Locally Advanced CarcinomaSOUNDNCT05032092
Evaluation of Efficacy of Comprehensive Genomic Tumour Profiling (CGP) From Liquid and/or Tissue Biopsy in Patients With Locally Advanced and/or Metastatic Solid Cancer
A study testing Next Generation Sequencing and Biomarker Monitoring in people with Locally Advanced Carcinoma and Metastatic Cancer, run by Medical University of Graz at 6 sites in Austria.
Trial summary
The aims of this study are to evaluate the efficacy of comprehensive genomic tumour profiling (CGP) from liquid and/or tissue biopsy in patients with locally advanced and/or metastatic solid cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Locally Advanced Carcinoma, Metastatic Cancer
- What is being tested?
- Next Generation Sequencing and Biomarker Monitoring
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 235 participants
- Where
- 6 sitesAustria
- Study dates
- 24 Nov 2021to 27 Aug 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
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
- Initial diagnosis of histologically confirmed locally advanced and/or metastatic solid cancer
- Radiologically confirmed progression under the most recent therapy
- No further evidence-based drug treatment is established, or no satisfactory alternative treatments are available for the locally advanced and/or metastasized carcinoma
- Further therapy is medically feasible
- ECOG (Eastern Cooperative Oncology Group) performance status 0-2
- Life expectancy of at least 12 weeks
- Written informed consent and willingness to cooperate during the course of the study
- Capability to understand the intention and the consequences of the study
Who cannot join
- Untreated CNS (central nervous system) metastases. Patients with treated CNS metastases are eligible if they are clinically stable with regard to neurologic function
- Pregnant or breast feeding
- Other malignomas, diagnosed < 5a before inclusion (except localized squamous cell carcinomas of the skin, surgically curable melanomas of the skin, basal cell carcinomas of the skin)
Trial locations and contacts
6 sites in 1 country.
6 sites in 1 country
Austria6 sites
Landesklinikum Amstetten
Amstetten, 3300
Landeskrankenhaus Feldkirch, Department of Internal Medicine II
Feldkirch, Vorarlberg, 6807
Medical University of Graz
Graz, 8036
Medical University of Innsbruck, Department of Hematology and Oncology
Innsbruck, Tyrol, 6020
Ordensklinikum Linz
Linz, Upper Austria, 4010
University Hospital Salzburg, Department of Internal Medicine III
Salzburg, State of Salzburg, 5020
About this study
The aims of this study are
- to evaluate the efficacy of comprehensive genomic tumour profiling (CGP) from liquid and/or tissue biopsy in patients with locally advanced and/or metastatic solid cancer.
- to evaluate and describe the impact of treatment decisions based on CGP on individual progression free survival in patients with locally advanced and/or metastatic solid cancer
- to evaluate and describe similarities and differences between the treatment suggestions based on CGP/IHC (immuno-histochemistry) of tissue biopsy and liquid biopsy.
In patients with locally advanced and/or metastatic carcinoma the primary efficacy objective of the study is, to observe and describe the PFS (progression-free survival) of the matched treatment compared to the PFS of the most recent therapy.
Read the detailed description
The SOUND study will be exploring the treatment rates and outcomes of CGP-driven targeted treatment in patients with advanced or metastasized cancer. It will use a substantially larger gene-panel than previous studies in Austria. Departing from the routine clinical practice, study patients will have the opportunity to have CGP from liquid and/or tissue biopsy. The treatment decision will be discussed within a molecular tumour board consisting of experts in clinical oncology, human genetics and pathology. The treatment decision process will be supported and documented by a software.
Data from the SOUND study will cover the whole analysis process, the reasons for the treatment decision, reasons for getting or not-getting a matched treatment as well as the outcome, treatment and hospitalisation costs. The SOUND study will give valuable insights into the clinical practice of CGP-driven therapy in Austria and describe the experience and the possible restrictions. Considering the differing conditions in Austria, the SOUND study will generate data that might be useful for best practice sharing with other countries in the future.
- Conditions
- Locally Advanced Carcinoma, Metastatic Cancer
- Being tested
- Next Generation Sequencing, Biomarker Monitoring
- Keywords
- Comprehensive Genomic Tumour Profiling, Targeted Therapy, Progression Free Survival, Next Generation Sequencing, Molecular Tumour Board, Tumour-specific Therapy
- Medical subject headings
- Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Next Generation SequencingDiagnostic test
Also called FoundationOne®Liquid CDx
Molecular analysis of liquid biopsy.
Next Generation SequencingDiagnostic test
Also called FoundationOne® CDx
Molecular analysis of tissue biopsy.
Biomarker MonitoringGenetic
Also called AVENIO ctDNA Expanded Kit
Biomarker Monitoring of study patients receiving matched therapy.
| Study group | Role | What they receive |
|---|---|---|
| Adult patients with locally advanced and/or metastasized solid cancer | Experimental | Liquid biopsies of all 235 study patients will be analysed with FoundationOne®Liquid CDx.
Tissue biopsies from all study patients for whom a tissue biopsy is available will be analysed with FoundationOne® CDx and IHC (approximately 50% of the enrolled patients).
Biomarker Monitoring of study patients receiving matched therapy with AVENIO ctDNA Expanded Kit. Receives: Diagnostic Test: Next Generation Sequencing; Genetic: Biomarker Monitoring |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients with Progression Free Survival (PFS): (matched therapy) /PFS (most recent therapy) > 1.3
To observe and describe the PFS of the matched treatment compared to the PFS of the most recent therapy, PFS = number of calendar days from start treatment to progression of disease
Measured: Start of treatment to radiomorphologically confirmed progression of disease, that is on average about 4 months
Secondary outcomes (5)
Number of potentially actionable targets
To evaluate the number of targets identified with NGS (next-generation sequencing) and IHC, that are potentially actionable with an approved drug on-label, off-label or an experimental drug per patient
Measured: Within seven days after NGS report at Molecular Tumour Board, i.e. 14 to 30 days after enrolment of patient
Proportion of patients with potentially actionable targets
To investigate the proportion of patients with targets actionable by an approved drug on-label, off-label or an experimental drug.
Measured: A maximum of 30 months after first patient first visit
Calendar days from enrolment into the study to the date of death or last visit alive
To observe and describe overall survival (OS)
Measured: Enrolment to death or last visit alive, that is on average about 8 months
Proportion of patients with best overall response of either complete response (CR) or partial response (PR), based on their overall response
To observe and describe objective response rate (ORR), Response will be evaluated by the investigator as defined by RECIST 1. or irRECIST
Measured: A maximum of 30 months after first patient first visit
Proportion of patients with successful molecular profiling from liquid or tissue biopsy, in whom a matched therapy was recommended
To investigate the proportion of patients with successful molecular profiling
Measured: A maximum of 30 months after first patient first visit
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Sep 2021
- Study start24 Nov 2021
- Primary completion14 Apr 2026
- Study completion27 Aug 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Locally Advanced CarcinomaStudies of the same condition, open and under way.
- More trials run by Medical University of GrazThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Open, Prospective, Multicentre IVD (in vitro diagnostic device) Study
- Masking
- None (open label)
- Enrolment
- 235 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medical University of Graz
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Philipp Jost, Univ.Prof.Dr.MD,, Principal investigator, Medical University of Graz, Department of Internal Medicine, Division of Clinical OncologyArmin Gerger, Univ.Prof.,MD., Principal investigator, Medical University of Graz, Department of Internal Medicine, Division of Clinical Oncology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05032092
- Sponsor's protocol ID
- 1168/2021
- Acronym
- SOUND
- Status last verified
- Aug 2026
- First submitted
- 19 Aug 2021
- Last updated
- 1 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of Efficacy of Comprehensive Genomic Tumour Profiling (CGP) From Liquid and/or Tissue Biopsy in Patients With Locally Advanced and/or Metastatic Solid Cancer
- ClinicalTrials.gov ID
- NCT05032092
- Acronym / sponsor ID
- SOUND / 1168/2021
- Conditions
- Locally Advanced Carcinoma, Metastatic Cancer
- Keywords
- Comprehensive Genomic Tumour Profiling, Targeted Therapy, Progression Free Survival, Next Generation Sequencing, Molecular Tumour Board, Tumour-specific Therapy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 235 participants (actual)
- Lead sponsor
- Medical University of GrazUniversity, hospital or other
- Study start
- 24 Nov 2021 (actual)
- Primary completion
- 14 Apr 2026 (actual)
- Study completion
- 27 Aug 2026 (actual)
- First posted
- 2 Sep 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aims of this study are
- to evaluate the efficacy of comprehensive genomic tumour profiling (CGP) from liquid and/or tissue biopsy in patients with locally advanced and/or metastatic solid cancer.
- to evaluate and describe the impact of treatment decisions based on CGP on individual progression free survival in patients with locally advanced and/or metastatic solid cancer
- to evaluate and describe similarities and differences between the treatment suggestions based on CGP/IHC (immuno-histochemistry) of tissue biopsy and liquid biopsy.
In patients with locally advanced and/or metastatic carcinoma the primary efficacy objective of the study is, to observe and describe the PFS (progression-free survival) of the matched treatment compared to the PFS of the most recent therapy.
Detailed description
The SOUND study will be exploring the treatment rates and outcomes of CGP-driven targeted treatment in patients with advanced or metastasized cancer. It will use a substantially larger gene-panel than previous studies in Austria. Departing from the routine clinical practice, study patients will have the opportunity to have CGP from liquid and/or tissue biopsy. The treatment decision will be discussed within a molecular tumour board consisting of experts in clinical oncology, human genetics and pathology. The treatment decision process will be supported and documented by a software.
Data from the SOUND study will cover the whole analysis process, the reasons for the treatment decision, reasons for getting or not-getting a matched treatment as well as the outcome, treatment and hospitalisation costs. The SOUND study will give valuable insights into the clinical practice of CGP-driven therapy in Austria and describe the experience and the possible restrictions. Considering the differing conditions in Austria, the SOUND study will generate data that might be useful for best practice sharing with other countries in the future.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Open, Prospective, Multicentre IVD (in vitro diagnostic device) Study
| Arm | Type | Receives |
|---|---|---|
| Adult patients with locally advanced and/or metastasized solid cancer | Experimental | Diagnostic Test: Next Generation Sequencing, Genetic: Biomarker MonitoringLiquid biopsies of all 235 study patients will be analysed with FoundationOne®Liquid CDx. Tissue biopsies from all study patients for whom a tissue biopsy is available will be analysed with FoundationOne® CDx and IHC (approximately 50% of the enrolled patients). Biomarker Monitoring of study patients receiving matched therapy with AVENIO ctDNA Expanded Kit. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Initial diagnosis of histologically confirmed locally advanced and/or metastatic solid cancer
- Radiologically confirmed progression under the most recent therapy
- No further evidence-based drug treatment is established, or no satisfactory alternative treatments are available for the locally advanced and/or metastasized carcinoma
- Further therapy is medically feasible
- ECOG (Eastern Cooperative Oncology Group) performance status 0-2
Key exclusion criteria (3 listed)
- Untreated CNS (central nervous system) metastases. Patients with treated CNS metastases are eligible if they are clinically stable with regard to neurologic function
- Pregnant or breast feeding
- Other malignomas, diagnosed < 5a before inclusion (except localized squamous cell carcinomas of the skin, surgically curable melanomas of the skin, basal cell carcinomas of the skin)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Next Generation SequencingAlso: FoundationOne®Liquid CDxMolecular analysis of liquid biopsy. | Diagnostic test | Adult patients with locally advanced and/or metastasized solid cancer |
| Next Generation SequencingAlso: FoundationOne® CDxMolecular analysis of tissue biopsy. | Diagnostic test | Adult patients with locally advanced and/or metastasized solid cancer |
| Biomarker MonitoringAlso: AVENIO ctDNA Expanded KitBiomarker Monitoring of study patients receiving matched therapy. | Genetic | Adult patients with locally advanced and/or metastasized solid cancer |
Primary outcome
Proportion of patients with Progression Free Survival (PFS): (matched therapy) /PFS (most recent therapy) > 1.3
Time frame: Start of treatment to radiomorphologically confirmed progression of disease, that is on average about 4 months
To observe and describe the PFS of the matched treatment compared to the PFS of the most recent therapy, PFS = number of calendar days from start treatment to progression of disease
5 secondary outcomes
Number of potentially actionable targets
Time frame: Within seven days after NGS report at Molecular Tumour Board, i.e. 14 to 30 days after enrolment of patient
Proportion of patients with potentially actionable targets
Time frame: A maximum of 30 months after first patient first visit
Calendar days from enrolment into the study to the date of death or last visit alive
Time frame: Enrolment to death or last visit alive, that is on average about 8 months
Proportion of patients with best overall response of either complete response (CR) or partial response (PR), based on their overall response
Time frame: A maximum of 30 months after first patient first visit
Proportion of patients with successful molecular profiling from liquid or tissue biopsy, in whom a matched therapy was recommended
Time frame: A maximum of 30 months after first patient first visit
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Sep 2026.
- Individual participant dataSharing planned: No
Related trials for Locally Advanced Carcinoma
RecruitingPhase 1/2
Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab (Keytruda®) in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)
Solid Tumor, Non-Small Cell Lung Cancer
RecruitingPhase 2
Proton Spatially Fractionated Radiotherapy or Photon Stereotactic Body Radiotherapy in Combination With Pembrolizumab Before Surgery for the Treatment of Locally Advanced and Radiation-Naive Locoregionally Recurrent Oral Cavity Cancer, OSPRI Trial
Locally Advanced Oral Cavity Squamous Cell Carcinoma, Locally Recurrent Oral Cavity Squamous Cell Carcinoma
Not yet recruitingPhase 2
Toripalimab and Lenvatinib With or Without SBRT Before Surgery for Non-Clear Cell Kidney Cancer
Nonmetastatic Locally Advanced Non-Clear Cell Renal Cell Carcinoma
RecruitingPhase 3
Study of Daraxonrasib (RMC-6236) in Patients With RAS Mutated NSCLC (RASolve 301)
NSCLC (Non-small Cell Lung Cancer), Non-Small Cell Lung Cancer
RecruitingPhase 3
Induction Pembrolizumab and Chemotherapy Followed by Pembrolizumab Before Chemoradiation and Pembrolizumab Maintenance Compared to Standard Chemoradiation With Pembrolizumab Followed by Pembrolizumab Maintenance in High-Risk Cervical Cancer
Locally Advanced Cervical Adenocarcinoma, Locally Advanced Cervical Adenosquamous Carcinoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Philipp Jost, Univ.Prof.Dr.MD, principal investigator
Medical University of Graz, Department of Internal Medicine, Division of Clinical Oncology
Armin Gerger, Univ.Prof.,MD. principal investigator
Medical University of Graz, Department of Internal Medicine, Division of Clinical Oncology
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Next Generation Sequencing and Biomarker Monitoring in people with Locally Advanced Carcinoma and Metastatic Cancer, run by Medical University of Graz at 6 sites in Austria.
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 8 inclusion and 3 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: finished, as of the sponsor's last update on 1 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 6 sites in Austria. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Proportion of patients with Progression Free Survival (PFS): (matched therapy) /PFS (most recent therapy) > 1.3 (time frame: Start of treatment to radiomorphologically confirmed progression of disease, that is on average about 4 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 1 Sep 2026.