Collection of Liquid Biopsy Samples of Neuroendocrine Neoplasms (NEN) Patients - Collection of NET (CollectNET) 2.0, a Study by the BE-FORCE Consortium

Study Purpose

The CollectNET 2.0 by BE-FORCE is a prospective, multicentric, interventional study in which liquid biopsies will be collected from neuroendocrine neoplasms (NEN) patients to create an extensive biobank that will be used for current and future circulating cell-free DNA (ccfDNA) analyses. Two sampling groups will be created: the "Regular Sampling Group" and the "Intensive Sampling Group". Upon participation, up to four additional blood tubes (max. total of 32.5mL) will be collected at each timepoint as specified below. These include 3 Streck Cell-Free DNA tubes (10 mL each) which will be used for the extraction of ccfDNA and 1 PreAnalytiX (PAXgene)® Blood RNA tube (2.5 mL). All NEN patients in one of the participating hospitals who have measurable tumor burden on imaging will be asked to participate in our study and will be included in the "Regular Sampling Group". If additionally, the patient is (i) diagnosed with a histologically confirmed NEN of World Health Organisation (WHO) 2019 grade 1-3 neuroendocrine tumor (NET) or neuroendocrine carcinoma (NEC) from pancreatic, colorectal or small intestinal origin and (ii) is starting any kind of 1st line systemic treatment (e.g. somatostatin analogues, targeted therapy, chemotherapy, etc.), they will be followed up more intensively as per the "Intensive Sampling Group". If during follow-up in this "Intensive Sampling Group" patients have disease progression or have completed follow-up for 3 years in this group, their follow-up will switch back to the "Regular Sampling Group" for the remainder of the study. Ultimately, the samples collected in the "Intensive Sampling Group" will be used to achieve the second and third objective of our current project. These are to validate novel ccfDNA analyzing techniques (IMPRESS and GIPXplore) for assessment of the presence and quantification of circular tumor DNA (ctDNA) in liquid biopsies, and to monitor tumor fraction (i.e., ctDNA quantities) over time in sequential plasma samples from NEN patients using ccfDNA assays and correlating this with time to progression (according to RECIST 1.1 criteria) to explore the predictive efficacy of ccfDNA analysis and thereby evaluate its biomarker potential for patient follow-up. While samples from the "Regular Sampling Group" and the PAXgene tubes will be biobanked for future projects.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Observational
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Male or female ≥ 18 years of age on the day of signing informed consent.
  • - Written informed consent must be obtained from the patient or patient's legal representative.
  • - Patient is willing and able (in the investigator's opinion) to comply with all trial requirements.
  • - For inclusion in the Regular Sampling Group: patients must have (had) a histologically confirmed NEN diagnosis, patients must have measurable tumor burden on imaging, patients must be in follow-up in one of the participating hospitals and patients who have progressed or completed follow-up for 3y in the Intensive Sampling Group.
  • - For inclusion in the Intensive Sampling Group: patients who are included in the Regular Sampling Group and where either a baseline sample (RSG-B) or a recent RSG follow-up sample (RSG-V.
..) has been collected before the start of 1st systemic treatment (as defined below), patients must be diagnosed with a histologically confirmed NEN diagnosis of a WHO 2019 grade 1-3 NET or NEC of pancreatic, colorectal, or small intestinal origin and patients must start any kind of 1st line systemic treatment (e.g. somatostatin analogues, targeted therapy, chemotherapy, etc.).

Exclusion Criteria:

  • - Patients who are unable to give informed consent.
  • - Patients for which blood sampling would compromise their overall health.
  • - Patients pregnant at time of study entry or are willing to become pregnant during the study.
  • - Patients with a history or current evidence of any condition or abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study, or is not in the best interest of the patient to participate, in the opinion of the Investigator.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06541080
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

University Hospital, Antwerp
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Timon Vandamme
Principal Investigator Affiliation University Hospital, Antwerp
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries Belgium
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Neuroendocrine Neoplasms
Arms & Interventions

Arms

: Regular Sampling Group (RSG)

This group consists of all NEN patients who have measurable tumor burden on imaging (and who do not fulfill the criteria for the Intensive Sampling Group) and are willing to participate in the study.

: Intensive Sampling Group (ISG)

This group consists of patients who at baseline or during the course of the study patients in this group (i) have a histologically confirmed NEN of WHO 2019 grade 1-3 NET or NEC from pancreatic, colorectal, or small intestinal origin and (ii) are starting any kind of 1st line systemic treatment (e.g. somatostatin analogues, targeted therapy, chemotherapy, etc.).

Interventions

Diagnostic Test: - Shallow Whole Genome Sequencing (sWGS)-GIPXplore

GIPXplore will be used to mine shallow whole genome sequencing cell free DNA data for identification of signatures.

Diagnostic Test: - methylation-sensitive restriction enzymes (MSRE)-Single-molecule molecular inversion probes (smMIP)-seq assay

Aberrant methylation in ccfDNA will be analyzed using the novel, highly sensitive MSRE-smMIP-seq technology.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

AZ Rivierenland, Rumst, Antwerp, Belgium

Status

Not yet recruiting

Address

AZ Rivierenland

Rumst, Antwerp,

Site Contact

Caro De Weerdt

[email protected]

03436

VITAZ, Sint-Niklaas, East-Flanders, Belgium

Status

Not yet recruiting

Address

VITAZ

Sint-Niklaas, East-Flanders,

Site Contact

Caro De Weerdt

[email protected]

03436

University Hospital Leuven, Leuven, Flemish Brabant, Belgium

Status

Not yet recruiting

Address

University Hospital Leuven

Leuven, Flemish Brabant,

Site Contact

Kristien Dumon

[email protected]

03436

Ziekenhuis Netwerk Antwerpen (ZNA), Antwerpen, Belgium

Status

Not yet recruiting

Address

Ziekenhuis Netwerk Antwerpen (ZNA)

Antwerpen, , 2020

Site Contact

Abdelbari Baitar

[email protected]

03436

Gasthuiszusters Ziekenhuizen (GZA), Antwerpen, Belgium

Status

Not yet recruiting

Address

Gasthuiszusters Ziekenhuizen (GZA)

Antwerpen, , 2610

Site Contact

Caro De Weerdt

[email protected]

03436

AZ Monica, Antwerpen, Belgium

Status

Not yet recruiting

Address

AZ Monica

Antwerpen, ,

Site Contact

Caro De Weerdt

[email protected]

03436

AZ Klina, Brasschaat, Belgium

Status

Not yet recruiting

Address

AZ Klina

Brasschaat, , 2930

Site Contact

Sofie Herman

[email protected]

03436

Antwerp University Hospital (UZA), Edegem, Belgium

Status

Recruiting

Address

Antwerp University Hospital (UZA)

Edegem, , 2650

Site Contact

Siddharth Chhajlani

[email protected]

03436 #8144

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