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CNS MetastasesBrainStormNCT04109131

A Brain Metastases Research Platform to Tackle the Challenge of CNS Metastases in Solid Tumours

A study testing Samples collection: Plasma, Samples collection: CSF and Samples collection: Non-CNS Metastatic Tumour Tissue in people with CNS Metastases, run by Jules Bordet Institute at 17 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Despite some encouraging data, systemic treatment of CNS metastases from solid tumors remains experimental. Better knowledge on the evolving epidemiology and biology of BM are key elements for the development of new treatment strategies and identification of promising therapeutic targets for new compounds. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
CNS Metastases
What is being tested?
Samples collection: Plasma, Samples collection: CSF and Samples collection: Non-CNS Metastatic Tumour Tissue
Could I receive a placebo?
No, everyone receives an active treatment
How many people
600 participants
Where
17 sitesin 3 countries
Study dates
1 Jul 2020to Jan 2029
Phase
Interventional
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

Who may be able to join

  • Age ≥ 18 years old
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
  • Female or Male
  • Eligible for part A: Subjects (from cohorts 1 to 5) with newly diagnosed or up to 24 months from diagnosis of non-CNS metastases. Enrolment of exceptional cases surpassing 24 months from diagnosis will be allowed for up to 20% of subjects enrolled with HER2+ BC (cohort 2) and NSCLC harbouring driver mutations (cohort 3).
  • Eligible for part B: Subjects (from cohorts 1 to 7) presenting with a first CNS event and not yet enrolled in the program
  • Seven cohorts of subjects are defined in this prospective multicenter study:
Show all 21Show fewer
  • Cohort 1: Triple negative breast cancer (TNBC)
  • Cohort 2: HER 2 positive breast cancer (HER2+ BC)
  • Cohort 3: Non-small cell lung cancer (NSCLC)
  • Cohort 4: Small cell lung cancer (SCLC)
  • Cohort 5: Melanoma
  • Cohort 6: Other solid tumours (apart from the above mentioned subtypes
  • Cohort 7: Radiologically or cytologically confirmed leptomeningeal carcinomatosis
  • Availability of either primary and/or non-CNS metastatic archival tumour tissue is mandatory for inclusion.
  • Willingness to undergo lumbar puncture at diagnosis of CNS metastases unless medical contra-indications
  • Predicted life expectancy > 3 months.
  • Women of childbearing potential must have a negative urine pregnancy test done within 28 days prior to enrolment
  • Effective contraception is in place for women of childbearing potential
  • Completion of all necessary screening procedures within 28 days prior to enrolment.
  • Signed Informed Consent form (ICF) obtained prior to any study related procedure.
  • Affiliated to the French Social Security System

Who cannot join

  • Pregnant and/or lactating women.
  • Previous or current malignancies of other histologies within the last 2 years, with the exception of in situ carcinoma of the cervix, and adequately treated basal cell or squamous cell carcinoma of the skin.
  • Subject with a significant medical, neuro-psychiatric, or surgical condition, currently uncontrolled by treatment, which, in the principal investigator's opinion, may interfere with completion of the study.
  • Vulnerable persons according to the article L.1121-6 of the Public Health Code, adults who are the subject of a measure of legal protection or unable to express their consent according to article L.1121-8 of the Public Health Code.

Trial locations and contacts

17 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

17 sites in 3 countries

Belgium9 sites, 9 recruiting
  • Institut Jules Bordet

    Anderlecht, 1070

    Sylvie Bartholomeus

    Andrea Gombos

    Recruiting
  • Hôpital Erasme

    Brussels, 1070

    Véronique Goblet, +32 2 541 30 39, Veronique.Goblet@erasme.ulb.ac.be

    Florence Lefranc, MD

    Recruiting
  • Cliniques Universitaires St Luc

    Brussels, 1200

    Nathalie Blondeel

    François Duhoux

    Recruiting
  • Grand Hôpital de Charleroi

    Charleroi, 6000

    Veronique Petre

    Jean-Luc Canon

    Recruiting
  • Universitair Ziekenhuis Gent

    Ghent, 9000

    Lore Vansteelant

    Hannelore Denys

    Recruiting
  • UZ Brussel

    Jette, 1090

    Malika Tahiri

    Lore Decoster

    Recruiting
  • UZ Leuven

    Leuven, 3000

    Inge Wauters, ingeborg.wauters@uzleuven.be

    Paul Clement, MD

    Recruiting
  • CHU Ambroise Paré

    Mons, 7000

    Anna-Maria Barbuto

    Stéphane Holbrechts

    Recruiting
  • CHU UCL Namur - Site de Sainte-Elisabeth

    Namur, 5000

    Dominique Crasson

    Vincent Vanhaudenarde

    Recruiting

Other trials in Belgium

France7 sites, 7 recruiting
  • Centre Oscar Lambret

    Lille, 59020

    Solene Charpentier, s-charpentier@o-lambret.fr

    Claire Cheymol, MD

    Recruiting
  • Institut Paoli-Calmettes

    Marseille, 13273

    Anthony Lombardi, LOMBARDIA@ipc.unicancer.fr

    Anthony Goncalves, MD

    Recruiting
  • Institut Universitaire de Cancérologie AP-HP Sorbonne Université, Hopital Tenon

    Paris, 75020

    Joseph Gligorov, MD, joseph.gligorov@aphp.fr

    Recruiting
  • Institut Curie

    Paris, 75248

    Imen Hafsi

    Edith Borcoman, MD

    Recruiting
  • Centre Henri Becquerel

    Rouen, 76038

    Delphine Bridelance, delphine.bridelance@chb.unicancer.fr

    Florian Clatot, MD

    Recruiting
  • Hopitaux Universitaires de Strasbourg

    Strasbourg, 67200

    Philippe Barthelemy, MD

    Philippe Barthelemy, MD

    Recruiting
  • Institut Universitaire du Cancer - Oncopole

    Toulouse, 31059

    Marina Basmaison, Basmaison.Marina@iuct-oncopole.fr

    Eleonora De Maio Desposito, MD

    Recruiting

Other trials in France

Luxembourg1 site, 1 recruiting
  • Centre Hospitalier de Luxembourg

    Luxembourg, 1445

    Chouaib Mediouni, chouaib.mediouni@lih.lu

    Caroline Duhem, MD

    Recruiting

Other trials in Luxembourg

About this study

Official title: A Brain Metastases Research Platform to Tackle the Challenge of CNS Metastases in Solid Tumours - BrainStorm Program

Despite some encouraging data, systemic treatment of CNS metastases from solid tumors remains experimental.

Better knowledge on the evolving epidemiology and biology of BM are key elements for the development of new treatment strategies and identification of promising therapeutic targets for new compounds. Further biological findings may help to better understand the heterogeneity between the primary tumor and the CNS metastases and to identify new targets for therapy thus improving patients' outcome.

In this context, the Oncodistinct network and the Jules Bordet institute propose to build a multidisciplinary Brain Metastases Clinical Research Platform called BrainStorm. The BrainStorm program will focus on patients with newly diagnosed non-CNS metastatic solid tumors with high risk of developing CNS metastases and will allow building a large clinico pathological database for CNS metastases including ctDNA analyzes from CSF samples. Substudies will be proposed at each time-period with the final objective to develop innovative treatment approaches and strategies.

Conditions
CNS Metastases
Being tested
Samples collection: Plasma, Samples collection: CSF, Samples collection: Non-CNS Metastatic Tumour Tissue, Brain MRI, Samples collection: Serum

What participants receive

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

  • Samples collection: PlasmaOther

    Also called Blood for plasma preparation

    At baseline

    Part A:

    • TNBC/ HER2+ BC: once a year
    • NSCLC/SCLC: every 4 months
    • Melanoma: every 6 months

    Part B:

    • As close as possible to the diagnosis of CNS metastases and no later than 6 weeks after diagnosis

    Part C:

    • Every 3 months (+/- 1 month)
  • Samples collection: CSFOther

    Also called CSF sample

    Part B: Mandatory CSF sampling at CNS diagnosis when clinically possible unless medically contra-indicated - As close as possible to the diagnosis of CNS metastases and no later than 6 weeks after diagnosis Part C: Additional CSF sampling in case CSF sampling is performed for routine clinical practice

  • Samples collection: Non-CNS Metastatic Tumour TissueOther

    Also called Non-CNS Metastatic Tumour Tissue collection

    Part B: Highly recommended non-CNS metastatic tumour tissue collection (1FFPE and 1 FT) at CNS metastases diagnosis (Part B) (NB: Bone lesions are excluded) - As close as possible to the diagnosis of CNS metastases and no later than 6 weeks after diagnosis

  • Brain MRIOther

    Part A:

    • Brain MRI at inclusion is allowed within 45 days before enrolment
    • Brain MRI pre-CNS diagnosis (Part A) : HER2 BC/TNBC: once a year; NSCLC/SCLC: every 4 months; Melanoma: every 6 months (+/- 1 month)

    Part B:

    • As close as possible to the diagnosis of CNS metastases and no later than 6 weeks after diagnosis

    Part C:

    • Brain MRI post-CNS diagnosis (Part C): every 3 months (+/- 1 month window)
  • Samples collection: SerumOther

    Also called Blood for serum preparation

    At baseline

    Part A:

    • TNBC/ HER2+ BC: once a year
    • NSCLC/SCLC: every 4 months
    • Melanoma: every 6 months

    Part B:

    • As close as possible to the diagnosis of CNS metastases and no later than 6 weeks after diagnosis for cohorts 1-5.
Study groups in NCT04109131
Study groupRoleWhat they receive
CNS metastases from solid tumoursOtherThe study will be organised on three time-periods based on the time of the 1st CNS event: Part A - Pre-diagnosis period: before diagnosis of the 1st CNS event Part B - At 1st CNS diagnosis period Part C - Post diagnosis period: after the 1st CNS event
Receives: Other: Samples collection: Plasma; Other: Samples collection: CSF; Other: Samples collection: Non-CNS Metastatic Tumour Tissue; Other: Brain MRI; Other: Samples collection: Serum

What is being measured

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

  1. Better understanding of the epidemiology of CNS metastases from solid tumours

    To collect data regarding the epidemiology of CNS metastases from solid tumours and identify risk factors for CNS metastases development, including:

    • Time to the first CNS event
    • Time to the second CNS after first treatment and subsequent CNS events

    Measured: through study completion, approximately 96 months

  2. Better understanding of the epidemiology of CNS metastases from solid tumours

    To collect data regarding the epidemiology of CNS metastases from solid tumours and identify risk factors for CNS metastases development, including::

    • Time to whole brain radiotherapy

    Measured: through study completion, approximately 96 months

  3. Better understanding of the epidemiology of CNS metastases from solid tumours

    To collect data regarding the epidemiology of CNS metastases from solid tumours and identify risk factors for CNS metastases development, including:

    • Overall survival

    Measured: through study completion, approximately 96 months

  4. Better understand the biology of CNS metastases (brain and leptomeningeal carcinomatosis) using CSF-ctDNA as a surrogate endpoint for CNS tumour tissue DNA.

    To collect data regarding the biology of CNS metastases by investigating on:

    • Presence of CSF-ctDNA at diagnosis of CNS metastases

    Measured: through study completion, approximately 96 months

  5. Better understand the biology of CNS metastases (brain and leptomeningeal carcinomatosis) using CSF-ctDNA as a surrogate endpoint for CNS tumour tissue DNA.

    To collect data regarding the biology of CNS metastases by investigating on:

    • Presence of plasma ctDNA at diagnosis of CNS metastases

    Measured: through study completion, approximately 96 months

  6. Better understand the biology of CNS metastases (brain and leptomeningeal carcinomatosis) using CSF-ctDNA as a surrogate endpoint for CNS tumour tissue DNA.

    • quantification of plasma ctDNA and CSF-ctDNA using deep targeted NGS
    • deep targeted next-generation sequencing (NGS) on DNA samples from primary or non-CNS metastases as well as germline DNA samples and CNS metastases if surgery

    Measured: through study completion, approximately 96 months

  7. Better understand the biology of CNS metastases (brain and leptomeningeal carcinomatosis) using CSF-ctDNA as a surrogate endpoint for CNS tumour tissue DNA.

    • A set of 1-3 point mutations (single nucleotide variants) will be selected for each subject based on the above analyses for the identification and quantification of plasma ctDNA and CSF-ctDNA using deep targeted NGS

    Measured: through study completion, approximately 96 months

  8. Better understand the biology of CNS metastases (brain and leptomeningeal carcinomatosis) using CSF-ctDNA as a surrogate endpoint for CNS tumour tissue DNA.

    • Standard analyses cytology and biochemistry analyses

    Measured: through study completion, approximately 96 months

  9. Better understand the biology of CNS metastases (brain and leptomeningeal carcinomatosis) using CSF-ctDNA as a surrogate endpoint for CNS tumour tissue DNA.

    • Quantitative measurement of serum neuron-specific enolase

    Measured: through study completion, approximately 96 months

Timeline

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

  1. First posted30 Sep 2019
  2. Study start1 Jul 2020
  3. Primary completionJan 2028 (estimated)
  4. Study completionJan 2029 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04109131
Sponsor's protocol ID
IJB-BS-ODN-006
Acronym
BrainStorm
Status last verified
Jan 2026
First submitted
12 Jul 2019
Last updated
6 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Arecco L, Rothe F, Venet D, Gombos A, Goncalves A, De Maio D'Esposito E, Barthelemy P, Vanhaudenarde V, Clatot F, Holbrechts S, Duhoux FP, Borcoman E, Cheymol C, Gligorov J, Denys H, Clement PM, Punie K, Duhem C, Decoster L, Canon JL, Lefranc F, Rasschaert M, Kindt N, Cular K, Gentile G, Paulus K, Pop E, Delaroche D, de Azambuja E, Awada A, Kotecki N. Cerebrospinal fluid circulating tumor DNA profiling in central nervous system metastases from solid tumors: A prospective multicentre translational analysis of the BrainStorm (OncoDistinct-006) study. J Liq Biopsy. 2026 Aug 31;14:100492. doi: 10.1016/j.jlb.2026.100492. eCollection 2026 Dec.

    PubMed 42835688

Questions about this trial

What is this clinical trial studying?

A study testing Samples collection: Plasma, Samples collection: CSF and Samples collection: Non-CNS Metastatic Tumour Tissue in people with CNS Metastases, run by Jules Bordet Institute at 17 sites in 3 countries.

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 21 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 6 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in Belgium, France, Luxembourg. 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?

Contact Nuria Kotecki (+322541 ext. 7366, nuria.kotecki@bordet.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Better understanding of the epidemiology of CNS metastases from solid tumours (time frame: through study completion, approximately 96 months). 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 NCT04109131, 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 6 Jan 2026.

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