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Disease ProgressionNCT04436120

Treatment Resistance Following Anti-cancer Therapies

A study testing De novo tumor tissue biopsy and Research blood draws in people with Disease Progression, run by Pfizer at 33 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The TRANSLATE study aims to better understand why tumors become resistant to standard anti-cancer therapies. New tumor biopsy and blood samples are collected after disease progression on standard-of-care anti-cancer treatment and compared to the initial (archival) tumor biopsy sample taken from the same patient. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Disease Progression
What is being tested?
De novo tumor tissue biopsy and Research blood draws
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
38 participants
Where
33 sitesin 5 countries
Study dates
13 Feb 2019to 14 Dec 2020
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Histological diagnosis of locally advanced (primary or recurrent) or metastatic solid tumors treated as follows:
  • Non small cell lung carcinoma (NSCLC) monotherapy: Disease progression (PD) on 1st line monotherapy anti PD-1/ L1.
  • NSCLC combination: PD on 1st line anti PD-1/ L1 plus standard doublet platinum containing regimen; or PD on 1st-line anti-PD-1/-L1 plus standard doublet platinum-containing regimen followed by continuation of single agent anti-PD-1/-L1).
  • Renal cell carcinoma (RCC) with clear cell component: PD on 2nd line monotherapy anti PD-1/ L1; or PD on 1st line combination of doublet anti-PD-1/ L1 with anti-CTLA-4; or PD on 1st-line combination of avelumab with axitinib or pembrolizumab with axitinib.
  • HR+ HER2 adenocarcinoma of the breast: PD on 1st line combination of doublet palbociclib with hormonal therapy.
  • Castrate resistant adenocarcinoma of the prostate: PD on enzalutamide monotherapy.
Show all 9Show fewer
  • Castrate resistant adenocarcinoma of the prostate: PD on abiraterone in combination with prednisone.
  • germline mutated BRCA (gBRCAm), HER2- breast cancer: PD on a PARP inhibitor monotherapy in patients previously treated with chemotherapy in the neoadjuvant, adjuvant, or metastatic setting.
  • Radiographic evidence of PD, including the target lesion being subjected to biopsy for the study, on the most recent regimen that requires a change in anti-cancer treatment.

Who cannot join

  • Tumor biopsy taken from a bone or an irradiated target lesion.
  • Discontinuation of current or most recent anti cancer therapy due to toxicity and not progressive disease.
  • Initiation of new anti-cancer therapy after disease progression prior to planned biopsy.

Trial locations and contacts

33 sites in 5 countries.

33 sites in 5 countries

United States17 sites
  • Alaska Urological Institute dba Alaska Clinical Research Center

    Anchorage, Alaska, 99503

  • Southern Cancer Center, P.C.

    Daphne, Alabama, 36526

  • The Oncology Institute of Hope Innovation

    Glendale, California, 91204

  • The Oncology Institute of Hope Innovation

    Long Beach, California, 90805

  • Southern Cancer Center, PC

    Mobile, Alabama, 36607

  • Southern Cancer Center, PC

    Mobile, Alabama, 36608

  • UCI Medical Center-Chao Family Comprehensive Cancer Center

    Orange, California, 92868-3201

  • Woodlands Medical Specialists PA

    Pensacola, Florida, 32503

  • The Oncology Institute of Hope Innovation

    Santa Ana, California, 92705

  • Sansum Clinic

    Santa Barbara, California, 93105

  • Seattle Cancer Care Alliance

    Seattle, Washington, 98109

  • University of Washington Medical Center

    Seattle, Washington, 98195

  • Sansum Clinic

    Solvang, California, 93463

  • Arizona Oncology Associates, PC-HOPE

    Tucson, Arizona, 85704

  • Arizona Oncology Associates, PC - HOPE

    Tucson, Arizona, 85711

  • The Oncology Institute of Hope and Innovation

    Whittier, California, 90602

  • ICRI-Administrative and Supplies Only

    Whittier, California, 90603

Other trials in United States

France6 sites
  • Centre Jean Perrin

    Clermont-Ferrand, 63011

  • Hôpitaux Civils de Colmar, Centre Hospitalier Louis Pasteur

    Colmar, 68024

  • CHU Henri Mondor

    Créteil, 94010

  • Hôpital La Croix du Sud

    Quint-Fonsegrives, 31130

  • Institut Jean Godinot

    Reims, 51056

  • Hopital Bégin

    Saint-Mandé, 94160

Other trials in France

Belgium5 sites
  • Grand Hôpital de Charleroi - Site Notre Dame

    Charleroi, 6000

  • AZ Maria Middelares

    Ghent, 9000

  • UZ Gent

    Ghent, 9000

  • Hôpital de Jolimont

    Haine-Saint-Paul, 7100

  • Clinique Saint-Pierre Ottignies

    Ottignies, 1340

Other trials in Belgium

Argentina4 sites
  • Hospital Britanico de Buenos Aires

    CABA, C1280AEB

  • Centro de Educacion Medica e Investigaciones Clinicas"Norberto Quirno" CEMIC

    Ciudad Autónoma de Bs As, C1431FWO

  • Sanatorio de la Mujer

    Rosario, Santa Fe Province, S2000ORE

  • Clínica Viedma S.A.

    Viedma, Río Negro Province, 8500

Other trials in Argentina

United Kingdom1 site
  • Royal Cornwall Hospital

    Cornwall, TR1 3IJ

Other trials in United Kingdom

About this study

Official title: TREATMENT RESISTANCE FOLLOWING ANTI-CANCER THERAPIES (TRANSLATE)

The TRANSLATE study aims to better understand why tumors become resistant to standard anti-cancer therapies.

New tumor biopsy and blood samples are collected after disease progression on standard-of-care anti-cancer treatment and compared to the initial (archival) tumor biopsy sample taken from the same patient.

Read more

Annotated reports of results from clinical Next Generation Sequencing (NGS) gene panel tests of both tumor and blood are sent directly from the testing lab to the study physician for discussion with the patient during the study.

Patients may participate in interventional treatment clinical trials at the same time as participating in the TRANSLATE study.

Primary data will be publicly available after the study to support further research.

Read the detailed description

Background: Development of new cancer treatments requires better understanding of why tumors develop resistance to standard-of-care (SOC) therapies. However, post-progression tumor biopsies are not routinely collected, limiting the tissue available to characterize mechanisms of treatment resistance. The TRANSLATE clinical study is specifically designed to address these critical gaps.

Trial design: TRANSLATE is a global, multicenter, translational study designed to collect and compare archival pre-treatment tumor tissue with paired de novo tumor and blood samples obtained following disease progression on SOC therapies, targeting therapeutically important areas of cancer biology.

Eligible Tumor Type and Most Recent SOC Therapy:

  • Non-small-cell lung and Anti-PD-1/-L1 monotherapy
  • Non-small-cell lung and Anti-PD-1/-L1 + platinum
  • Clear cell renal cell carcinoma and Anti-PD-1/-L1 monotherapy
  • Clear cell renal cell carcinoma and Doublet anti-PD-1/-L1 + anti-CTLA-4
  • Clear cell renal cell carcinoma and Pembrolizumab + axitinib
  • Clear cell renal cell carcinoma and Avelumab + axitinib
  • HR+ HER2- breast and Palbociclib + hormonal therapy
  • germline mutated BRCA breast and Olaparib or talazoparib monotherapy
  • Castration-resistant prostate and Enzalutamide
  • Castration-resistant prostate and Abiraterone + prednisone

Eligibility criteria include adults with locally advanced or metastatic tumors; radiographic evidence of progressive disease during the most recent SOC regimen; sufficient archival tumor tissue; and a post-progression tumor lesion that is safely accessible for a new biopsy.

The results from clinical NGS panel testing may help inform subsequent treatment plan or identification of relevant interventional clinical trials.

Patients are enrolled after disease progression on SOC and before change in treatment and participate in 3 study visits within approximately 3 months.

Next-generation sequencing results from analysis of tumor tissue and blood will be returned to the study physician and patient for review at a subsequent study visit within this timeframe.

The primary endpoint is the change in frequency of gene alterations between pre-treatment and post-progression tumor biopsies. Secondary endpoints address prioritized scientific hypotheses specific to each target area of biology and indication.

Primary data will be publicly available after the study to support further research.

Sponsored by Pfizer Inc.; EudraCT: 2018-003612-45.

Being tested
De novo tumor tissue biopsy, Research blood draws
Keywords
Non Small Cell Lung Cancer, Renal Cell Carcinoma, HR+ HER2- Breast Cancer, Castrate-Resistant Prostate Cancer, Germline mutated BRCA, HER2- Breast Cancer
Medical subject headings
Disease Progression, Carcinoma, Non-Small-Cell Lung, Carcinoma, Renal Cell

What participants receive

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

  • De novo tumor tissue biopsyProcedure or surgery

    De novo tissue biopsy performed following disease progression

  • Research blood drawsProcedure or surgery

    Blood biospecimens collected following disease progression

Study groups in NCT04436120
Study groupRoleWhat they receive
Tumor biopsy and blood drawOtherTumor biopsy and blood draw
Receives: Procedure: De novo tumor tissue biopsy; Procedure: Research blood draws

What is being measured

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

  1. Change in the Frequency of Gene Alterations Between Pre-treatment Tumor Samples (Archival) and Post-progression (De Novo) Tumor Biopsies

    Change in frequency is calculated by (frequency in de novo samples) - (frequency in archival samples). The frequency of each gene alteration is calculated as number of patients who harbored the alteration divided by the total number of patients in the cohort. Only gene alterations with variant allele frequency of 5% or greater were included in the analysis. Two different sequencing techniques were applied so 2 analysis sets were repeated for each cohort: targeted panel next-generation sequencing (NGS) and whole exome sequencing NGS.

    Measured: Through study completion, approximately 3 months

Secondary outcomes (7)
  1. Number of Participants With Fully Evaluable Archival and Post-Progression Tumor Biopsy by Cohort

    Estimating the number of fully biomarker evaluable population by cohort to evaluate the success rate in obtaining paired archival and post-progression tumor biopsies that were adequate to meet the objectives of the study

    Measured: Through study completion, approximately 3 months

  2. Overall Agreement Rate of Gene Alterations Between Post-Progression Tumor Biopsy and Blood NGS Results

    Genetic alterations detected in blood were compared to those detected in tissue. Only gene alterations with frequency of 5% or greater based on assessment of tumor biopsy were included in the analysis.

    Measured: Through study completion, approximately 3 months

  3. Change in Frequency of RB1 Gene Alterations Between Pre-Treatment Archival and Post-Progression Samples

    Mutations in RB1 gene associated with immune function, have also been shown to impact tumor immunogenicity and related with CDK4/6 inhibition. CDK4 or CDK6 complexed with cyclin D1 (CCND1) phosphorylates the retinoblastoma gene product (Rb), releasing the E2F and DP transcription factors that regulate the expression of genes required for entry into the S phase of the cell cycle.

    Calculation of change in frequency was decribed in the primary endpoint (Outcome Measure 1).

    Measured: Through study completion, approximately 3 months

  4. Percentage of Participants Who Carried the RB1 Gene Alterations in Post-Progression Blood cfDNA

    Mutations in RB1 gene associated with immune function, have also been shown to impact tumor immunogenicity and related with CDK4/6 inhibition. CDK4 or CDK6 complexed with cyclin D1 (CCND1) phosphorylates the retinoblastoma gene product (Rb), releasing the E2F and DP transcription factors that regulate the expression of genes required for entry into the S phase of the cell cycle. Percentage of Participants Who Carried the RB1 Gene Alterations in Post Progression Blood cfDNA analysis was only conducted for Cohort 4 as per protocol.

    Measured: Through study completion, approximately 3 months

  5. Change in Frequency of AR Gene Alterations Between Pre-Treatment Archival and Post-Progression Samples

    Pre-treatment archival tumor samples and post-progression de novo tumor biopsies were analyzed to identify molecular markers of resistance to selected anti-cancer therapies.

    Calculation of change in frequency was described for in the primary endpoint (Outcome Measure 1).

    AR gene Alterations analysis was only conducted for the Cohorts 5 \& 6 as per protocol.

    Measured: Through study completion, approximately 3 months

  6. Percentage of Participants Who Carried the AR Gene Alterations in Post-Progression Blood cfDNA

    Androgen receptor (AR) gene alterations can be evaluated as mechanisms of resistance to enzalutamide or abiraterone.

    Percentage of Participants Who Carried the AR Gene Alterations in Post-Progression Blood cfDNA analysis was conducted as it was only applicable to Cohorts 5 \&6.

    Measured: Through study completion, approximately 3 months

  7. Change in Expression of Nuclear Hormone Receptors Between Pre-Treatment Archival and Post-Progression Samples

    The differences in the expression of nuclear hormone receptor (HR) reflecting nuclear receptor pathway activity between the archival and de novo samples. Using HTG panel in BET [targeted tumor RNA (TTR)] population and Tempus RNAseq in BET [whole transcriptome tumor RNA (WTTR)] population. The unit of HTG expression data for nuclear hormone receptors is normalized expression counts. This Outcome Measure analysis was only conducted for Cohorts 5 \& 6 as per protocol.

    Measured: Through study completion, approximately 3 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 Jun 2020
  2. Study start13 Feb 2019
  3. Primary completion14 Dec 2020
  4. Study completion14 Dec 2020

Why it stopped: Study terminated due to lack of enrollment that has been compounded by the global COVID-19 pandemic. There were no safety and/or efficacy concerns involved in the decision to stop enrollment.

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
38 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04436120
Sponsor's protocol ID
A9001502
Other IDs
TRANSLATE, 2018-003612-45, 2018
Status last verified
Nov 2024
First submitted
9 Jun 2020
Last updated
3 Dec 2024
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A study testing De novo tumor tissue biopsy and Research blood draws in people with Disease Progression, run by Pfizer at 33 sites in 5 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 9 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: stopped early, as of the sponsor's last update on 3 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in United States, France, Belgium, Argentina, United Kingdom. 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?

Yes. Results are posted in the registry (first posted 3 Dec 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change in the Frequency of Gene Alterations Between Pre-treatment Tumor Samples (Archival) and Post-progression (De Novo) Tumor Biopsies (time frame: Through study completion, approximately 3 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 3 Dec 2024.

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