Detection of Microsatellite Instability (MSI) in Circulating Tumor DNA of Patients With Stage IV Colorectal Carcinoma
Description
Brief Summary
This pilot trial studies how well serial liquid biopsies work in detecting microsatellite
instability in participants with stage IV colorectal cancer. Serial liquid biopsies may help
doctors learn better methods to track cancer in the bloodstream and how to use these to
improve cancer treatments.
Detailed Description
I. To test the hypothesis that there is high level of concordance between the electrophoretic
mobility profile of microsatellite biomarkers in circulating cell-free deoxyribonucleic acid
(ccfDNA) versus in primary tumor tissues in patients with colorectal carcinomas displaying
microsatellite instability.
II. To test the hypothesis that changes in the electrophoretic mobility profile of
microsatellite biomarkers in liquid biopsies from patients with colorectal carcinoma
correlate with therapeutic responsiveness measured based on Response Evaluation Criteria in
Solid Tumors (RECIST) criteria.
III. To determine whether microsatellite alleles generated as a result of microsatellite
instability detectable in liquid biopsy specimens from patients with colorectal carcinoma
represent the entire cancer cell population or only a subset of cancer cells differentially
affected by genomic instability.
OUTLINE:
Participants undergo collection of blood samples to evaluate microsatellite instability via
serial liquid biopsies at baseline, then every 6 weeks and at progression or 9 months.
Phase
N/AInclusion and Exclusion Criteria
- Patients newly diagnosed with stage IV colorectal cancer and with defined microsatellite instability status before initiation of systemic immunotherapy.
- Trackable cancer-driver mutation in the primary tumor documented before initiation of chemotherapy.
- Zubrod performance status of 0 or 1.
- Patients have measurable disease according to RECIST version (v)1.1.
- Ability to understand and willing to sign a written informed consent.
- Severe anemia (hemoglobin [Hb] < 8 g/dL).
Sites
Please contact the trial administrator to learn more about where you can participate in this trial. Please use the contact form on the right side.