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EXOME Analysis Position in the Strategy of Genetic Predisposition Factors Identification in Early-onset Cancer (EX²TRICAN)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04141462
Recruitment Status : Recruiting
First Posted : October 28, 2019
Last Update Posted : October 28, 2019
Sponsor:
Information provided by (Responsible Party):
Centre Georges Francois Leclerc

Brief Summary:
5 to 10% of cancers are due to the presence of a constitutional genetic alteration. It can be inherited from parents (family form) or by accident, in the first moments of life after fertilization (sporadic form). In both cases, this genetic alteration is constitutional and transmissible to descendants. It is hereditary. When an hereditary early form is suspected, several well-known genes generally involved in genetic predispositions to cancer are found by a technique called " gene panel ". However, this analysis does not always identify the genetic predisposing factors for cancer. New techniques called "high-throughput exome sequencing (SHD-E)", allow more than the analysis of the the gene panel. These analysis allow to identify alterations in other genes that could contribute to the development of cancer. The objective of the Ex²trican study is to show, from patients with early cancer (sporadic or familial form), that this approach to exome sequencing can be effective to identify new genetic risk of cancer, when the first panel analysis of genes is negative.

Condition or disease Intervention/treatment Phase
Cancer Genetic Predisposition Genetic: blood sample Not Applicable

Detailed Description:
The main objective of this study is to evaluate the interest of the SHD-E approaches after a negative result of the analysis called " gene panel " tested in routine in order to identify a genetic factor of predisposition to the cancer.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 613 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: EXOME Analysis Position in the Strategy of Genetic Predisposition Factors Identification in Early-onset Cancer
Actual Study Start Date : July 2, 2019
Actual Primary Completion Date : October 10, 2019
Estimated Study Completion Date : October 10, 2024

Arm Intervention/treatment
Experimental: Patients with a a constitutional genetic alteration
one genetic consultation and one blood test
Genetic: blood sample
blood test




Primary Outcome Measures :
  1. genetic mutations [ Time Frame: inclusion ]
    SHD-E analysis



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Index case:

  1. Major or minor patient
  2. Histological or cytological evidence of malignant tumor diagnosis
  3. Patient with cancer before age 40 (or before age 30 for breast cancer).
  4. Absence of anomaly found on the oncogenetic panel tested in the predisposition concerned
  5. Patient affiliated to a social security scheme
  6. Signature of Informed Consent EXTRICAN
  7. Availability of a tumor sample if needed secondary functional studies
  8. Availability of both parents when the trio approach will be necessary in the population 1 (or validation of the indication in CPR in case of non-availability of both parents)
  9. Availability of affected relatives in population 2 (or validation of the indication in SPC in case of non-availability of the related person)

Related:

  1. Major or minor patient
  2. Histological or cytological evidence of the diagnosis of malignant tumor if
  3. Patient affiliated to a social security scheme
  4. Signing informed consent EXTRICAN

Exclusion Criteria:

Index and related case:

  1. Refusal of the patient participation
  2. Psychiatric illness and / or condition of the patient compromising the understanding of the information or the realization of the study
  3. Patient under guardianship, curatorship or safeguard of justice
  4. Pregnant woman

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): NCT04141462


Contacts
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Contact: Laurence FAIVRE, PH 03 80 29 53 13 laurence.faivre@cgfl.fr
Contact: Emilie REDERSTORFF 03 45 34 81 16 erederstorff@cgfl.fr

Locations
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France
CHRU Jean Minjoz Not yet recruiting
Besançon, France
Contact: Marie-Agnès COLLONGE-RAME    03 81 21 81 87    macollongerame@chu-besancon.fr   
Centre Georges-François Leclerc Recruiting
Dijon, France, 21000
Contact: Laurence FAIVRE, PH    03 80 29 53 13    laurence.faivre@cgfl.fr   
Contact: Emilie REDERSTORFF, PhD    03 45 34 81 16    erederstorff@cgfl.fr   
Principal Investigator: Laurence FAIVRE, PH         
Sub-Investigator: François GHIRINGHELLI, PU PH         
CHU de Dijon Not yet recruiting
Dijon, France
Contact: Laurence FAIVRE    03 80 29 53 13    laurence.faivre@cgfl.fr   
CHU de Reims Not yet recruiting
Reims, France
Contact: Monique MOZELLE    03 26 78 90 03    mmozelle@chu-reims.fr   
Polyclinique de Courlancy Not yet recruiting
Reims, France
Contact: Frederique CARRE-PIGEON    03 26 78 90 03    Fcarre-pigeon@groupe-courlancy.com   
CH de Troyes Not yet recruiting
Troyes, France
Contact: Monique MOZELLE    03 25 49 49 14    Monique.mozelle@ch-troyes.fr   
Sponsors and Collaborators
Centre Georges Francois Leclerc
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Responsible Party: Centre Georges Francois Leclerc
ClinicalTrials.gov Identifier: NCT04141462    
Other Study ID Numbers: EX²TRICAN
First Posted: October 28, 2019    Key Record Dates
Last Update Posted: October 28, 2019
Last Verified: October 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Centre Georges Francois Leclerc:
genetic mutations
early sporadic or familial cancer
gene panel
exome analysis
high-throughput exome sequencing
Additional relevant MeSH terms:
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Disease Susceptibility
Genetic Predisposition to Disease
Disease Attributes
Pathologic Processes