UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046220
Receipt number R000052366
Scientific Title Concordance study between Guardant360 and RASKET-B(MEBGEN) of RAS/BRAF evaluation in colorectal cancer. (GOZILA additional study).
Date of disclosure of the study information 2021/12/01
Last modified on 2023/12/13 12:59:04

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Basic information

Public title

Concordance study between Guardant360 and RASKET-B(MEBGEN) of RAS/BRAF evaluation in colorectal cancer. (GOZILA additional study).

Acronym

GOZILA-RAS/BRAF

Scientific Title

Concordance study between Guardant360 and RASKET-B(MEBGEN) of RAS/BRAF evaluation in colorectal cancer. (GOZILA additional study).

Scientific Title:Acronym

GOZILA-RAS/BRAF

Region

Japan


Condition

Condition

Patients with unresectable advanced/recurrent colorectal cancers.

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

We investigate the correlation between the results of RAS/BRAF by Guardant360 and by the previously approved MEBGEN RASKET-B kit in patients with unresectable colorectal cancer, as an ancillary study using the clinical information and test results obtained in the "GOZILA study", which purpose is to profile cancer-related genetic abnormalities in circulating tumor DNA (ctDNA) of patients with advanced or recurrent gastrointestinal or abdominal malignancies.
If this study shows acceptable concordance, Guardant360 would be allowed to be used as a companion diagnostics of RAS/BRAF status to use EGFR inhibitors.

Basic objectives2

Others

Basic objectives -Others

Evaluate the correlation between the results of RAS/BRAF evaluated by Guardant360 and previously approved MEBGEN RASKET-B kit.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Overall percent agreement (OPA), positive percent agreement (PPA), and negative percent agreement (NPA) of RAS mutations by Guardant360 in comparison with those assessed by RASKET-B.
OPA, PPA, NPA of BRAF V600E mutations by Guardant360 in comparison with those assessed by RASKET-B.

Key secondary outcomes

1.The concordance rate between Guardant360 and RASKET-B for RAS and BRAF mutations evaluated under the effect of extravasation of ctDNA with different threshold settings for Max MAF (Mutant Allelic Fraction) values.
2.The concordance rate between Guardant360 and RASKET-B per variant in RAS mutation-positive patients.
3.The concordance rate between Guardant360 and RASKET-B for RAS and BRAF mutations in the drug-naive and drug-treated groups, respectively.
4.The concordance rate between Guardant360 and RASKET-B for RAS and BRAF mutations by metastatic organs.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Colorectal cancer patients who participate in GOZILA study between August 1st, 2018 and February 29, 2020 and can provide written informed consent for secondary use.
2) Patients whose Guardant360 results are available for analysis in this study.
3) Patients whose RAS/BRAF status by RASKET-B kit (MEBGEN) are available.

Key exclusion criteria

Patients who are inappropriate to participate in this study for any reasons.
Patients who have been treated with anti-EGFR antibody at the time of first collecting blood.

Target sample size

350


Research contact person

Name of lead principal investigator

1st name Yoshiaki
Middle name
Last name Nakamura

Organization

National Cancer Center Hospital East

Division name

Department of Gastroenterrelogy and Gastroint estinal Oncology

Zip code

277-8577

Address

6-5-1, Kashiwanoha, Kashiwa Chiba

TEL

04-7133-1111

Email

yoshinak@east.ncc.go.jp


Public contact

Name of contact person

1st name Yu
Middle name
Last name Aoki

Organization

National Cancer Center Hospital East

Division name

Department of Gastroenterrelogy and Gastroint estinal Oncology

Zip code

277-8577

Address

6-5-1, Kashiwanoha, Kashiwa Chiba

TEL

04-7133-1111

Homepage URL


Email

yuaoki2@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital East

Institute

Department

Personal name



Funding Source

Organization

Guardant Health Japan Corp.

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1, tsukiji, tyuo-ku, Tokyo

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 12 Month 01 Day


Related information

URL releasing protocol

Not published.

Publication of results

Published


Result

URL related to results and publications

https://ascopubs.org/doi/full/10.1200/PO.22.00688

Number of participants that the trial has enrolled

212

Results

ctDNA genotyping effectively detected RAS/BRAF mutations, especially with sufficient ctDNA shedding. Clinical outcomes support ctDNA genotyping for determining the use of anti-EGFR and BRAF-targeted therapies in patients with mCRC.

Results date posted

2023 Year 12 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with mCRC enrolled in GOZILA between August 2018 and February 2020 who had available plasma- and tissue-based RAS/BRAF results before anti-EGFR therapy initiation were included in this study.

Participant flow

A retrospective observational study using genomic data and clinical information from the GOZILA Study.

Adverse events

Not applicable.

Outcome measures

Match rate of Guardant360 against RASKET-B in RAS and BRAF mutation
Efficacy of anti-EGFR and BRAF targeted therapy based on ctDNA assay.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 09 Month 28 Day

Date of IRB

2021 Year 11 Month 22 Day

Anticipated trial start date

2021 Year 12 Month 13 Day

Last follow-up date

2022 Year 01 Month 31 Day

Date of closure to data entry

2022 Year 01 Month 31 Day

Date trial data considered complete

2022 Year 01 Month 31 Day

Date analysis concluded

2022 Year 05 Month 31 Day


Other

Other related information

A retrospective observational study using the date or information GOZILA Study
December,2021 to December31,2023


Management information

Registered date

2021 Year 11 Month 29 Day

Last modified on

2023 Year 12 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052366


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name