rapidly reported to the treating physician (<48-72 hours), in order to facilitate inclusion of patients in potential targeted therapy trials in AML.

Through the analysis of leukemic cells in samples from a large cohort of patients treated homogeneously, it is intended to delve into the prognostic value of genetic lesions that are observed at diagnosis by means of a large panel of mutations by next-generation sequencing. Thanks to this ambitious cooperative study, the investigator will be in an unprecedented and novel situation to understand the cellular mechanisms associated with chemoresistance of leukemic cells. This could allow us to design new therapeutic strategies of personalized medicine that will be able to eradicate these cells with minimal toxic effects on patients with AML.


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Study Type : Observational
Estimated Enrollment : 500 participants
Observational Model: Case-Only
Time Perspective: Prospective
Official Title: A COMPREHENSIVE AND RAPID DIAGNOSIS PLATFORM OF PERSONALIZED MEDICINE FOR THE TREATMENT OF ACUTE MYELOID LEUKEMIA. PROSPECTIVE, MULTICENTER AND NON-INTERVENTIONAL STUDY
Actual Study Start Date : October 6, 2017
Estimated Primary Completion Date : September 2020
Estimated Study Completion Date : October 2020



Intervention Details:
  • Diagnostic Test: NGS techniques
    Using NGS techniques we will detect the recurrently mutated genes in AML to establish the biological role of each mutation


Primary Outcome Measures :
  1. Molecular diagnosis of acute myeloid leukemia [ Time Frame: 3 years ]

    To develop a Spanish nationwide diagnostic platform to perform centralized and standardized rapid molecular diagnosis by next generation sequencing (NGS) in patients diagnosed with AML.

    NGS studies will be done in stem cell leukemic population. The analysis of the samples to the diagnosis will be carried out using the 26 consensus genes: ASXL1 had, CBL, CEBPA, DNMT3A, EZH2, FLT3, GATA2, IDH1, IDH2, JAK2, KIT, KRAS, MPL, MLL, NPM1, NRAS, PTPN11, RUNX1, SETBP1, SF3B1, SRSF2, TET2, TP53, U2AF1, WT1. Regarding the 26 genes panel, it would have the advantage that the quantification of DNA from each sample will be carried out by fluorimetry using the AmpliSeq or TruSeq on Ion platforms torrent Proton or MySeq are handled in different laboratories. Using NGS techniquesthe investigator will detect the recurrently mutated genes in AML to establish the biological role of each mutation.



Biospecimen Retention:   Samples With DNA
bone marrow and peripheral blood samples from AML patients


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All adult patients (≥18 years) with AML (excluding APL) according to the WHO criteria (2008), regardless of the treatment administered by their treating physician
Criteria

Inclusion Criteria:

  • All adult patients (≥18 years) with AML (excluding APL) according to the WHO criteria (2008), regardless of the treatment administered by their treating physician.
  • Patient has to sign the informed consent form, allowing for sampling, analyses and reporting of the mutational results.
  • AML at diagnosis and at relapse or refractoriness.

Exclusion Criteria:

  • Genetic diagnosis of acute promyelocytic leukemia
  • No Informed Consent Form

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03311815


Contacts
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Contact: Pau Montesinos, Dr +34 96 1244000. ext 411966 montesinos_pau@gva.es

Locations
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Spain
Hospital Reina Sofía Recruiting
Córdoba, Spain
Contact: Joaquin Sanchez, Dr       sanchezgarciajoaquin@yahoo.es   
Hospital Dr. Negrín Recruiting
Las Palmas de Gran Canaria, Spain
Contact: M Teresa Gomes, Dr       mgomcasf@gobiernodecanarias.org   
Hospital 12 de Octubre Recruiting
Madrid, Spain
Contact: Joaquin Martinez, Dr       jmarti01@med.ucm.es   
Clínica Universidad de Navarra Recruiting
Pamplona, Spain
Contact: Mª Jose Calasanz, Dr       mjcal@unav.es   
Hospital General Universitario Recruiting
Salamanca, Spain
Contact: Marcos González, Dr       margondi@usal.es   
Hospital Virgen del Rocío Recruiting
Sevilla, Spain
Contact: José Antonio Perez Simon, Dr       josea.perez.simon.sspa@juntadeandalucia.es   
Hospital Universitari i Politècnic La Fe Recruiting
Valencia, Spain
Contact: Pau Montesinos, Dr       montesinos_pau@gva.es   
Sponsors and Collaborators
PETHEMA Foundation
Investigators
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Principal Investigator: Pau Montesinos, Dr PETHEMA Foundation

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Responsible Party: PETHEMA Foundation
ClinicalTrials.gov Identifier: NCT03311815     History of Changes
Other Study ID Numbers: NGS-LMA
First Posted: October 17, 2017    Key Record Dates
Last Update Posted: October 25, 2018
Last Verified: October 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
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Leukemia
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Neoplasms by Histologic Type
Neoplasms