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Malignant NeoplasmNCT02243592

Molecular Profiling in Tissue Samples From Patients With Cancer Who Are Exceptional Responders to Treatment

An observational study of Malignant Neoplasm, run by National Cancer Institute (NCI) at 73 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This pilot research trial studies molecular profiling in tissue samples from patients with cancer who got better with treatment that didn't work for most other patients with the same disease. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Malignant Neoplasm
What is being tested?
Laboratory Biomarker Analysis
How many people
170 participants
Where
73 sitesUnited States
Study dates
24 Sep 2014to 30 Apr 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with cancer participating in the Exceptional Cases Initiative

Who may be able to join

  • Documented exceptional response, defined as patients meeting the following criteria:
  • Complete response to a regimen in which complete response is expected in < 10% of similarly treated patients
  • Partial response (PR) > 6 months in a regimen in which PRs > 6 months are expected in < 10% of patients with similar disease treated with same or similar regimen
  • Complete response (CR) or PR of unusual duration, such that the internal review committee considers it to be an exceptional response; examples below:
  • PR of duration > 3 x the median expected PR duration (in cases where PR is expected in > 10% of patients with the same disease treated with the same regimen)
  • CR or duration > 3 x the median expected CR duration (in cases where CR may be seen in > 10% of patients with same disease treated with same regimen)
Show all 17Show fewer
  • The observed duration of CR (or PR) is longer than expected for 90% of patients with same disease treated with same regimen
  • Note: it is not required that the patient be enrolled on a clinical trial when the exceptional response was observed
  • Reports of radiologic scans or other evidence documenting response will be submitted for review; cases where response is not assessable (e.g. adjuvant treatment) will not be eligible because the outcome can not be attributed to a specific treatment
  • Treatment history must be available, for prior treatment and for the drug to which the exceptional response occurred
  • Patient must meet consent criteria; this requires: (i) current exceptional responder (ER) consent by a living participant not lost to follow-up, (ii) prior consent for future research by a participant not known to be deceased, but lost to follow-up, or (iii) if patient is deceased and did not decline to participate in research at the time of tissue removal for any tissue that would be used in this study, then no consent is required
  • Tumor sample available that meets study requirements
  • Required tumor samples MUST exist and be able to be submitted; investigators wishing to submit samples must not have made agreements that would prohibit the free use of data from such samples; the National Cancer Institute (NCI) will provide investigators with a letter for the collaborator amending their existing agreement to allow for the case to be submitted
  • Tumor tissue from prior to administration of the drug to which the exceptional response occurred is required; ideally this sample will have been collected just prior to treatment, but other prior tissue will be considered; tissue may be fresh frozen or formalin-fixed paraffin embedded
  • Tumor tissue amount must be at least a core biopsy, and meet minimum specimen requirements
  • Encouraged: normal tissue sample: (optional): blood or other specimen source for germline sequencing
  • The tumor samples and clinical data submitted to the Exceptional Responders Database in database in Genotypes and Phenotypes (dbGaP) will need to have appropriate agreements in place to allow for the submission; the Exceptional Responders Database can accept clinical data and samples from cases enrolled on a Cancer Therapy Evaluation Program (CTEP) sponsored clinical trial and cases that were not enrolled on any clinical trial; if the response occurred on a trial that was not CTEP-sponsored, there are existing agreements between the submitting site and the pharmaceutical company; if existing agreements do not allow for the submission of sample and clinical data, the NCI will provide the investigators with a letter that allows the tissue to be used for the exceptional responders study if signed by the appropriate collaborator; the letter modifies the existing agreement to include the CTEP Intellectual Property (IP) Option language that would allow the case to be submitted to the Exceptional Responders Database; if the existing agreement cannot be modified and the letter cannot be signed, the proposed case will not be accepted; Note: as stated above, the patient does not need to have been enrolled on a clinical trial to be eligible for the exceptional responders study

Who cannot join

  • Patient's response did not meet criteria for an exceptional response
  • Patient's treatment regimen is expected to lead to CR or durable PR in > 10% of patients
  • Patient's duration of response is not > 3 x expected median length of response
  • Response not evaluable or not able to be attributed to systemic treatment (e.g. adjuvant treatment)
  • Patient refused consent for use of tissue for research activities included in the exceptional responders study
  • Tumor sample from prior to the exceptional response is not available, or does not meet quality metrics

Trial locations and contacts

73 sites in 1 country.

73 sites in 1 country

United States73 sites
  • University of New Mexico Cancer Center

    Albuquerque, New Mexico, 87106

  • Trinity Health Saint Joseph Mercy Hospital Ann Arbor

    Ann Arbor, Michigan, 48106

  • University of Michigan Rogel Cancer Center

    Ann Arbor, Michigan, 48109

  • Emory University Hospital/Winship Cancer Institute

    Atlanta, Georgia, 30322

  • UCHealth University of Colorado Hospital

    Aurora, Colorado, 80045

  • National Cancer Institute Developmental Therapeutics Clinic

    Bethesda, Maryland, 20892

  • NCI - Center for Cancer Research

    Bethesda, Maryland, 20892

  • Saint Alphonsus Cancer Care Center-Boise

    Boise, Idaho, 83706

  • Trinity Health Medical Center - Brighton

    Brighton, Michigan, 48114

  • Saint Francis Medical Center

    Cape Girardeau, Missouri, 63703

  • Physicians' Clinic of Iowa PC

    Cedar Rapids, Iowa, 52402

  • University of Virginia Cancer Center

    Charlottesville, Virginia, 22908

  • Rush MD Anderson Cancer Center

    Chicago, Illinois, 60612

  • Presence Resurrection Medical Center

    Chicago, Illinois, 60631

  • John B Amos Cancer Center

    Columbus, Georgia, 31904

  • Riverside Methodist Hospital

    Columbus, Ohio, 43214

  • Cancer Care Specialists of Illinois - Decatur

    Decatur, Illinois, 62526

  • Decatur Memorial Hospital

    Decatur, Illinois, 62526

  • Wayne State University/Karmanos Cancer Institute

    Detroit, Michigan, 48201

  • City of Hope Comprehensive Cancer Center

    Duarte, California, 91010

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • NorthShore University HealthSystem-Evanston Hospital

    Evanston, Illinois, 60201

  • Sanford Roger Maris Cancer Center

    Fargo, North Dakota, 58122

  • Poudre Valley Hospital

    Fort Collins, Colorado, 80524

  • Kaiser Permanente-Fresno

    Fresno, California, 93720

  • Corewell Health Grand Rapids Hospitals - Butterworth Hospital

    Grand Rapids, Michigan, 49503

  • Benefis Sletten Cancer Institute

    Great Falls, Montana, 59405

  • Prisma Health Cancer Institute - Butternut

    Greenville, South Carolina, 29605

  • Prisma Health Cancer Institute - Faris

    Greenville, South Carolina, 29605

  • Greenwich Hospital

    Greenwich, Connecticut, 06830

  • Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center

    Houston, Texas, 77030

  • Ben Taub General Hospital

    Houston, Texas, 77030

  • Wellmont Holston Valley Hospital and Medical Center

    Kingsport, Tennessee, 37660

  • Cancer Centers of Southwest Oklahoma Research

    Lawton, Oklahoma, 73505

  • University of Wisconsin Carbone Cancer Center - University Hospital

    Madison, Wisconsin, 53792

  • UP Health System Hematology Oncology Marquette

    Marquette, Michigan, 49855

  • UP Health System Marquette

    Marquette, Michigan, 49855

  • WVUH-Berkely Medical Center

    Martinsburg, West Virginia, 25401

  • Helen F Graham Cancer Center

    Newark, Delaware, 19713

  • Medical Oncology Hematology Consultants PA

    Newark, Delaware, 19713

  • Kaiser Permanente-Oakland

    Oakland, California, 94611

  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

  • Illinois CancerCare-Peoria

    Peoria, Illinois, 61615

  • Reading Hospital McGlinn Cancer Institute at Phoenixville

    Phoenixville, Pennsylvania, 19460

  • Kaiser Permanente Northwest

    Portland, Oregon, 97227

  • Portsmouth Regional Hospital

    Portsmouth, New Hampshire, 03802

  • Kaiser Permanente-Richmond

    Richmond, California, 94801

  • University of Rochester

    Rochester, New York, 14642

  • Huntsman Cancer Institute/University of Utah

    Salt Lake City, Utah, 84112

  • University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229

  • UCSF Medical Center-Mission Bay

    San Francisco, California, 94158

  • Kaiser Permanente Medical Center - Santa Clara

    Santa Clara, California, 95051

  • Kaiser Permanente-Santa Rosa

    Santa Rosa, California, 95403

  • Prisma Health Cancer Institute - Seneca

    Seneca, South Carolina, 29672

  • Sanford Cancer Center Oncology Clinic

    Sioux Falls, South Dakota, 57104

  • Sanford USD Medical Center - Sioux Falls

    Sioux Falls, South Dakota, 57117-5134

  • Henry Ford Health Providence Southfield Hospital

    Southfield, Michigan, 48075

  • Springfield Clinic

    Springfield, Illinois, 62702

  • Mercy Hospital Springfield

    Springfield, Missouri, 65804

  • CoxHealth South Hospital

    Springfield, Missouri, 65807

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Missouri Baptist Medical Center

    St Louis, Missouri, 63131

  • Mercy Hospital Saint Louis

    St Louis, Missouri, 63141

  • Kaiser Permanente-Stockton

    Stockton, California, 95210

  • Aurora Medical Center in Summit

    Summit, Wisconsin, 53066

  • South Georgia Medical Center/Pearlman Cancer Center

    Valdosta, Georgia, 31602

  • Kaiser Permanente-Walnut Creek

    Walnut Creek, California, 94596

  • Sibley Memorial Hospital

    Washington D.C., District of Columbia, 20016

  • UW Cancer Center at ProHealth Care

    Waukesha, Wisconsin, 53188

  • Chester County Hospital

    West Chester, Pennsylvania, 19380

  • Reading Hospital

    West Reading, Pennsylvania, 19611

  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina, 27157

  • York Hospital

    York Village, Maine, 03909

Other trials in United States

About this study

Official title: Exceptional Responders Pilot Study: Molecular Profiling of Tumors From Cancer Patients Who Are Exceptional Responders

This pilot research trial studies molecular profiling in tissue samples from patients with cancer who got better with treatment that didn't work for most other patients with the same disease. Studying samples of tissue from patients with cancer in the laboratory may help doctors learn more about changes that occur in deoxyribonucleic acid (DNA) and identify biomarkers related to how well patients respond to treatment.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To identify molecular indicators in malignant tissues from patients who were exceptional responders on clinical trials or standard systemic treatments using whole exome and/or targeted deep sequencing, as well as potentially other sequencing and other molecular characterization methods (if adequate tissue exists).

II. To explore associations between the identified molecular indicators and the putative mechanism of action of the treatment received by the patient.

III. To test the feasibility of identifying "exceptional responders", obtaining the relevant tumor and normal tissue and clinical data, and performing whole exome and/or targeted deep sequencing on these samples.

OUTLINE:

Previously collected tissue samples are analyzed via whole exome sequencing and/or targeted next generation sequencing (NGS) assay deep sequencing. Cases for which sufficient nucleic acid amounts are available will undergo additional analyses including whole genome sequencing, messenger ribonucleic acid (RNA) (mRNA)-sequencing, micro (miRNA) sequencing, promoter methylation analysis, and single nucleotide polymorphism (SNP) analysis.

Being tested
Laboratory Biomarker Analysis
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Laboratory Biomarker AnalysisOther

    Undergo sequencing and SNP analysis

Study groups in NCT02243592
Study groupRoleWhat they receive
Ancillary-Correlative (molecular profiling)Previously collected tissue samples are analyzed via whole exome sequencing and/or targeted NGS assay deep sequencing. Cases for which sufficient nucleic acid amounts are available will undergo additional analyses including whole genome sequencing, mRNA-sequencing, miRNA sequencing, promoter methylation analysis, and SNP analysis.
Receives: Other: Laboratory Biomarker Analysis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Molecular features in tissue samples from patients who were exceptional responders

    The molecular features of the tumors in the patients will be discernible as distinct to the tumor by comparison to (i) samples from normal tissue in the same patient and (ii) databases of similar data for normal and other tumor types.

    Measured: Baseline

  2. Putative mechanisms of action of the treatments that the patients received when they experienced their exceptional responses

    The associations between identified molecular features and the putative mechanisms of action of the treatments that the patients received when they experienced their exceptional responses will be explored. Statistical analyses will be primarily descriptive.

    Measured: Baseline

  3. Number of cases identified as potential exceptional responders

    Statistical analyses will be primarily descriptive.

    Measured: Baseline

  4. Percentage of identified potential cases confirmed to be exceptional responders

    Statistical analyses will be primarily descriptive.

    Measured: Baseline

  5. Percentage of confirmed exceptional responders for which adequate tissue with appropriate informed consent is acquired

    Statistical analyses will be primarily descriptive.

    Measured: Baseline

  6. Percentage of acquired cases with tissue for which at least the minimum molecular characterization is successfully obtained

    Statistical analyses will be primarily descriptive.

    Measured: Baseline

  7. Percentage of molecularly characterized cases for which a Molecular Characterization report identified (without reference to the drug received by the patient) at least one feature judged to have potential therapeutic relevance

    Promising discoveries will be summarized for the group of cases for which the minimum molecular characterization was successfully obtained. For each such case, molecular data will be reviewed by an expert panel ("Panel") to identify interesting features. All estimated proportions will be accompanied by exact 95% confidence intervals.

    Measured: Baseline

  8. Percentage of cases with >= 1 feature on Molecular Characterization report that was judged to have potential therapeutic relevance to the specific class of drug the patient actually received when the exceptional response was experienced

    Promising discoveries will be summarized for the group of cases for which the minimum molecular characterization was successfully obtained. For each such case, molecular data will be reviewed by the Panel to identify interesting features. All estimated proportions will be accompanied by exact 95% confidence intervals.

    Measured: Baseline

  9. Percentage of cases with >= 1 feature that correlates with the mechanism of action of the specific grant to which the exceptional response occurred that was found after further analyzing the molecular profile data for relevant molecular abnormalities

    Promising discoveries will be summarized for the group of cases for which the minimum molecular characterization was successfully obtained. For each such case, molecular data will be reviewed by the Panel to identify interesting features. All estimated proportions will be accompanied by exact 95% confidence intervals.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Sep 2014 (estimated)
  2. Study start24 Sep 2014
  3. Primary completion4 Mar 2021
  4. Study completion30 Apr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Retrospective
Enrolment
170 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02243592
Sponsor's protocol ID
NCI-2014-01585
Other IDs
NCI-2014-01585, 9671, 9671, UM1CA186704
Status last verified
Sep 2026
First submitted
16 Sep 2014
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
Yes

Publications

  • Moore KN, Mannel RS. Is the NCI MATCH trial a match for gynecologic oncology? Gynecol Oncol. 2016 Jan;140(1):161-6. doi: 10.1016/j.ygyno.2015.11.003. Epub 2015 Nov 14.

    PubMed 26586415

Questions about this trial

What is this clinical trial studying?

An observational study of Malignant Neoplasm, run by National Cancer Institute (NCI) at 73 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 73 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Molecular features in tissue samples from patients who were exceptional responders (time frame: Baseline). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02243592, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2026.

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