AzTrials
AzTrials

Non-small Cell Lung CancerBIOEXALKNCT05122806

Analysis of Biological Characteristics of Advanced ALK-rearranged NSCLC

A study testing RNAseq in people with Non-small Cell Lung Cancer and ALK Gene Rearrangement Positive, run by Groupe Francais De Pneumo-Cancerologie at 46 sites in France.

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

BioEXALK is a prospective study evaluating the biological characteristics of advanced ALK-rearranged NSCLC treated with next generation TKIs in first line, included in the national EXPLORE ALK cohort (GFPC 03-2019), a non-interventional, national, multi-center cohort of ALK-rearranged NSCLC patients. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
RNAseq
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
46 sitesFrance
Study dates
22 Sep 2021to 30 Jun 2027
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

  • Stage IIIB/IV NSCLC non eligible to locoregional treatment with curative intent
  • ALK rearrangement confirmed by IHC and/or FISH or NGS according to local methods
  • Patient included in the EXPLORE ALK study
  • Age > or = 18 years
  • Patient treated with first-line new generation ALKi
  • Patient agrees to sign an informed consent form and to collect blood samples at inclusion, first tumor evaluation and progression and for whom tumor biopsy at diagnosis is available
  • Patient enrolled in the french National Health Insurance program or with a third- party payer

Who cannot join

  • Patients who do not wish to participate in Bioexalk
  • Patients under guardianship

Trial locations and contacts

46 sites in 1 country. Contact the study team or a site near you to ask about taking part.

46 sites in 1 country

France46 sites, 46 recruiting
  • Centre Hospitalier d'Aix en Provence

    Aix-en-Provence, 13616

    Stéphanie MARTINEZ, +33 442335067, smartinez@ch-aix.fr

    Stéphanie MARTINEZ

    Not yet recruiting
  • Pneumologie CHU

    Amiens, 80054

    Géraldine FRANCOIS, francois.geraldine@chu-amiens.fr

    Not yet recruiting
  • Centre Hospitalier Universitaire

    Angers, 49033

    Thierry URBAN, +33241355844, thurban@chu-angers.fr

    Thierry URBAN

    Not yet recruiting
  • Centre Hospitalier d'Annecy

    Annecy, 74374

    Chantal DECROISETTE, +33 450636603, cdecroisette@ch-annecygenevois.fr

    Chantal H DECROISETTE

    Recruiting
  • Centre Hospitalier du Morvan

    Brest, 29200

    Renaud DESCOURT, PhD, +33 298223827, renaud.descourt@chu-brest.fr

    Renaud DESCOURT, PhD

    Recruiting
  • Centre François Baclesse

    Caen, 14000

    Radj GERVAIS, +33231455013, r.gervais@baclesse.fr

    Radj GERVAIS

    Not yet recruiting
  • Pneumologie CH Métropole Savoie

    Chambéry, 73000

    Julian PINSOLLE, julian.pinsolle@ch-metropole-savoie.fr

    Recruiting
  • Oncologie CLCC Jean Perrin

    Clermont-Ferrand, 63000

    Lise THIBONNIER, lise.thibonnier@clermont.unicancer.fr

    Not yet recruiting
  • Centre Hospitalier Intercommunal de Créteil

    Créteil, 94010

    Gaelle ROUSSEAU-BUSSAC, PhD, gaelle.rousseaubussac@chicreteil.fr

    Gaelle ROUSSEAU-BUSSAC, PhD

    Recruiting
  • Pneumologie CH Eure-Seine

    Évreux, 27000

    Nicolas DELBERGHE, nicolas.delberghe@ch-eureseine.fr

    Recruiting
  • Pneumologie CHD Vendée

    La Roche-sur-Yon, 85925

    Marie MARCQ, marie-marcq@chd-vendee.fr

    Recruiting
  • Pneumologie Hôpital Mignot

    Le Chesnay, 78157

    Cécile DUJON, cdujon@ch-versailles.fr

    Not yet recruiting
  • Pneumologie CH

    Le Mans, 72000

    Olivier MOLINIER, omolinier@ch-lemans.fr

    Not yet recruiting
  • Oncologie Centre Oscar Lombret

    Lille, 59000

    Eric DANSIN, e-dansin@o-lambret.fr

    Not yet recruiting
  • Pneumologie Hôpital Calmette

    Lille, 59000

    Alexis CORTOT, elexis.cortot@chru-lille.fr

    Not yet recruiting
  • Pneumologie CHU Limoges

    Limoges, 87042

    Yannick SIMONNEAU, +33555056268, yannick.simonneau@chu-limoges.fr

    Not yet recruiting
  • Hôpital du Scorff

    Lorient, 56100

    Régine LAMY, +33 297069706, r.lamy@ch-bretagne-sud.fr

    Régine LAMY

    Recruiting
  • Pneumologie Hôpital privé Jean Mermoz

    Lyon, 69085

    Pierre BOMBARON, p.bombaron@orange.fr

    Not yet recruiting
  • Centre Léon Bérard

    Lyon, 69373

    Aurélie SWALDUZ, +33 469756217, aurelie.swalduz@lyon.unicancer.fr

    Aurélie SWALDUZ

    Recruiting
  • Oncologie Hôpital François Quesnay

    Mantes-la-Jolie, 78200

    Karima SABOUNDJI, karimasaboundji@gmail.com

    Not yet recruiting
  • Pneumologie Hôpital Européen

    Marseille, 130003

    Jacques LE TREUT, j.letreut@hopital-europeen.fr

    Recruiting
  • Oncologie Institut Paoli Calmette

    Marseille, 13273

    Anne MADROSZYK, madroszyka@ipc.unicancer.fr

    Not yet recruiting
  • Hôpital Nord

    Marseille, 13915

    Laurent GREILLIER, +33 491965901, laurent.GREILLIER@ap-hm.fr

    Laurent GREILLIER

    Recruiting
  • Hôpital de Meaux

    Meaux, 77100

    Chrystèle LOCHER, PhD, +33 164353856, chlocher@ghef.fr

    Chrystèle LOCHER, PhD

    Recruiting
  • Oncologie Institut du Cancer de Montpellier

    Montpellier, 34298

    Camille TRAVERT, camille.travert@icm.unicancer.fr

    Not yet recruiting
  • Oncologie CH Morlaix

    Morlaix, 29600

    Karim AMRANE, kamrane@ch-morlaix.fr

    Not yet recruiting
  • Pneumologie CHR

    Orléans, 45000

    Hugues H MOREL, hugues.morel@chr-orleans.fr

    Recruiting
  • Oncologie Institut Curie

    Paris, 75005

    Catherine DANIEL, catherine.daniel@curie.fr

    Not yet recruiting
  • Pneumologie Centre Hospitalier

    Pau, 64000

    Aldo RENAULT, also.renault@ch-pau.fr

    Recruiting
  • Hôpital du Haut Leveque

    Pessac, 33604

    Rémi VEILLON, +33 557656338, remi.veillon@chu-bordeaux.fr

    Rémi VEILLON

    Not yet recruiting
  • CHU Pontchailloux

    Rennes, 35000

    Charles RICORDEL, PhD, +33 299283738, charles.ricordel@chu-rennes.fr

    Charles RICORDEL, PhD

    Recruiting
  • Hôpital Charles Nicolle

    Rouen, 76031

    Florian GUISIER, +33 232888079, florian.guisier@chu-rouen.fr

    Florian GUISIER

    Recruiting
  • Pneumologie Hôpital Yves Le Foll

    Saint-Brieuc, 22000

    Gwenaelle LE GARFF, gwenaelle.legarff@ch-stbrieuc.fr

    Not yet recruiting
  • Pneumologie CHU Félix Guyon

    Saint-Denis, La Réunion, 97400

    Diane MOREAU, diane.moreau@chu-reunion.fr

    Recruiting
  • CHU La Réunion Site Sud

    Saint-Pierre, 97410

    Eric HUCHOT, eric.huchot@chr-reunion.fr

    Recruiting
  • Institut Lucien Neuwirth

    Saint-Priest-en-Jarez, 42271

    Pierre FOURNEL, +33 477917036, pierre.fournel@icloire.fr

    Pierre FOURNEL

    Recruiting
  • Centre Paul Strauss

    Strasbourg, 67065

    Roland SCHOTT, PhD, +33 368766666, rschott@strasbourg@unicancer.fr

    Roland SCHOTT, PhD

    Not yet recruiting
  • Pneumologie Hôpital Foch

    Suresnes, 92150

    Hélène DOUBRE, h.doubre@hopital-foch.com

    Recruiting
  • Pneumologie HIA

    Talence, 33400

    Jean-Michel PELONI, jm.peloni@mspb.com

    Not yet recruiting
  • Pneumologie Hôpital Sainte Musse

    Toulon, 83056

    Clarisse AUDIGIER VALETTE, clarisse.audigier-valette@ch-toulon.fr

    Not yet recruiting
  • Hôpital d'Instruction des Armées Ste Anne

    Toulon, 83800

    Olivier BYLICKI, +33 483162937, bylicki.olivier@yahoo.fr

    Olivier BYLICKI

    Recruiting
  • Hôpital Larrey

    Toulouse, 31059

    Laurence BIGAY-GAME, +33 567771836, bigaygame.l@chu-toulouse.fr

    Laurence BIGAY-GAME

    Not yet recruiting
  • Oncologie CH Bretagne-Atlantique

    Vannes, 56000

    Gonzague DE CHABOT, gonzague.dechabot@ch-bretagne-atlantique.fr

    Recruiting
  • Centre Hospitalier de Villefranche sur Saone

    Villefranche-sur-Saône, 69655

    Lionel FALCHERO, +33 4 74 09 27 23, LFalchero@lhopitalnordouest.fr

    Lionel FALCHERO

    Recruiting
  • Oncologie Institut Gustave Roussy

    Villejuif, 94805

    Benjamin BESSE, benjamin.besse@gustaveroussy.fr

    Not yet recruiting
  • Pneumologie CHI

    Villeneuve-Saint-Georges, 94195

    Alexa MAIROVITZ, alexa.mairovitz@chiv.fr

    Not yet recruiting

Other trials in France

About this study

Official title: Biological Characterization of Advanced ALK-rearranged Non-small Cell Lung (NSCLC) Cancer Included in EXPLOREALK Study

BioEXALK is a prospective study evaluating the biological characteristics of advanced ALK-rearranged NSCLC treated with next generation TKIs in first line, included in the national EXPLORE ALK cohort (GFPC 03-2019), a non-interventional, national, multi-center cohort of ALK-rearranged NSCLC patients.

BioExALK study will be proposed to every patient included in the Explore ALK GFPC 03-2019 study.

Read more

Biological analysis will be performed on tumor tissue at diagnosis and at the time of disease progression when available and on circulating tumor DNA (ctDNA).

For plasma testing, after obtained patient consent, blood samples will be taken and analyzed at the Léon Bérard Center (Lyon).

Biological analysis on tissue obtained at diagnosis and at disease progression will be collected and be sent for centralized analysis to the Rouen University Hospital.

Read the detailed description

BioEXALK is a prospective study evaluating the biological characteristics of advanced ALK-rearranged NSCLC treated with new generation TKIs in first line, included in the national EXPLORE ALK cohort (GFPC 03-2019).

Explore ALK GFPC 03-2019 is a non-interventional, national, multi-center cohort of ALK-rearranged NSCLC patients, whose RCB reference is 2020-A00771-38 and which obtained an approval from the IDF II Ethic Committee on 25/05/2020. Biological analysis will be performed on tissue at diagnosis and at the time of disease progression when available and on circulating tumor DNA (ctDNA) on three timepoints (diagnosis, at first tumor evaluation and at the time of disease progression).

  • Tissue : RNAseq will be performed on tumor biopsy (10 slides of 5 microns) to identify the ALK fusion partner and its variant and associated co-mutations..
  • ctDNA : NGS panel on DNA including a large panel of fusions and mutations will be performed on blood samples (30mL on EDTA or STRECKs tubes) at diagnosis, at the time of the first evaluation and at the time of progression).

For plasma testing, after obtained patient consent, blood samples (35mL on EDTA or STRECKs tubes) at diagnosis, at the first evaluation and at disease progression will be taken.

The ALKis include alectinib and brigatinib as first-line therapy or other drugs with marketing authorizations (lorlatinib, entrectinib) or in early access programs (EAPs).

Liquid biopsies will be analyzed with a NGS panel allowing the identification of ALK fusion partners and resistance mechanisms (mutations, fusions, copy number variations). Samples will be sent for centralized analysis to the Léon Bérard Center (Lyon).

For biological analysis on tissue obtained at diagnosis, the ALK fusion partner and its variant will be identified by RNAseq. Whenever a tissue re-biopsy is performed at the time of disease progression as part of the standard of care management of the patient, the remaining tissue sample will be collected as part of the BioExALK study, so that RNAseq analysis will be performed to look for resistance mechanisms. Tissue samples (10 slides of 5 microns) will be sent for centralized analysis to the Rouen University Hospital.

Being tested
RNAseq
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • RNAseqGenetic

    Also called DNA NGS

    1. Tissue : RNAseq will be performed on tumor biopsy (10 slides of 5 microns) to identify the ALK fusion partner and its variant and associated co-mutations.
    2. ctDNA : NGS panel on DNA including a large panel of fusions and mutations will be performed on blood samples
Study groups in NCT05122806
Study groupRoleWhat they receive
Bioexalk cohortOtherAll patients included in Explore ALK GFPC 03-2019 study who agree to participate in Bioexalk.
Receives: Genetic: RNAseq

What is being measured

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

  1. Progression Free Survival (PFS)

    PFS assessed by local review using RECIST v1.1, defined as time from treatment initiation to the first clinical or radiological progression or death from any cause

    Measured: From date of treatment initiation up to 72 months

Secondary outcomes (11)
  1. Overall Survival (OS)

    OS defined as time from treatment initiation to death from any cause.

    Measured: From date of treatment initiation up to 72 months

  2. Duration of Response (DoR)

    DoR assessed by local review using RECIST v1.1, defined as time from treatment initiation to the first clinical or radiological progression, death, consent withdrawn, adverse event, protocol deviations, lost to follow-up, or initiation of a new line of anticancer therapy.

    Measured: From date of treatment initiation up to 72 months

  3. Overall Response Rate (ORR)

    ORR defined as objective response rate of complete response or partial response measured by local review RECIST v1.1.

    Measured: From date of treatment initiation up to 72 months

  4. Circulating tumoral DNA (ctDNA) clearance on Progression Free Survival (PFS) of stage IV ALK-rearranged NSCLC patients

    ctDNA clearance will be determine as clearance of the fusion when detectable and/or clearance of relevant mutations when fusion not detected

    Measured: From date of treatment initiation up to 72 months

  5. Circulating tumoral DNA (ctDNA) clearance on Overall Survival (OS) of stage IV ALK-rearranged NSCLC patients

    ctDNA clearance will be determine as clearance of the fusion when detectable and/or clearance of relevant mutations when fusion not detected

    Measured: From date of treatment initiation up to 72 months

  6. Circulating tumoral DNA (ctDNA) clearance on Duration of Response (DoR) of stage IV ALK-rearranged NSCLC patients

    ctDNA clearance will be determine as clearance of the fusion when detectable and/or clearance of relevant mutations when fusion not detected

    Measured: From date of treatment initiation up to 72 months

  7. Circulating tumoral DNA (ctDNA) clearance on Overall Response Rate (ORR) of stage IV ALK-rearranged NSCLC patients

    ctDNA clearance will be determine as clearance of the fusion when detectable and/or clearance of relevant mutations when fusion not detected

    Measured: From date of treatment initiation up to 72 months

  8. Description of mechanisms of resistance associated with first-line tyrosine kinase inhibitors

    The following mechanisms of resistance will be assessed: secondary mutations on ALK, mutations or translocations on other genes of interest, histological transformations

    Measured: From date of treatment initiation up to 72 months

  9. Description of mechanism of resistance associated with each ALK-fusion partner

    The following mechanisms of resistance will be assessed: secondary mutations on ALK, mutations or translocations on other genes of interest, histological transformations

    Measured: From date of treatment initiation up to 72 months

  10. Concordance between ALK fusion partner and co-mutations

    ALK fusion partner and co-mutation identifications based on liquid and tissue biopsies at Baseline

    Measured: From date of treatment initiation up to 72 months

  11. Impact of presence or absence of serum Anti-ALK antibodies at diagnosis on OS

    Measured: From date of treatment initiation up to 72 months

Timeline

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

  1. First posted17 Nov 2021
  2. Study start22 Sep 2021
  3. Primary completion30 Jun 2027 (estimated)
  4. Study completion30 Jun 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
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05122806
Sponsor's protocol ID
GroupeFDPC
Other IDs
GFPC 08-2020
Acronym
BIOEXALK
Status last verified
Apr 2026
First submitted
6 Sep 2021
Last updated
29 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing RNAseq in people with Non-small Cell Lung Cancer and ALK Gene Rearrangement Positive, run by Groupe Francais De Pneumo-Cancerologie at 46 sites in France.

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 7 inclusion and 2 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 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 sites in France. 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 Florian GUISIER (+33 2 32888079, florian.guisier@chu-rouen.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression Free Survival (PFS) (time frame: From date of treatment initiation up to 72 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 29 Apr 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in